71250 — CT Scan Of Chest Without Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CT scan of chest without contrast (CPT 71250) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/71250?code_type=CPT
MLA (9th ed.)
“CT scan of chest without contrast (CPT 71250) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/71250?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CT scan of chest without contrast (CPT 71250) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/71250?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $130–$1,414 (25th–75th percentile) across 3,985 hospitals · 10,498 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 71250 — 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
$130
$479 typical
$1,414
The middle 50% of negotiated facility rates for this procedure, measured across 3,985 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. | $479 |
| Radiologist read Estimate national typical Medicare $49 × 1.8 commercial. | $89 |
| Likely subtotal | $568 |
Complete-episode estimate (typical)
~$568
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 $130–$1,414.
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 | — | — | — | $2,888.40 | $1,444.20 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $2,888.40 | $1,444.20 | 2024-12-15 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.44 | $1,808.00 | $1,356.00 | 2026-03-26 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $734.00 | $477.10 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $734.00 | $477.10 | 2026-06-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $4,146.00 | $3,399.72 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $5,853.00 | $4,799.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $1,233.00 | $1,011.06 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $5,853.00 | $4,799.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $4,146.00 | $3,399.72 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $5,853.00 | $4,799.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $5,853.00 | $4,799.46 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $8,673.09 | $5,637.51 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $4,146.00 | $3,399.72 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $6,671.63 | $4,336.56 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $4,146.00 | $3,399.72 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $5,853.00 | $4,799.46 | 2025-11-26 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $734.00 | $477.10 | 2026-06-15 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.64 | $206.00 | $39.14 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.64 | $200.00 | $38.00 | 2026-05-20 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.72 | $167.58 | $108.93 | 2026-05-07 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $1,338.00 | — | 2025-06-28 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Humana Inc. | Standard | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $2.91 | $1,111.00 | $833.25 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $2.91 | $1,111.00 | $833.25 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $2.91 | $267.00 | $200.25 | 2026-07-01 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Ipa - Lighthouse Ipa | Standard | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.85 | $2,692.00 | $117.35 | 2024-12-31 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $8.23 | $223.00 | $33.45 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $8.23 | $223.00 | $33.45 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $8.40 | $283.00 | $84.90 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $8.40 | $200.00 | $54.00 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $8.40 | $200.00 | $30.00 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $8.40 | $223.00 | $33.45 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $8.40 | $223.00 | $33.45 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $8.40 | $200.00 | $34.00 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $8.40 | $283.00 | $84.90 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $8.40 | $200.00 | $30.00 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $8.40 | $200.00 | $34.00 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $8.40 | $200.00 | $54.00 | 2026-05-21 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Ipa - Providence Medical Network | Standard | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $8.90 | $292.00 | $292.00 | 2026-02-13 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $7,618.15 | $4,951.80 | 2025-11-26 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Omaha Insurance Company | Standard | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Bcbs True Blue Ppo Plan | Commercial | — | $309.75 | $309.75 | 2026-07-18 | MRF ↗ |
| FLOYD CHEROKEE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Alabama | Commercial | — | $2,747.00 | $1,373.50 | 2025-11-19 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | United Healthcare Commercial | PPO/HMO | — | $1,800.00 | $1,350.00 | 2026-03-31 | MRF ↗ |
| EASTERN PLUMAS HOSPITAL - PORTOLA CAMPUS Both | BCBS FEP - Blue Cross | Blue Cross | — | $471.00 | $376.80 | 2026-06-16 | MRF ↗ |
| EASTERN PLUMAS HOSPITAL - PORTOLA CAMPUS Both | MUTUAL OF OMAHA COMPANIES CLAIMS DEPARTMENT - Medicare | Medicare | — | $471.00 | $376.80 | 2026-06-16 | MRF ↗ |
