Price Transparency Hospital negotiated rates
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70554 — Fmri Brain By Tech

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $478

Usually $254–$1,206 (25th–75th percentile) across 1,644 hospitals · 4,299 payers.

“Negotiated” is what insurers actually pay hospitals for this CPT/HCPCS 70554 — the consumer-grade median across the country.

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH None $3,857.24 $1,928.62 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD None $3,857.24 $1,928.62 2024-12-15 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER HAP Self Insured $2.24 $3,829.00 2025-06-28 MRF ↗
COMANCHE COUNTY MEDICAL CENTER MPI - ALL PLANS MPI - ALL PLANS $3.14 $331.66 $215.58 2026-05-07 MRF ↗
MONMOUTH MEDICAL CENTER Clover Managed Medicare $3.86 $2,145.00 $256.39 2024-12-31 MRF ↗
METHODIST HOSPITALS OF MEMPHIS CIGNA [100009] HB Cigna PPO - LeBonheur $4.83 $5,040.00 $1,108.80 2026-03-19 MRF ↗
ST MARYS MEDICAL CENTER Healthplan Medicaid Wv Medicaid $7.38 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Wellpoint Wv Medicaid $7.75 2026-05-06 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER Blue Shield of California Covered California/IFP/PPO $8.56 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD Blue Shield of California Covered California/IFP/PPO $8.61 2026-03-18 MRF ↗
Southern California Hospital At Culver City Blue Shield of California Covered California/IFP/PPO $8.61 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER Blue Shield of California HMO $9.81 2026-03-18 MRF ↗
Southern California Hospital At Culver City Blue Shield of California HMO $9.87 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD Blue Shield of California HMO $9.87 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER Blue Shield of California EPO/PPO/Out of State $10.68 2026-03-18 MRF ↗
Southern California Hospital At Culver City Blue Shield of California EPO/PPO/Out of State $10.74 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD Blue Shield of California EPO/PPO/Out of State $10.74 2026-03-18 MRF ↗
FLAMBEAU HOSPITAL Security Health Plan (SHP) Medicare Advantage $15.00 $4,053.00 $3,850.35 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL UnitedHealth Group of WI Medicare Advantage $15.00 $4,053.00 $3,850.35 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL Veteran's Administration (VA CCN) VA Network $15.00 $4,053.00 $3,850.35 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL Anthem BCBS of WI Medicare Advantage $15.40 $4,053.00 $3,850.35 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL Group Health Cooperative of Eau Claire Medicare Advantage $15.81 $4,053.00 $3,850.35 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL Point Comfort Underwriters Organizational $16.21 $4,053.00 $3,850.35 2026-02-20 MRF ↗
LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE Healthchoice All Commercial Plans $18.85 2026-04-01 MRF ↗
INTEGRIS MIAMI HOSPITAL Healthchoice All Commercial Plans $18.85 2026-04-01 MRF ↗
ALLIANCEHEALTH WOODWARD Healthchoice All Commercial Plans $18.85 2026-04-01 MRF ↗
INTEGRIS GROVE HOSPITAL Healthchoice All Commercial Plans $18.85 2026-04-01 MRF ↗
INTEGRIS CANADIAN VALLEY HOSPITAL Healthchoice All Commercial Plans $18.85 2026-04-01 MRF ↗
INTEGRIS HEALTH ENID HOSPITAL Healthchoice All Commercial Plans $18.85 2026-04-01 MRF ↗
INTEGRIS HEALTH EDMOND HOSPITAL Healthchoice All Commercial Plans $18.85 2026-04-01 MRF ↗
INTEGRIS HEALTH PONCA CITY Healthchoice All Commercial Plans $18.85 2026-04-01 MRF ↗
INTEGRIS MIAMI HOSPITAL Healthchoice All Commercial Plans $18.85 2026-04-01 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Aetna Medicare Advantage 2025-10-24 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE Security Health Plan (SHP) Medicare Advantage $19.75 $4,031.00 $3,829.45 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE Veteran's Administration (VA CCN) VA Network $19.75 $4,031.00 $3,829.45 2026-02-20 MRF ↗
