74177TC — CT Abd & Pelvis W/contrast
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CT ABD & PELVIS W/CONTRAST (OTHER 74177TC) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74177TC?code_type=OTHER
MLA (9th ed.)
“CT ABD & PELVIS W/CONTRAST (OTHER 74177TC) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74177TC?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CT ABD & PELVIS W/CONTRAST (OTHER 74177TC) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74177TC?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $250–$895 (25th–75th percentile) across 76 hospitals · 66 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 74177TC — 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 | $64.76 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $64.76 | — | — | 2025-09-05 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | PPO Products | $82.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $82.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $82.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | HMO Products | $82.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | HMO Products | $82.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $82.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $82.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $82.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $82.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $82.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | PPO Products | $82.44 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $82.44 | — | — | 2026-01-02 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $108.33 | — | — | 2024-12-31 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | All Products | $119.70 | — | $358.48 | 2025-12-02 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | UHCCP | Managed Medicaid | $120.34 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | UHCCP | Managed Medicaid | $120.34 | — | — | 2025-06-28 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $125.66 | — | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $130.11 | — | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED MEDICAID | $130.11 | — | $395.29 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED MEDICAID | $130.11 | — | $395.29 | 2025-12-31 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | UNITED HEALTH CARE | Managed Medicare | $158.12 | — | — | 2025-07-01 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products Non MD | $164.36 | — | — | 2026-03-27 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | HORIZON | MANAGED MEDICAID | $168.21 | — | $420.58 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | HORIZON | MANAGED MEDICAID | $168.21 | — | $420.58 | 2025-12-31 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health_674 | All Commercial Products | $168.59 | — | — | 2026-02-02 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products Non MD | $174.63 | — | — | 2026-03-27 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Emblem_762 | GHI | $185.00 | — | — | 2026-02-02 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $185.55 | — | — | 2024-12-31 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $192.73 | — | — | 2026-03-27 | MRF ↗ |
| Ira Davenport Memorial Hospital OutpatientFacility | Empire | All Products MD | $195.18 | — | — | 2026-03-27 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Empire | All Products MD | $205.45 | — | — | 2026-03-27 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Managed Medicaid | $205.62 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | HARP | $205.62 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Managed Medicaid | $205.62 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | HARP | $205.62 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Affinity | Essential Plans 1 & 2 | $205.63 | — | $460.73 | 2025-08-06 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $208.76 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Multiplan (PHCS Medicaid network) | Managed Medicaid | $208.76 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Multiplan (PHCS Medicaid network) | Managed Medicaid | $208.76 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $208.76 | — | — | 2025-06-28 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | PPO Products | $210.24 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | HMO Products | $210.24 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $210.24 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $210.24 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $210.24 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $210.24 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | HMO Products | $210.24 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | PPO Products | $210.24 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | HMO Products | $210.24 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | PPO Products | $210.24 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | HMO Products | $210.24 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Anthem | PPO Products | $210.24 | — | — | 2026-01-02 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $210.50 | — | — | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Aetna Government Program | Medicare Advantage | $210.50 | — | — | 2025-12-31 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Healthy Blue | Managed Medicaid | $210.82 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $210.82 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Celtic Sunflower | Managed Medicaid | $210.82 | — | — | 2025-06-28 | MRF ↗ |
