71250 — Pr CT Thorax Wo Cntrst
Cite this view
HANK Price Transparency. (n.d.). PR CT THORAX WO CNTRST (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
“PR CT THORAX WO CNTRST (CPT 71250) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/71250?code_type=CPT. Accessed .
“PR CT THORAX WO CNTRST (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 $131–$1,364 (25th–75th percentile) across 3,297 hospitals · 11,285 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.
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 | None | — | — | $2,888.40 | $1,444.20 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $2,888.40 | $1,444.20 | 2024-12-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARHealth | $0.30 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $0.30 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARKids | $0.30 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | CHIP | $0.30 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $0.30 | $4.31 | $4.31 | 2026-03-01 | 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 ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.86 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $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 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 Outpatient | United Healthcare | Medicare Advantage | — | $1,233.00 | $1,011.06 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $5,853.00 | $4,799.46 | 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 | Humana Health Plan, Inc. | Medicare Advantage | — | $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 Both | SCAN | Medicare Advantage | — | $5,853.00 | $4,799.46 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $4,146.00 | $3,399.72 | 2025-11-26 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $1.03 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.46 | $4.31 | $4.31 | 2026-03-01 | 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 ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.72 | $167.58 | $108.93 | 2026-05-07 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Fidelis SecureCare | MGMCR | $1.94 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | City of McKinney | COMM | $1.94 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National ChoiceCare | WCOMP | $2.15 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $2.18 | — | — | 2026-05-06 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $1,338.00 | — | 2025-06-28 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $2.29 | — | — | 2026-05-06 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Rockport Health Group | WORKERSCOMP | $2.37 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | PC Texas Partners | WCOMP | $2.37 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Physicians Coop of TX | MGMCR | $2.37 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Averde Health, Inc | PPO | $2.50 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USC Health Services | COMM | $2.59 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $2.91 | $1,111.00 | $833.25 | 2025-03-07 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Mega Life | MGMCRPPO | $3.02 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Coastal Comp Health Networks | WCOMP | $3.02 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Jostens | WCOMP | $3.02 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna Coventry First Health | COMM | $3.13 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3.23 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | HealthSmart Preferred Care | PPO | $3.23 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USA Managed Care | COMM | $3.45 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Galaxy Health Network | PPO | $3.66 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $4.11 | $2,024.00 | $748.88 | 2026-03-31 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | MCD | $4.31 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $4.31 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National Healthcare Solutions | COMM | $4.31 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.85 | $2,692.00 | $117.35 | 2024-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.85 | $3,393.74 | $3,393.74 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.88 | $3,146.24 | $3,146.24 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.88 | $3,146.24 | $3,146.24 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $5.56 | $3,393.74 | $3,393.74 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $5.60 | $3,146.24 | $3,146.24 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $5.60 | $3,146.24 | $3,146.24 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.05 | $3,393.74 | $3,393.74 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.09 | $3,146.24 | $3,146.24 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.09 | $3,146.24 | $3,146.24 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.04 | $1,466.00 | $1,392.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.04 | $1,466.00 | $1,392.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $7.18 | $1,466.00 | $1,392.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $7.18 | $1,466.00 | $1,392.70 | 2026-02-20 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | VA Health | All | $7.44 | $1,706.00 | $1,706.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Tricare | All | $7.44 | $1,706.00 | $1,706.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | UHC | Medicare Advantage | $7.44 | $1,706.00 | $1,706.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Humana | Medicare Advantage | $7.44 | $1,706.00 | $1,706.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Blue Cross Blue Shield | Medicare Advantage | $7.44 | $1,706.00 | $1,706.00 | 2026-03-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.48 | $1,466.00 | $1,392.70 | 2026-02-20 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $8.23 | $223.00 | $33.45 | 2026-01-25 | 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 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 NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $8.40 | $181.00 | $27.15 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $8.40 | $181.00 | $27.15 | 2026-01-27 | 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 ↗ |
| 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 ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $9.87 | $2,667.00 | $2,533.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $9.87 | $2,667.00 | $2,533.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $9.87 | $2,667.00 | $2,533.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $10.13 | $2,667.00 | $2,533.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $10.40 | $2,667.00 | $2,533.65 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $10.67 | $2,667.00 | $2,533.65 | 2026-02-20 | MRF ↗ |
| UNIVERSITY OF VIRGINIA MEDICAL CENTER Outpatient | VETERANS [99909] | UVA HB VETERANS CHOICE | $11.27 | $1,309.00 | $785.40 | 2026-03-24 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $12.10 | $2,202.58 | $1,321.55 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $12.10 | $2,202.58 | $1,321.55 | 2025-08-11 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $13.39 | $2,486.00 | — | 2026-02-19 | 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 ↗ |