WEST FELICIANA PARISH HOSPITAL Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $19.80 $4,027.93 $2,416.76 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $19.80 $4,027.93 $2,416.76 2025-08-11 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE Anthem BCBS of WI Medicare Advantage $20.16 $4,031.00 $3,829.45 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE Group Health Cooperative of Eau Claire Medicare Advantage $20.96 $4,031.00 $3,829.45 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH Veteran's Administration (VA CCN) VA Network $21.67 $4,515.00 $4,289.25 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH Security Health Plan (SHP) Medicare Advantage $21.67 $4,515.00 $4,289.25 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE Point Comfort Underwriters Organizational $21.77 $4,031.00 $3,829.45 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH Anthem BCBS of WI Medicare Advantage $22.12 $4,515.00 $4,289.25 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH Point Comfort Underwriters Organizational $22.12 $4,515.00 $4,289.25 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH Group Health Cooperative of Eau Claire Medicare Advantage $23.03 $4,515.00 $4,289.25 2026-02-20 MRF ↗
COASTAL CAROLINA HOSPITAL BCBS-SC BCBSSCBlueChoice $28.70 2024-12-08 MRF ↗
COASTAL CAROLINA HOSPITAL BCBS-SC BCBSSCPreferredBlue $30.90 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER BCBS-SC BCBSSCBlueChoice $33.10 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER BCBS-SC BCBSSCPreferredBlue $33.10 2024-12-08 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Health Net of California, Inc. POS $56.06 $45.97 2025-11-26 MRF ↗
EAST COOPER MEDICAL CENTER BCBS-SC BCBSSCPreferredBlue $34.60 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER BCBS-SC BCBSSCBlueChoice $34.60 2024-12-08 MRF ↗
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Vaccn $125.00 $125.00 2026-05-09 MRF ↗
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Humanamilitary Tricare $125.00 $125.00 2026-05-09 MRF ↗
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Magnacare $125.00 $125.00 2026-05-09 MRF ↗
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Martinspoint Tricare $125.00 $125.00 2026-05-09 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL Tricare All $40.43 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL Prime Health All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL UHC Medicare Advantage $40.43 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL Interwest Health All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL First Health Network All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL Blue Cross Blue Shield Medicare Advantage $40.43 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL Montana Health CoOp All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL VA Health All $40.43 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL Coventry All 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL Humana Medicare Advantage $40.43 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL Pacific Source All 2026-03-28 MRF ↗
MACNEAL HOSPITAL BCBS IL PPO $43.34 $3,466.00 2026-03-31 MRF ↗
Shepherd Center Cigna Commercial Commercial 2026-05-06 MRF ↗
METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL UHC MEDICAID [350006] HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT $50.00 $5,040.00 $1,108.80 2026-03-19 MRF ↗
METHODIST HOSPITALS OF MEMPHIS UHC MEDICAID [350006] HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT $50.00 $5,040.00 $1,108.80 2026-03-19 MRF ↗
COASTAL CAROLINA HOSPITAL BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
METHODIST SOUTHLAKE MEDICAL CENTER UHC MEDICAID [350006] HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT $50.00 $5,040.00 $1,108.80 2026-03-19 MRF ↗
METHODIST HOSPITALS OF MEMPHIS UHC MEDICAID [350006] HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT $50.00 $5,040.00 $1,108.80 2026-03-19 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER BCBS-SC BCBSSCState $50.00 2024-12-08 MRF ↗
METHODIST HOSPITALS OF MEMPHIS UHC MEDICAID [350006] HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT $50.00 $5,040.00 $1,108.80 2026-03-19 MRF ↗
JAY HOSPITAL WELLCARE MCARE HMO DUAL PLAN $53.38 2025-12-23 MRF ↗
JAY HOSPITAL WELLCARE MCARE HMO $53.38 2025-12-23 MRF ↗
EAST CARROLL PARISH HOSPITAL UNITED CHICAGO TEACHER FUND-ALL PLANS UNITED CHICAGO TEACHER FUND-ALL PLANS $58.73 $435.00 $326.25 2026-01-16 MRF ↗
HURLEY MEDICAL CENTER UNITED HEALTH CARE COMMUNITY PLAN MEDICAID [9004] UNITED HEALTH CARE MEDICAID [900401] $64.11 $193.00 $193.00 2026-03-23 MRF ↗
CONFLUENCE HEALTH HOSPITAL UHC Apple Health NORTHWEST PHYSICIAN NETWORK $65.20 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL UHC Apple Health UNITED HEALTH CARE AH $65.20 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL UHC Apple Health UNITED HEALTHCARE BEHAVIORAL HEALTH ONLY $65.20 2024-07-01 MRF ↗
