72125 — Pr CT Cerv Spine Wo Cntrst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR CT CERV SPINE WO CNTRST (CPT 72125) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/72125?code_type=CPT
MLA (9th ed.)
“PR CT CERV SPINE WO CNTRST (CPT 72125) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/72125?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR CT CERV SPINE WO CNTRST (CPT 72125) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/72125?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $130–$1,498 (25th–75th percentile) across 3,293 hospitals · 11,258 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 72125 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the radiologist-read fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$130
$470 typical
$1,498
The middle 50% of negotiated facility rates for this procedure, measured across 3,293 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. | $470 |
| Radiologist read Estimate national typical Medicare $46 × 1.8 commercial. | $84 |
| Likely subtotal | $554 |
Complete-episode estimate (typical)
~$554
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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $3,869.16 | $1,934.58 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $3,869.16 | $1,934.58 | 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 | STARKids | $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 ↗ |
| 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 | CHIP | $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 | $2,344.00 | $1,758.00 | 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 | — | $7,976.00 | $6,540.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $7,976.00 | $6,540.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $7,976.00 | $6,540.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $7,976.00 | $6,540.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $7,976.00 | $6,540.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $7,976.00 | $6,540.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $7,976.00 | $6,540.32 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $7,976.00 | $6,540.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $7,976.00 | $6,540.32 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $7,976.00 | $6,540.32 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $8,673.09 | $5,637.51 | 2025-11-26 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $1.03 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| CYPRESS POINTE SURGICAL HOSPITAL Outpatient | PPO_Plus_Health_Health_Insurance | Commercial | $1.07 | $259.74 | $188.90 | 2025-12-18 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.42 | $190.00 | $36.10 | 2026-01-25 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.46 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Anthem Medicare 105187 | Anthem Medicare 105187 | $1.49 | $1,284.00 | $770.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem - Tertiary | $1.49 | $1,284.00 | $770.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Mediblue Greater Dayton | $1.49 | $1,284.00 | $770.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem Medicare Supplement | $1.49 | $1,284.00 | $770.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Medicare | $1.49 | $1,284.00 | $770.40 | 2026-05-08 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $1.49 | $154.39 | $100.35 | 2026-05-07 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Bcbs Blue Advantage Administrators Of Arkansas | $1.49 | $1,284.00 | $770.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Anthem - Secondary | $1.49 | $1,284.00 | $770.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs | Bcbs Of Michigan Medicare Plus | $1.49 | $1,284.00 | $770.40 | 2026-05-08 | MRF ↗ |
| OHIO VALLEY SURGICAL HOSPITAL Inpatient | Bcbs Medicare | Anthem Medicare Preferred | $1.49 | $1,284.00 | $770.40 | 2026-05-08 | 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 | — | $2,453.00 | $981.20 | 2026-05-23 | 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 | $2.21 | — | — | 2026-05-06 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $1,486.00 | — | 2025-06-28 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $2.32 | — | — | 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 | Physicians Coop of TX | MGMCR | $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 | 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 | $1,106.00 | $829.50 | 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] | $4.03 | $2,033.00 | $752.21 | 2026-03-31 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National Healthcare Solutions | 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 ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $4.31 | $4.31 | $4.31 | 2026-03-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.85 | $4,353.85 | $4,353.85 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.88 | $4,403.35 | $4,403.35 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $4.88 | $4,403.35 | $4,403.35 | 2026-03-18 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $5.35 | $2,970.00 | $117.35 | 2024-12-31 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $5.56 | $4,353.85 | $4,353.85 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $5.60 | $4,403.35 | $4,403.35 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $5.60 | $4,403.35 | $4,403.35 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.98 | $1,246.00 | $1,183.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.98 | $1,246.00 | $1,183.70 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.05 | $4,353.85 | $4,353.85 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.09 | $4,403.35 | $4,403.35 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $6.09 | $4,403.35 | $4,403.35 | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $6.11 | $1,246.00 | $1,183.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.11 | $1,246.00 | $1,183.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.35 | $1,246.00 | $1,183.70 | 2026-02-20 | MRF ↗ |
