70555 — Fmri Brain By Phys/psych
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FMRI BRAIN BY PHYS/PSYCH (CPT 70555) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70555?code_type=CPT
MLA (9th ed.)
“FMRI BRAIN BY PHYS/PSYCH (CPT 70555) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70555?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“FMRI BRAIN BY PHYS/PSYCH (CPT 70555) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70555?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $243–$1,322 (25th–75th percentile) across 1,719 hospitals · 3,450 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 70555 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the radiologist-read fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$243
$475 typical
$1,322
The middle 50% of negotiated facility rates for this procedure, measured across 1,719 hospitals. The radiologist-read fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $475 |
| Radiologist read Estimate national typical Medicare $114 × 1.8 commercial. | $206 |
| Likely subtotal | $681 |
Complete-episode estimate (typical)
~$681
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $243–$1,322.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Radiologist read (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban Institute — commercial-to-Medicare physician price ratios by specialty (Berenson/Ginsburg et al.); radiology ~1.8x. National, approximate; within-specialty/metro variation is a known limitation.
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 HOSPITAL MANSFIELD Inpatient | — | — | — | $3,857.24 | $1,928.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $3,857.24 | $1,928.62 | 2024-12-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $3,764.00 | — | 2026-07-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $1,477.00 | $1,107.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,477.00 | $1,107.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $2,835.00 | $1,417.50 | 2026-07-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,477.00 | $1,107.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $1,477.00 | $1,107.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $1,477.00 | $1,107.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $13,217.43 | $8,591.33 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $10,167.20 | $6,608.68 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $2,835.00 | $1,417.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $2,835.00 | $1,417.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $2,835.00 | $1,417.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $2,835.00 | $1,417.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $2,835.00 | $1,417.50 | 2026-07-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $3,829.00 | — | 2025-06-28 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $2,835.00 | $1,417.50 | 2026-07-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.16 | $2,310.00 | $256.39 | 2024-12-31 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $4.83 | $5,294.00 | $1,164.68 | 2026-03-19 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.56 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.61 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $8.61 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $9.81 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $9.87 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $9.87 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.68 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.74 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $10.74 | — | — | 2026-03-18 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $18.09 | $134.00 | $100.50 | 2026-01-16 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Covered | $23.43 | $53.00 | $43.46 | 2025-11-26 | MRF ↗ |
| NORTH HAWAII COMMUNITY HOSPITAL, INC Outpatient | Hawaii Mainland Administrators | Ufcw | $24.44 | $1,521.00 | $1,064.70 | 2026-07-15 | MRF ↗ |
| NORTH HAWAII COMMUNITY HOSPITAL, INC Outpatient | Hawaii Community Health Alliance | Commercial | $24.44 | $1,521.00 | $1,064.70 | 2026-07-15 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $24.58 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Pediatric | $24.58 | $574.00 | $309.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $24.58 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $24.58 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Covered | $24.78 | $56.06 | $45.97 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | $24.96 | $53.00 | $43.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | PPO | $24.96 | $53.00 | $43.46 | 2025-11-26 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $25.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Meridian | Medicaid - Meridian | $25.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $27.81 | $134.00 | $100.50 | 2026-01-16 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $28.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $28.54 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $28.54 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $28.54 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Pediatric | $28.54 | $574.00 | $309.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Adult | $28.54 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select Adult | $28.54 | $574.00 | $309.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $28.54 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select Pediatric | $28.54 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $29.46 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $29.46 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $29.46 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $29.46 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $29.46 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $29.46 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $29.46 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $29.46 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $30.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $32.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $32.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | HMSA | QUEST ABD | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | UnitedHealthcare | Quest | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Hawaii Medical Service Association (HMSA) | Quest ABD | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Quest ABD | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | UnitedHealthcare | Quest | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | UnitedHealthcare | Quest | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Quest ABD | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | HMSA | QUEST NON-ABD | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| KAHUKU MEDICAL CENTER Outpatient | HMSA | Mcd_ABD | $32.59 | — | — | 2024-06-28 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | HMSA | QUEST ABD | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | HMSA | QUEST ABD | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| KAHUKU MEDICAL CENTER Outpatient | UHC | Mcd HMO | $32.59 | — | — | 2024-06-28 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | HMSA | QUEST NON-ABD | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | HMSA | QUEST NON-ABD | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $32.59 | — | — | 2026-02-12 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $33.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $56.06 | $45.97 | 2025-11-26 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $34.47 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $34.47 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Adult | $34.47 | $574.00 | $309.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $34.47 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $34.55 | — | — | 2026-02-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $35.54 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $35.54 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Pediatric | $35.54 | $574.00 | $309.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $35.54 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $36.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $36.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $36.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $36.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $36.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $39.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $39.96 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $39.96 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $39.96 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Adult | $39.96 | $574.00 | $309.96 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $39.96 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare Pediatric | $39.96 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare Adult | $39.96 | $574.00 | $166.46 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Pediatric | $39.96 | $574.00 | $309.96 | 2025-10-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $40.43 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $40.43 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $40.43 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $40.43 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $40.43 | — | — | 2026-03-28 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $41.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $43.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $43.34 | $3,812.00 | — | 2026-03-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $44.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $45.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $45.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $46.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Magnacare | — | — | $147.00 | $147.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $147.00 | $147.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Vaccn | — | — | $147.00 | $147.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Martinspoint | Tricare | — | $147.00 | $147.00 | 2026-05-09 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $47.24 | — | — | 2026-08-19 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $48.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $48.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | UHC | ALL PRODUCTS | $48.89 | — | — | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $48.89 | — | — | 2026-02-12 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $49.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $49.07 | $534.00 | $160.20 | 2026-07-15 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $50.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $5,294.00 | $1,164.68 | 2026-03-19 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $50.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $5,294.00 | $1,164.68 | 2026-03-19 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $5,294.00 | $1,164.68 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $5,294.00 | $1,164.68 | 2026-03-19 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $5,294.00 | $1,164.68 | 2026-03-19 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $51.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $51.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $51.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $51.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $52.80 | $5,280.23 | $3,960.17 | 2026-07-31 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $53.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $53.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $53.38 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $53.38 | — | — | 2025-12-23 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $53.40 | $534.00 | $160.20 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $53.93 | $534.00 | $160.20 | 2026-07-15 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $56.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| THE CHILDREN'S MERCY HOSPITAL Inpatient | Multiplan | All Commercial Plans | $56.50 | $353.00 | $169.44 | 2026-07-17 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $58.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $58.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $59.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $59.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $59.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $60.30 | $134.00 | $100.50 | 2026-01-16 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $61.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $61.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $10,167.20 | $6,608.68 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $13,217.43 | $8,591.33 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $10,167.20 | $6,608.68 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $10,167.20 | $6,608.68 | 2025-11-26 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $62.00 | $252.00 | $126.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $62.00 | $252.00 | $126.00 | 2025-02-03 | 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.