Children's Hospital & Medical Center Transplant Anthem In Managed Care Medicaid Plan $66.50 $569.00 $290.19 2026-05-09 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Wellpoint Wellpoint Community Care TennCare Adult $67.20 $585.00 $315.90 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Wellpoint Wellpoint Community Care TennCare Pediatric $67.20 $585.00 $315.90 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Wellpoint Wellpoint Community Care TennCare Adult $67.20 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Wellpoint Wellpoint Community Care TennCare Adult $67.20 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Wellpoint Wellpoint Community Care TennCare Pediatric $67.20 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Wellpoint Wellpoint Community Care TennCare Adult $67.20 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Wellpoint Wellpoint Community Care TennCare Pediatric $67.20 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Wellpoint Wellpoint Community Care TennCare Pediatric $67.20 $585.00 $169.65 2025-10-01 MRF ↗
WAMEGO HEALTH CENTER KANCARE UHC 859_MEDICAID ADVANTAGE KANCARE UNITED HEALTH CARE 20250701 $67.49 2026-01-01 MRF ↗
Children's Hospital & Medical Center Transplant Mhs In Managed Care Medicaid Plan $68.50 $569.00 $290.19 2026-05-09 MRF ↗
CONFLUENCE HEALTH HOSPITAL Molina Apple Health MOLINA AH BLIND_DISABLED $68.61 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Molina Apple Health MOLINA BEHAVIORAL HEALTH ONLY $68.61 2024-07-01 MRF ↗
CONFLUENCE HEALTH HOSPITAL Molina Apple Health MOLINA AH $68.61 2024-07-01 MRF ↗
Prisma Health North Greenville Ltach FIRST CHOICE BENEFITS MGMT [3074] PHU HB 100% OF MEDICAID - NGLTAC $69.06 $3,072.00 $1,996.80 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach MEDICAID GEORGIA-AMERIGROUP [3009] PHU HB 100% OF MEDICAID - NGLTAC $69.06 $3,072.00 $1,996.80 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach MEDICAID FLORIDA [315] PHU HB 100% OF MEDICAID - NGLTAC $69.06 $3,072.00 $1,996.80 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach MEDICAID TENNESSEE [325] PHU HB 100% OF MEDICAID - NGLTAC $69.06 $3,072.00 $1,996.80 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach MEDICAID GEORGIA-CARESOURCE [3228] PHU HB 100% OF MEDICAID - NGLTAC $69.06 $3,072.00 $1,996.80 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach MEDICAID NEW YORK [320] PHU HB 100% OF MEDICAID - NGLTAC $69.06 $3,072.00 $1,996.80 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach CELTIC LIFE MEDICARE SUPPLEMENT [3045] PHU HB 100% OF MEDICAID - NGLTAC $69.06 $3,072.00 $1,996.80 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach MEDICAID SC [300] PHU HB SC MEDICAID - NGLTAC $69.06 $3,072.00 $1,996.80 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach PENDING MEDICAID DET [333] PHU HB SC MEDICAID - NGLTAC $69.06 $3,072.00 $1,996.80 2026-03-01 MRF ↗
Children's Hospital & Medical Center Transplant Caresource In Managed Care Medicaid Plan $69.83 $569.00 $290.19 2026-05-09 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER UHC UHC Medicare $69.92 $585.00 $315.90 2025-10-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Humana Humana Military East $69.92 $585.00 $315.90 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL UHC UHC Medicare $69.92 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Humana Humana Military East $69.92 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL UHC UHC Medicare $69.92 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Humana Humana Military East $69.92 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Humana Humana Military East $69.92 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL UHC UHC Medicare $69.92 $585.00 $169.65 2025-10-01 MRF ↗
WAMEGO HEALTH CENTER KANCARE AETNA 856_MEDICAID ADVANTAGE KANCARE AETNA 20250701 $70.19 2026-01-01 MRF ↗
WAMEGO HEALTH CENTER KANCARE SUNFLOWER 858_MEDICAID ADVANTAGE KANCARE SUNFLOWER 20250701 $70.19 2026-01-01 MRF ↗
WAMEGO HEALTH CENTER KANCARE HEALTHY BLUE 861_MEDICAID ADVANTAGE KANCARE HEALTHY BLUE 20250701 $70.19 2026-01-01 MRF ↗
HURLEY MEDICAL CENTER COUNTY HEALTH PLAN B [1022] GENESEE HEALTH PLAN B [102204] $70.52 $193.00 $193.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER COUNTY HEALTH PLAN B [1022] COUNTY HEALTH PLAN B NON GENESEE COUNTY [102202] $70.52 $193.00 $193.00 2026-03-23 MRF ↗
