71260 — Pr CT Thorax W Cntrst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR CT THORAX W CNTRST (CPT 71260) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/71260?code_type=CPT
MLA (9th ed.)
“PR CT THORAX W CNTRST (CPT 71260) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/71260?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR CT THORAX W CNTRST (CPT 71260) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/71260?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $210–$1,763 (25th–75th percentile) across 4,031 hospitals · 11,217 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 71260 — 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
$210
$648 typical
$1,763
The middle 50% of negotiated facility rates for this procedure, measured across 4,031 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. | $648 |
| Radiologist read Estimate national typical Medicare $54 × 1.8 commercial. | $97 |
| Likely subtotal | $745 |
Complete-episode estimate (typical)
~$745
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 $210–$1,763.
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 | — | — | — | $4,517.86 | $2,258.93 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $4,517.86 | $2,258.93 | 2024-12-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $7,891.00 | $5,918.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $13,705.00 | $10,278.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $7,891.00 | $5,918.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $13,705.00 | $10,278.75 | 2026-09-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $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 | STARHealth | $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 | MCDSTAR | $0.30 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $13,705.00 | $10,278.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $7,891.00 | $5,918.25 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $7,005.00 | $5,253.75 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $2,181.00 | — | 2026-07-01 | MRF ↗ |
| Kentfield Hospital | First Health , Affordable, Ccn, Coventry 700 | — | $0.67 | $1.04 | — | 2026-07-30 | MRF ↗ |
| Kentfield Hospital | Tricare Healthnet 232 | — | $0.68 | $1.04 | — | 2026-07-30 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $13,705.00 | $10,278.75 | 2026-09-01 | MRF ↗ |
| Kentfield Hospital | Tricare 369 | — | $0.73 | $1.04 | — | 2026-07-30 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | $13,705.00 | $10,278.75 | 2026-09-01 | MRF ↗ |
| Kentfield Hospital | Multiplan Complimentary 737 Multiplan, Value Point | — | $0.83 | $1.04 | — | 2026-07-30 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.86 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $1,228.00 | $798.20 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $1,228.00 | $798.20 | 2026-06-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $7,891.00 | $5,918.25 | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $4,481.00 | $3,360.75 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $5,028.00 | $3,771.00 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $6,827.00 | $5,598.14 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $4,481.00 | $3,360.75 | 2026-05-20 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $6,827.00 | $5,598.14 | 2025-11-26 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $5,862.00 | $4,396.50 | 2026-06-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $5,028.00 | $3,771.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $4,177.00 | $3,132.75 | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $4,963.00 | $2,481.50 | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $10,466.70 | $6,803.36 | 2025-11-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $7,891.00 | $5,918.25 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $3,554.00 | $2,665.50 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $6,827.00 | $5,598.14 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $4,177.00 | $3,132.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $7,005.00 | $5,253.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $3,554.00 | $2,665.50 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $4,177.00 | $3,132.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $3,554.00 | $2,665.50 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $7,005.00 | $5,253.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SPP | $1.00 | $7,005.00 | $5,253.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $6,827.00 | $5,598.14 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $6,827.00 | $5,598.14 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $13,705.00 | $10,278.75 | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $5,028.00 | $3,771.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $4,177.00 | $3,132.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $5,028.00 | $3,771.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $5,028.00 | $3,771.00 | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $937.74 | $210.66 | 2026-09-05 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $3,554.00 | $2,665.50 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $4,481.00 | $3,360.75 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $5,028.00 | $3,771.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA QPIC | $1.00 | $7,005.00 | $5,253.75 | 2026-09-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Mutual Of Omaha | MutualOfOmaha | $1.00 | $5,550.00 | $4,162.50 | 2024-12-11 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $7,891.00 | $5,918.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $7,891.00 | $5,918.