74170 — CT Abdomen Without & W/contrast Material / CT Abdomen With + Without Contrast / Computed Tomography, Abdomen; Without Contrast Material, Followed By Contrast Material(s) And Further Sections
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CT ABDOMEN W/O & W/CONTRAST MATERIAL / CT Abdomen w/ + w/o Contrast / Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections (OTHER 74170) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74170?code_type=OTHER
MLA (9th ed.)
“CT ABDOMEN W/O & W/CONTRAST MATERIAL / CT Abdomen w/ + w/o Contrast / Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections (OTHER 74170) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74170?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CT ABDOMEN W/O & W/CONTRAST MATERIAL / CT Abdomen w/ + w/o Contrast / Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections (OTHER 74170) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74170?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $182–$1,770 (25th–75th percentile) across 90 hospitals · 378 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 74170 — 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 | United Healthcare | Medicare Advantage | $6.30 | $10.50 | $7.88 | 2026-05-08 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | Wellcare | Medicare Advantage | $6.30 | $10.50 | $7.88 | 2026-05-08 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | Velocity National Provider Network | Medicare Advantage | $7.24 | $10.50 | $7.88 | 2026-05-08 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | Velocity National Provider Network | Group Health | $7.24 | $10.50 | $7.88 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $1,769.88 | $1,769.88 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $1,769.88 | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $37.63 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $37.63 | — | — | 2026-05-14 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $1,653.00 | $495.90 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $39.02 | $1,769.88 | $1,769.88 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $41.75 | $130.00 | $65.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $41.75 | $130.00 | $65.00 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage | — | $42.30 | $1,769.88 | $1,769.88 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $1,769.88 | $1,769.88 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $1,769.88 | $1,769.88 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $1,769.88 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $1,769.88 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $1,769.88 | $1,769.88 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $1,769.88 | — | 2026-05-09 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $47.87 | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $47.87 | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Amerihealth Caritas Pa Medicaid | Amerihealth Caritas Pa Medicaid | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $47.87 | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna Rental | First Health | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Caresource | Caresource | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $47.87 | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Cigna | Cigna | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $48.55 | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $48.55 | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $48.78 | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $48.78 | $2,471.00 | $1,235.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $52.50 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $52.50 | — | — | 2026-05-24 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $53.46 | $12,485.00 | $4,994.00 | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $53.46 | $5,448.00 | $2,179.20 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $53.66 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $53.66 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $54.18 | — | — | 2026-05-23 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $55.14 | $187.00 | $187.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicaid Mississippi | Federal | $55.14 | $187.00 | $187.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $55.14 | $187.00 | $187.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicaid Mississippi | Federal | $55.14 | $187.00 | $187.00 | 2026-05-13 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $58.35 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $58.35 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $58.35 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $58.35 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $58.97 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $58.97 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $59.35 | — | — | 2026-05-24 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $59.35 | $187.00 | $187.00 | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $59.35 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $59.35 | — | — | 2026-05-14 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $59.35 | $187.00 | $187.00 | 2026-05-22 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $59.35 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $62.07 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $62.07 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $62.07 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $62.07 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $62.07 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $62.07 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $62.07 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $62.07 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $62.07 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $62.07 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $62.07 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $62.07 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $62.07 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $62.07 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicare | Professional | $62.30 | $130.00 | $65.00 | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $62.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $62.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $62.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $62.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $62.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $62.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $62.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $62.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $62.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $62.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $62.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $62.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $62.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $62.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $62.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $62.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $62.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $62.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $62.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $62.72 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $62.72 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $62.72 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $63.31 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $63.31 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $63.31 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $63.31 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $63.75 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $63.75 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $63.75 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $63.75 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $63.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $63.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $63.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $63.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $63.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $63.93 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $64.97 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $64.97 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $64.97 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $64.97 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $64.97 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $64.97 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $64.97 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $64.97 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $64.97 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $64.97 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $64.97 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $64.97 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $65.66 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $65.66 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $66.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $67.04 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $67.04 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $67.66 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $67.66 | — | — | 2026-05-23 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $67.81 | $187.00 | $187.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $67.81 | $187.00 | $187.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $68.25 | $187.00 | $187.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $68.25 | $187.00 | $187.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $69.19 | $187.00 | $187.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $69.19 | $187.00 | $187.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $69.64 | $187.00 | $187.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $69.64 | $187.00 | $187.00 | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $73.31 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $75.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $75.00 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $75.47 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $75.47 | — | — | 2026-05-23 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Ppo | $76.19 | $169.00 | $118.30 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Hmo | $76.19 | $169.00 | $118.30 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Hmo | $76.19 | $169.00 | $118.30 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Ppo | $76.19 | $169.00 | $118.30 | 2026-05-22 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $82.70 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $82.87 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $87.06 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $88.51 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $89.25 | — | — | 2026-05-23 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Ppo|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $1,769.88 | $1,769.88 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Hmo|Medicare_Advantage|Negotiated_Percentage | — | $90.00 | $1,769.88 | $1,769.88 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $1,769.88 | $1,769.88 | 2026-05-17 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Passport Health Plan By Molina | Medicaid | — | $2,267.25 | $1,587.08 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Aetna Us Healthcare El Paso | Commercial | — | $2,267.25 | $1,587.08 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Umr Hmh Insurance | Commercial | — | $2,267.25 | $1,587.08 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Cigna Healthcare | Commercial | — | $2,267.25 | $1,587.08 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Ambttr Wllcr/Wllcr Hlthpln | Medicaid | — | $2,267.25 | $1,587.08 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Aetna Better Health Of Ky | Medicaid | — | $2,267.25 | $1,587.08 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Multiplan Workers' Compensation | Commercial | — | $2,267.25 | $1,587.08 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | United Healthcare Of Ky/Community Plan | Medicaid | — | $2,267.25 | $1,587.08 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Anthem | Medicaid | — | $2,267.25 | $1,587.08 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Multiplan Primary/Complementary | Commercial | — | $2,267.25 | $1,587.08 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Humana Healthy Horizons | Medicaid | $93.48 | $2,267.25 | $1,587.08 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Caresource Of Kentucky Mco | Commercial | — | $2,267.25 | $1,587.08 | 2026-05-08 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Aetna| Negotiated_Percentage | — | $95.00 | $1,653.00 | $495.90 | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $97.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $97.53 | — | — | 2026-05-14 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Standard Charge|Arkansasbcbs|Blue Medicare Advantage|Negotiated | — | $97.98 | $138.00 | $750.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | Aarp Medicare Advantage | $97.98 | $138.00 | $750.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | All Commercial Plans | — | $138.00 | $750.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | All Commercial Plans | — | $138.00 | $750.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Uhc | Aarp Medicare | $97.98 | $138.00 | $750.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | Gold Medicare Advantage | $97.98 | $138.00 | $750.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Humana | Gold Medicare | $97.98 | $138.00 | $750.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Aetna | Medicare Advantage | $97.98 | $138.00 | $750.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Aetna | Medicare | $97.98 | $138.00 | $750.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Standard Charge|Centene|Wellcare By Allwell Medicare|Negotiated | — | $97.98 | $138.00 | $750.00 | 2026-07-15 | MRF ↗ |
| OZARKS COMMUNITY HOSPITAL OF GRAVETTE | Standard_Charge|Centene|Wellcare_By_Allwell_Medicare_Advantage|N | — | $97.98 | $138.00 | $750.00 | 2026-07-15 | 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.