HURLEY MEDICAL CENTER KEY BENEFIT ADMINISTRATORS [1089] KEY BENEFIT ADMINISTRATORS [108901] $70.52 $193.00 $193.00 2026-03-23 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM HEALTHSYNC POS 9313_ANTHEM HEALTHSYNC POS VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM HEALTHSYNC HMO 9312_ANTHEM HEALTHSYNC HMO VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM PATHWAY 9315_ANTHEM PATHWAY VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM TRADITIONAL 9318_ANTHEM TRADITIONAL VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT ANDERSON UHC 9390_UNITED HEALTHCARE VAIN 20250101 $70.76 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL UHC NEW 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 $70.76 $971.00 $582.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY ANTHEM PATHWAY 9245_ANTHEM PATHWAY CLIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH UHC 9395_UNITED HEALTHCARE VRIN 20250101 $70.76 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY ANTHEM HEALTHSYNC HMO 9241_ANTHEM HEALTHSYNC HMO CLIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK UHC 8493_UNITED HEALTHCARE SWIN 20240701 $70.76 2026-01-01 MRF ↗
ASCENSION ST VINCENT WARRICK UHC BEHAVIORAL HEALTH 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 $70.76 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL UHC NEW 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 $70.76 $971.00 $582.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT ANTHEM HEALTHSYNC HMO 9340_ANTHEM HEALTHSYNC HMO VWIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT ANTHEM PATHWAY 9343_ANTHEM PATHWAY VWIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT ANTHEM HMO/POS 9342_ANTHEM HMO POS VWIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT ANTHEM HEALTHSYNC POS 9341_ANTHEM HEALTHSYNC POS VWIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY ANTHEM HMO/POS 9243_ANTHEM HMO POS CLIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY ANTHEM PPO PREFERRED 9247_ANTHEM PREFERRED CLIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO UHC 9393_UNITED HEALTHCARE VKIN 20250101 $70.76 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY ANTHEM PATHWAY X 9246_ANTHEM PATHWAY X CLIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL UHC SELF 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 $70.76 $971.00 $582.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT UHC 9397_UNITED HEALTHCARE VWIN 20250101 $70.76 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY UHC 9384_UNITED HEALTHCARE CLIN 20250101 $70.76 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM PATHWAY X 9316_ANTHEM PATHWAY X VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM SHORT TERM LIMITED DURATION 9355_ANTHEM SHORT TERM LIMITED DURATION VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM HMO/POS 9314_ANTHEM HMO POS VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM SHORT TERM LIMITED DURATION 9355_ANTHEM SHORT TERM LIMITED DURATION VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM HEALTHSYNC POS 9313_ANTHEM HEALTHSYNC POS VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM HEALTHSYNC HMO 9312_ANTHEM HEALTHSYNC HMO VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM PATHWAY X 9316_ANTHEM PATHWAY X VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM HMO/POS 9314_ANTHEM HMO POS VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM PPO PREFERRED 9317_ANTHEM PREFERRED VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM TRADITIONAL 9318_ANTHEM TRADITIONAL VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH UHC 9395_UNITED HEALTHCARE VRIN 20250101 $70.76 2026-01-01 MRF ↗
ASCENSION ST VINCENT WILLIAMSPORT ANTHEM PATHWAY X 9344_ANTHEM PATHWAY X VWIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM PATHWAY 9315_ANTHEM PATHWAY VRIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY ANTHEM TRADITIONAL 9248_ANTHEM TRADITIONAL CLIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY ANTHEM SHORT TERM LIMITED DURATION 9352_ANTHEM SHORT TERM LIMITED DURATION CLIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT CLAY ANTHEM HEALTHSYNC POS 9242_ANTHEM HEALTHSYNC POS CLIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH ANTHEM PPO PREFERRED 9317_ANTHEM PREFERRED VRIN 20250101 2026-01-01 MRF ↗
