Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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73219 — MRI Upper Extremity With Contrast

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $960

Usually $403–$2,315 (25th–75th percentile) across 3,071 hospitals · 9,263 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 73219 — 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.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$403 $960 typical $2,315

The middle 50% of negotiated facility rates for this procedure, measured across 3,071 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. $960
Radiologist read Estimate national typical Medicare $75 × 1.8 commercial. $135
Likely subtotal $1,095
Complete-episode estimate (typical) ~$1,095

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 $403–$2,315.

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 — — — $4,165.06 $2,082.53 2024-12-15 MRF ↗
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient — — — $4,165.06 $2,082.53 2024-12-15 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 $10,874.00 $8,155.50 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 $9,572.00 $7,179.00 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 $9,572.00 $7,179.00 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 $10,874.00 $8,155.50 2026-09-01 MRF ↗
SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient Medicare Medicare $0.28 $5,271.00 $3,953.25 2026-04-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 $9,572.00 $7,179.00 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 $10,874.00 $8,155.50 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.49 $9,104.00 $6,828.00 2026-09-01 MRF ↗
James Cancer Hospital & Solove Research Institute Outpatient Cigna Cigna - Transplant $0.62 $3,134.00 — 2026-07-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility HUMANA HUMANA MEDICARE- MIDTOWN IMAGING $0.72 $10,874.00 $8,155.50 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility HUMANA HUMANA- MIDTOWN IMAGING $0.82 $10,874.00 $8,155.50 2026-09-01 MRF ↗
CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility AETNA Acop $0.87 $2,464.00 $1,601.60 2026-06-15 MRF ↗
FAIRVIEW HOSPITAL OutpatientFacility AETNA Acop $0.87 $2,464.00 $1,601.60 2026-06-15 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE PPO $1.00 $10,874.00 $8,155.50 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA US HEALTHCARE $1.00 $7,047.00 $5,285.25 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AETNA AETNA EXCHANGE $1.00 $9,572.00 $7,179.00 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility AETNA AETNA EXCHANGE $1.00 $10,818.00 $8,113.50 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA COMMERCIAL $1.00 $9,104.00 $6,828.00 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $11,152.00 $8,364.00 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $11,152.00 $8,364.00 2026-05-20 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA SPP $1.00 $9,104.00 $6,828.00 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE HMO/POS $1.00 $9,572.00 $7,179.00 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility AETNA AETNA US HEALTHCARE HMO $1.00 — — 2026-09-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AETNA AETNA EXCHANGE $1.00 $10,874.00 $8,155.50 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE $1.00 $10,818.00 $8,113.50 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $7,047.00 $5,285.25 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-09-02 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA COMMERCIAL NEW BUSINESS DISCOUNT $1.00 $9,104.00 $6,828.00 2026-09-01 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility AETNA AETNA US HEALTHCARE OF CALIFORNIA $1.00 — — 2026-09-02 MRF ↗
HI-DESERT MEDICAL CENTER OutpatientFacility AETNA AETNA GATEKEEPER (HMO/POS/EPO) $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE $1.00 $7,047.00 $5,285.25 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $11,152.00 $8,364.00 2026-05-20 MRF ↗