| MURRAY COUNTY MEMORIAL HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | $6.70 | $2,706.00 | $1,758.90 | 2025-11-02 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Humana | Medicare Advantage | $7.12 | $1,851.00 | $1,851.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | VA Health | All | $7.12 | $1,851.00 | $1,851.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Blue Cross Blue Shield | Medicare Advantage | $7.12 | $1,851.00 | $1,851.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | UHC | Medicare Advantage | $7.12 | $1,851.00 | $1,851.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Tricare | All | $7.12 | $1,851.00 | $1,851.00 | 2026-03-28 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $8.23 | $205.00 | $30.75 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $8.40 | $167.00 | $25.05 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $8.40 | $261.00 | $78.30 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $8.40 | $261.00 | $78.30 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $8.40 | $167.00 | $25.05 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $8.40 | $185.00 | $49.95 | 2026-01-31 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $8.76 | $281.00 | $281.00 | 2026-02-13 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Alabama | Commercial | — | $926.00 | $926.00 | 2026-04-30 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $10.62 | $2,870.00 | $2,726.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $10.62 | $2,870.00 | $2,726.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $10.62 | $2,870.00 | $2,726.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $10.91 | $2,870.00 | $2,726.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $11.19 | $2,870.00 | $2,726.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $11.48 | $2,870.00 | $2,726.50 | 2026-02-20 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | Health Net | Health Net Cal MediConnect | $11.98 | $4,228.00 | $3,171.00 | 2026-04-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $12.10 | $2,606.10 | $1,563.66 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $12.10 | $2,606.10 | $1,563.66 | 2025-08-11 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $12.73 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $12.73 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $12.73 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $12.73 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $12.73 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $12.73 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $12.73 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $12.73 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $12.73 | — | — | 2026-04-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $6,478.13 | $4,210.78 | 2025-11-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Molina | Medicaid | $14.60 | $2,512.00 | $2,009.60 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | United Healthcare | Medicaid | $14.60 | $2,512.00 | $2,009.60 | 2026-03-26 | 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 ↗ |
| SKAGIT VALLEY HOSPITAL Both | Amerigroup | Medicaid | $15.54 | $2,512.00 | $2,009.60 | 2026-03-26 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $15.78 | $1,829.00 | — | 2026-02-19 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.99 | $246.00 | $159.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.99 | $246.00 | $159.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $15.99 | $246.00 | $159.90 | 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 | $15.99 | $246.00 | $159.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $15.99 | $246.00 | $159.90 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $15.99 | $246.00 | $159.90 | 2026-03-12 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $16.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $126.00 | $63.00 | 2025-02-03 | 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 OAKLAND Outpatient | Medicaid - United | Medicaid - United | $17.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | CHPW | Medicaid | $17.44 | $2,512.00 | $2,009.60 | 2026-03-26 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $17.75 | $1,980.00 | $982.08 | 2026-02-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Exchange | $17.75 | $1,980.00 | $982.08 | 2026-02-28 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $17.93 | $96.35 | $96.35 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $17.93 | $96.35 | $96.35 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $17.93 | $96.35 | $96.35 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $17.93 | $96.35 | $96.35 | 2024-12-30 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $18.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $18.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $18.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $18.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Martinspoint | Tricare | — | $59.00 | $59.