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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73223 — MRI Scan Of Arm Joint Before And After 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 $551

Usually $355–$2,081 (25th–75th percentile) across 87 hospitals · 372 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER 73223 — 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
CUMBERLAND COUNTY HOSPITAL Both Wellcare Medicare Advantage $1.55 $2.59 $1.94 2026-05-08 MRF ↗
CUMBERLAND COUNTY HOSPITAL Both United Healthcare Medicare Advantage $1.55 $2.59 $1.94 2026-05-08 MRF ↗
CUMBERLAND COUNTY HOSPITAL Both Velocity National Provider Network Medicare Advantage $1.79 $2.59 $1.94 2026-05-08 MRF ↗
CUMBERLAND COUNTY HOSPITAL Both Velocity National Provider Network Group Health $1.79 $2.59 $1.94 2026-05-08 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage — $12.79 $2,081.36 $2,081.36 2026-05-08 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage — $12.79 $2,081.36 $2,081.36 2026-05-08 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage — $13.14 $2,081.36 — 2026-05-09 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage — $13.14 $2,081.36 — 2026-05-09 MRF ↗
SPARTA COMMUNITY HOSPITAL Bcbs Health Choice Negotiated Rate — $14.98 $149.75 $149.75 2026-07-16 MRF ↗
SPARTA COMMUNITY HOSPITAL Meridian Negotiated Rate — $14.98 $149.75 $149.75 2026-07-16 MRF ↗
SPARTA COMMUNITY HOSPITAL Molina Healthchoice Negotiated Rate — $14.98 $149.75 $149.75 2026-07-16 MRF ↗
SPARTA COMMUNITY HOSPITAL Molina Mmai Negotiated Rate — $19.46 $149.75 $149.75 2026-07-16 MRF ↗
SPARTA COMMUNITY HOSPITAL Bcbs Mmai Negotiated Rate — $32.72 $149.75 $149.75 2026-07-16 MRF ↗
SPARTA COMMUNITY HOSPITAL Humana Medicare Advantage Negotiated Rate — $34.44 $149.75 $149.75 2026-07-16 MRF ↗
SPARTA COMMUNITY HOSPITAL Health Alliance Medicare Advantage Negotiated Rate — $34.44 $149.75 $149.75 2026-07-16 MRF ↗
SPARTA COMMUNITY HOSPITAL Aetna Medicare Advantage Negotiated Rate — $35.13 $149.75 $149.75 2026-07-16 MRF ↗
SPARTA COMMUNITY HOSPITAL Coventry Medicare Advantage Negotiated Rate — $35.13 $149.75 $149.75 2026-07-16 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage — $39.02 $2,081.36 $2,081.36 2026-05-08 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage — $39.02 $2,081.36 $2,081.36 2026-05-08 MRF ↗
Vibra Hospital Of Denver Inpatient Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage — $42.30 $2,081.36 $2,081.36 2026-05-09 MRF ↗
Vibra Hospital Of Denver Inpatient Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage — $42.30 $2,081.36 $2,081.36 2026-05-09 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage — $45.30 $2,081.36 — 2026-05-09 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage — $45.30 $2,081.36 $2,081.36 2026-05-08 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage — $45.30 $2,081.36 $2,081.36 2026-05-08 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage — $45.30 $2,081.36 $2,081.36 2026-05-08 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage — $45.30 $2,081.36 $2,081.36 2026-05-08 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage — $45.30 $2,081.36 — 2026-05-09 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage — $45.30 $2,081.36 — 2026-05-09 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage — $45.30 $2,081.36 — 2026-05-09 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage — $47.20 $2,081.36 — 2026-05-09 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage — $47.20 $2,081.36 $2,081.36 2026-05-08 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage — $47.20 $2,081.36 $2,081.36 2026-05-08 MRF ↗
Vibra Hospital Of Fargo Inpatient Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage — $47.20 $2,081.36 — 2026-05-09 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $58.75 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $58.75 — — 2026-05-24 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both Medicaid Professional $64.97 $203.00 $101.50 2026-05-09 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both Medicaid Professional Facility $64.97 $203.00 $101.50 2026-05-09 MRF ↗