SHELBY BAPTIST MEDICAL CENTER Outpatient Mutual Of Omaha MutualOfOmaha $1.00 $6,249.00 $4,686.75 2024-12-11 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE COMMUNITY NM HMO NETWORK EXCHANGE $1.00 $7,047.00 $5,285.25 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $10,818.00 $8,113.50 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA COMMERCIAL NEW BUSINESS DISCOUNT $1.00 $7,047.00 $5,285.25 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO $1.00 $10,818.00 $8,113.50 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE HMO/POS $1.00 $10,874.00 $8,155.50 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO $1.00 $7,047.00 $5,285.25 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility AETNA AETNA COMMERCIAL NEW BUSINESS DISCOUNT $1.00 $10,818.00 $8,113.50 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility AETNA AETNA ACO NETWORK $1.00 $10,818.00 $8,113.50 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA ACO NETWORK $1.00 $7,047.00 $5,285.25 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-02 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $9,572.00 $7,179.00 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 — — 2026-09-02 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Medicaid Medicaid $1.00 $5,843.00 $2,921.50 2026-07-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA EXCHANGE $1.00 $9,104.00 $6,828.00 2026-09-01 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility UNITED EXCHANGE $1.00 $1,321.68 $422.61 2026-09-05 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $10,874.00 $8,155.50 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE COMMUNITY NM HMO NETWORK EXCHANGE $1.00 $10,818.00 $8,113.50 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA SOUTH SAN ANTONIO ISD $1.00 $9,104.00 $6,828.00 2026-09-01 MRF ↗
PRINCETON BAPTIST MEDICAL CENTER Outpatient Mutual Of Omaha MutualofOmaha $1.00 $13,615.00 $10,211.25 2024-12-11 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility AETNA AETNA COMMERCIAL $1.00 $8,635.00 $6,476.25 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE PPO $1.00 $9,572.00 $7,179.00 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility AETNA AETNA US HEALTHCARE PPO $1.00 — — 2026-09-02 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE $1.00 $10,818.00 $8,113.50 2026-09-01 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA EXCHANGE $1.00 $7,047.00 $5,285.25 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA QPIC $1.00 $9,104.00 $6,828.00 2026-09-01 MRF ↗
METROWEST MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE $1.00 $13,225.00 $9,918.75 2026-06-05 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $10,818.00 $8,113.50 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $7,047.00 $5,285.25 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $11,152.00 $8,364.00 2026-05-20 MRF ↗
WALKER BAPTIST MEDICAL CENTER Outpatient Mutual Of Omaha MutualofOmaha $1.00 — — 2024-12-11 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $11,152.00 $8,364.00 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $11,152.00 $8,364.00 2026-05-20 MRF ↗
HI-DESERT MEDICAL CENTER OutpatientFacility AETNA AETNA NON GATEKEEPER (PPO) $1.00 — — 2026-09-02 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 $5,843.00 $2,921.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient AmeriHealth AmeriHealth Cartias - Managed Medicaid $1.10 $5,843.00 $2,921.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient UPMC For You UPMC For You - Managed Medicaid $1.18 $5,843.00 $2,921.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Jefferson Health Plan Jefferson Health Plan - Managed Medicaid $1.20 $5,843.00 $2,921.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - Managed Medicaid $1.47 $5,843.00 $2,921.50 2026-07-01 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility HAP Self Insured $2.24 $3,829.00 — 2025-06-28 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $2.32 $452.00 $85.88 2026-05-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $2.32 $309.00 $58.71 2026-01-25 MRF ↗
COMANCHE COUNTY MEDICAL CENTER Outpatient MPI - ALL PLANS MPI - ALL PLANS $2.44 $1,080.45 $702.29 2026-05-07 MRF ↗
