72158 — MRI Lumbar Spine Without & With Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Mri lumbar spine w/o & w/dye (OTHER 72158) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/72158?code_type=OTHER
MLA (9th ed.)
“Mri lumbar spine w/o & w/dye (OTHER 72158) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/72158?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Mri lumbar spine w/o & w/dye (OTHER 72158) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/72158?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $346–$1,401 (25th–75th percentile) across 359 hospitals · 1,232 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 72158 — 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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $10.47 | — | — | 2026-05-27 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $2,855.64 | $2,855.64 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $2,855.64 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $2,855.64 | $2,855.64 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $2,855.64 | $2,855.64 | 2026-05-22 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $2,082.00 | $624.60 | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $38.90 | — | — | 2026-05-27 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $39.02 | $2,855.64 | $2,855.64 | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Aetna | Medicare Advantage Hmo | $40.61 | — | — | 2026-05-27 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $42.30 | $2,855.64 | $2,855.64 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $42.30 | $2,855.64 | $2,855.64 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage | — | $42.30 | $2,855.64 | $2,855.64 | 2026-05-09 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $45.21 | $7,000.00 | $2,310.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $45.21 | $7,000.00 | $2,310.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $45.21 | $7,000.00 | $2,310.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $45.21 | $7,000.00 | $2,310.00 | 2026-05-13 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $2,855.64 | $2,855.64 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $2,855.64 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $2,855.64 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $2,855.64 | $2,855.64 | 2026-05-08 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $45.66 | $7,000.00 | $2,310.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $45.66 | $7,000.00 | $2,310.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $46.11 | $7,000.00 | $2,310.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $46.11 | $7,000.00 | $2,310.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $46.57 | $7,000.00 | $2,310.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $46.57 | $7,000.00 | $2,310.00 | 2026-05-13 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete|Negotiated_Percentage | — | $47.20 | $2,855.64 | $2,855.64 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $2,855.64 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $2,855.64 | $2,855.64 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete|Negotiated_Percentage | — | $47.20 | $2,855.64 | $2,855.64 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Choice_Care_Medicaid_Replacement_And_Access_Ability_Solution|Negotiated_Percentage | — | $49.10 | $2,855.64 | $2,855.64 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Choice_Care_Medicaid_Replacement_And_Access_Ability_Solution|Negotiated_Percentage | — | $49.10 | $2,855.64 | $2,855.64 | 2026-05-22 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | Coventry | — | — | $319.00 | $319.00 | 2026-05-06 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | Magnacare | — | — | $319.00 | $319.00 | 2026-05-06 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | Harvardpilgrim | — | — | $319.00 | $319.00 | 2026-05-06 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | Excellus | Managedmedicaidessentialplans1Thru4 | $52.97 | $319.00 | $319.00 | 2026-05-06 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Cigna Healthcare | Cigna Healthcare | — | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $62.62 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $62.62 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $63.04 | — | — | 2026-05-08 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Aetna Health Management, Llc | Medicare Advantage Hmo/Ppo/Pos | — | $2,459.14 | $2,090.27 | 2026-05-23 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional | $69.23 | $216.00 | $108.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $69.23 | $216.00 | $108.00 | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $69.23 | $216.00 | $108.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $69.23 | $216.00 | $108.00 | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $69.23 | $216.00 | $108.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $69.23 | $216.00 | $108.00 | 2026-05-23 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $69.23 | $216.00 | $108.00 | 2026-05-09 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $69.23 | $216.00 | $108.00 | 2026-05-23 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional | $69.23 | $216.00 | $108.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $69.23 | $216.00 | $108.00 | 2026-05-09 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional | $69.23 | $216.00 | $108.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $69.23 | $216.00 | $108.00 | 2026-05-09 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $69.23 | $216.00 | $108.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $69.23 | $216.00 | $108.00 | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $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 | Jefferson Health | Mcd Advantage | $70.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Upmc | Mcd Advantage | $70.00 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcd Advantage | $70.00 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | 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 CONNELLSVILLE Outpatient | Traditional Medicaid | Traditional Medicaid | $70.00 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | 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 | Upmc | Mcd Advantage | $70.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $70.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $70.00 | — | — | 2026-05-14 | 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 | — | — | 2026-05-14 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | United | Managedmedicaidessentialplans1Thru4 | $72.12 | $319.00 | $319.00 | 2026-05-06 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $283.00 | $198.10 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $283.00 | $198.10 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $72.60 | $283.00 | $198.10 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $283.00 | $198.10 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $283.00 | $198.10 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $72.60 | $283.00 | $198.10 | 2026-05-22 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare Comm. | — | — | $7,000.00 | $2,310.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare Comm. | — | — | $7,000.00 | $2,310.00 | 2026-05-13 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Ip Plans | — | $7,000.00 | $2,310.00 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Op Plans | — | $7,000.00 | $2,310.00 | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cdphp | Medicaid | $74.26 | — | — | 2026-05-09 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Cdphp | Medicaid/Chp/Essential | $74.26 | — | — | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $74.26 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $74.26 | — | — | 2026-05-14 | MRF ↗ |
