70554 — Fmri Brain By Tech
Cite this view
HANK Price Transparency. (n.d.). FMRI BRAIN BY TECH (CPT 70554) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70554?code_type=CPT
“FMRI BRAIN BY TECH (CPT 70554) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70554?code_type=CPT. Accessed .
“FMRI BRAIN BY TECH (CPT 70554) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70554?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
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 ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.