72196 — MRI Pelvis With Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MRI PELVIS W/DYE (HCPCS 72196) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/72196?code_type=HCPCS
MLA (9th ed.)
“MRI PELVIS W/DYE (HCPCS 72196) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/72196?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“MRI PELVIS W/DYE (HCPCS 72196) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/72196?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $390–$2,344 (25th–75th percentile) across 3,299 hospitals · 9,253 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 72196 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the radiologist-read fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$390
$970 typical
$2,344
The middle 50% of negotiated facility rates for this procedure, measured across 3,299 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. | $970 |
| Radiologist read Estimate national typical Medicare $79 × 1.8 commercial. | $143 |
| Likely subtotal | $1,113 |
Complete-episode estimate (typical)
~$1,113
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 $390–$2,344.
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 HOSPITAL MANSFIELD Inpatient | — | — | — | $4,098.99 | $2,049.50 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $4,098.99 | $2,049.50 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medi-Cal | — | $7,326.41 | $4,762.17 | 2025-11-26 | 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 | CHIP | $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 | $3,105.00 | — | 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 ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.93 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $7,761.00 | $5,820.75 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $9,524.34 | $6,190.82 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $7,761.00 | $5,820.75 | 2026-05-20 | MRF ↗ |
| PRINCETON BAPTIST MEDICAL CENTER Outpatient | Mutual Of Omaha | MutualofOmaha | $1.00 | $8,925.00 | $6,693.75 | 2024-12-11 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $16,595.00 | $12,446.25 | 2026-06-05 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $7,761.00 | $5,820.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $7,761.00 | $5,820.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $7,761.00 | $5,820.75 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $9,524.34 | $6,190.82 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $7,761.00 | $5,820.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $7,287.00 | $3,643.50 | 2026-07-01 | MRF ↗ |
| SHELBY BAPTIST MEDICAL CENTER Outpatient | Mutual Of Omaha | MutualOfOmaha | $1.00 | — | — | 2024-12-11 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $2,464.00 | $1,601.60 | 2026-06-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $7,287.00 | $3,643.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $7,287.00 | $3,643.50 | 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 | $7,287.00 | $3,643.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $7,287.00 | $3,643.50 | 2026-07-01 | MRF ↗ |
| Kentfield Hospital | First Health , Affordable, Ccn, Coventry 700 | — | $1.40 | $2.19 | — | 2026-07-30 | MRF ↗ |
| Kentfield Hospital | Tricare Healthnet 232 | — | $1.42 | $2.19 | — | 2026-07-30 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $1.43 | $2,629.00 | $1,971.75 | 2026-03-26 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $7,287.00 | $3,643.50 | 2026-07-01 | MRF ↗ |
| Kentfield Hospital | Tricare 369 | — | $1.53 | $2.19 | — | 2026-07-30 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.59 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| Kentfield Hospital | Multiplan Complimentary 737 Multiplan, Value Point | — | $1.75 | $2.19 | — | 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 | $3,485.00 | — | 2025-06-28 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National ChoiceCare | WCOMP | $2.34 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.46 | $320.00 | $60.80 | 2026-05-20 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.46 | $328.00 | $62.32 | 2026-01-25 | 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 | $7,287.00 | $3,643.50 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Rockport Health Group | WORKERSCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $2.58 | $881.97 | $573.28 | 2026-05-07 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | PC Texas Partners | WCOMP | $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 | Physicians Coop of TX | MGMCR | $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 ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Coastal Comp Health Networks | 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 | Jostens | WCOMP | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna Coventry First Health | COMM | $3.41 | $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 ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | HealthSmart Preferred Care | PPO | $3.52 | $4.69 | $4.69 | 2026-03-01 | 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 ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $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 ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | MCD | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $4.96 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $5.21 | — | — | 2026-05-06 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $7.60 | $4,223.00 | $404.51 | 2024-12-31 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $7.73 | $7,404.00 | $1,628.88 | 2026-03-19 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $8.84 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $10.09 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $10.40 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $10.40 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $10.40 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC VA CCN | UHC VA CCN | $10.40 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $10.40 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | HUMANA MEDICARE-ALL PLANS | HUMANA MEDICARE-ALL PLANS | $10.40 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCAID/CHIP | MOLINA MCAID/CHIP | $10.92 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $10.92 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.02 | $5,647.80 | $5,647.80 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.09 | $5,753.92 | $5,753.92 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $11.09 | $5,753.92 | $5,753.92 | 2026-03-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MEDICAID - ALL OTHER PLANS | AMERIGROUP MEDICAID - ALL OTHER PLANS | $11.14 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $12.30 | $355.00 | $53.25 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $12.30 | $355.00 | $53.25 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $12.57 | $320.00 | $86.40 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $12.57 | $450.00 | $135.00 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $12.57 | $355.00 | $53.25 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $12.57 | $450.00 | $135.00 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $12.57 | $355.00 | $53.25 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $12.57 | $320.00 | $48.00 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $12.57 | $320.00 | $54.40 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $12.57 | $320.00 | $86.40 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $12.57 | $320.00 | $48.00 | 2026-07-29 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $12.57 | $320.00 | $54.40 | 2026-05-23 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $12.63 | $5,647.80 | $5,647.80 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $12.71 | $5,753.92 | $5,753.92 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $12.71 | $5,753.92 | $5,753.92 | 2026-03-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $12.74 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | COVENTRY MEDICARE | COVENTRY MEDICARE | $12.74 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $13.54 | $4,232.00 | — | 2026-02-19 