| LABETTE HEALTH OutpatientFacility | Healthy Blue | Managed Medicaid | $210.82 | — | — | 2025-06-28 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $212.36 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | MEDICARE ADVANTAGE | $212.36 | — | — | 2026-03-20 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $213.14 | — | — | 2025-07-22 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $213.33 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Medicare Advantage PPO | $213.33 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $213.33 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | Medicare Advantage PPO | $213.33 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MAP | $213.33 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $213.33 | — | — | 2025-09-05 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | MEDICARE ADV | $213.69 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | MEDICARE ADV | $213.69 | — | — | 2025-06-04 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | UNITEDHEALTHCARE | ALL PRODUCTS | $227.25 | — | — | 2025-07-01 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $228.21 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $228.21 | — | — | 2025-06-04 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Hometown Health | Employees PPO_HMO_EPO | $228.50 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Hometown Health | HMO_EPO | $228.50 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Hometown Health | Employees PPO_HMO_EPO | $228.50 | — | — | 2026-03-27 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $229.09 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $229.09 | — | — | 2025-09-05 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Humana | All Products | $229.70 | — | — | 2025-07-22 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | CHP | $231.33 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | Managed Medicaid | $231.33 | — | $460.73 | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Empire | HealthPlus Medicaid | $231.33 | — | $460.73 | 2025-08-06 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Healthfirst | CHP | $231.33 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | CHP | $231.33 | — | $460.73 | 2025-08-06 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | ROCKY MOUNTAIN | HMO | $234.91 | — | — | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER OutpatientFacility | ROCKY MOUNTAIN | HMO | $234.91 | — | — | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | ROCKY MOUNTAIN | HMO | $234.91 | — | — | 2026-03-26 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $243.75 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $243.75 | — | — | 2025-12-27 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Corvel | Managed WC | $244.02 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Corvel | Managed WC | $244.02 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Coventry Workers Comp | Managed WC | $244.02 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Coventry Workers Comp | Managed WC | $244.02 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Corvel | Managed WC | $244.02 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Coventry Workers Comp | Managed WC | $244.02 | — | — | 2026-02-06 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $244.37 | — | $448.85 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $244.37 | — | $448.85 | 2025-08-30 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield Healthcare Solutions | Managed Medicaid | $247.56 | — | — | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Silver Summit | Managed Medicaid | $247.56 | — | — | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Anthem | Managed Medicaid | $247.56 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | SilverSummit Healthplan | Managed Medicaid | $247.56 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield Healthcare Solutions | Managed Medicaid | $247.56 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Managed Medicaid | $247.56 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Molina Healthcare of Nevada | Managed Medicaid | $247.56 | — | — | 2026-03-27 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Products Facility | $250.03 | — | — | 2025-07-22 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | CareSource Network Partners | Managed Medicaid | $250.04 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | CareSource Network Partners | Managed Medicaid | $250.04 | — | — | 2026-03-27 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage | $251.89 | — | $460.73 | 2025-08-06 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Horizon | Managed Medicaid | $254.56 | — | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED MEDICAID | $254.57 | — | $395.64 | 2025-12-31 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | HIP_GHI_CHP | $257.03 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $257.03 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Amidacare | Managed Medicaid | $257.03 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon Health | Medicare Advantage/ Health Exchange | $257.03 | — | $460.73 | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Beacon Health | Managed Medicaid | $257.03 | — | $460.73 | 2025-08-06 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | MEDICARE ADVANTAGE | $257.03 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Amidacare | Managed Medicaid | $257.03 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | EMBLEM | HIP_GHI_CHP | $257.03 | — | — | 2025-09-05 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Hometown Health | PPO | $272.03 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Hometown Health | PPO | $272.03 | — | — | 2026-03-27 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $277.59 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $277.59 | — | — | 2025-09-05 | MRF ↗ |
| Warren Memorial Hospital Outpatient | United Healthcare / Nebraska Medicaid | UHC Nebraska Medicaid — WMH Outpatient | $289.62 | $4,961.87 | $2,977.12 | 2026-03-27 | MRF ↗ |
| ERLANGER MURPHY MEDICAL CENTER OutpatientFacility | HUMANA | ALL PRODUCTS | $312.50 | — | — | 2026-01-25 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | HPN | Managed Medicaid | $321.83 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | HPN | Managed Medicaid | $321.83 | — | — | 2026-03-27 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $337.47 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $337.47 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $337.47 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $337.47 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $337.47 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $337.47 | — | — | 2025-09-05 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | HUMANA | HUMANACHOICE | $338.70 | — | — | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | HUMANA | HUMANACHOICE | $338.70 | — | — | 2026-01-25 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Align Networks | Work Comp | $343.23 | — | — | 2026-01-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Fidelis | MAP | $370.12 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Fidelis | MAP | $370.12 | — | — | 2025-09-05 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Rising Medical Solutions | Work Comp | $371.50 | — | — | 2026-01-01 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Majoris Health Systems | Work Comp | $377.55 | — | — | 2026-01-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | ALL PRODUCTS | $378.00 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | ALL PRODUCTS | $378.00 | — | — | 2025-09-05 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Coventry | Work Comp | $383.61 | — | — | 2026-01-01 | MRF ↗ |
