71271 — CT Thorax Lung Cancer Scr C-
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CT THORAX LUNG CANCER SCR C- (CPT 71271) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/71271?code_type=CPT
MLA (9th ed.)
“CT THORAX LUNG CANCER SCR C- (CPT 71271) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/71271?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“CT THORAX LUNG CANCER SCR C- (CPT 71271) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/71271?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $112–$507 (25th–75th percentile) across 2,930 hospitals · 9,472 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 71271 — 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 surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$112
$206 typical
$507
The middle 50% of negotiated facility rates for this procedure, measured across 2,930 hospitals. Surgeon & anesthesia 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. | $206 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $136 × 1.22 commercial. | $166 |
| Likely subtotal | $372 |
Surgical episode (typical)
~$372
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$4,157
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
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 | None | — | — | $2,888.40 | $1,444.20 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO | — | $6,671.63 | $4,336.56 | 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 | — | $6,671.63 | $4,336.56 | 2025-11-26 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $2,888.40 | $1,444.20 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $6,671.63 | $4,336.56 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $6,671.63 | $4,336.56 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $6,671.63 | $4,336.56 | 2025-11-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.44 | $311.00 | $233.25 | 2026-03-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.86 | $233.00 | $221.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.86 | $233.00 | $221.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.86 | $233.00 | $221.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.89 | $233.00 | $221.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.91 | $233.00 | $221.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.93 | $233.00 | $221.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.95 | $198.00 | $188.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.95 | $198.00 | $188.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.97 | $198.00 | $188.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.97 | $198.00 | $188.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.97 | $198.00 | $188.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.99 | $198.00 | $188.10 | 2026-02-20 | 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 Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $5,853.00 | $4,799.46 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,671.63 | $4,336.56 | 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 | United Healthcare | 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 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 | HMO | — | $5,853.00 | $4,799.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $5,853.00 | $4,799.46 | 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 | Health Net of California, Inc. | HMO | — | $5,853.00 | $4,799.46 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $5,853.00 | $4,799.46 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.03 | $198.00 | $188.10 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.07 | $198.00 | $188.10 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.05 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.06 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $2.06 | — | — | 2026-03-18 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $1,574.00 | — | 2025-06-28 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $2.31 | — | — | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $2.34 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $2.36 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $2.36 | — | — | 2026-03-18 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $2.43 | — | — | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.55 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.57 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $2.57 | — | — | 2026-03-18 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $3.04 | $238.00 | $178.50 | 2025-03-07 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.66 | $2,035.00 | $117.35 | 2024-12-31 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Humana | Medicare Advantage | — | — | — | 2026-03-21 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $4.25 | $1,108.00 | $409.96 | 2026-03-31 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $6.73 | $660.00 | $429.00 | 2026-03-14 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $6.82 | — | — | 2026-03-18 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | CHIP | — | $148.14 | $148.14 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Louisiana Healthcare Connections, Inc. | MCD | — | $148.14 | $148.14 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | United | MCD | — | $148.14 | $148.14 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Amerigroup | MCD | — | $148.14 | $148.14 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Aetna Better Health | MCD | — | $148.14 | $148.14 | 2026-03-01 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $7.29 | $549.00 | $219.60 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $7.29 | $604.00 | $241.60 | 2026-05-22 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $7.29 | $549.00 | $219.60 | 2026-05-13 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $7.29 | $604.00 | $241.60 | 2026-05-13 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $7.44 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $7.44 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $7.44 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $7.44 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $7.44 | — | — | 2026-03-28 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | AmeriHealth Mercy LA LaCare | MCD | — | $148.14 | $148.14 | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Humana | MGMCD | — | $148.14 | $148.14 | 2026-03-01 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $8.17 | $1,000.00 | — | 2026-02-19 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Outpatient | Medicare | HMO | $8.20 | $20.00 | $15.00 | 2026-03-10 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARPLUS | $8.76 | $146.06 | $146.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHIP | $8.76 | $146.06 | $146.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHPFC | $8.76 | $146.06 | $146.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STAR | $8.76 | $146.06 | $146.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARKids | $8.76 | $146.06 | $146.06 | 2026-03-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS BLUE SHIELD IL [1030] | BC/BS OF ILLINOIS HMO-SSCD | $9.43 | $49.00 | $10.88 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS ILLINOIS [1210] | BC/BS OF ILLINOIS HMO-SSCD | $9.43 | $49.00 | $10.88 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS [1014] | BC/BS OF ILLINOIS HMO-SSCD | $9.43 | $49.00 | $10.88 | 2026-01-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $10.30 | $206.00 | $206.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $10.30 | $206.00 | $206.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $10.30 | $206.00 | $206.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $10.30 | $206.00 | $206.00 | 2026-03-01 | MRF ↗ |
| GREATER REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | — | $210.00 | $147.00 | 2026-05-22 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $10.85 | $217.00 | $217.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | STARPLUS | $10.85 | $217.00 | $217.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $10.85 | $217.00 | $217.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $10.85 | $217.00 | $217.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | STAR | $10.85 | $217.00 | $217.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | CHPFC | $10.85 | $217.00 | $217.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $10.85 | $217.00 | $217.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | CHIP | $10.85 | $217.00 | $217.00 | 2026-03-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS ILLINOIS [1210] | BC/BS OF ILLINOIS PPO-SSCD | $10.87 | $49.00 | $10.88 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS BLUE SHIELD IL [1030] | BC/BS OF ILLINOIS PPO-SSCD | $10.87 | $49.00 | $10.88 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | ALT PAYER ILLINOIS BLUE CROSS [121002] | BC/BS OF ILLINOIS PPO-SSCD | $10.87 | $49.00 | $10.88 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | ALT PAYER INDIANA BLUE CROSS [121003] | BC/BS OF ILLINOIS PPO-SSCD | $10.87 | $49.00 | $10.88 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS [1014] | BC/BS OF ILLINOIS PPO-SSCD | $10.87 | $49.00 | $10.88 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS Both | BLUE CROSS OUT OF STATE [1211] | BC/BS OF ILLINOIS PPO-SSCD | $10.87 | $49.00 | $10.88 | 2026-01-01 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | TCHP CHIPS - ALL PLANS | TCHP CHIPS - ALL PLANS | $11.20 | $112.00 | $50.00 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | COMMUNITY HEALTH CHOICE - ALL PLANS | COMMUNITY HEALTH CHOICE - ALL PLANS | $11.20 | $112.00 | $50.00 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | AMERIGROUP - ALL PLANS | AMERIGROUP - ALL PLANS | $11.20 | $112.00 | $50.00 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | AMERICHOICE - ALL PLANS | AMERICHOICE - ALL PLANS | $11.20 | $112.00 | $50.00 | 2026-02-03 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC Both | MEDICARE REPLACEMENT [2003] | MEDICARE-WIR-RENSSELAER | $12.25 | $49.00 | $17.54 | 2026-01-01 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC Both | MEDICARE [1099] | MEDICARE-WIR-RENSSELAER | $12.25 | $49.00 | $17.54 | 2026-01-01 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | BEACON HEALTH - ALL PLANS | BEACON HEALTH - ALL PLANS | $12.88 | $112.00 | $50.00 | 2026-02-03 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | TRICARE | TRICARE | $13.09 | $50.00 | $251.40 | 2025-01-21 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | TRICARE | TRICARE | $13.39 | $50.00 | $0.01 | 2024-07-01 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | AMERIGROUP - ALL PLANS | AMERIGROUP - ALL PLANS | $13.40 | $134.00 | $50.00 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | TCHP CHIPS - ALL PLANS | TCHP CHIPS - ALL PLANS | $13.40 | $134.00 | $50.00 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | AMERICHOICE - ALL PLANS | AMERICHOICE - ALL PLANS | $13.40 | $134.00 | $50.00 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | COMMUNITY HEALTH CHOICE - ALL PLANS | COMMUNITY HEALTH CHOICE - ALL PLANS | $13.40 | $134.00 | $50.00 | 2026-02-03 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rocky Mountain Health | Co Public Option Plan | — | $25.00 | $21.25 | 2026-05-13 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_AMERIGROUP | WELLPOINT MEDICARE ADVANTAGE | $14.50 | $50.00 | $0.01 | 2024-07-01 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_AMERIGROUP | WELLPOINT MEDICARE ADVANTAGE | $14.50 | $50.00 | $251.40 | 2025-01-21 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_CIGNA | CIGNA MEDICARE ADVANTAGE | $14.50 | $50.00 | $251.40 | 2025-01-21 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | VACCN OPTUM | VACCN OPTUM | $14.50 | $50.00 | $0.01 | 2024-07-01 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_UNITED | UNITED MEDICARE ADVANTAGE | $14.50 | $50.00 | $251.40 | 2025-01-21 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_HUMANA | HUMANA MEDICARE ADVANTAGE | $14.50 | $50.00 | $0.01 | 2024-07-01 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_FARM_BUREAU | FARM BUREAU MEDICARE ADVANTAGE | $14.50 | $50.00 | $0.01 | 2024-07-01 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_FARM_BUREAU | FARM BUREAU MEDICARE ADVANTAGE | $14.50 | $50.00 | $251.40 | 2025-01-21 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_UNITED | UNITED MEDICARE ADVANTAGE | $14.50 | $50.00 | $0.01 | 2024-07-01 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_BCBS | BCBS MEDICARE ADVANTAGE | $14.50 | $50.00 | $251.40 | 2025-01-21 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_CIGNA | CIGNA MEDICARE ADVANTAGE | $14.50 | $50.00 | $0.01 | 2024-07-01 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_HUMANA | HUMANA MEDICARE ADVANTAGE | $14.50 | $50.00 | $251.40 | 2025-01-21 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_WELLCARE | WELLCARE MEDICARE ADVANTAGE | $14.50 | $50.00 | $0.01 | 2024-07-01 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | VACCN OPTUM | VACCN OPTUM | $14.50 | $50.00 | $251.40 | 2025-01-21 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_WELLCARE | WELLCARE MEDICARE ADVANTAGE | $14.50 | $50.00 | $251.40 | 2025-01-21 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MEDICARE | MEDICARE | $14.50 | $50.00 | $251.40 | 2025-01-21 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MEDICARE | MEDICARE | $14.50 | $50.00 | $0.01 | 2024-07-01 | MRF ↗ |
| MACON COMMUNITY HOSPITAL Outpatient | MCRADV_BCBS | BCBS MEDICARE ADVANTAGE | $14.50 | $50.00 | $0.01 | 2024-07-01 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $14.56 | $112.00 | $50.00 | 2026-02-03 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | $14.82 | $661.00 | $462.70 | 2025-01-01 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $15.19 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCARE HMO | CARESOURCE MCARE HMO | $15.19 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | MHS EXCH AMBETTER HMO - ALL OTHER PLANS | $15.19 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE MEDSELECT | ANTHEM MCARE MEDSELECT | $15.19 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE MCAID HIP | CARESOURCE MCAID HIP | $15.19 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CENPATICO MCAID HIP | CENPATICO MCAID HIP | $15.19 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MDWISE MCAID HIP - ALL OTHER PLANS | MDWISE MCAID HIP - ALL OTHER PLANS | $15.19 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCAID HIP | MHS MCAID HIP | $15.19 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | HUMANA CHOICECARE MCARE | HUMANA CHOICECARE MCARE | $15.34 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | MHS MCARE ALLWELL | MHS MCARE ALLWELL | $15.34 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | BEACON HEALTH - ALL PLANS | BEACON HEALTH - ALL PLANS | $15.41 | $134.00 | $50.00 | 2026-02-03 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | MyBlue | $15.95 | $99.00 | — | 2025-07-30 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | ANTHEM MCARE HMO/PPO | ANTHEM MCARE HMO/PPO | $16.66 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids | $16.83 | $99.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Aetna Better Health | Healthy Kids | $16.83 | $99.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Aetna Better Health | Healthy Kids-Ped | $16.83 | $99.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids | $16.83 | $99.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids-Ped | $16.83 | $99.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Aetna Better Health | Healthy Kids | $16.83 | $99.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna Better Health | Healthy Kids | $16.83 | $99.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna Better Health | Healthy Kids-Ped | $16.83 | $99.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids-Ped | $16.83 | $99.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | BLUE SELECT | $16.83 | $99.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Aetna Better Health | Healthy Kids-Ped | $16.83 | $99.00 | — | 2025-07-30 | MRF ↗ |