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $4,177.00 | $3,132.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $4,177.00 | $3,132.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $5,028.00 | $3,771.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $13,705.00 | $10,278.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $6,827.00 | $5,598.14 | 2025-11-26 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $4,177.00 | $3,132.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $4,481.00 | $3,360.75 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $6,827.00 | $5,598.14 | 2025-11-26 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | $7,005.00 | $5,253.75 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $8,051.27 | $5,233.33 | 2025-11-26 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Mutual Of Omaha | MutualofOmaha | $1.00 | $10,617.00 | $7,962.75 | 2024-12-11 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $4,177.00 | $3,132.75 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $6,827.00 | $5,598.14 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $3,554.00 | $2,665.50 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $5,028.00 | $3,771.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $5,028.00 | $3,771.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $13,705.00 | $10,278.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $4,502.00 | $3,376.50 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $6,827.00 | $5,598.14 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $4,177.00 | $3,132.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $13,705.00 | $10,278.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $7,005.00 | $5,253.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $4,481.00 | $3,360.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $4,481.00 | $3,360.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $3,554.00 | $2,665.50 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $6,827.00 | $5,598.14 | 2025-11-26 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $1,228.00 | $798.20 | 2026-06-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $1.03 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $4,963.00 | $2,481.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $4,963.00 | $2,481.50 | 2026-07-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $1.17 | $2,456.00 | $1,842.00 | 2026-03-26 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $4,963.00 | $2,481.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $4,963.00 | $2,481.50 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.46 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $4,963.00 | $2,481.50 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.77 | $222.00 | $42.18 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.77 | $217.00 | $41.23 | 2026-05-20 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.86 | $180.78 | $117.51 | 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 ↗ |
| HIGGINS GENERAL HOSPITAL Outpatient | Peachstate | Medicaid Cmo | — | $3,118.00 | $1,247.20 | 2026-07-31 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Medicare Preferred | $1.97 | $2,012.00 | $1,207.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Medicare | $1.97 | $2,012.00 | $1,207.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem - Secondary | $1.97 | $2,012.00 | $1,207.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Bcbs Of Michigan Medicare Plus | $1.97 | $2,012.00 | $1,207.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem Medicare Supplement | $1.97 | $2,012.00 | $1,207.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Mediblue Greater Dayton | $1.97 | $2,012.00 | $1,207.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Anthem Medicare 105187 | Anthem Medicare 105187 | $1.97 | $2,012.00 | $1,207.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem - Tertiary | $1.97 | $2,012.00 | $1,207.20 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Bcbs Blue Advantage Administrators Of Arkansas | $1.97 | $2,012.00 | $1,207.20 | 2026-05-08 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National ChoiceCare | WCOMP | $2.15 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $1,902.00 | — | 2025-06-28 | 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 | Rockport Health Group | WORKERSCOMP | $2.37 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $4,963.00 | $2,481.50 | 2026-07-01 | 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 ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $2.88 | $10.30 | — | 2026-07-30 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $2.98 | — | — | 2026-05-06 | 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 | Mega Life | MGMCRPPO | $3.02 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $3.13 | — | — | 2026-05-06 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna Coventry First Health | COMM | $3.13 | $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 | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3.23 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $3.23 | $11.55 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $3.30 | $10.30 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $3.40 | $10.30 | — | 2026-07-30 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USA Managed Care | COMM | $3.45 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $3.50 | $10.30 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $3.60 | $10.30 | — | 2026-07-30 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Galaxy Health Network | PPO | $3.66 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $3.70 | $11.55 | — | 2026-07-30 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $3.75 | $4,432.00 | $975.04 | 2026-03-19 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $3.81 | $11.55 | — | 2026-07-30 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.85 | $1,482.00 | $1,111.50 | 2025-03-07 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.85 | $1,482.00 | $1,111.50 | 2026-07-01 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.85 | $267.00 | $200.25 | 2026-07-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | Aetna | HMO | — | $15,529.00 | $15,529.00 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $3.93 | $11.55 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $4.04 | $11.55 | — | 2026-07-30 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National Healthcare Solutions | COMM | $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 | Unicare | MCD | $4.31 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Bcbs Medicare | Medicare | $4.57 | $469.00 | $351.75 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Vaccn | Medicare | $4.57 | $469.00 | $351.75 | 2026-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient | Medicare | Medicare | $4.57 | $469.00 | $351.75 | 2026-10-01 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $4.84 | $10.30 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $4.94 | $10.30 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $5.05 | $10.30 | — | 2026-07-30 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Aetna | HMO | — | $10,684.00 | $10,684.00 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $5.43 | $11.55 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $5.54 | $11.55 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | Medicaid - Idaho 161 | — | $5.66 | $11.55 | — | 2026-07-30 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.04 | $3,354.00 | $198.00 | 2024-12-31 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Outpatient | BCBS MEDICAID REPLACEMENT [350011] | HB XR TNCARE SELECT OLIVE BRANCH ADULT CONTRACT | $6.20 | $4,936.60 | $1,086.05 | 2026-03-19 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL Both | Alabama Medicaid | PPO | $6.81 | $6.81 | $2.72 | 2025-05-21 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL Both | Alabama Medicaid | PPO | $6.81 | $6.81 | $2.72 | 2025-04-21 | MRF ↗ |
| Vibra Hospital Of Boise | Multiplan Complimentary 737 Multiplan, Value Point | — | $7.31 | $10.30 | — | 2026-07-30 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.60 | $4,234.12 | $4,234.12 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.65 | $3,923.30 | $3,923.30 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $7.65 | $3,923.30 | $3,923.30 | 2026-03-18 | MRF ↗ |
| Vibra Hospital Of Boise | Tricare West (Healthnet) | — | $7.72 | $10.30 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | United Healthcare | — | $8.14 | $10.30 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | Multiplan Complimentary 737 Multiplan, Value Point | — | $8.20 | $11.55 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | Multiplan Complimentary 737 Multiplan, Value Point | — | $8.24 | $10.30 | — | 2026-07-30 | MRF ↗ |
| LALLIE KEMP MEDICAL CENTER Outpatient | Humana | Medicare Advantage | — | $1,567.78 | $940.67 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Boise | Tricare West (Healthnet) | — | $8.66 | $11.55 | — | 2026-07-30 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $8.68 | $3,669.00 | — | 2026-02-19 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $8.71 | $4,234.12 | $4,234.12 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $8.76 | $3,923.30 | $3,923.30 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $8.76 | $3,923.30 | $3,923.30 | 2026-03-18 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $8.81 | $241.00 | $36.15 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $8.81 | $241.00 | $36.15 | 2026-07-30 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL Both | Alabama Medicaid | PPO | $8.97 | $8.97 | $3.59 | 2025-05-21 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL Both | Alabama Medicaid | PPO | $8.97 | $8.97 | $3.59 | 2025-04-21 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $9.00 | $217.00 | $36.89 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $9.00 | $241.00 | $36.15 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $9.00 | $241.00 | $36.15 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $9.00 | $217.00 | $36.89 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $9.00 | $217.00 | $58.59 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $9.00 | $306.00 | $91.80 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $9.00 | $217.00 | $32.55 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $9.00 | $217.00 | $58.59 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $9.00 | $306.00 | $91.80 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $9.00 | $217.00 | $32.55 | 2026-10-05 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Tricare | All | $9.06 | $1,929.00 | $1,929.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | UHC | Medicare Advantage | $9.06 | $1,929.00 | $1,929.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Blue Cross Blue Shield | Medicare Advantage | $9.06 | $1,929.00 | $1,929.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | VA Health | All | $9.06 | $1,929.00 | $1,929.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Humana | Medicare Advantage | $9.06 | $1,929.00 | $1,929.00 | 2026-03-28 | MRF ↗ |
| Vibra Hospital Of Boise | United Healthcare | — | $9.12 | $11.55 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Boise | Multiplan Complimentary 737 Multiplan, Value Point | — | $9.24 | $11.55 | — | 2026-07-30 | 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.