| MCCONE COUNTY HEALTH CENTER OutpatientFacility | Velocity National Provider Network | Work Comp | $383.61 | — | — | 2026-01-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | OSCAR | ALL PRODUCTS | $385.55 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | OSCAR | ALL PRODUCTS | $385.55 | — | — | 2025-09-05 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | MVP Commercial | Small_Large Group_CIGNA | $407.21 | — | — | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | MVP Commercial | Individual_Student Health Plan | $407.21 | — | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $421.07 | — | $395.29 | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $421.07 | — | $390.30 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $421.07 | — | $395.29 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $421.07 | — | $395.29 | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $421.07 | — | $390.30 | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $421.07 | — | $390.30 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $421.07 | — | $395.29 | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark | HMO | $424.20 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark | HMO | $424.20 | — | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $434.88 | — | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $434.88 | — | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $434.88 | — | — | 2024-12-31 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | ANTHEM | EXCHANGE | $444.39 | — | — | 2025-07-01 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $446.08 | — | $357.13 | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $446.08 | — | $357.13 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $446.08 | — | $395.64 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $446.08 | — | $420.58 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $446.08 | — | $395.64 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | KARNA | MEDICARE ADVANTAGE | $446.08 | — | $420.58 | 2025-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $456.93 | — | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $456.93 | — | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $456.93 | — | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $456.93 | — | — | 2024-12-31 | MRF ↗ |
| UCHEALTH GRANDVIEW HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $459.41 | — | — | 2025-11-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | ALL PRODUCTS | $463.32 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | ALL PRODUCTS | $463.32 | — | — | 2026-03-20 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $484.33 | — | — | 2025-12-29 | MRF ↗ |
| GREELEY COUNTY HEALTH SERVICES Outpatient | Aetna Better Medicaid | Medicaid | $490.50 | $1,090.00 | $763.00 | 2025-01-14 | MRF ↗ |
| GREELEY COUNTY HEALTH SERVICES Outpatient | Sunflower Medicaid | Medicaid | $490.50 | $1,090.00 | $763.00 | 2025-01-14 | MRF ↗ |
| GREELEY COUNTY HEALTH SERVICES Outpatient | Healthy Blue Medicaid | Medicaid | $490.50 | $1,090.00 | $763.00 | 2025-01-14 | MRF ↗ |
| GREELEY COUNTY HEALTH SERVICES Outpatient | United Community Medicaid | Medicaid | $490.50 | $1,090.00 | $763.00 | 2025-01-14 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark | PPO/Indemnity | $499.10 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark | PPO/Indemnity | $499.10 | — | — | 2025-12-31 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Select Health | Individual Colorado Option | $502.96 | — | — | 2025-11-01 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $502.96 | — | — | 2025-11-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | QUARTZ | ALL PRODUCTS | $506.53 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | QUARTZ | ALL PRODUCTS | $506.53 | — | — | 2026-03-20 | MRF ↗ |
| GENESIS MEDICAL CENTER, ALEDO OutpatientFacility | UHC | Deere Premiere_Facility | $507.00 | — | — | 2026-03-31 | MRF ↗ |
| GENESIS MEDICAL CENTER, ALEDO OutpatientFacility | UHC | Deere Premiere_NonFacility | $507.08 | — | — | 2026-03-31 | MRF ↗ |
| UCHEALTH HIGHLANDS RANCH HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $507.31 | — | — | 2025-11-01 | MRF ↗ |
| UCHEALTH GRANDVIEW HOSPITAL OutpatientFacility | Select Health | Individual ACA | $509.49 | — | — | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $509.49 | — | — | 2025-11-01 | MRF ↗ |
| TRIGG COUNTY HOSPITAL Both | Blue Cross Blue Shield of KY Anthem | Default | $512.00 | $5,602.50 | $2,241.00 | 2026-03-02 | MRF ↗ |
| UCHEALTH GREELEY HOSPITAL OutpatientFacility | Select Health | Individual Colorado Option | $520.37 | — | — | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Select Health | Individual Colorado Option | $526.91 | — | — | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Select Health | Individual Colorado Option | $526.91 | — | — | 2025-11-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Emblem | GHI PPO EPO HMO | $526.92 | — | $460.73 | 2025-08-06 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Emblem | HIP PPO EPO HMO | $526.92 | — | $460.73 | 2025-08-06 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY OutpatientFacility | Select Health | Individual Colorado Option | $533.44 | — | — | 2025-11-01 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | ANTHEM | Blue Care Prime | $539.60 | — | — | 2025-07-01 | MRF ↗ |
| JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT OutpatientFacility | ANTHEM | Quality First | $539.60 | — | — | 2025-07-01 | MRF ↗ |
| GREELEY COUNTY HEALTH SERVICES Outpatient | Medicare | Medicare | $545.00 | $1,090.00 | $763.00 | 2025-01-14 | 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.