74176TC — CT Abd & Pelvis Without Contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CT ABD & PELVIS W/O CONTRAST (OTHER 74176TC) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74176TC?code_type=OTHER
MLA (9th ed.)
“CT ABD & PELVIS W/O CONTRAST (OTHER 74176TC) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74176TC?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CT ABD & PELVIS W/O CONTRAST (OTHER 74176TC) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74176TC?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $134–$560 (25th–75th percentile) across 78 hospitals · 64 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 74176TC — 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 |
|---|---|---|---|---|---|---|---|
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $41.21 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $41.21 | — | — | 2025-09-05 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $56.80 | — | — | 2024-12-31 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | UHCCP | Managed Medicaid | $63.15 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | UHCCP | Managed Medicaid | $63.15 | — | — | 2025-06-28 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $65.89 | — | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED MEDICAID | $68.22 | — | $267.55 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $68.22 | — | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED MEDICAID | $68.22 | — | $267.55 | 2025-12-31 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products Non MD | $78.31 | — | — | 2026-03-27 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $78.40 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | PPO Products | $78.40 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $78.40 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $78.40 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $78.40 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $78.40 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | HMO Products | $78.40 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $78.40 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | HMO Products | $78.40 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $78.40 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | PPO Products | $78.40 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $78.40 | — | — | 2026-01-02 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products Non MD | $83.21 | — | — | 2026-03-27 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | HORIZON | MANAGED MEDICAID | $88.19 | — | $284.66 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | HORIZON | MANAGED MEDICAID | $88.19 | — | $284.66 | 2025-12-31 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health_674 | All Commercial Products | $88.39 | — | — | 2026-02-02 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products MD | $93.00 | — | — | 2026-03-27 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Emblem_762 | GHI | $97.00 | — | — | 2026-02-02 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $97.28 | — | — | 2024-12-31 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | HARP | $97.87 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Managed Medicaid | $97.87 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Managed Medicaid | $97.87 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | HARP | $97.87 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Affinity | Essential Plans 1 & 2 | $97.87 | — | $460.73 | 2025-08-06 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products MD | $97.89 | — | — | 2026-03-27 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | MEDICARE ADV | $98.67 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | MEDICARE ADV | $98.67 | — | — | 2025-06-04 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $99.55 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $99.55 | — | — | 2026-03-20 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $99.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $99.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | HMO Products | $99.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | PPO Products | $99.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $99.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $99.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $99.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $99.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $99.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | HMO Products | $99.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $99.79 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | PPO Products | $99.79 | — | — | 2026-01-02 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $101.07 | — | — | 2026-03-27 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $101.54 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Medicare Advantage PPO | $101.54 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Medicare Advantage PPO | $101.54 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $101.54 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $101.54 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $101.54 | — | — | 2025-09-05 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $101.86 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $104.42 | — | — | 2025-07-22 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $104.99 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $104.99 | — | — | 2025-06-04 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | ROCKY MOUNTAIN | HMO | $108.09 | — | — | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | ROCKY MOUNTAIN | HMO | $108.09 | — | — | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER OutpatientFacility | ROCKY MOUNTAIN | HMO | $108.09 | — | — | 2026-03-26 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $108.43 | — | — | 2025-12-31 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $108.43 | — | — | 2025-12-31 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Hometown Health | HMO_EPO | $108.90 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Hometown Health | Employees PPO_HMO_EPO | $108.90 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Hometown Health | Employees PPO_HMO_EPO | $108.90 | — | — | 2026-03-27 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | CHP | $110.11 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | CHP | $110.11 | — | $460.73 | 2025-08-06 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | CHP | $110.11 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Empire | HealthPlus Medicaid | $110.11 | — | $460.73 | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $110.11 | — | $460.73 | 2025-08-06 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | UNITEDHEALTHCARE | ALL PRODUCTS | $116.32 | — | — | 2025-07-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Coventry Workers Comp | Managed WC | $116.62 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Corvel | Managed WC | $116.62 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Coventry Workers Comp | Managed WC | $116.62 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Corvel | Managed WC | $116.62 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Coventry Workers Comp | Managed WC | $116.62 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Corvel | Managed WC | $116.62 | — | — | 2026-02-06 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $117.43 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $117.43 | — | — | 2025-09-05 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Products Facility | $119.34 | — | — | 2025-07-22 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | All Products | $119.70 | — | $242.63 | 2025-12-02 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage | $119.89 | — | $460.73 | 2025-08-06 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Amidacare | Managed Medicaid | $122.34 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $122.34 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | HIP_GHI_CHP | $122.34 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Amidacare | Managed Medicaid | $122.34 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $122.34 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | HIP_GHI_CHP | $122.34 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon Health | Managed Medicaid | $122.34 | — | $460.73 | 2025-08-06 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $122.34 | — | $286.04 | 2026-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon Health | Medicare Advantage/ Health Exchange | $122.34 | — | $460.73 | 2025-08-06 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $124.34 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $124.34 | — | — | 2025-12-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Hometown Health | PPO | $129.64 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Hometown Health | PPO | $129.64 | — | — | 2026-03-27 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $132.13 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $132.13 | — | — | 2025-09-05 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $132.31 