| EASTERN PLUMAS HOSPITAL - PORTOLA CAMPUS Both | BLUE CROSS OF CALIFORNIA (CA) - Blue Cross | Blue Cross | — | $471.00 | $376.80 | 2026-06-16 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Tricare Tdefic | Standard | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | — | $1,812.00 | $906.00 | 2026-01-01 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Emerging Therapies | Transplant | — | $1,174.10 | $470.82 | 2026-02-06 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Bcbs | Commercial | — | $442.00 | $265.20 | 2026-07-15 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | — | $1,812.00 | $906.00 | 2026-01-01 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Mutual Of Omaha Companies Claims Department | Standard | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $17.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $17.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $17.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Cigna Health And Life Insurance Company | Commercial | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $19.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Unitedhealthcare Insurance Company (Contracting On Behalf Of Itself, Unitedhealthcare Of Alabama, Inc. And United'S Affiliates) | Commercial All Payer | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $19.07 | $2,435.00 | — | 2026-03-31 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Blue Cross And Blue Shield Of Alabama | Blue Advantage (Medicare Advantage) | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Blue Cross And Blue Shield Of Alabama | Commercial Ppo | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna Health Management, Llc | Medicare Advantage Hmo/Ppo/Pos | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Old Surety Life Insurance Company | Standard | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Physicians Mutual Insurance Company | Standard | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $634.00 | $443.80 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $634.00 | $443.80 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $634.00 | $443.80 | 2026-07-14 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Medicare Advantage | — | — | — | 2025-10-24 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $20.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $20.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| COMMUNITY MEMORIAL HOSPITAL InpatientFacility | Wisconsin Physician Services | All Contracted Commercial Plans | — | $2,855.00 | $1,570.25 | 2025-12-31 | MRF ↗ |
| ST JOSEPHS COMMUNITY HOSPITAL WEST BEND InpatientFacility | Wisconsin Physician Services | All Contracted Commercial Plans | — | $2,855.00 | $1,570.25 | 2025-12-31 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Martinspoint | Tricare | — | $64.00 | $64.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $64.00 | $64.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Vaccn | — | — | $64.00 | $64.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Magnacare | — | — | $64.00 | $64.00 | 2026-05-09 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,130.00 | $1,384.50 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,130.00 | $1,384.50 | 2025-01-01 | MRF ↗ |
| NORTH CAROLINA BAPTIST HOSPITAL OutpatientFacility | HealthTeam | Medicare Advantage | — | $1,297.00 | $648.50 | 2025-10-08 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $21.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $21.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Outpatient | Wellmark Insurance | Ppo | — | $4,222.00 | $4,222.00 | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Outpatient | Wellmark Insurance | Ppo | — | $4,222.00 | $4,222.00 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Wellmark Insurance | Ppo | — | $3,292.00 | $2,962.80 | 2026-07-18 | MRF ↗ |
| AVERA ST LUKES Outpatient | Wellmark Insurance | Ppo | — | $2,554.00 | $2,298.60 | 2026-05-09 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Outpatient | Wellmark Insurance | Hmo | — | $4,222.00 | $4,222.00 | 2026-05-22 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Wellmark Insurance | Hmo | — | $3,292.00 | $2,962.80 | 2026-07-18 | MRF ↗ |
| AVERA ST LUKES Outpatient | Wellmark Insurance | Hmo | — | $2,554.00 | $2,298.60 | 2026-05-09 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Outpatient | Wellmark Insurance | Hmo | — | $4,222.00 | $4,222.00 | 2026-05-13 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Earlham & City of Richmond | Commercial | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Encore | Commercial | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Medicare Advantage | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathway Essentials | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Custom Design Benefit | Commercial | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield of Indiana | Essentials (Marketplace) | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Reid - Allegiance | Commercial | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource Marketplace | Commercial | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Peak TPA (Pace) | Medicare Advantage | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Medicare Advantage | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield of Ohio | Essentials (Marketplace) | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $22.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $22.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Medicaid Plan | Medicaid | — | $309.75 | $309.75 | 2026-07-18 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL OutpatientFacility | Humana | Commercial | — | $1,925.00 | $962.50 | 2026-06-14 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | — | $1,925.00 | $962.50 | 2026-06-14 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Pgba,Llc | Standard | — | $1,527.71 | $1,298.55 | 2026-07-15 | MRF ↗ |
