Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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71555 — MRI Angio Chest W Or Without Contrast

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $1,149

Usually $450–$2,421 (25th–75th percentile) across 2,512 hospitals · 6,281 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 71555 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$450 $1,149 typical $2,421

The middle 50% of negotiated facility rates for this procedure, measured across 2,512 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. $1,149
Radiologist read Estimate national typical Medicare $82 × 1.8 commercial. $148
Likely subtotal $1,297
Complete-episode estimate (typical) ~$1,297

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 $450–$2,421.

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
ADVENTHEALTH TAMPA Outpatient Simply_Healthcare Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient Humana Care_Plus_PPO_PFFS_Medicare_ — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient Baycare HMO_Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient Devoted_Health Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient — — — $2,141.42 $1,070.71 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient Cigna_HealthCare _Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient Sunshine_State_Health_Plan Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient Oscar_ EPO — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient Freedom_Health Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient United_HealthCare Dual_Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient WellCare_of_Florida HMO_PPO_Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient Aetna_Health Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient Sunshine Ambetter_Exchange — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient Optimum Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient Longevity Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient Blue_Cross_&_Blue_Shield_of_Florida _Medicare_Adv_HMO_PPO — $2,028.39 $811.36 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient HealthFirst_Plans Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient — — — $2,141.42 $1,070.71 2024-12-15 MRF ↗
ADVENTHEALTH TAMPA Outpatient UPMC_Health_Plan Medicare — $2,028.39 $811.36 2024-12-15 MRF ↗
ST MARY'S HEALTHCARE Outpatient Medicare Medicare $0.04 $4,170.00 $2,873.55 2026-07-15 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 $10,826.00 $8,119.50 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 $14,823.00 $11,117.25 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 $10,826.00 $8,119.50 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 $14,823.00 $11,117.25 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN OF SC $0.29 $9,237.00 $6,927.75 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BCBS PREFERRED BLUE PPO $0.29 $9,237.00 $6,927.75 2026-09-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Kaiser Foundation Hospitals Medi-Cal — $9,460.25 $6,149.16 2025-11-26 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 $14,823.00 $11,117.25 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 $10,826.00 $8,119.50 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.49 $4,270.00 $3,202.50 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN STATE EMPLOYEE $0.60 $9,237.00 $6,927.75 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility HUMANA HUMANA MEDICARE- MIDTOWN IMAGING $0.72 $14,823.00 $11,117.25 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility HUMANA HUMANA- MIDTOWN IMAGING $0.82 $14,823.00 $11,117.25 2026-09-01 MRF ↗
FAIRVIEW HOSPITAL OutpatientFacility AETNA Acop $0.87 $6,274.00 $4,078.10 2026-06-15 MRF ↗
CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility AETNA Acop $0.87 $6,274.00 $4,078.10 2026-06-15 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE COMMUNITY NM HMO NETWORK EXCHANGE $1.00 $3,807.00 $2,855.25 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility AETNA AETNA EXCHANGE $1.00 $5,624.00 $4,218.00 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE HMO/POS $1.00 $10,826.00 $8,119.50 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-05-20 MRF ↗
SIERRA MEDICAL CENTER BothFacility AETNA AETNA ACO NETWORK $1.00 $5,624.00 $4,218.00 2026-09-01 MRF ↗
METROWEST MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE $1.00 $15,470.00 $11,602.50 2026-06-05 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN STATE EMPLOYEE $1.00 $9,237.00 $6,927.75 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA EXCHANGE $1.00 $4,270.00 $3,202.50 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA COMMERCIAL $1.00 $4,270.00 $3,202.50 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA US HEALTHCARE $1.00 $3,807.00 $2,855.25 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE PPO $1.00 $10,826.00 $8,119.50 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-05-20 MRF ↗
