72195 — MRI Pelvis Without Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Mri pelvis w/o dye (OTHER 72195) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/72195?code_type=OTHER
MLA (9th ed.)
“Mri pelvis w/o dye (OTHER 72195) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/72195?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Mri pelvis w/o dye (OTHER 72195) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/72195?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $244–$2,423 (25th–75th percentile) across 89 hospitals · 393 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 72195 — 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 |
|---|---|---|---|---|---|---|---|
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $25.65 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $25.65 | — | — | 2026-05-14 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $1,220.00 | $366.00 | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $39.59 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $39.59 | — | — | 2026-05-24 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage | — | $42.30 | $1,823.36 | $1,823.36 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $43.88 | $137.00 | $68.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $43.88 | $137.00 | $68.50 | 2026-05-09 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health | — | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $51.73 | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $51.73 | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $51.73 | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna Rental | First Health | — | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $51.73 | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Cigna | Cigna | — | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Amerihealth Caritas Pa Medicaid | Amerihealth Caritas Pa Medicaid | — | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Caresource | Caresource | — | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $52.47 | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $52.47 | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $52.72 | $1,276.00 | $638.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $52.72 | $2,469.00 | $1,234.50 | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $55.60 | $6,622.00 | $2,648.80 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $55.60 | $8,513.00 | $3,405.20 | 2026-05-08 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicaid Mississippi | Federal | $57.90 | $196.00 | $196.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $57.90 | $196.00 | $196.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicaid Mississippi | Federal | $57.90 | $196.00 | $196.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $57.90 | $196.00 | $196.00 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $61.30 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $61.30 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $61.30 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $61.30 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $61.95 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $61.95 | — | — | 2026-05-23 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $62.30 | $196.00 | $196.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $62.30 | $196.00 | $196.00 | 2026-05-22 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $62.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $62.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $62.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $62.40 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $65.21 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $65.21 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $65.21 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $65.21 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $65.21 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $65.21 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $65.21 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $65.21 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $65.21 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $65.21 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $65.21 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $65.21 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $65.21 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $65.21 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicare | Professional | $65.50 | $137.00 | $68.50 | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $65.99 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $65.99 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $65.99 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $65.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $65.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $65.99 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $65.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $65.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $65.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $65.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $65.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $65.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $65.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $65.99 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $65.99 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $65.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $65.99 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $65.99 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $65.99 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $65.99 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $65.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $65.99 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $66.51 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $66.51 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $66.51 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $66.51 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $66.99 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $66.99 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $66.99 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $66.99 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $67.17 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $67.17 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $67.17 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $67.17 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $67.17 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $67.17 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $67.55 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $67.55 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $67.55 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $67.55 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $67.55 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $67.55 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $67.55 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $67.55 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $67.55 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $67.55 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $67.55 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $67.55 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $68.99 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $69.00 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $70.01 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $70.01 | — | — | 2026-05-24 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $70.33 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $70.33 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $70.33 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $70.43 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $70.43 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $71.01 | — | — | 2026-05-23 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $71.07 | $196.00 | $196.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $71.07 | $196.00 | $196.00 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $71.08 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $71.08 | — | — | 2026-05-14 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $71.65 | $196.00 | $196.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $71.65 | $196.00 | $196.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $72.52 | $196.00 | $196.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $72.52 | $196.00 | $196.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $73.11 | $196.00 | $196.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $73.11 | $196.00 | $196.00 | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $77.03 | — | — | 2026-05-23 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Ppo | $78.60 | $176.00 | $123.20 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Hmo | $78.60 | $176.00 | $123.20 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Hmo | $78.60 | $176.00 | $123.20 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Ppo | $78.60 | $176.00 | $123.20 | 2026-05-22 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $79.32 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $79.32 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $86.56 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $86.56 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $86.91 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $87.08 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $89.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $89.00 | — | — | 2026-05-23 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $1,823.36 | $1,823.36 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Hmo|Medicare_Advantage|Negotiated_Percentage | — | $90.00 | $1,823.36 | $1,823.36 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Ppo|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $1,823.36 | $1,823.36 | 2026-05-17 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $91.01 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $93.00 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $93.78 | — | — | 2026-05-23 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Aetna| Negotiated_Percentage | — | $95.00 | $1,220.00 | $366.00 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $101.67 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Bcbs | Professional | $109.72 | $137.00 | $68.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Bcbs | Professional Facility | $109.72 | $137.00 | $68.50 | 2026-05-09 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Wellmark Medicare Advantage | — | $112.30 | $2,750.00 | $825.00 | 2026-07-30 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Bcbs | Ppo | $114.40 | $176.00 | $123.20 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Bcbs | Ppo | $114.40 | $176.00 | $123.20 | 2026-05-22 | MRF ↗ |
| Wayne Medical Center Outpatient | Aetna | Whole Health & Vhan | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $117.91 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $117.91 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Aetna | Whole Health & Vhan | — | — | — | 2026-05-13 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Aetna | All Commercial Plans | $120.99 | $600.00 | $900.00 | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL | United Healthcare - Inpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Healthscope Benefits - Uhc - Inpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Umr United Healthcare Options Ppo - Inpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Ushealth Group Freedom Life Uhc - Inpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Regence Blue Shield Idaho - Ut Services - Inpatient/Outpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Umr United Healthcare Choice Network - Inpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Regence Blue Cross Federal - Inpatient/Outpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Regence Blue Cross Valuecare Ppo - Inpatient/Outpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Regence Group Administrators - Inpatient/Outpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Regence Blue Cross Out Of State Ppo - Inpatient/Outpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Student Resources - Uhc - Inpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Regence Blue Cross Out Of State - Inpatient/Outpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Surest - Uhc Choice Plus - Inpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Molina Marketplace - Inpatient/Outpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Uhc All Savers - Inpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Chip Molina Healthy Kids - Inpatient/Outpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Cigna Healthcare Utah Connect - Inpatient/Outpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Golden Rule - Uhc One - Inpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Regence Blue Cross Traditional - Inpatient/Outpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Sierra Health And Life - Uhc - Inpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| PARK CITY HOSPITAL | Uhc Medica Choice Plus - Inpatient | — | $122.66 | $144.30 | $108.22 | 2026-07-31 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Multiplan Primary/Complementary | Commercial | — | $917.50 | $642.25 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Ambttr Wllcr/Wllcr Hlthpln | Medicaid | — | $917.50 | $642.25 | 2026-05-08 | 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.