74175 — CT Angiography Abdomen W/contrast/noncontrast / CT Angio Abdomen / Computed Tomographic Angiography, Abdomen, With Contrast Material(s), Including Noncontrast Images, If Performed, And Image Postproce
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST / CT Angio Abdomen / Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postproce (OTHER 74175) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74175?code_type=OTHER
MLA (9th ed.)
“CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST / CT Angio Abdomen / Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postproce (OTHER 74175) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74175?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST / CT Angio Abdomen / Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postproce (OTHER 74175) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74175?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $199–$1,877 (25th–75th percentile) across 88 hospitals · 354 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 74175 — 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 | $0.90 | $1.50 | $1.13 | 2026-05-08 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | Wellcare | Medicare Advantage | $0.90 | $1.50 | $1.13 | 2026-05-08 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | Velocity National Provider Network | Group Health | $1.03 | $1.50 | $1.13 | 2026-05-08 | MRF ↗ |
| CUMBERLAND COUNTY HOSPITAL Both | Velocity National Provider Network | Medicare Advantage | $1.03 | $1.50 | $1.13 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $1,901.08 | $1,901.08 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $1,901.08 | — | 2026-05-09 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $1,912.00 | $573.60 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $39.02 | $1,901.08 | $1,901.08 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage | — | $42.30 | $1,901.08 | $1,901.08 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $1,901.08 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $1,901.08 | $1,901.08 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $1,901.08 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $1,901.08 | $1,901.08 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $1,901.08 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $1,901.08 | $1,901.08 | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $49.33 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $49.33 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $52.50 | — | — | 2026-05-24 | 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 | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $54.53 | $169.00 | $84.50 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $54.53 | $169.00 | $84.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $54.53 | $170.00 | $85.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $54.53 | $170.00 | $85.00 | 2026-05-09 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better 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 | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $62.54 | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $62.54 | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Multiplan | Multiplan | — | $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 | Caresource Oh | Managed Medicaid | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $62.54 | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Cigna | Cigna | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Caresource | Caresource | — | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $2,538.00 | $1,269.00 | 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 | Cigna | Cigna | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $62.54 | $2,538.00 | $1,269.00 | 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 | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $63.43 | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $63.43 | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $63.73 | $2,538.00 | $1,269.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $63.73 | $1,506.00 | $753.00 | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $68.70 | $16,024.00 | $6,409.60 | 2026-05-08 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $71.47 | $242.00 | $242.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicaid Mississippi | Federal | $71.47 | $242.00 | $242.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicaid Mississippi | Federal | $71.47 | $242.00 | $242.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Magnolia Health Plan Mcd Rep | Medicaid Replacement | $71.47 | $242.00 | $242.00 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $76.19 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $76.19 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $76.19 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $76.19 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $77.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $77.00 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $77.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $77.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $77.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $77.22 | — | — | 2026-05-14 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $77.41 | $242.00 | $242.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare B Ms Jh | Federal | $77.41 | $242.00 | $242.00 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicare | Professional | $80.44 | $169.00 | $84.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicare | Professional | $80.44 | $169.00 | $84.50 | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $81.05 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $81.05 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $81.05 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $81.05 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $81.05 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $81.05 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $81.05 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $81.05 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $81.05 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $81.05 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $81.05 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $81.05 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $81.05 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $81.05 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicare | Professional | $81.52 | $170.00 | $85.00 | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $82.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $82.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $82.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $82.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $82.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $82.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $82.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $82.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $82.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $82.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $82.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $82.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $82.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $82.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $82.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $82.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $82.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $82.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $82.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $82.22 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $82.22 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $82.22 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $82.67 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $82.67 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $82.67 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $82.67 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $83.18 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $83.18 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $83.18 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $83.18 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $83.48 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $83.48 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $83.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $83.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $83.48 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $83.48 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $85.67 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $85.68 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $87.33 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $87.53 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $87.53 | — | — | 2026-05-23 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $87.75 | $242.00 | $242.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $87.75 | $242.00 | $242.00 | 2026-05-22 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $88.11 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $88.11 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $88.11 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $88.11 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $88.11 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $88.11 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $88.11 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $88.11 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $88.11 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $88.11 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $88.11 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $88.11 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $88.34 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $88.34 | — | — | 2026-05-23 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $89.02 | $242.00 | $242.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Medicare A Ms Jh | Default | $89.02 | $242.00 | $242.00 | 2026-05-22 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $89.54 | $242.00 | $242.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $89.54 | $242.00 | $242.00 | 2026-05-22 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Hmo|Medicare_Advantage|Negotiated_Percentage | — | $90.00 | $1,901.08 | $1,901.08 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $1,901.08 | $1,901.08 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Ppo|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $1,901.08 | $1,901.08 | 2026-05-17 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $90.84 | $242.00 | $242.00 | 2026-05-13 | MRF ↗ |
| MONROE REGIONAL HOSPITAL Both | Ambetter | Default | $90.84 | $242.00 | $242.00 | 2026-05-22 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Multiplan Workers' Compensation | Commercial | — | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Passport Health Plan By Molina | Medicaid | — | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | United Healthcare | Commercial | — | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Caresource Of Kentucky Mco | Commercial | — | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Ambttr Wllcr/Wllcr Hlthpln | Medicaid | — | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Cigna Healthcare | Commercial | — | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Anthem | Medicaid | — | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Aetna Us Healthcare El Paso | Commercial | — | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Wellcare Health Plan | Commercial Exchange | — | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Multiplan Primary/Complementary | Commercial | — | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | United Healthcare Of Ky/Community Plan | Medicaid | — | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Aetna Better Health Of Ky | Medicaid | — | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| HARRISON MEMORIAL HOSPITAL Outpatient | Humana Healthy Horizons | Medicaid | $93.48 | $809.00 | $566.30 | 2026-05-08 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Aetna| Negotiated_Percentage | — | $95.00 | $1,912.00 | $573.60 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $95.65 | — | — | 2026-05-23 | 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 ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $98.12 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $98.12 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $98.41 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $98.41 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $98.58 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $98.58 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $99.36 | — | — | 2026-05-23 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $99.96 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $99.96 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $99.96 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $99.96 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $99.96 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $99.96 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $99.96 | — | — | 2026-05-13 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Ppo | $101.93 | $222.00 | $155.40 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Cigna | Hmo | $101.93 | $222.00 | $155.40 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Hmo | $101.93 | $222.00 | $155.40 | 2026-05-22 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Cigna | Ppo | $101.93 | $222.00 | $155.40 | 2026-05-22 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $108.01 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $108.13 | — | — | 2026-05-23 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Wellmark Medicare Advantage | — | $112.30 | $2,486.00 | $745.80 | 2026-07-30 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $112.44 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $114.63 | — | — | 2026-05-23 | 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.