72158 — MRI Lumbar Spine Without & With Contrast
Cite this view
HANK Price Transparency. (n.d.). MRI LUMBAR SPINE W/O & W/DYE (CPT 72158) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/72158?code_type=CPT
“MRI LUMBAR SPINE W/O & W/DYE (CPT 72158) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/72158?code_type=CPT. Accessed .
“MRI LUMBAR SPINE W/O & W/DYE (CPT 72158) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/72158?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $414–$3,027 (25th–75th percentile) across 3,821 hospitals · 10,320 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 72158 — 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.
The middle 50% of negotiated facility rates for this procedure, measured across 3,821 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. | $1,113 |
| Radiologist read Estimate national typical Medicare $106 × 1.8 commercial. | $190 |
| Likely subtotal | $1,303 |
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 $414–$3,027.
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 | — | — | — | $6,977.04 | $3,488.52 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $6,977.04 | $3,488.52 | 2024-12-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | CHIP | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARHealth | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARKids | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $3,358.00 | — | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | IFP | $0.63 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | QHP | $0.66 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $2,464.00 | $1,601.60 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $2,464.00 | $1,601.60 | 2026-06-15 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.93 | $7.30 | — | 2026-07-31 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.93 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $12,003.00 | $9,002.25 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $9,018.00 | $6,763.50 | 2026-05-20 | MRF ↗ |
| Vibra Hospital Of Southeastern Mi-taylor Campus | Multiplan Complimentary 737 Multiplan, Value Point 737 | — | $1.00 | $2.00 | — | 2026-07-30 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $16,447.36 | $10,690.78 | 2025-11-26 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $7,852.00 | $5,889.00 | 2026-06-05 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $12,003.00 | $9,002.25 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $12,003.00 | $9,002.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $9,018.00 | $6,763.50 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $7,023.00 | $3,511.50 | 2026-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $12,003.00 | $9,002.25 | 2026-05-20 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $1.00 | $7.30 | — | 2026-07-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $9,018.00 | $6,763.50 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $9,018.00 | $6,763.50 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $12,003.00 | $9,002.25 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $16,447.36 | $10,690.78 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $12,003.00 | $9,002.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $9,018.00 | $6,763.50 | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid North Dakota 183 | — | $1.00 | $7.30 | — | 2026-08-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $9,018.00 | $6,763.50 | 2026-05-20 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $2,464.00 | $1,601.60 | 2026-06-15 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $1.05 | $7.30 | — | 2026-07-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $7,023.00 | $3,511.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $7,023.00 | $3,511.50 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $1.13 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $7,023.00 | $3,511.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $7,023.00 | $3,511.50 | 2026-07-01 | MRF ↗ |
| HCA FLORIDA UNIVERSITY HOSPITAL Outpatient | Aetna | PPO | — | $20,177.00 | $20,177.00 | 2026-03-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $1.43 | $5,320.00 | $3,990.00 | 2026-03-26 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $7,023.00 | $3,511.50 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.59 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid North Dakota 183 | — | $2.00 | $7.30 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Southeastern Mi-taylor Campus | Tricare East -Humana Government Business | — | $2.00 | $2.00 | — | 2026-07-30 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | Traditional | $2.08 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Fidelis SecureCare | MGMCR | $2.11 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | City of McKinney | COMM | $2.11 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $3,940.00 | — | 2025-06-28 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National ChoiceCare | WCOMP | $2.34 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Sanford Medicaid Expansion (862) | — | $2.41 | $7.30 | — | 2026-07-31 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | ASA | $2.47 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $7,023.00 | $3,511.50 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Physicians Coop of TX | MGMCR | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | PC Texas Partners | WCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Rockport Health Group | WORKERSCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | WCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Averde Health, Inc | PPO | $2.72 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USC Health Services | COMM | $2.81 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid South Dakota 190 | — | $2.85 | $7.30 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid South Dakota 190 | — | $3.00 | $7.30 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Amarillo | Tricare West 441 | — | $3.00 | $5.00 | — | 2026-07-31 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.25 | $427.00 | $81.13 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $3.25 | $436.00 | $82.84 | 2026-01-25 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Jostens | WCOMP | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Mega Life | MGMCRPPO | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Coastal Comp Health Networks | WCOMP | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $3.41 | $358.16 | $232.80 | 2026-05-07 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna Coventry First Health | COMM | $3.41 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Medica Senior Care Dual Solutions (Msho) Medicare Advantage Special Needs Medica Complete Solution 971 | — | $3.45 | $7.30 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Medica Select Solutions (Medicare Supplement) Medica Prime Solution | — | $3.45 | $7.30 | — | 2026-07-31 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | HealthSmart Preferred Care | PPO | $3.52 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3.52 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) Medicare Advantage | — | $3.65 | $7.30 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) Spp Medicaid Replacement | — | $3.65 | $7.30 | — | 2026-07-31 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USA Managed Care | COMM | $3.75 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Galaxy Health Network | PPO | $3.99 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Select Solutions (Medicare Supplement) Medica Prime Solution | — | $4.00 | $7.30 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Health Partners Inc (Hpi) Spp Medicaid Replacement | — | $4.00 | $7.30 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Health Partners Inc (Hpi) Medicare Advantage | — | $4.00 | $7.30 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Senior Care Dual Solutions (Msho) Medicare Advantage Snp Plans 971 | — | $4.00 | $7.30 | — | 2026-08-01 | MRF ↗ |
