74177 — Pr CT Abd&pelvis W Cntrst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR CT ABD&PELVIS W CNTRST (HCPCS 74177) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74177?code_type=HCPCS
MLA (9th ed.)
“PR CT ABD&PELVIS W CNTRST (HCPCS 74177) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74177?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PR CT ABD&PELVIS W CNTRST (HCPCS 74177) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74177?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $381–$2,898 (25th–75th percentile) across 3,319 hospitals · 11,392 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 74177 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the surgeon and anesthesia figures are estimates from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$381
$928 typical
$2,898
The middle 50% of negotiated facility rates for this procedure, measured across 3,319 hospitals. Surgeon & anesthesia fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $928 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $300 × 1.22 commercial. | $366 |
| Likely subtotal | $1,294 |
Surgical episode (typical)
~$1,294
Your recovery plan — adjust to what your surgeon told you
After surgery, recovery care is billed separately. We pre-fill the typical plan; change it to your situation.
Recovery cost modeled
~$3,785
With your recovery plan (typical)
~$5,079
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Surgeon (professional fee) (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: HCCI 2017 national
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $10,156.87 | $5,078.44 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $10,156.87 | $5,078.44 | 2024-12-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $13,881.00 | $11,382.42 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $13,881.00 | $11,382.42 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $17,057.90 | $11,087.64 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $13,881.00 | $11,382.42 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $13,881.00 | $11,382.42 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $13,881.00 | $11,382.42 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $13,881.00 | $11,382.42 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $13,881.00 | $11,382.42 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $22,175.31 | $14,413.95 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $13,881.00 | $11,382.42 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $13,881.00 | $11,382.42 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $13,881.00 | $11,382.42 | 2025-11-26 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $1.17 | $4,980.00 | $3,735.00 | 2026-03-26 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Medi-Cal | Medi-Cal | $1.61 | $6,658.00 | $4,993.50 | 2026-04-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $3,756.00 | — | 2025-06-28 | MRF ↗ |
| HIGGINS GENERAL HOSPITAL Outpatient | Peachstate | Medicaid Cmo | — | $7,293.00 | $2,917.20 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.59 | $346.00 | $65.74 | 2026-01-25 | MRF ↗ |
| COMANCHE COUNTY MEDICAL CENTER Outpatient | MPI - ALL PLANS | MPI - ALL PLANS | $2.72 | $284.34 | $184.82 | 2026-05-07 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | California Health and Wellness | California Health and Wellness | $3.23 | $6,658.00 | $4,993.50 | 2026-04-01 | MRF ↗ |
| THEDACARE MEDICAL CENTER - SHAWANO BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $3.50 | $4,107.50 | $2,300.20 | 2026-03-02 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | Aetna | HMO | — | $21,068.00 | $21,068.00 | 2026-03-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $5.71 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $6.00 | — | — | 2026-05-06 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Molina | Molina - Exchange | $6.36 | $6,658.00 | $4,993.50 | 2026-04-01 | MRF ↗ |
| NORTH SUNFLOWER MEDICAL CENTER CAH Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $6.65 | $326.00 | $163.00 | 2026-04-15 | MRF ↗ |
| FIELD HEALTH SYSTEM Both | United Healthcare | Default | $7.25 | $2,940.00 | $2,205.00 | 2025-03-07 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $7.73 | $9,305.00 | $2,047.10 | 2026-03-19 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | VA Health | All | $7.76 | $2,475.00 | $2,475.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Blue Cross Blue Shield | Medicare Advantage | $7.76 | $2,475.00 | $2,475.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | UHC | Medicare Advantage | $7.76 | $2,475.00 | $2,475.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Tricare | All | $7.76 | $2,475.00 | $2,475.00 | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL BothFacility | Humana | Medicare Advantage | $7.76 | $2,475.00 | $2,475.00 | 2026-03-28 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $8.37 | $4,650.00 | $404.51 | 2024-12-31 | MRF ↗ |
| MERCYONE NEWTON MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | — | $4,174.95 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $9.09 | — | $3,723.85 | 2026-03-31 | MRF ↗ |
| HENDERSON COUNTY COMMUNITY HOSPITAL Both | HUMANAINC. | MEDICAREADVANTAGEPPO | $9.79 | $1,240.81 | $496.32 | 2025-06-30 | MRF ↗ |
| HAYWOOD COUNTY COMMUNITY HOSPITAL Both | HUMANAINC. | MEDICAREADVANTAGEPPO | $9.79 | $1,240.81 | $496.32 | 2025-03-31 | MRF ↗ |
| HOUSTON COUNTY COMMUNITY HOSPITAL Both | HUMANAINC. | MEDICAREADVANTAGEPPO | $9.79 | $1,240.81 | $496.32 | 2025-03-31 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $11.80 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $11.80 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $11.80 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $11.80 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $11.80 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $11.80 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $11.80 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $11.80 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $12.72 | $2,650.00 | $2,517.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $12.72 | $2,650.00 | $2,517.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $12.98 | $2,650.00 | $2,517.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $12.98 | $2,650.00 | $2,517.50 | 2026-02-20 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $13.05 | $374.00 | $56.10 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $13.33 | $339.00 | $91.53 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $13.33 | $287.00 | $43.05 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $13.33 | $287.00 | $43.05 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $13.33 | $475.00 | $142.50 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $13.33 | $475.00 | $142.50 | 2026-01-25 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $13.52 | $2,650.00 | $2,517.50 | 2026-02-20 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.68 | $8,979.38 | $8,979.38 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.77 | $8,322.39 | $8,322.39 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $14.77 | $8,322.39 | $8,322.39 | 2026-03-18 | MRF ↗ |