| FIRST CARE HEALTH CENTER Outpatient | Nextblue | Medicare Advantage | $75.00 | $150.00 | $150.00 | 2026-05-08 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Standard_Charge |Blue_Shield|65_Plus_Medicare_Advantage|Negotiated_Percentage | — | $77.80 | $3,283.99 | $3,283.99 | 2026-05-08 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $78.08 | — | — | 2026-05-09 | MRF ↗ |
| University Of Texas M D Anderson Cancer Center,the Both | Texaschildrens | Professional Adult 21-999 Mlp | $79.18 | $1,146.00 | — | 2026-05-06 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid Out Of State | Medicaid Out Of State | $80.70 | — | — | 2026-05-13 | MRF ↗ |
| HOLY FAMILY HOSPITAL Outpatient | Medicaid | Medicaid | $80.70 | — | — | 2026-05-13 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Emblem Ghi | Commercial | $81.58 | — | — | 2026-05-08 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Caresource | Caresource | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Humana | Managed Medicaid | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Student Health | — | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Aetna | Aetna | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Anthem Pathway Exchange | Anthem Pathway Exchange | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Caresource Oh | Managed Medicaid | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $6,183.00 | $3,091.50 | 2026-05-14 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Molina Oh | Managed Medicaid | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Aetna Rental | Aetna Rental | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Better Health Va Mgd Medicaid | — | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | $81.84 | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $5,376.00 | $2,688.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $5,376.00 | $2,688.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $81.84 | $5,376.00 | $2,688.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | $81.84 | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Buckeye Oh | Managed Medicaid | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $81.84 | $5,376.00 | $2,688.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $5,376.00 | $2,688.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $5,376.00 | $2,688.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource Oh | Managed Medicaid | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $5,376.00 | $2,688.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Wellpoint West Virginia | Mgd | $81.84 | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Better Health | — | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $81.84 | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $81.84 | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource | Caresource | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Multiplan | Multiplan | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $6,183.00 | $3,091.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Aetna | Aetna | — | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Aetna | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | 4Most Zelis Stratose | 4Most Zelis Stratose | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Student | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Anthem Oh Medicaid | Anthem Oh Medicaid | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Aetna Rental | First Health | — | $6,183.00 | $3,091.50 | 2026-05-14 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna Rental | First Health | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Humana | Managed Medicaid | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Blue Cross Blue Shield Steel | Blue Cross Blue Shield Steel | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Cigna | Cigna | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | United Healthcare | United Healthcare | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $4,519.00 | $2,259.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health | — | $4,519.00 | $2,259.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna Rental | First Health | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Geisinger Pennsylvania | Mgd Medicaid | — | $3,698.00 | $1,849.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $4,519.00 | $2,259.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | $81.84 | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Cigna | Cigna | — | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | $81.84 | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Molina Oh | Managed Medicaid | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $6,183.00 | $3,091.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $4,519.00 | $2,259.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $4,519.00 | $2,259.50 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $2,264.00 | $1,132.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Caresource | Caresource | — | $2,264.00 | $1,132.00 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health | — | $2,264.00 | $1,132.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Multiplan | Multiplan | — | $2,264.00 | $1,132.00 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $6,183.00 | $3,091.50 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna Rental | First Health | — | $2,264.00 | $1,132.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $2,264.00 | $1,132.00 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health | — | $6,183.00 | $3,091.50 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Cigna | Cigna | — | $2,264.00 | $1,132.00 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource Oh | Managed Medicaid | — | $4,127.00 | $2,063.50 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $4,519.00 | $2,259.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource | Caresource | — | $4,519.00 | $2,259.50 | 2026-05-14 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | United Healthcare | United Healthcare | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Amerihealth Caritas Pa Medicaid | Amerihealth Caritas Pa Medicaid | — | $2,264.00 | $1,132.00 | 2026-05-13 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | $81.84 | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Cigna | Cigna | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $5,376.00 | $2,688.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Aetna | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $81.84 | $2,264.00 | $1,132.00 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $6,183.00 | $3,091.50 | 2026-05-14 | MRF ↗ |
| BERKELEY MEDICAL CENTER Outpatient | Maryland Physician Care | Maryland Physician Care | — | $3,719.00 | $1,859.50 | 2026-05-14 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $5,376.00 | $2,688.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource | Caresource | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Aetna | Better Health | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $5,376.00 | $2,688.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $5,376.00 | $2,688.00 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Caresource | Caresource | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| THOMAS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $81.84 | $6,183.00 | $3,091.50 | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Humana | Managed Medicaid | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| UNITED HOSPITAL CENTER, INC Outpatient | Multiplan | Multiplan | — | $3,772.00 | $1,886.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $5,376.00 | $2,688.00 | 2026-05-13 | 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.