HI-DESERT MEDICAL CENTER OutpatientFacility AETNA AETNA GATEKEEPER (HMO/POS/EPO) $1.00 — — 2026-09-02 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN OF SC $1.00 $9,237.00 $6,927.75 2026-09-01 MRF ↗
HI-DESERT MEDICAL CENTER OutpatientFacility AETNA AETNA NON GATEKEEPER (PPO) $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW MEXICO MEDICAID $1.00 $3,807.00 $2,855.25 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA ACO NETWORK $1.00 $3,807.00 $2,855.25 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA COMMERCIAL NEW BUSINESS DISCOUNT $1.00 $3,807.00 $2,855.25 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA QPIC $1.00 $4,270.00 $3,202.50 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE $1.00 $5,624.00 $4,218.00 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-02 MRF ↗
SIERRA MEDICAL CENTER BothFacility AETNA AETNA COMMERCIAL NEW BUSINESS DISCOUNT $1.00 $5,624.00 $4,218.00 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD $1.00 $3,807.00 $2,855.25 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-05-20 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AETNA AETNA EXCHANGE $1.00 $10,826.00 $8,119.50 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO $1.00 $3,807.00 $2,855.25 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO $1.00 $5,624.00 $4,218.00 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA COMMERCIAL NEW BUSINESS DISCOUNT $1.00 $4,270.00 $3,202.50 2026-09-01 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility UNITED EXCHANGE $1.00 $1,725.64 — 2026-09-05 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $3,807.00 $2,855.25 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility AETNA AETNA US HEALTHCARE PPO $1.00 — — 2026-09-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $14,823.00 $11,117.25 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility UNITED HEALTHCARE UNITED HEALTHCARE NEW MEXICO MEDICAID $1.00 $5,624.00 $4,218.00 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility AETNA AETNA US HEALTHCARE HMO $1.00 — — 2026-09-02 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient SCAN Health Plan Medicare Advantage — $12,296.31 $7,992.60 2025-11-26 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AETNA AETNA EXCHANGE $1.00 $14,823.00 $11,117.25 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 — — 2026-05-20 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA SOUTH SAN ANTONIO ISD $1.00 $4,270.00 $3,202.50 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE HMO/POS $1.00 $14,823.00 $11,117.25 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $3,807.00 $2,855.25 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE $1.00 $3,807.00 $2,855.25 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA SPP $1.00 $4,270.00 $3,202.50 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE $1.00 $5,624.00 $4,218.00 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BCBS PREFERRED BLUE PPO $1.00 $9,237.00 $6,927.75 2026-09-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage — $9,460.25 $6,149.16 2025-11-26 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 — — 2026-05-20 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE COMMUNITY NM HMO NETWORK EXCHANGE $1.00 $5,624.00 $4,218.00 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $5,624.00 $4,218.00 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-05-20 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility AETNA AETNA US HEALTHCARE OF CALIFORNIA $1.00 — — 2026-09-02 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $10,826.00 $8,119.50 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility AETNA AETNA COMMERCIAL $1.00 $9,237.00 $6,927.75 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $5,624.00 $4,218.00 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE PPO $1.00 $14,823.00 $11,117.25 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD $1.00 $5,624.00 $4,218.00 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA EXCHANGE $1.00 $3,807.00 $2,855.25 2026-09-01 MRF ↗
FAIRVIEW HOSPITAL OutpatientFacility AETNA Asa_Whirlpool_Peia $1.01 $6,274.00 $4,078.10 2026-06-15 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $2.54 $332.00 $63.08 2026-05-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $2.54 $340.00 $64.60 2026-01-25 MRF ↗
CASCADE VALLEY HOSPITAL Both Humana Medicare — $4,768.00 $3,814.40 2026-03-26 MRF ↗