NEW LONDON HOSPITAL Outpatient Wellsense Health Plan Wellsense - Nh Managed Medicaid $75.32 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid $75.32 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Amerihealth Caritas Nh Amerihealth Caritas - Nh Managed Medicaid $76.05 — — 2026-05-23 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Humana Managed Medicaid — $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Amerihealth Caritas Oh Managed Medicaid — $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Highmark Health Options West Va Mgd Mcaid $76.69 $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Caresource Oh Managed Medicaid — $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Aetna Better Health — $10,949.00 $5,474.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient 4 Most Zelis Stratose 4 Most Zelis Stratose — $2,535.00 $1,267.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Aetna Aetna — $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient United Healthcare United Healthcare — $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Blue Cross Blue Shield Ppo Blue Cross Blue Shield Ppo — $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Cigna Cigna — $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Multiplan Multiplan — $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Caresource Caresource — $10,949.00 $5,474.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Wellpoint West Virginia Mgd Mcaid $76.69 $2,535.00 $1,267.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Blue Cross Blue Shield Traditional Blue Cross Blue Shield Traditional — $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Molina Oh Managed Medicaid — $10,949.00 $5,474.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Aetna Rental First Health — $2,535.00 $1,267.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Wellpoint West Virginia Mgd Mcaid $76.69 $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient 4 Most Zelis Stratose 4 Most Zelis Stratose — $10,949.00 $5,474.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Health Plan Of The Upper Ohio Valley Health Plan Of The Upper Ohio Valley — $2,535.00 $1,267.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Amerihealth Caritas Pa Medicaid Amerihealth Caritas Pa Medicaid — $2,535.00 $1,267.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Health Partners Managed Medicaid — $2,535.00 $1,267.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Buckeye Oh Managed Medicaid — $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Aetna Rental First Health — $10,949.00 $5,474.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Caresource Caresource — $2,535.00 $1,267.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Aetna Better Health — $2,535.00 $1,267.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Anthem Pathway Anthem Pathway — $10,949.00 $5,474.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Cigna Cigna — $2,535.00 $1,267.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Highmark Health Options West Va Mgd Mcaid $76.69 $2,535.00 $1,267.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Health Plan Of The Upper Ohio Valley Health Plan Of The Upper Ohio Valley — $10,949.00 $5,474.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Multiplan Multiplan — $2,535.00 $1,267.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient University Of Pittsburgh Medical Ctr Health Plan University Of Pittsburgh Medical Ctr Health Plan — $10,949.00 $5,474.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient The Health Plan Wv Mgd Mcaid $77.79 $10,949.00 $5,474.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient The Health Plan Wv Mgd Mcaid $77.79 $2,535.00 $1,267.50 2026-05-13 MRF ↗
UNIONTOWN HOSPITAL Outpatient Aetna Better Health Mgd Medicaid $78.15 $2,535.00 $1,267.50 2026-05-13 MRF ↗
WETZEL COUNTY HOSPITAL Outpatient Aetna Better Health Wv Mgd Medicaid $78.15 $10,949.00 $5,474.50 2026-05-13 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Molina Medicaid $81.80 $5,622.00 $2,248.80 2026-05-08 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Molina Medicaid $81.80 $9,918.00 $3,967.20 2026-05-08 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Molina Medicaid $81.80 $7,942.00 $3,176.80 2026-05-08 MRF ↗
NORTHWEST TEXAS HOSPITAL Both Molina Medicaid $81.80 $7,942.00 $3,176.80 2026-05-08 MRF ↗
ST CLAIR HOSPITAL Both Cigna Cigna (Individual/Employer Provided) $83.63 $2,047.00 $494.56 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Cigna Cigna Global Health Benefits Plans $83.63 $2,047.00 $494.56 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Cigna Cigna Choice Fund Plans $83.63 $2,047.00 $494.56 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Cigna Cigna Network (Open Access, Open Access Plus, Pos Open Access, Pos) $83.63 $2,047.00 $494.56 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Cigna Cigna Ppo/Epo $83.63 $2,047.00 $494.56 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Cigna Cigna Localplus $83.63 $2,047.00 $494.56 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Cigna Cigna Localplus $83.63 $2,047.00 $494.56 2026-05-13 MRF ↗
ST CLAIR HOSPITAL Both Cigna Cigna Network (Open Access, Open Access Plus, Pos Open Access, Pos) $83.63 $2,047.00 $494.56 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Cigna Cigna Global Health Benefits Plans $83.63 $2,047.00 $494.56 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Cigna Cigna Choice Fund Plans $83.63 $2,047.00 $494.56 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Cigna Cigna Ppo/Epo $83.63 $2,047.00 $494.56 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Cigna Cigna (Individual/Employer Provided) $83.63 $2,047.00 $494.56 2026-05-23 MRF ↗