COMANCHE COUNTY MEDICAL CENTER Outpatient MPI - ALL PLANS MPI - ALL PLANS $2.44 $1,080.45 $702.29 2026-05-07 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - CHIP - Managed Medicare $2.50 $5,843.00 $2,921.50 2026-07-01 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Healthplan Medicaid Wv Medicaid $6.69 — — 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Wellpoint Wv Medicaid $7.02 — — 2026-05-06 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $7.62 $4,235.00 $404.51 2024-12-31 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Both CIGNA [100009] HB Cigna PPO - LeBonheur $7.73 $7,407.00 $1,629.54 2026-03-19 MRF ↗
HELEN KELLER HOSPITAL Both CIGNA CIGNA MEDICARE $8.60 $105.00 $105.00 2026-03-27 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Medicare Medicare $9.96 $954.00 $715.50 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Vaccn Medicare $9.96 $954.00 $715.50 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Vaccn Medicare $9.96 $954.00 $715.50 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Medicare Medicare $9.96 $954.00 $715.50 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Bcbs Medicare Medicare $9.96 $954.00 $715.50 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Bcbs Medicare Medicare $9.96 $954.00 $715.50 2026-10-01 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $11.02 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $11.09 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $11.09 — — 2026-03-18 MRF ↗
HELEN KELLER HOSPITAL Both BLUE CROSS TN BLUE ADVANTAGE TN $11.47 $105.00 $105.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both VIVA VIVA MEDICARE $11.47 $105.00 $105.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both MEDICARE MEDICARE ADVANTAGE $11.47 $105.00 $105.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both BLUE CROSS OF AL BLUE ADVANTAGE $11.47 $105.00 $105.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both HUMANA HUMANA MEDICARE $11.47 $105.00 $105.00 2026-03-27 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient BLUE CROSS NON-MCS BLUE CROSS NON-MCS $11.52 $502.00 $75.30 2026-07-30 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $11.52 $502.00 $75.30 2026-07-30 MRF ↗
HELEN KELLER HOSPITAL Both AETNA AETNA MEDICARE $11.70 $105.00 $105.00 2026-03-27 MRF ↗
HELEN KELLER HOSPITAL Both UNITED HEALTHCARE UNITED MEDICARE $11.76 $105.00 $105.00 2026-03-27 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $11.77 $452.00 $67.80 2026-10-05 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC MCS BC MCS $11.77 $452.00 $76.84 2026-05-23 MRF ↗
ADVENTIST HEALTH ST HELENA Outpatient BLUE CROSS NON MCS BLUE CROSS NON MCS $11.77 $502.00 $75.30 2026-07-15 MRF ↗
ADVENTIST HEALTH ST HELENA Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $11.77 $502.00 $75.30 2026-07-15 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient BLUE CROSS MCS BLUE CROSS MCS $11.77 $452.00 $67.80 2026-10-05 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC NON-MCS - ALL OTHER PLANS BC NON-MCS - ALL OTHER PLANS $11.77 $452.00 $76.84 2026-05-23 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient BLUE CROSS NON-MCS- ALL OTHER PLANS BLUE CROSS NON-MCS- ALL OTHER PLANS $11.77 $452.00 $122.04 2026-05-21 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient BLUE CROSS NON-MCS- ALL OTHER PLANS BLUE CROSS NON-MCS- ALL OTHER PLANS $11.77 $452.00 $122.04 2026-01-31 MRF ↗
ADVENTIST HEALTH HOWARD MEMORIAL Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $11.77 $637.00 $191.10 2026-01-25 MRF ↗
ADVENTIST HEALTH HOWARD MEMORIAL Outpatient BLUE CROSS NON MCS BLUE CROSS NON MCS $11.77 $637.00 $191.10 2026-01-25 MRF ↗
HELEN KELLER HOSPITAL Both DEVOTED DEVOTED MEDICARE $11.81 $105.00 $105.00 2026-03-27 MRF ↗
GROSSMONT HOSPITAL Outpatient Molina Molina - Cal Medi-Connect $11.94 $5,271.00 $3,953.25 2026-04-01 MRF ↗
GROSSMONT HOSPITAL Outpatient Interplan Interplan $11.94 $5,271.00 $3,953.25 2026-04-01 MRF ↗
HELEN KELLER HOSPITAL Both WELLCARE WELLCARE MEDICARE $12.62 $105.00 $105.00 2026-03-27 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $12.63 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $12.71 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $12.71 — — 2026-03-18 MRF ↗