| NORTH CANYON MEDICAL CENTER OutpatientFacility | Humana | PPO | — | — | — | 2026-04-13 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $16.82 | $8,979.38 | $8,979.38 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $16.93 | $8,322.39 | $8,322.39 | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $16.93 | $8,322.39 | $8,322.39 | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $18.32 | $8,979.38 | $8,979.38 | 2026-03-18 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $18.42 | $497.00 | $497.00 | 2026-02-13 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $18.43 | $8,322.39 | $8,322.39 | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $18.43 | $8,322.39 | $8,322.39 | 2026-03-18 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | Auto Medical Program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | MPI Complementary Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | Blue Community HMO (ACA) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | PAR | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Medicare (CMS) | Medicare | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | Indemnity | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Coventry Health Care | Auto Medical | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare Network Private Fee-For-Service Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | TRICARE Prime | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | HMO | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | PPO | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA PPO (EPO and SNP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | Workers' Compensation Program | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA SNP | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare POS Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | HealthSmart Preferred Care II | HealthSmart Workers' Compensation/Occupational Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Molina Healthcare of New Mexico | Molina Medicare Options (Medicare Advantage) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Molina Healthcare of New Mexico | Dual Options (Medicare-Medicaid Program (MMP) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | New Mexico CHIP Benefit Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Claritev fka MultiPlan | PHCS Primary Network | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | New Mexico Medicaid Benefit Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare PPO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Devoted Health | MA HMO (including POS) | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Medicaid (State) | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Coventry Health Care | Workers' Compensation | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | TRICARE Select | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Western Sky Community Care | MA Plan | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | TriWest Healthcare Alliance Corporation | VA CCN | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Humana Insurance Company | Medicare HMO Plans | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Corvel Healthcare Corporation | CorCare PPO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | New Mexico Medicaid Managed Care | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | United Healthcare (UHC) | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Cigna Health and Life Insurance Company | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Blue Cross Blue Shield of New Mexico | POS | $19.32 | — | — | 2026-03-17 | MRF ↗ |
| Rehabilitation Hospital Of Southern New Mexico,inc Outpatient | Western Sky Community Care | MA-PD Plan | — | — | — | 2026-03-17 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Medicare Advantage | — | — | — | 2025-10-24 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MEDICAID [5022] | MMC MEDICAID | — | $7,668.54 | $580.61 | 2026-04-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $5,404.00 | $3,512.60 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $5,404.00 | $3,512.60 | 2025-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $20.91 | $5,652.00 | $5,369.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $20.91 | $5,652.00 | $5,369.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $20.91 | $5,652.00 | $5,369.40 | 2026-02-20 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $21.23 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $21.23 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $21.23 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $21.23 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $21.48 | $5,652.00 | $5,369.40 | 2026-02-20 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $22.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $22.04 | $5,652.00 | $5,369.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $22.61 | $5,652.00 | $5,369.40 | 2026-02-20 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Cigna | IndividualFamilyPlanHIX | $23.33 | $216.00 | $216.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Cigna | IndividualFamilyPlanHIX | $23.33 | $216.00 | $216.00 | 2026-03-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $24.75 | $4,572.42 | $2,743.45 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $24.75 | $4,572.42 | $2,743.45 | 2025-08-11 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $26.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $26.18 | $2,095.00 | $1,257.00 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $26.18 | $2,095.00 | $1,257.00 | 2026-02-12 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $27.