MONROE REGIONAL HOSPITAL Both Medicaid Mississippi Federal $85.19 $1,626.10 $1,626.10 2026-05-22 MRF ↗
MONROE REGIONAL HOSPITAL Both Medicaid Mississippi Federal $85.19 $1,626.10 $1,626.10 2026-05-13 MRF ↗
MONROE REGIONAL HOSPITAL Both Magnolia Health Plan Mcd Rep Medicaid Replacement $85.19 $813.05 $813.05 2026-05-13 MRF ↗
MONROE REGIONAL HOSPITAL Both Magnolia Health Plan Mcd Rep Medicaid Replacement $85.19 $1,626.10 $1,626.10 2026-05-13 MRF ↗
MONROE REGIONAL HOSPITAL Both Magnolia Health Plan Mcd Rep Medicaid Replacement $85.19 $1,626.10 $1,626.10 2026-05-22 MRF ↗
MONROE REGIONAL HOSPITAL Both Medicaid Mississippi Federal $85.19 $813.05 $813.05 2026-05-13 MRF ↗
MONROE REGIONAL HOSPITAL Both Medicaid Mississippi Federal $85.19 $813.05 $813.05 2026-05-22 MRF ↗
MONROE REGIONAL HOSPITAL Both Magnolia Health Plan Mcd Rep Medicaid Replacement $85.19 $813.05 $813.05 2026-05-22 MRF ↗
Vibra Specialty Hospital Inpatient Standard_Charge |Humana_Hmo|Medicare_Advantage|Negotiated_Percentage — $90.00 $2,081.36 $2,081.36 2026-05-17 MRF ↗
Vibra Specialty Hospital Inpatient Standard_Charge |Humana|Medicare_Advantage |Negotiated_Percentage — $90.00 $2,081.36 $2,081.36 2026-05-17 MRF ↗
Vibra Specialty Hospital Inpatient Standard_Charge |Humana_Ppo|Medicare_Advantage |Negotiated_Percentage — $90.00 $2,081.36 $2,081.36 2026-05-17 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $90.73 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Community Blue Mcr Adv $90.73 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $90.73 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Complete Blue Mcr Adv $90.73 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $91.69 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Freedom Blue Mcr Adv $91.69 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $91.85 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Hfn Commercial $91.85 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $91.85 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Commercial $91.85 — — 2026-05-14 MRF ↗
MONROE REGIONAL HOSPITAL Both Medicare B Ms Jh Federal $92.14 $813.05 $813.05 2026-05-13 MRF ↗
MONROE REGIONAL HOSPITAL Both Medicare B Ms Jh Federal $92.14 $813.05 $813.05 2026-05-22 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $96.52 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $96.52 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $96.52 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $96.52 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Traditional Medicare Traditional Medicare $96.52 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $96.52 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $96.52 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $96.52 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Indemnity $96.52 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Managed Care $96.52 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Performance Blue $96.52 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - My Blue Access Ppo $96.52 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - All Social Mission $96.52 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Highmark - Aca $96.52 — — 2026-05-23 MRF ↗
UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both Medicare Professional $97.08 $203.00 $101.50 2026-05-09 MRF ↗
SPARTA COMMUNITY HOSPITAL Bcbs Negotiated Rate — $97.34 $149.75 $149.75 2026-07-16 MRF ↗
SPARTA COMMUNITY HOSPITAL Bcbs Blue Choice Negotiated Rate — $97.34 $149.75 $149.75 2026-07-16 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $97.92 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $97.92 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $97.92 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $97.92 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $97.92 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $97.92 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $97.92 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $97.92 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $97.92 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Humana Medicare $97.92 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient United Healthcare Medicare $97.92 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $97.92 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Veteran Affairs Traditional $97.92 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicaid Medicaid Illinois $97.92 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Medicare Medicare $97.92 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Molina Medicaid