| 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 ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.02 | $231.00 | $150.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $15.02 | $231.00 | $150.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.02 | $231.00 | $150.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.02 | $231.00 | $150.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $15.02 | $231.00 | $150.15 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.02 | $231.00 | $150.15 | 2026-03-12 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $15.23 | $3,109.00 | $2,953.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $15.23 | $3,109.00 | $2,953.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $15.54 | $3,109.00 | $2,953.55 | 2026-02-20 | 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 ↗ |
| WASHINGTON COUNTY HOSPITAL Both | Alabama Medicaid | PPO | $16.00 | $16.00 | $6.40 | 2025-05-21 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $16.17 | $3,109.00 | $2,953.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $16.79 | $3,109.00 | $2,953.55 | 2026-02-20 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $17.00 | $120.00 | $60.00 | 2025-02-03 | 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 | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $17.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $17.75 | $1,805.00 | $895.28 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $17.75 | $1,805.00 | $895.28 | 2026-02-28 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $19.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $19.07 | $2,435.00 | — | 2026-03-31 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $19.44 | $91.90 | $91.90 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $19.44 | $91.90 | $91.90 | 2024-12-30 | 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 ↗ |
| REID HEALTH OutpatientFacility | Encore | Commercial | $20.30 | $29.00 | $18.85 | 2025-07-21 | 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 ↗ |
| COMMUNITY MEMORIAL HOSPITAL 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 | 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 ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $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 NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $21.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $21.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Wellmark Insurance | Hmo | — | $3,292.00 | $2,962.80 | 2026-05-23 | MRF ↗ |
| AVERA ST LUKES Outpatient | Wellmark Insurance | Hmo | — | $2,554.00 | $2,298.60 | 2026-05-09 | 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 | Ppo | — | $4,222.00 | $4,222.00 | 2026-05-13 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | Anthem Blue Cross California | Medicare Advantage | $21.27 | $2,729.00 | $1,552.80 | 2026-02-12 | 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 | Hmo | — | $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 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Wellmark Insurance | Ppo | — | $3,292.00 | $2,962.80 | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Wellmark Insurance | Hmo | — | $3,292.00 | $2,962.80 | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Outpatient | Wellmark Insurance | Hmo | — | $4,222.00 | $4,222.00 | 2026-05-22 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $21.29 | $1,978.46 | $771.59 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $21.29 | $1,978.46 | $771.59 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $21.29 | $1,978.46 | $771.59 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $21.29 | $1,978.46 | $771.59 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $21.29 | $1,978.46 | $771.59 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $21.29 | $1,978.46 | $771.59 | 2024-06-27 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/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 OutpatientFacility | Reid Health Signature Care | EPO | $21.46 | $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 | Caresource of Indiana | Managed Medicaid | — | $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 | Earlham & City of Richmond | Commercial | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | — | $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 | Reid - Allegiance | Commercial | — | $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 | Anthem Blue Cross Blue Shield of Indiana | Essentials (Marketplace) | — | $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 | Caresource Marketplace | Commercial | — | $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 ↗ |
| REID HEALTH InpatientFacility | Encore | Commercial | — | $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 | Pathway Essentials | — | $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 | Medicare Advantage | — | $29.00 | $18.85 | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | Parkview Signature Care | EPO | $21.46 | $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 ↗ |
| 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 ↗ |
| 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 | Ppo | — | $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 | 2026-05-14 | MRF ↗ |
| INTEGRIS GROVE 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 ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $23.00 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE 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 | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $23.00 | $120.00 | $60.00 | 2025-02-03 | MRF ↗ |
| INTEGRIS MIAMI 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 EDMOND 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 ↗ |
| INTEGRIS HEALTH PONCA CITY 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 ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $23.00 | — | — | 2026-04-01 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $23.48 | $1,539.00 | $230.85 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $23.48 | $1,539.00 | $230.85 | 2025-12-23 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Healthsync | $23.49 | $29.00 | $18.85 | 2025-07-21 | 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 ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Outpatient | Health_Partners_Medicaid | All_Other_Plans | $23.75 | $1,610.00 | $285.00 | 2026-01-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $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 | Medicare - Humana | Medicare - Humana | $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 ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Superior Health Plan | CHPFC | $24.36 | $406.00 | $406.00 | 2026-03-01 | MRF ↗ |
| REID HEALTH OutpatientFacility | Parkview Signature Care | Elite/PPO | $24.36 | $29.00 | $18.85 | 2025-07-21 | 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.