SKAGIT VALLEY HOSPITAL Both Humana Medicare — $4,768.00 $3,814.40 2026-03-26 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Healthplan Medicaid Wv Medicaid $6.58 — — 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Wellpoint Wv Medicaid $6.91 — — 2026-05-06 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $7.32 $4,069.00 — 2024-12-31 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Humana Medicare Advantage $7.44 — — 2026-03-28 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 Blue Cross Blue Shield Medicare Advantage $7.44 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility VA Health All $7.44 — — 2026-03-28 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Both CIGNA [100009] HB Cigna PPO - LeBonheur $7.73 $4,969.00 $1,093.18 2026-03-19 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Bcbs Medicare Medicare $10.04 $956.00 $717.00 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Vaccn Medicare $10.04 $956.00 $717.00 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Medicare Medicare $10.04 $956.00 $717.00 2026-10-01 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $10.42 $4,500.00 $1,665.00 2026-03-31 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $12.92 $368.00 $55.20 2026-07-30 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient BLUE CROSS NON-MCS BLUE CROSS NON-MCS $12.92 $368.00 $55.20 2026-07-30 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC NON-MCS - ALL OTHER PLANS BC NON-MCS - ALL OTHER PLANS $13.20 $332.00 $56.44 2026-05-23 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient BLUE CROSS NON-MCS- ALL OTHER PLANS BLUE CROSS NON-MCS- ALL OTHER PLANS $13.20 $332.00 $89.64 2026-01-31 MRF ↗
ADVENTIST HEALTH ST HELENA Outpatient BLUE CROSS NON MCS BLUE CROSS NON MCS $13.20 $368.00 $55.20 2026-07-15 MRF ↗
ADVENTIST HEALTH ST HELENA Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $13.20 $368.00 $55.20 2026-07-15 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient BLUE CROSS NON-MCS- ALL OTHER PLANS BLUE CROSS NON-MCS- ALL OTHER PLANS $13.20 $332.00 $89.64 2026-05-21 MRF ↗
ADVENTIST HEALTH HOWARD MEMORIAL Outpatient BLUE CROSS NON MCS BLUE CROSS NON MCS $13.20 $467.00 $140.10 2026-01-25 MRF ↗
ADVENTIST HEALTH HOWARD MEMORIAL Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $13.20 $467.00 $140.10 2026-01-25 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC MCS BC MCS $13.20 $332.00 $56.44 2026-05-23 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient BLUE CROSS MCS BLUE CROSS MCS $13.20 $332.00 $49.80 2026-10-05 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $13.20 $332.00 $49.80 2026-10-05 MRF ↗
INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $13.30 — — 2026-04-01 MRF ↗
INTEGRIS GROVE HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $13.30 — — 2026-04-01 MRF ↗
ALLIANCEHEALTH WOODWARD OutpatientFacility Healthchoice All Commercial Plans $13.30 — — 2026-04-01 MRF ↗
INTEGRIS HEALTH PONCA CITY OutpatientFacility Healthchoice All Commercial Plans $13.30 — — 2026-04-01 MRF ↗
INTEGRIS MIAMI HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $13.30 — — 2026-04-01 MRF ↗
INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $13.30 — — 2026-04-01 MRF ↗
INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $13.30 — — 2026-04-01 MRF ↗
LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility Healthchoice All Commercial Plans $13.30 — — 2026-04-01 MRF ↗
JACKSONVILLE MEMORIAL HOSPITAL Outpatient Commercial Workers Compensation Commercial Workers Compensation $16.32 $4,097.00 $4,097.00 2026-07-15 MRF ↗
DECATUR MEMORIAL HOSPITAL Outpatient Commercial Workers Compensation Commercial Workers Compensation $16.32 $6,183.00 $6,183.00 2026-07-15 MRF ↗
DECATUR MEMORIAL HOSPITAL Outpatient Hfn Hfn Workers Compensation $16.32 $6,183.00 $6,183.00 2026-07-15 MRF ↗
SHARP CHULA VISTA MEDICAL CENTER Outpatient Blue Cross Blue Cross - MCS $16.43 $4,157.00 $3,117.75 2026-04-01 MRF ↗
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility Wellpoint NJ Family Care $17.28 $4,616.00 $984.59 2026-03-04 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $17.64 $3,599.00 $3,419.05 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $17.64 $3,599.00 $3,419.05 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $17.79 $4,807.00 $4,566.65 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $17.79 $4,807.00 $4,566.65 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $17.79 $4,807.00 $4,566.65 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $18.00 $3,599.00 $3,419.05 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $18.27 $4,807.00 $4,566.65 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $18.71 $3,599.00 $3,419.05 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $18.75 $4,807.00 $4,566.65 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $19.23 $4,807.00 $4,566.65 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $19.43 $3,599.00 $3,419.05 2026-02-20 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Aetna Medicare Advantage — — — 2025-10-24 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $20.55 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility MEDICAID [20240] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $20.55 $137.00 $89.05 2026-03-12 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $20.55 $137.00 $89.05 2026-03-12 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility COUNTYCARE HEALTH PLAN MEDICAID CONTRACTED [320523] HB WASH JEFN LINC SAMC PCMH STOD IL MEDICAID $20.55 $137.00 $89.05 2026-06-11 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Group Health Coop (Ghc) Ghc Commercial (Kaiser) $21.00 $210.00 $210.00 2026-07-15 MRF ↗