| AVERA CREIGHTON HOSPITAL Inpatient | Wellmark Insurance | Hmo | — | $3,480.00 | $3,375.60 | 2026-07-15 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Wellmark Insurance | Ppo | — | $3,930.00 | $3,537.00 | 2026-05-14 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Wellmark Insurance | Hmo | — | $3,930.00 | $3,537.00 | 2026-05-22 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Wellmark Insurance | Hmo | — | $3,930.00 | $3,537.00 | 2026-05-14 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Wellmark Insurance | Ppo | — | $3,930.00 | $3,537.00 | 2026-05-22 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $23.00 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $23.00 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $23.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $23.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $23.00 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $23.00 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $23.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $23.00 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $23.00 | — | — | 2026-04-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $23.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $23.00 | — | — | 2026-04-01 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $23.48 | $1,539.00 | $230.85 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $23.48 | $1,539.00 | $230.85 | 2025-12-23 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $23.63 | $175.00 | $131.25 | 2026-01-16 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | United Healthcare | CHIP/Family Health Plus/Medicaid | $23.70 | $158.00 | $118.50 | 2026-05-22 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $24.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $24.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $24.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $24.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| METHODIST HOSPITALS INC Outpatient | Cigna | Hmo | $24.19 | $63.00 | $44.10 | 2026-07-15 | MRF ↗ |
| METHODIST HOSPITALS INC Outpatient | Cigna | Hmo | $24.19 | $63.00 | $44.10 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $6,671.63 | $4,336.56 | 2025-11-26 | MRF ↗ |
| METHODIST HOSPITALS INC Outpatient | Cigna | Hmo | $24.70 | $63.00 | $44.10 | 2026-07-15 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $25.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $25.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| BROWARD HEALTH CORAL SPRINGS OutpatientFacility | Simply Healthcare/Clear Health Alliance | Managed Medicaid | — | $3,942.54 | $3,942.54 | 2026-04-17 | MRF ↗ |
| ST MARY'S HEALTHCARE Outpatient | Anthem Hmo | Commercial | — | $1,708.00 | $1,176.98 | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Outpatient | Anthem Blue Access | Commercial | — | $1,708.00 | $1,176.98 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Harvard Pilgrim | All Commercial Plans | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Carelon | Medicaid Managed Care Plan | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Carelon | Wellpoint All Commercial Plans | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Carelon | Medicare Managed Care Plan | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Tufts | One Care | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellsense | Masshealth Behavioral Health | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Carelon | Connectorcare All Commercial Plans | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Commonwealth Care Alliance | Senior Care Options | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Medicare Managed Care Plan | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Tufts | ACO/MCO Masshealth | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Mass General Brigham Health Plan | ACO Masshealth | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Fallon | NaviCare | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Cigna | All Commercial Plans | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Medicare Managed Care | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Fully Insured Other Commercial Plan | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Fallon | Summit ElderCare (PACE) | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Fallon | Berkshire ACO/MCO | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellsense | Masshealth Managed Care | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Senior Whole Health | Medicare Managed Care | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | ASO GIC Other Commercial Plan | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Commonwealth Care Alliance | One Care | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Self Funded Employer Sponsored Other Commercial Plan | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Be Healthy ACO Masshealth | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Fallon | Community Care | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Fallon | Fallon Health One Care | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Senior Whole Health | One Care | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Health New England | Connector Other Commercial Plan | — | $1,163.00 | $1,163.00 | 2026-06-05 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $26.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $285.50 | $285.50 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $91.90 | $91.90 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $91.90 | $91.90 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $285.50 | $285.50 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $91.90 | $91.90 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | EMBLEM GHI [113] | EMBLEM GHI [11301] | — | $91.90 | $91.90 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | CHAMPUS/TRICARE [103] | CHAMPUS/TRICARE [10301] | — | $285.50 | $285.50 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MAGNACARE [115] | MAGNACARE [11501] | — | $285.50 | $285.50 | 2024-12-30 | MRF ↗ |
| METHODIST HOSPITALS INC Outpatient | Cigna | Ppo | $26.27 | $63.00 | $44.10 | 2026-07-15 | MRF ↗ |
| METHODIST HOSPITALS INC Outpatient | Cigna | Ppo | $26.27 | $63.00 | $44.10 | 2026-07-15 | 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.