Illinois $97.92 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicaid $97.92 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Aetna Medicare $97.92 — — 2026-05-14 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Meridian Medicaid Illinois $97.92 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Medicare $97.92 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $97.92 — — 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Mutual Medical Commercial $97.92 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $98.45 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $98.45 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Mcr Advantage $98.45 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Hmo Epo $98.45 — — 2026-05-14 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem - Medicare Advantage $99.12 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Unitedhealthcare Uhc - Medicare Advantage $99.12 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Martin'S Point Generations Advantage Martin'S Point - Medicare Advantage $99.12 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Martin'S Point Health Care Martin'S Point - Us Family Health Plan $99.12 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Humana Mcr Advantage $99.42 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Uhc Mcr Advantage $99.42 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $99.42 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Uhc Mcr Advantage $99.42 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Humana Mcr Advantage $99.42 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Geisinger Mcr Advantage $99.42 — — 2026-05-14 MRF ↗
SPARTA COMMUNITY HOSPITAL United Healthcare Negotiated Rate — $100.33 $149.75 $149.75 2026-07-16 MRF ↗
NEW LONDON HOSPITAL Outpatient Anthem Health Plans Of Nh Anthem Indiv Qhp - Exchange $102.09 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Wellcare Health Plans Wellcare - Medicare Advantage $102.09 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Wellsense Health Plan Wellsense - Medicare Advantage $104.07 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcr Advantage $104.24 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Aetna Mcr Advantage $104.24 — — 2026-05-14 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Security Blue Mcr Adv $105.21 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Blue Cross Security Blue Mcr Adv $105.21 — — 2026-05-14 MRF ↗
MONROE REGIONAL HOSPITAL Both Medicare A Ms Jh Default $105.96 $813.05 $813.05 2026-05-22 MRF ↗
MONROE REGIONAL HOSPITAL Both Medicare A Ms Jh Default $105.96 $813.05 $813.05 2026-05-13 MRF ↗
MONROE REGIONAL HOSPITAL Both Ambetter Default $108.12 $813.05 $813.05 2026-05-13 MRF ↗
MONROE REGIONAL HOSPITAL Both Ambetter Default $108.12 $813.05 $813.05 2026-05-22 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient United Healthcare Uhc Community Tenncare $109.88 — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Coventry Hmo/Pos/Ppo — — — 2026-05-24 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient United Healthcare Uhc Community Tenncare $109.88 — — 2026-05-13 MRF ↗
UNIVERSITY HEALTH SYSTEM, INC Outpatient Coventry Hmo/Pos/Ppo — — — 2026-05-13 MRF ↗
SPARTA COMMUNITY HOSPITAL Cigna Negotiated Rate — $112.31 $149.75 $149.75 2026-07-16 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Commercial $112.83 — — 2026-05-23 MRF ↗
PENN HIGHLANDS MON VALLEY Outpatient Upmc Commercial $112.83 — — 2026-05-14 MRF ↗
NEW LONDON HOSPITAL Outpatient Aetna Aetna Medicare Advantage $113.98 — — 2026-05-23 MRF ↗
JOHN H STROGER JR HOSPITAL Both Cigna Ppo $115.66 $264.00 $184.80 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Cigna Ppo $115.66 $264.00 $184.80 2026-05-22 MRF ↗
JOHN H STROGER JR HOSPITAL Both Cigna Ppo $115.66 $264.00 $184.80 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Cigna Ppo $115.66 $264.00 $184.80 2026-05-22 MRF ↗
JOHN H STROGER JR HOSPITAL Both Cigna Hmo $115.66 $264.00 $184.80 2026-05-14 MRF ↗
JOHN H STROGER JR HOSPITAL Both Cigna Ppo $115.66 $264.00 $184.80 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Cigna Hmo $115.66 $264.00 $184.80 2026-05-22 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Cigna Hmo $115.66 $264.00 $184.80 2026-05-22 MRF ↗
JOHN H STROGER JR HOSPITAL Both Cigna Hmo $115.66 $264.00 $184.80 2026-05-14 MRF ↗
PROVIDENT HOSPITAL OF CHICAGO Both Cigna Ppo $115.66 $264.00 $184.80 2026-05-22 MRF ↗
NEW LONDON HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Exchange $117.44 — — 2026-05-23 MRF ↗
NEW LONDON HOSPITAL Outpatient Harvard Pilgrim Health Care Of Ne Hphc Fully Insured - Elevatehealth Qhp - Exchange $117.44 — — 2026-05-23 MRF ↗
SPARTA COMMUNITY HOSPITAL Coventry Negotiated Rate — $119.80 $149.75 $149.75 2026-07-16 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.