| SELF REGIONAL HEALTHCARE Outpatient | Humana | Medicare | — | $3,000.00 | $1,800.00 | 2026-08-03 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | MCD | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National Healthcare Solutions | COMM | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Preferredonecommunity Health Plan (Pchp)Hmo (Includes Aetna) 745 Preferred One Insurance Co (Pic) (Includes Aetna) 480 | — | $5.00 | $7.30 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Tricare West (Healthnet) 232 | — | $5.00 | $7.30 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Choice/Medica Premier/Medicare Care Syst Prod (Medica Elect/Medica Essentials/Medica Uplan Elect/Medica Accountable Care Syst /Mic Choice/Mic Care Syst Medica Self Insured Products 721 | — | $5.00 | $7.30 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Preferred One Hmo 745 (Includes Aetna) | — | $5.11 | $7.30 | — | 2026-07-31 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $5.59 | — | — | 2026-05-06 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) (Cigna) | — | $5.84 | $7.30 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Preferred One Ppo 480 (Includes Aetna) | — | $5.84 | $7.30 | — | 2026-07-31 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $5.87 | — | — | 2026-05-06 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Multiplan Complimentary 737 Multiplan, Value Point | — | $6.00 | $7.30 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Preferredone Adm Svc (Pas) Ppo (Includes Aetna) 772 | — | $6.00 | $7.30 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Multiplan Complimentary 737 Multiplan, Value Point | — | $6.21 | $7.30 | — | 2026-07-31 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $7.73 | $8,872.00 | $1,951.84 | 2026-03-19 | MRF ↗ |
| BACON COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $8.19 | $4,423.00 | $3,538.40 | 2026-07-15 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Anthem Bcbs Medicare Plan | Medicare | $9.92 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Humana Medicare Plan | Medicare | $9.92 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Medicare Plan | Medicare | $9.92 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Wellcare Plan | Medicare | $9.92 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Pruitthealth Premier Plan | Medicare | $9.92 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Uhc Medicare Plan | Medicare | $9.92 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Peachstate Medicaid Plan | Medicaid | $10.08 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Medicaid Plan | Medicaid | $10.08 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Amerigroup Medicaid Plan | Medicaid | $10.08 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Caresource Medicaid Plan | Medicaid | $10.08 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| CUERO REGIONAL HOSPITAL Outpatient | Humana Medicare Advantage Plan | Medicare | — | — | — | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $10.87 | $6,039.00 | $404.51 | 2024-12-31 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $12.67 | $345.00 | $172.50 | 2026-04-15 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Humana Plan | Commercial | $12.80 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Aetna Plan | Commercial | $12.80 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Uhc Plan | Commercial | $12.80 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.50 | $6,204.98 | $6,204.98 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.59 | $8,686.97 | $8,686.97 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.59 | $8,686.97 | $8,686.97 | 2026-03-18 | MRF ↗ |
| WILLS MEMORIAL HOSPITAL Outpatient | Cigna Plan | Commercial | $13.60 | $16.00 | $11.20 | 2026-05-06 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $15.48 | $6,204.98 | $6,204.98 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $15.57 | $8,686.97 | $8,686.97 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $15.57 | $8,686.97 | $8,686.97 | 2026-03-18 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $16.74 | $472.00 | $70.80 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $16.74 | $472.00 | $70.80 | 2026-07-30 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.85 | $6,204.98 | $6,204.98 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.96 | $8,686.97 | $8,686.97 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.96 | $8,686.97 | $8,686.97 | 2026-03-18 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $17.09 | $427.00 | $72.59 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $17.09 | $427.00 | $72.59 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $17.09 | $427.00 | $115.29 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $17.09 | $600.00 | $180.00 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $17.09 | $427.00 | $115.29 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $17.09 | $472.00 | $70.80 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $17.09 | $427.00 | $64.05 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $17.09 | $427.00 | $64.05 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $17.09 | $600.00 | $180.00 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $17.09 | $472.00 | $70.80 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $17.26 | $3,452.00 | $3,452.00 | 2026-06-05 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | $2,177.00 | $761.95 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | — | $2,177.00 | $761.95 | 2026-02-28 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $18.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $18.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $18.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $18.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $18.01 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $18.01 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $18.01 | — | — | 2026-04-01 | MRF ↗ |
| Dewitt Hospital & Nursing Home, Inc Outpatient | Bcbs True Blue Ppo Plan | Commercial | — | $745.55 | $745.55 | 2026-07-18 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Coventry Health Care | Auto Medical | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Coventry Health Care | Workers' Compensation | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | Indemnity | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | TRICARE Select | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | TRICARE Prime | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | Workers' Compensation Program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare HMO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Western Sky Community Care | MA Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | HealthSmart Preferred Care II | HealthSmart Workers' Compensation/Occupational Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare PPO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | MPI Complementary Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare Network Private Fee-For-Service Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare POS Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | HMO | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | PHCS Primary Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Western Sky Community Care | MA-PD Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | PPO | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Medicaid (State) | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Molina Healthcare of New Mexico | Dual Options (Medicare-Medicaid Program (MMP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | Auto Medical Program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | New Mexico Medicaid Benefit Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | PAR | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | New Mexico CHIP Benefit Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | Blue Community HMO (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | New Mexico Medicaid Managed Care | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Corvel Healthcare Corporation | CorCare PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | POS | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $1,770.00 | $1,239.00 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $1,770.00 | $1,239.00 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $1,770.00 | $1,239.00 | 2026-07-14 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Medicare Advantage | — | — | — | 2025-10-24 | MRF ↗ |
| Vibra Hospital Of Denver | Medicaid South Dakota 190 | — | $20.30 | $48.00 | — | 2026-07-31 | MRF ↗ |
| FRANKLIN MEDICAL CENTER Outpatient | Bcbs Hmo | Commercial | — | $345.00 | $207.00 | 2026-07-15 | 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.