72149 — MRI Lumbar Spine With Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Mri lumbar spine w/dye (OTHER 72149) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/72149?code_type=OTHER
MLA (9th ed.)
“Mri lumbar spine w/dye (OTHER 72149) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/72149?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Mri lumbar spine w/dye (OTHER 72149) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/72149?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $344–$2,304 (25th–75th percentile) across 87 hospitals · 398 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 72149 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $2,303.72 | $2,303.72 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $2,303.72 | — | 2026-05-09 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $2,258.00 | $677.40 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $39.02 | $2,303.72 | $2,303.72 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage | — | $42.30 | $2,303.72 | $2,303.72 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $2,303.72 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $2,303.72 | $2,303.72 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $2,303.72 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $2,303.72 | $2,303.72 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $2,303.72 | $2,303.72 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $2,303.72 | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $48.73 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $48.73 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $53.89 | $168.00 | $84.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $53.89 | $168.00 | $84.00 | 2026-05-09 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $54.95 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $54.95 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $55.49 | — | — | 2026-05-23 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $63.57 | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $63.57 | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $63.57 | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Amerihealth Caritas Pa Medicaid | Amerihealth Caritas Pa Medicaid | — | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $63.57 | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health | — | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Caresource | Caresource | — | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna Rental | First Health | — | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Cigna | Cigna | — | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $64.48 | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $64.48 | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $64.78 | $2,900.00 | $1,450.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $64.78 | $1,530.00 | $765.00 | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $68.16 | $14,006.00 | $5,602.40 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $68.16 | $8,226.00 | $3,290.40 | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $70.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $70.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $70.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $70.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $70.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $70.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $70.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $70.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $70.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $70.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $70.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $70.00 | — | — | 2026-05-14 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $70.54 | $677.35 | $677.35 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicaid Mississippi | Federal | $70.54 | $677.35 | $677.35 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $70.54 | $677.35 | $677.35 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicaid Mississippi | Federal | $70.54 | $677.35 | $677.35 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $75.26 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $75.26 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $75.26 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $75.26 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $76.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $76.06 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $76.28 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $76.28 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $76.28 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $76.28 | — | — | 2026-05-14 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $76.41 | $677.35 | $677.35 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $76.41 | $677.35 | $677.35 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $80.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $80.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $80.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $80.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $80.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $80.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $80.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $80.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $80.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $80.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $80.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $80.06 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $80.06 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $80.06 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicare | Professional | $80.52 | $168.00 | $84.00 | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $81.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $81.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $81.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $81.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $81.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $81.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $81.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $81.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $81.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $81.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $81.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $81.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $81.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $81.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $81.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $81.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $81.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $81.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $81.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $81.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $81.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $81.22 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $81.66 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $81.66 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $81.66 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $81.66 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $82.22 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $82.22 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $82.22 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $82.22 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $82.46 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $82.46 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $82.46 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $82.46 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $82.46 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $82.46 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Ppo/Epo | $83.63 | $2,047.00 | $494.56 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Choice Fund Plans | $83.63 | $2,047.00 | $494.56 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Localplus | $83.63 | $2,047.00 | $494.56 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna (Individual/Employer Provided) | $83.63 | $2,047.00 | $494.56 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Global Health Benefits Plans | $83.63 | $2,047.00 | $494.56 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Network (Open Access, Open Access Plus, Pos Open Access, Pos) | $83.63 | $2,047.00 | $494.56 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Network (Open Access, Open Access Plus, Pos Open Access, Pos) | $83.63 | $2,047.00 | $494.56 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Choice Fund Plans | $83.63 | $2,047.00 | $494.56 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Global Health Benefits Plans | $83.63 | $2,047.00 | $494.56 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna (Individual/Employer Provided) | $83.63 | $2,047.00 | $494.56 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Localplus | $83.63 | $2,047.00 | $494.56 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Ppo/Epo | $83.63 | $2,047.00 | $494.56 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $84.68 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $84.69 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $86.33 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $86.46 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $86.46 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $87.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $87.27 | — | — | 2026-05-23 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $87.88 | $677.35 | $677.35 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $87.88 | $677.35 | $677.35 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $89.67 | $677.35 | $677.35 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $89.67 | $677.35 | $677.35 | 2026-05-22 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $2,303.72 | $2,303.72 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Hmo|Medicare_Advantage|Negotiated_Percentage | — | $90.00 | $2,303.72 | $2,303.72 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Ppo|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $2,303.72 | $2,303.72 | 2026-05-17 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $94.55 | — | — | 2026-05-23 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Aetna| Negotiated_Percentage | — | $95.00 | $2,258.00 | $677.40 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $97.42 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $97.42 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $98.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $98.00 | — | — | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Ppo | $98.17 | $217.00 | $151.90 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Hmo | $98.17 | $217.00 | $151.90 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Ppo | $98.17 | $217.00 | $151.90 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Hmo | $98.17 | $217.00 | $151.90 | 2026-05-22 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $101.17 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $101.17 | — | — | 2026-05-24 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $106.75 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $106.88 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $109.88 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $109.88 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $110.71 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $113.30 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $115.10 | — | — | 2026-05-23 | MRF ↗ |
| CHILDREN'S MERCY SOUTH Outpatient | Blue Cross Blue Shield Of Kansas | All Commercial Plans | $125.46 | $306.00 | $146.88 | 2026-05-24 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $126.12 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Bcbs | Professional | $134.75 | $168.00 | $84.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Bcbs | Professional Facility | $134.75 | $168.00 | $84.00 | 2026-05-09 | MRF ↗ |
| CHILDREN'S MERCY SOUTH Outpatient | Sunflower Health Plan | All Ks Medicaid Plans | $137.70 | $306.00 | $146.88 | 2026-05-24 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Bcbs | Ppo | $141.05 | $217.00 | $151.90 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Bcbs | Ppo | $141.05 | $217.00 | $151.90 | 2026-05-22 | MRF ↗ |
| CHILDREN'S MERCY SOUTH Inpatient | Cigna | Cmh Employee Plans | $146.88 | $306.00 | $146.88 | 2026-05-24 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $153.87 | $2,384.00 | $2,384.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $153.87 | $2,384.00 | $2,384.00 | 2026-05-22 | MRF ↗ |
| CHILDREN'S MERCY SOUTH Outpatient | United Healthcare Community Plan | All Ks Medicaid Plans | $159.12 | $306.00 | $146.88 | 2026-05-24 | MRF ↗ |
| CHILDREN'S MERCY SOUTH Inpatient | Blue Cross Blue Shield Of Kansas City | Aca Marketplace/Exchange Plans | $159.73 | $306.00 | $146.88 | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $160.66 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $160.66 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $160.66 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $160.66 | — | — | 2026-05-23 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Commercial|Bcbs - Mn|All Plans | — | $161.18 | $238.96 | $147.92 | 2026-08-01 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $162.36 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $162.36 | — | — | 2026-05-23 | 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.