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $13.75 | $5,647.80 | $5,647.80 | 2026-03-18 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | $13.82 | $4,876.00 | $3,657.00 | 2026-04-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $13.84 | $5,753.92 | $5,753.92 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $13.84 | $5,753.92 | $5,753.92 | 2026-03-18 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $16.40 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $16.40 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $16.40 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $16.40 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $16.40 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $16.40 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $16.40 | — | — | 2026-04-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $16.48 | $4,454.00 | $4,231.30 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $16.48 | $4,454.00 | $4,231.30 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $16.48 | $4,454.00 | $4,231.30 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $16.93 | $4,454.00 | $4,231.30 | 2026-02-20 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $17.19 | $6,638.00 | $6,638.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $17.19 | $6,638.00 | $6,638.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $17.19 | $4,448.00 | $4,448.00 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $17.37 | $4,454.00 | $4,231.30 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $17.82 | $4,454.00 | $4,231.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $18.51 | $3,777.00 | $3,588.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $18.51 | $3,777.00 | $3,588.15 | 2026-02-20 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | $18.67 | $4,876.00 | $3,657.00 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $18.89 | $3,777.00 | $3,588.15 | 2026-02-20 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $1,358.00 | $950.60 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $1,358.00 | $950.60 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $1,358.00 | $950.60 | 2026-07-14 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Medicare Advantage | — | — | — | 2025-10-24 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $19.64 | $3,777.00 | $3,588.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $20.40 | $3,777.00 | $3,588.15 | 2026-02-20 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $20.40 | $204.00 | $204.00 | 2026-07-15 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,809.00 | $1,825.85 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,809.00 | $1,825.85 | 2025-01-01 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MIDLANDS NEW PRODUCT | MIDLANDS NEW PRODUCT | $21.32 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | COVENTRY COMMERCIAL HMO | COVENTRY COMMERCIAL HMO | $22.10 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $23.40 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $23.40 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $23.40 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | COVENTRY COMMERCIAL PPO - ALL OTHER PLANS | COVENTRY COMMERCIAL PPO - ALL OTHER PLANS | $23.40 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| BACON COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | $23.64 | $3,222.00 | $2,577.60 | 2026-07-15 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $23.76 | $2,954.69 | $1,772.81 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $23.76 | $2,954.69 | $1,772.81 | 2025-08-11 | MRF ↗ |
| NORTHEASTERN VERMONT REGIONAL HOSPITAL Both | — | — | — | $4,677.00 | $3,507.75 | 2024-12-23 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MARKETPLACE - ALL OTHER PLANS | MOLINA MARKETPLACE - ALL OTHER PLANS | $26.00 | $26.00 | $15.60 | 2025-11-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $229.00 | $171.75 | 2026-03-18 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $239.00 | $179.25 | 2026-03-18 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $30.98 | $182.83 | $182.83 | 2024-12-30 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Vaccn | — | — | $102.00 | $102.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Magnacare | — | — | $102.00 | $102.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Martinspoint | Tricare | — | $102.00 | $102.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $102.00 | $102.00 | 2026-05-09 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $7,554.00 | $5,665.50 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $7,554.00 | $5,665.50 | 2024-12-08 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $33.45 | $364.00 | $109.20 | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $10,813.00 | $8,866.66 | 2025-11-26 | MRF ↗ |
| POPLAR BLUFF REGIONAL MEDICAL CENTER Outpatient | United Behavioral Health Medicaid Mo | United Behavioral Health Medicaid Mo | $34.54 | $172.71 | $36.27 | 2026-07-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Mena Regional Health System Both | Aetna | Medicare Advantage | — | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Ambetter | Default | $35.00 | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Humana Advantage Care Plans Med Advantage | Default | — | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | United Healthcare | Medicare Advantage | — | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | VAPCCC3 All Regions 1-6 DOS GT 1/30/19 | Default | — | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | AllWell MCR Adv | Default | — | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Wellcare Health Plan Inc MCR Adv | Medicare Advantage | — | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Cigna Medicare Advantage | Medicare Advantage | — | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Medicare A AR JH | Default | — | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Blue Cross Blue Shield of AR | Medicare Advantage | — | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | Ambetter | Default | $35.00 | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | QualChoice | Default | — | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| Mena Regional Health System Both | AR Superior Select Tribute Health Plan MCR Adv | Default | — | $323.00 | $193.80 | 2026-04-03 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $35.38 | $1,179.49 | $1,179.49 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $36.40 | $364.00 | $109.20 | 2026-07-15 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $3,296.00 | $2,472.00 | 2026-02-25 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $36.76 | $364.00 | $109.20 | 2026-07-15 | MRF ↗ |
| NORTH VALLEY HEALTH CENTER Outpatient | BCBS MHCP | BCBS MHCP | $36.77 | $221.00 | $221.00 | 2025-09-15 | MRF ↗ |
| ELLENVILLE REGIONAL HOSPITAL OutpatientFacility | United Healthcare | CHIP/Family Health Plus/Medicaid | $37.80 | $252.00 | $189.00 | 2026-05-22 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Blue Advantage | PPO | $40.00 | $3,849.50 | — | 2026-01-23 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Blue Advantage | PPO | $40.00 | $1,722.76 | — | 2026-01-23 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $40.71 | $4,070.62 | $3,052.96 | 2026-07-31 | MRF ↗ |
| POPLAR BLUFF REGIONAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $41.45 | $172.71 | $51.81 | 2026-07-15 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $41.45 | $3,985.55 | $3,985.55 | 2026-04-24 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $41.90 | $1,530.00 | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $41.90 | $1,530.00 | — | 2025-12-27 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | Medicaid | HMO | $44.00 | $1,722.76 | — | 2026-01-23 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | Medicaid | HMO | $44.00 | $3,849.50 | — | 2026-01-23 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| POPLAR BLUFF REGIONAL MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $44.73 | $172.71 | $51.81 | 2026-07-15 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $44.96 | $865.00 | $1,842.98 | 2026-04-01 | 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.