SHARP CHULA VISTA MEDICAL CENTER Outpatient United Healthcare United Healthcare - HMO $21.76 $4,157.00 $3,117.75 2026-04-01 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 $4,797.00 $3,597.75 2024-12-08 MRF ↗
DECATUR COUNTY MEMORIAL HOSPITAL Outpatient UHC-ALL OTHER PLANS UHC-ALL OTHER PLANS $30.00 $248.00 $186.00 2026-03-18 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 $4,797.00 $3,597.75 2024-12-08 MRF ↗
UNITY HOSPITAL Outpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN [10104] $32.15 $188.87 $188.87 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN [10104] $32.15 $188.87 $188.87 2024-12-30 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 $5,614.00 $4,210.50 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 $5,614.00 $4,210.50 2024-12-08 MRF ↗
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both Martinspoint Tricare — $105.00 $105.00 2026-05-09 MRF ↗
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both Vaccn — — $105.00 $105.00 2026-05-09 MRF ↗
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both Magnacare — — $105.00 $105.00 2026-05-09 MRF ↗
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both Humanamilitary Tricare — $105.00 $105.00 2026-05-09 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. POS — $8,692.00 $7,127.44 2025-11-26 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $34.60 $4,336.00 $3,252.00 2024-12-08 MRF ↗
EAST COOPER MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $34.60 $4,336.00 $3,252.00 2024-12-08 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $34.65 $1,924.14 $1,154.48 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $34.65 $1,924.14 $1,154.48 2025-08-11 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid Nhhf $34.92 $380.00 $114.00 2026-07-15 MRF ↗
MCKAY-DEE HOSPITAL Inpatient Donor Connect Other $37.31 $3,731.30 $2,798.48 2026-07-31 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid-Trad $38.00 $380.00 $114.00 2026-07-15 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid-Amerihealth Medicaid-Amerihealth $38.38 $380.00 $114.00 2026-07-15 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility United Healthcare CHIP/Family Health Plus/Medicaid $39.30 $262.00 $196.50 2026-05-22 MRF ↗
HUNT REGIONAL MEDICAL CENTER Inpatient BCBS Blue Advantage PPO $40.00 $4,468.00 — 2026-01-23 MRF ↗
INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient Ccbh - Behavioral Health Behavioral — — — 2026-07-19 MRF ↗
UNITY HOSPITAL Outpatient EXCELLUS HMO [104] BLUE CHOICE OPTION [10402] $40.56 $188.87 $188.87 2024-12-30 MRF ↗
UNITY HOSPITAL Outpatient EXCELLUS HMO [104] EXCELLUS ESSENTIAL 1&2 [10413] $40.56 $188.87 $188.87 2024-12-30 MRF ↗
MCKAY-DEE HOSPITAL Inpatient Donor Connect Other $40.94 $4,094.16 $3,070.62 2026-07-31 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE CONTRACTED [320392] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility CHEROKEE NATION HEALTH SERV CONTRACTED [320066] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility HALO HCR INC HOSPICE [20432] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility ELARA CARING ASPIRE HOSPICE [20433] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility QUAL CHOICE CONTRACTED [320325] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility MEDICA MEDICARE ADVANTAGE CONTRACTED [320477] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility BCBS MEDICARE ADVANTAGE CONTRACTED [320047] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility GLOBALHEALTH CONTRACTED [320145] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility WELLCARE MEDICARE ADVANTAGE CONTRACTED [320421] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility KINDFUL HOSPICE CONTRACTED [320434] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility HALO HCR INC HOSPICE CONTRACTED [320432] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility BLUE CROSS AND BLUE SHIELD [20053] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility PROMINENCE HEALTH PLAN MEDICARE ADVANTAGE CONTRACTED [320496] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility UNITED HEALTHCARE CONTRACTED [320396] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility LONGEVITY HEALTH PLAN MEDICARE CONTRACTED [320225] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗
MERCY HOSPITAL PERRY OutpatientFacility PACE OF THE OZARKS CONTRACTED [320518] HB PCMH MEDICARE/MANAGED MCR W/SEQ 98.1% $41.66 $137.00 $89.05 2026-06-11 MRF ↗

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