| CYPRESS POINTE SURGICAL HOSPITAL Outpatient | PPO_Plus_Health_Health_Insurance | Commercial | $16.90 | $259.74 | $100.00 | 2025-12-18 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Inpatient | Health Alliance Commercial | UNKNOWN | $17.00 | $20.00 | $15.00 | 2026-03-10 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Inpatient | Aetna Coventry | UNKNOWN | $17.00 | $20.00 | $15.00 | 2026-03-10 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $17.00 | $109.15 | $43.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $17.00 | $109.15 | $43.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $17.00 | $109.15 | $43.66 | 2024-12-15 | MRF ↗ |
| CARLINVILLE AREA HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-21 | MRF ↗ |
| PRESENCE ST MARYS HOSPITAL Outpatient | BCBS | BCBS HMO | $17.23 | $99.00 | $144.00 | 2025-05-01 | MRF ↗ |
| PRESENCE ST MARYS HOSPITAL Outpatient | BCBS | BCBS HMO | $17.23 | $99.00 | $144.00 | 2025-05-01 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $17.42 | $134.00 | $50.00 | 2026-02-03 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | Medicare | $17.48 | $31.79 | $15.90 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | Indemnity_PPO | $17.48 | $31.79 | $15.90 | 2025-12-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL OutpatientFacility | Blue Shield | HMO_POS | $17.48 | $31.79 | $15.90 | 2025-12-31 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | AETNA MCARE - ALL PLANS | AETNA MCARE - ALL PLANS | $17.64 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $17.75 | $289.00 | $143.35 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $17.75 | $289.00 | $143.35 | 2026-02-28 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna Better Health | Healthy Kids | $17.82 | $99.00 | — | 2025-07-30 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Both | HEALTH SMART | Health Smart | — | $20.00 | $9.00 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Both | ZELIS | Zelis | — | $20.00 | $9.00 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | United Healthcare HMO & PPO Plans | — | $20.00 | $9.00 | 2025-02-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Inpatient | BCBS | UNKNOWN | $18.00 | $20.00 | $15.00 | 2026-03-10 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Medicare Advantage | $18.26 | $83.00 | $16.60 | 2025-03-27 | MRF ↗ |
| PRESENCE ST MARYS HOSPITAL Outpatient | BCBS | BCBS PPO | $18.41 | $99.00 | $144.00 | 2025-05-01 | MRF ↗ |
| PRESENCE ST MARYS HOSPITAL Outpatient | BCBS | BCBS PPO | $18.41 | $99.00 | $144.00 | 2025-05-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | Simply Blue | $18.60 | $99.00 | — | 2025-07-30 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Inpatient | Cigna | UNKNOWN | $18.60 | $20.00 | $15.00 | 2026-03-10 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Inpatient | United Healthcare | UNKNOWN | $18.60 | $20.00 | $15.00 | 2026-03-10 | MRF ↗ |
| DAVIS MEDICAL CENTER OutpatientFacility | Peak Health | Commercial | $18.63 | $108.00 | $75.60 | 2025-08-07 | MRF ↗ |
| DAVIS MEDICAL CENTER OutpatientFacility | Peak Health | Commercial | $18.63 | $108.00 | $75.60 | 2025-08-07 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Inpatient | BCBS PPO | PPO | $18.80 | $20.00 | $15.00 | 2026-03-10 | MRF ↗ |
| PULASKI MEMORIAL HOSPITAL Outpatient | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | CARESOURCE EXCH HMO HIX - ALL OTHER PLANS | $18.99 | $49.00 | $34.30 | 2026-04-17 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Inpatient | Humana Comm | UNKNOWN | $19.00 | $20.00 | $15.00 | 2026-03-10 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Inpatient | HealthLink | UNKNOWN | $19.00 | $20.00 | $15.00 | 2026-03-10 | MRF ↗ |
| PARIS COMMUNITY HOSPITAL Inpatient | Preferred Plan | UNKNOWN | $19.00 | $20.00 | $15.00 | 2026-03-10 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $19.07 | $386.00 | — | 2026-03-31 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $19.20 | $480.00 | $480.00 | 2026-05-15 | MRF ↗ |
| CHI ST LUKE'S HEALTH BRAZOSPORT Outpatient | TCHP | Medicaid|All Other Plans | $19.23 | $320.38 | $112.14 | 2026-02-28 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | HMO | $19.25 | $99.00 | — | 2025-07-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon NJ Health | Managed Medicaid | — | $480.00 | $480.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon NJ Health | Managed Medicaid | — | $480.00 | $480.00 | 2026-04-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $88.86 | $88.86 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK MEDICARE [11402] | — | $88.86 | $88.86 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $254.34 | $254.34 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $88.86 | $88.86 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | HIGHMARK [114] | HIGHMARK ESSENTIALS [11404] | — | $254.34 | $254.34 | 2024-12-30 | 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.