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $27.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $27.69 | $5,652.00 | $5,369.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $27.69 | $5,652.00 | $5,369.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $28.26 | $5,652.00 | $5,369.40 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $13,265.00 | $9,948.75 | 2024-12-08 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $28.80 | $443.00 | $287.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $28.80 | $443.00 | $287.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $28.80 | $443.00 | $287.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $28.80 | $443.00 | $287.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $28.80 | $443.00 | $287.95 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL LINCOLN OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB WASH JEFN LINC SAMC MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $28.80 | $443.00 | $287.95 | 2026-03-12 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - United | Medicaid - United | $29.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $29.39 | $5,652.00 | $5,369.40 | 2026-02-20 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $30.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $30.52 | $5,652.00 | $5,369.40 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | $13,265.00 | $9,948.75 | 2024-12-08 | MRF ↗ |
| COMPASS MEMORIAL HEALTHCARE Outpatient | Aetna HMO | HMO | $30.94 | $4,122.73 | — | 2026-02-12 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $31.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $31.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $31.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| OHIO COUNTY HOSPITAL BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $31.91 | $1,203.00 | $601.50 | 2026-01-12 | MRF ↗ |
| UNITY HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $32.66 | $176.40 | $176.40 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $32.66 | $176.40 | $176.40 | 2024-12-30 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $33.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $9,695.00 | $7,271.25 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $9,695.00 | $7,271.25 | 2024-12-08 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL Outpatient | Aetna Medicare Advantage | Medicare Advantage | — | $3,262.00 | $2,446.50 | 2026-03-31 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Magnacare | — | — | $107.00 | $107.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Vaccn | — | — | $107.00 | $107.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $107.00 | $107.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Martinspoint | Tricare | — | $107.00 | $107.00 | 2026-05-09 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $9,508.00 | $7,131.00 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $9,508.00 | $7,131.00 | 2024-12-08 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | United Healthcare Community Plan of KY | Medicaid Replacement | $34.69 | $6,179.03 | $3,670.33 | 2025-01-01 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $35.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $35.39 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $35.39 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $3,680.35 | $2,760.26 | 2026-02-25 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $36.64 | $3,022.00 | $1,964.30 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $36.64 | $3,022.00 | $1,964.30 | 2025-01-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Bienvivir Senior Health | COMM | $36.72 | $216.00 | $216.00 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Bienvivir Senior Health | COMM | $36.72 | $216.00 | $216.00 | 2026-03-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $36.80 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $36.80 | $47.18 | $47.18 | 2026-03-27 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | Cigna Marketplace | PPO | $37.00 | $4,996.00 | — | 2026-01-23 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $37.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $37.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $37.21 | $139.00 | $97.30 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $37.21 | $139.00 | $97.30 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $37.21 | $139.00 | $97.30 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $37.21 | $139.00 | $97.30 | 2026-04-02 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $38.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $39.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | AMBETTER NH HEALTHY FAMILIES | NH HEALTHY FAMILIES AMBETTER | $39.63 | $2,471.00 | $1,331.87 | 2026-01-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $40.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Blue Advantage | PPO | $40.00 | $4,996.00 | — | 2026-01-23 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | Aetna Teachers' Retirement System | HMO | $40.00 | $4,996.00 | — | 2026-01-23 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $40.77 | $302.00 | $226.50 | 2026-01-16 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $41.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $41.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | NH HEALTHY FAMILIES | NH HEALTHY FAMILIES | $41.22 | $2,471.00 | $1,331.87 | 2026-01-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Healthcare Highways | NarrowNetwork | $41.47 | $216.00 | $216.00 | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | Healthcare Highways | NarrowNetwork | $41.47 | $216.00 | $216.00 | 2026-03-01 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $41.70 | $139.00 | $97.30 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $41.70 | $139.00 | $97.30 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $41.70 | $139.00 | $97.30 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $41.70 | $139.00 | $97.30 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $41.70 | $139.00 | $97.30 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $41.70 | $139.00 | $97.30 | 2026-04-02 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $42.00 | $216.00 | $108.00 | 2025-02-03 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.