BACON COUNTY HOSPITAL Outpatient Wellcare Medicare Advantage $12.88 $3,076.00 $2,460.80 2026-07-15 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient UHC MCR ADV UHC MCR ADV $12.92 $38.00 $22.80 2025-11-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $13.75 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $13.84 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $13.84 — — 2026-03-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient TRICARE - ALL PLANS TRICARE - ALL PLANS $14.74 $38.00 $22.80 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient UHC VA CCN UHC VA CCN $15.20 $38.00 $22.80 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient MOLINA MCR ADV MOLINA MCR ADV $15.20 $38.00 $22.80 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient HUMANA MEDICARE-ALL PLANS HUMANA MEDICARE-ALL PLANS $15.20 $38.00 $22.80 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient IOWA TOTAL CARE COMM - ALL OTHER PLANS IOWA TOTAL CARE COMM - ALL OTHER PLANS $15.20 $38.00 $22.80 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient IOWA TOTAL CARE MCR IOWA TOTAL CARE MCR $15.20 $38.00 $22.80 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient AMERIGROUP MCR ADV AMERIGROUP MCR ADV $15.20 $38.00 $22.80 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient IOWA TOTAL CARE MCAID IOWA TOTAL CARE MCAID $15.96 $38.00 $22.80 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient MOLINA MCAID/CHIP MOLINA MCAID/CHIP $15.96 $38.00 $22.80 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient AMERIGROUP MEDICAID - ALL OTHER PLANS AMERIGROUP MEDICAID - ALL OTHER PLANS $16.28 $38.00 $22.80 2025-11-18 MRF ↗
INTEGRIS MIAMI HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $16.31 — — 2026-04-01 MRF ↗
LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility Healthchoice All Commercial Plans $16.31 — — 2026-04-01 MRF ↗
INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $16.31 — — 2026-04-01 MRF ↗
INTEGRIS HEALTH PONCA CITY OutpatientFacility Healthchoice All Commercial Plans $16.31 — — 2026-04-01 MRF ↗
INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $16.31 — — 2026-04-01 MRF ↗
INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $16.31 — — 2026-04-01 MRF ↗
ALLIANCEHEALTH WOODWARD OutpatientFacility Healthchoice All Commercial Plans $16.31 — — 2026-04-01 MRF ↗
INTEGRIS GROVE HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $16.31 — — 2026-04-01 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $16.51 $4,462.00 $4,238.90 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $16.51 $4,462.00 $4,238.90 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $16.51 $4,462.00 $4,238.90 2026-02-20 MRF ↗
JACKSONVILLE MEMORIAL HOSPITAL Outpatient Commercial Workers Compensation Commercial Workers Compensation $16.79 $6,811.00 $6,811.00 2026-07-15 MRF ↗
DECATUR MEMORIAL HOSPITAL Outpatient Hfn Hfn Workers Compensation $16.79 $6,949.00 $6,949.00 2026-07-15 MRF ↗
DECATUR MEMORIAL HOSPITAL Outpatient Commercial Workers Compensation Commercial Workers Compensation $16.79 $6,949.00 $6,949.00 2026-07-15 MRF ↗
JACKSONVILLE MEMORIAL HOSPITAL Outpatient Commercial Workers Compensation Commercial Workers Compensation $16.79 $6,811.00 $6,811.00 2026-07-15 MRF ↗
DECATUR MEMORIAL HOSPITAL Outpatient Hfn Hfn Workers Compensation $16.79 $6,949.00 $6,949.00 2026-07-15 MRF ↗
DECATUR MEMORIAL HOSPITAL Outpatient Commercial Workers Compensation Commercial Workers Compensation $16.79 $6,949.00 $6,949.00 2026-07-15 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $16.96 $4,462.00 $4,238.90 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $17.40 $4,462.00 $4,238.90 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $17.85 $4,462.00 $4,238.90 2026-02-20 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Molina Medicaid - Molina $18.00 $164.00 $82.00 2025-02-03 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $18.41 $3,758.00 $3,570.10 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $18.41 $3,758.00 $3,570.10 2026-02-20 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient AETNA MCR ADV AETNA MCR ADV $18.62 $38.00 $22.80 2025-11-18 MRF ↗