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Multiplan (PHCS Medicaid network) | Managed Medicaid | $132.31 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Multiplan (PHCS Medicaid network) | Managed Medicaid | $132.31 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $132.31 | — | — | 2025-06-28 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $133.47 | — | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED MEDICAID | $133.47 | — | $267.78 | 2025-12-31 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Healthy Blue | Managed Medicaid | $133.62 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Healthy Blue | Managed Medicaid | $133.62 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $133.62 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $133.62 | — | — | 2025-06-28 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $135.42 | — | $303.80 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $135.42 | — | $303.80 | 2025-08-30 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Silver Summit | Managed Medicaid | $137.21 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield Healthcare Solutions | Managed Medicaid | $137.21 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Managed Medicaid | $137.21 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield Healthcare Solutions | Managed Medicaid | $137.21 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Managed Medicaid | $137.21 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | SilverSummit Healthplan | Managed Medicaid | $137.21 | — | — | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Anthem | Managed Medicaid | $137.21 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | CareSource Network Partners | Managed Medicaid | $138.58 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | CareSource Network Partners | Managed Medicaid | $138.58 | — | — | 2026-03-27 | MRF ↗ |
| COMMUNITY HOSPITAL ASSOCIATION OutpatientFacility | United Healthcare | All Products | $141.19 | — | — | 2026-08-21 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | UNITED HEALTH CARE | Managed Medicare | $151.49 | — | — | 2025-07-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $156.38 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 3-4 | $156.38 | — | $286.04 | 2026-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $156.38 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 1-2 | $156.38 | — | $286.04 | 2026-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $156.38 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $156.38 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $156.38 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 200-250 | $156.38 | — | $286.04 | 2026-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $156.38 | — | — | 2025-09-05 | MRF ↗ |
| ERLANGER MURPHY MEDICAL CENTER OutpatientFacility | HUMANA | ALL PRODUCTS | $160.67 | — | — | 2026-01-25 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Align Networks | Work Comp | $163.05 | — | — | 2026-01-01 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | HUMANA | HUMANACHOICE | $174.15 | — | — | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | HUMANA | HUMANACHOICE | $174.15 | — | — | 2026-01-25 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Fidelis | MAP | $176.17 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Fidelis | MAP | $176.17 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Fidelis | MAP | $176.17 | — | $286.04 | 2026-09-05 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Rising Medical Solutions | Work Comp | $176.47 | — | — | 2026-01-01 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | HPN | Managed Medicaid | $178.37 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | HPN | Managed Medicaid | $178.37 | — | — | 2026-03-27 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Majoris Health Systems | Work Comp | $179.35 | — | — | 2026-01-01 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Coventry | Work Comp | $182.23 | — | — | 2026-01-01 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Velocity National Provider Network | Work Comp | $182.23 | — | — | 2026-01-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | OSCAR | ALL PRODUCTS | $183.51 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | OSCAR | ALL PRODUCTS | $183.51 | — | — | 2025-09-05 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | MVP Commercial | Small_Large Group_CIGNA | $193.29 | — | — | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student Health Plan | $193.29 | — | — | 2025-12-31 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | ALL PRODUCTS | $193.76 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | ALL PRODUCTS | $193.76 | — | — | 2025-09-05 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $197.72 | — | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $197.72 | — | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $197.72 | — | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $197.80 | — | $267.55 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $197.80 | — | $267.55 | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $197.80 | — | $264.17 | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $197.80 | — | $264.17 | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $197.80 | — | $264.17 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $197.80 | — | $267.55 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $197.80 | — | $267.55 | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark | HMO | $201.50 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark | HMO | $201.50 | — | — | 2025-12-31 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Aetna | ALL PRODUCTS | $204.33 | — | $286.04 | 2026-09-05 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $207.74 | — | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $207.74 | — | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $207.74 | — | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $207.74 | — | — | 2024-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $209.49 | — | $241.72 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $209.49 | — | $284.66 | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $209.49 | — | $241.72 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $209.49 | — | $267.78 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $209.49 | — | $284.66 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $209.49 | — | $267.78 | 2025-12-31 | MRF ↗ |
| UCHEALTH GRANDVIEW HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $212.46 | — | — | 2025-11-01 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $222.85 | — | — | 2025-12-29 | MRF ↗ |
| Warren Memorial Hospital Outpatient | United Healthcare Insurance Company | UHC All Payer — WMH Outpatient | $231.99 | $4,351.44 | $2,610.86 | 2026-03-27 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Select Health | Individual Colorado Option | $232.59 | — | — | 2025-11-01 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $232.59 | — | — | 2025-11-01 | MRF ↗ |
| UCHEALTH HIGHLANDS RANCH HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $234.61 | — | — | 2025-11-01 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | ANTHEM | EXCHANGE | $234.77 | — | — | 2025-07-01 | MRF ↗ |
| UCHEALTH GRANDVIEW HOSPITAL OutpatientFacility | Select Health | Individual ACA | $235.61 | — | — | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $235.61 | — | — | 2025-11-01 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark | PPO/Indemnity | $237.10 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark | PPO/Indemnity | $237.10 | — | — | 2025-12-31 | MRF ↗ |
| UCHEALTH GREELEY HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $240.65 | — | — | 2025-11-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | ALL PRODUCTS | $242.89 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | ALL PRODUCTS | $242.89 | — | — | 2026-03-20 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Select Health | Individual Colorado Option | $243.67 | — | — | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Select Health | Individual Colorado Option | $243.67 | — | — | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Select Health | Individual Colorado Option | $246.69 | — | — | 2025-11-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Emblem | HIP PPO EPO HMO | $250.80 | — | $460.73 | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Emblem | GHI PPO EPO HMO | $250.80 | — | $460.73 | 2025-08-06 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Select Health | Individual ACA | $257.77 | — | — | 2025-11-01 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | Select Health | Individual ACA | $257.77 | — | — | 2025-11-01 | MRF ↗ |
| UCHEALTH HIGHLANDS RANCH HOSPITAL OutpatientFacility | Select Health | Individual ACA | $259.78 | — | — | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL OutpatientFacility | Select Health | Individual ACA | $259.78 | — | — | 2025-11-01 | MRF ↗ |
| UCHEALTH GREELEY HOSPITAL OutpatientFacility | Select Health | Individual ACA | $263.81 | — | — | 2025-11-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.