Prisma Health North Greenville Ltach MEDICAID SELECT HEALTH OF SC [400] PHU HB 103% OF MEDICAID - NGLTAC $71.13 $3,072.00 $1,996.80 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach MEDICAID MOLINA HEALTHCARE SC [440] PHU HB 103% OF MEDICAID - NGLTAC $71.13 $3,072.00 $1,996.80 2026-03-01 MRF ↗
Prisma Health North Greenville Ltach MEDICAID BLUECHOICE [420] PHU HB BLUECHOICE MEDICAID 104% - NGLTAC $71.82 $3,072.00 $1,996.80 2026-03-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER UHC UHC Community Plan/DSNP $72.02 $585.00 $315.90 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL UHC UHC Community Plan/DSNP $72.02 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL UHC UHC Community Plan/DSNP $72.02 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL UHC UHC Community Plan/DSNP $72.02 $585.00 $169.65 2025-10-01 MRF ↗
Prisma Health North Greenville Ltach MEDICAID ABSOLUTE TOTAL CARE [410] PHU HB ABSOLUTE TOTAL CARE MEDICAID - NGLTAC $72.51 $3,072.00 $1,996.80 2026-03-01 MRF ↗
VANDERBILT UNIVERSITY MEDICAL CENTER Wellpoint Wellpoint Medicare $73.42 $585.00 $315.90 2025-10-01 MRF ↗
VANDERBILT TULLAHOMA-HARTON HOSPITAL Wellpoint Wellpoint Medicare $73.42 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT BEDFORD HOSPITAL Wellpoint Wellpoint Medicare $73.42 $585.00 $169.65 2025-10-01 MRF ↗
VANDERBILT WILSON COUNTY HOSPITAL Wellpoint Wellpoint Medicare $73.42 $585.00 $169.65 2025-10-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Health Net of California, Inc. PPO $56.06 $45.97 2025-11-26 MRF ↗
Prisma Health North Greenville Ltach MEDICAID HUMANA HEALTHY HORIZONS [6110] PHU HB 107% OF MEDICAID - NGLTAC $73.90 $3,072.00 $1,996.80 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL MEDICAID SELECT HEALTH OF SC [400] PHM HB SELECT HEALTH MEDICAID - RICHLAND $74.26 $3,072.00 $1,996.80 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE MEDICAID SELECT HEALTH OF SC [400] PHM HB SELECT HEALTH MEDICAID - RICHLAND $74.26 $3,072.00 $1,996.80 2026-03-01 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL MEDICAID SELECT HEALTH OF SC [400] PHM HB SELECT HEALTH MEDICAID - TUOMEY $74.26 $3,072.00 $1,996.80 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST MEDICAID SELECT HEALTH OF SC [400] PHM HB SELECT HEALTH MEDICAID - BAPTIST $74.26 $3,072.00 $1,996.80 2026-03-01 MRF ↗
ASCENSION ST VINCENT FISHERS MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $75.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 $75.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 $75.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 $75.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT FISHERS MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $75.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 $75.50 $971.00 $582.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $75.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT CARMEL MDWISE HOOSIER ALLIANCE MEDICAID 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $75.50 $971.00 $582.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT SALEM ANTHEM PATHWAY X 9323_ANTHEM PATHWAY X VSIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL ANTHEM CARE CONNECT 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 $75.50 $971.00 $582.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 $75.50 $971.00 $582.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL ANTHEM CARE CONNECT 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 $75.50 $971.00 $582.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT MERCY ANTHEM TRADITIONAL 9304_ANTHEM TRADITIONAL VMIN 20250101 2026-01-01 MRF ↗
ASCENSION ST VINCENT HOSPITAL MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $75.50 $971.00 $582.60 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH MDWISE HOOSIER ALLIANCE MEDICAID 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 $75.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT RANDOLPH MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 $75.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO MHS CARE CONNECT 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 $75.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO MEDICAID ADVANTAGE 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 $75.50 2026-01-01 MRF ↗
Ascension St. Vincent Seton Specialty Hospital ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 $75.50 2026-01-01 MRF ↗
ASCENSION ST VINCENT KOKOMO ANTHEM MEDICAID 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 $75.50 2026-01-01 MRF ↗

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