JEFFERSON COUNTY HEALTH CENTER Outpatient COVENTRY MEDICARE COVENTRY MEDICARE $18.62 $38.00 $22.80 2025-11-18 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Humana Medicare Advantage $18.76 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility VA Health All $18.76 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Tricare All $18.76 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Blue Cross Blue Shield Medicare Advantage $18.76 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility UHC Medicare Advantage $18.76 — — 2026-03-28 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $18.79 $3,758.00 $3,570.10 2026-02-20 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Group Health Coop (Ghc) Ghc Commercial (Kaiser) $19.30 $193.00 $193.00 2026-07-15 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $19.54 $3,758.00 $3,570.10 2026-02-20 MRF ↗
WINNMED Outpatient AETNA/FIRST HEALTH HMO AETNA/FIRST HEALTH HMO $19.59 $405.00 $283.50 2026-07-14 MRF ↗
WINNMED Outpatient AETNA/FIRST HEALTH PHO AETNA/FIRST HEALTH PHO $19.59 $405.00 $283.50 2026-07-14 MRF ↗
WINNMED Outpatient AETNA/FIRST HEALTH PPO-ALL OTHER PLANS AETNA/FIRST HEALTH PPO-ALL OTHER PLANS $19.59 $405.00 $283.50 2026-07-14 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Aetna Medicare Advantage — — — 2025-10-24 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $19.80 $4,318.69 $2,591.21 2025-08-11 MRF ↗
WEST FELICIANA PARISH HOSPITAL Both Humana MCD Rep (Plan: Medicaid Replacement) Humana MCD Rep (Plan: Medicaid Replacement) $19.80 $4,318.69 $2,591.21 2025-08-11 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $20.29 $3,758.00 $3,570.10 2026-02-20 MRF ↗
PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient BCBS MCAID BCBS MCAID $21.50 $760.00 $760.00 2026-06-08 MRF ↗
PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient MOLINA MEDICAID - ALL PLANS MOLINA MEDICAID - ALL PLANS $21.50 $760.00 $760.00 2026-06-08 MRF ↗
SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient BCBS MEDICAID BCBS MEDICAID $21.50 $772.00 $694.80 2026-05-07 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE MCAID HLTH ALLIANCE MCAID $21.50 $468.00 $468.00 2026-02-13 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient BC COMM CARE MCAID BC COMM CARE MCAID $21.50 $468.00 $468.00 2026-02-13 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient AETNA BETTER HLTH AETNA BETTER HLTH $21.50 $468.00 $468.00 2026-02-13 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient MOLINA MCAID MOLINA MCAID $21.50 $468.00 $468.00 2026-02-13 MRF ↗
SARAH D CULBERTSON MEMORIAL HOSPITAL Outpatient AETNA BETTER HEALTH AETNA BETTER HEALTH $21.50 $772.00 $694.80 2026-05-07 MRF ↗
PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient MOLINA MEDICAID - ALL PLANS MOLINA MEDICAID - ALL PLANS $21.50 $760.00 $760.00 2026-02-13 MRF ↗
PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient BCBS MCAID BCBS MCAID $21.50 $760.00 $760.00 2026-02-13 MRF ↗
PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient AETNA BETTER HEALTH AETNA BETTER HEALTH $21.50 $760.00 $760.00 2026-02-13 MRF ↗
FAYETTE COUNTY HOSPITAL Outpatient BLUE CROSS COMMUNITY CARE-ALL PLANS BLUE CROSS COMMUNITY CARE-ALL PLANS $21.50 $468.00 $468.00 2026-04-08 MRF ↗
FAYETTE COUNTY HOSPITAL Outpatient MERIDIAN-ALL PLANS MERIDIAN-ALL PLANS $21.50 $468.00 $468.00 2026-04-08 MRF ↗
FAYETTE COUNTY HOSPITAL Outpatient HEALTH ALLIANCE MEDICAID HEALTH ALLIANCE MEDICAID $21.50 $468.00 $468.00 2026-04-08 MRF ↗
FAYETTE COUNTY HOSPITAL Outpatient ILLINICARE - ALL PLANS ILLINICARE - ALL PLANS $21.50 $468.00 $468.00 2026-04-08 MRF ↗
PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient AETNA BETTER HEALTH AETNA BETTER HEALTH $21.50 $760.00 $760.00 2026-06-08 MRF ↗
FAYETTE COUNTY HOSPITAL Outpatient MOLINA MEDICAID-ALL PLANS MOLINA MEDICAID-ALL PLANS $21.50 $468.00 $468.00 2026-04-08 MRF ↗
FAYETTE COUNTY HOSPITAL Outpatient AETNA BETTER HEALTH AETNA BETTER HEALTH $21.50 $468.00 $468.00 2026-04-08 MRF ↗
PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient CENTENE MCAID - ALL PLANS CENTENE MCAID - ALL PLANS $21.50 $760.00 $760.00 2026-02-13 MRF ↗
PINCKNEYVILLE COMMUNITY HOSPITAL Outpatient CENTENE MCAID - ALL PLANS CENTENE MCAID - ALL PLANS $21.50 $760.00 $760.00 2026-06-08 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient MOLINA MCAID MOLINA MCAID $21.50 $468.00 $468.00 2026-06-03 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient AETNA BETTER HLTH AETNA BETTER HLTH $21.50 $468.00 $468.00 2026-06-03 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.