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $59.00 | $59.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Magnacare | — | — | $59.00 | $59.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Vaccn | — | — | $59.00 | $59.00 | 2026-05-09 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $19.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $19.07 | $2,671.00 | — | 2026-03-31 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Medicare Advantage | — | — | — | 2025-10-24 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,260.00 | $1,469.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,260.00 | $1,469.00 | 2025-01-01 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $20.61 | $77.00 | $53.90 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $20.61 | $77.00 | $53.90 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $20.61 | $77.00 | $53.90 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $20.61 | $77.00 | $53.90 | 2026-04-02 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $21.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | Anthem Blue Cross California | Medicare Advantage | $21.27 | $2,006.00 | $1,141.41 | 2026-02-12 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $21.29 | $2,760.79 | $1,076.70 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $21.29 | $2,760.79 | $1,076.70 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $21.29 | $2,760.79 | $1,076.70 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MEDICAID | MAGNOLIA MCD | $21.29 | $2,760.79 | $1,076.70 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | MAGNOLIA MCD HMO | MAGNOLIA CHIPS | $21.29 | $2,760.79 | $1,076.70 | 2024-06-27 | MRF ↗ |
| PANOLA MEDICAL CENTER Both | CENPATICO | CENPATICO | $21.29 | $2,760.79 | $1,076.70 | 2024-06-27 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $22.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $22.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $22.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $23.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $23.10 | $77.00 | $53.90 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $23.10 | $77.00 | $53.90 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $23.10 | $77.00 | $53.90 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $23.10 | $77.00 | $53.90 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $23.10 | $77.00 | $53.90 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $23.10 | $77.00 | $53.90 | 2026-04-02 | 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 ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $23.87 | $77.00 | $53.90 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $23.87 | $77.00 | $53.90 | 2026-04-02 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $24.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $24.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $24.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $24.15 | $2,274.00 | $1,364.40 | 2024-07-01 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $24.17 | $179.00 | $134.25 | 2026-01-16 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Molina | Molina - Exchange | $24.97 | $4,228.00 | $3,171.00 | 2026-04-01 | MRF ↗ |
| HAYWOOD COUNTY COMMUNITY HOSPITAL Both | UNITEDHEALTHCAREPLANOFTHERIVERVALLEYINC | TNTENNCAREMEDICAIDNOCOPAY21ANDOVER | $24.98 | $136.50 | $54.60 | 2025-03-31 | MRF ↗ |
| HENDERSON COUNTY COMMUNITY HOSPITAL Both | UNITEDHEALTHCAREPLANOFTHERIVERVALLEYINC | TNTENNCAREMEDICAIDNOCOPAYUNDER21 | $24.98 | $136.50 | $54.60 | 2025-06-30 | MRF ↗ |
| HENDERSON COUNTY COMMUNITY HOSPITAL Both | UNITEDHEALTHCAREPLANOFTHERIVERVALLEYINC | TNTENNCAREMEDICAIDNOCOPAY21ANDOVER | $24.98 | $136.50 | $54.60 | 2025-06-30 | MRF ↗ |
| HOUSTON COUNTY COMMUNITY HOSPITAL Both | UNITEDHEALTHCAREPLANOFTHERIVERVALLEYINC | TNTENNCAREMEDICAIDNOCOPAYUNDER21 | $24.98 | $136.50 | $54.60 | 2025-03-31 | MRF ↗ |
| HOUSTON COUNTY COMMUNITY HOSPITAL Both | UNITEDHEALTHCAREPLANOFTHERIVERVALLEYINC | TNTENNCAREMEDICAIDNOCOPAY21ANDOVER | $24.98 | $136.50 | $54.60 | 2025-03-31 | MRF ↗ |
| HAYWOOD COUNTY COMMUNITY HOSPITAL Both | UNITEDHEALTHCAREPLANOFTHERIVERVALLEYINC | TNTENNCAREMEDICAIDNOCOPAYUNDER21 | $24.98 | $136.50 | $54.60 | 2025-03-31 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $25.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $25.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $25.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $25.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $25.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $25.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $25.56 | $2,506.00 | $1,628.90 | 2026-03-14 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $26.00 | $126.00 | $63.00 | 2025-02-03 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | CIGNA - ALL OTHER PLANS | CIGNA - ALL OTHER PLANS | $26.15 | $205.00 | $30.75 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $26.15 | $167.00 | $25.05 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $26.15 | $167.00 | $25.05 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $26.15 | $185.00 | $35.15 | 2026-01-31 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $291.79 | $291.79 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Outpatient | INDEPENDENT HEALTH ASSOCIATION,IN [138] | INDEPENDENT HEALTH MEDICAID [13805] | $26.22 | $96.35 | $96.35 | 2024-12-30 | MRF ↗ |
| UNITED MEMORIAL MEDICAL CENTER Inpatient | MULTIPLAN [141] | MULTIPLAN [14101] | — | $96.35 | $96.35 | 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.