74185 — MRA Abd W Or Without Cntrst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MRA ABD W OR W/O CNTRST (CPT 74185) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74185?code_type=CPT
MLA (9th ed.)
“MRA ABD W OR W/O CNTRST (CPT 74185) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74185?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“MRA ABD W OR W/O CNTRST (CPT 74185) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74185?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $505–$2,508 (25th–75th percentile) across 2,270 hospitals · 6,625 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 74185 — 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
$505
$1,240 typical
$2,508
The middle 50% of negotiated facility rates for this procedure, measured across 2,270 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. | $1,240 |
| Surgeon (professional fee) Estimate national typical Medicare PFS $336 × 1.22 commercial. | $410 |
| Likely subtotal | $1,650 |
Surgical episode (typical)
~$1,650
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)
~$5,434
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 |
|---|---|---|---|---|---|---|---|
| ADVENTHEALTH TAMPA Outpatient | Aetna_Health | Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Sunshine_State_Health_Plan | Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Simply_Healthcare | Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Humana | Care_Plus_PPO_PFFS_Medicare_ | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Freedom_Health | Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Longevity | Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | United_HealthCare | Dual_Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | WellCare_of_Florida | HMO_PPO_Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | UPMC_Health_Plan | Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Oscar_ | EPO | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $2,015.30 | $1,007.65 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Optimum | Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Sunshine | Ambetter_Exchange | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Devoted_Health | Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $2,015.30 | $1,007.65 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Baycare | HMO_Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | _Medicare_Adv_HMO_PPO | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Cigna_HealthCare | _Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | HealthFirst_Plans | Medicare | — | $3,442.01 | $1,376.80 | 2024-12-15 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PHP | Commercial | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna All Programs | Commercial | $0.13 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna I-35 NN | Commercial | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare National Hospital | Commercial | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare National Hospital | PPO | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Celtic/Ambetter | Commercial | — | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna SureFit, Local Plus | Commercial | $0.23 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare National Hospital | PPO | $0.25 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna HIX | Commercial | $0.30 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PAR | Commercial | $0.30 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medi-Cal | — | $7,946.11 | $5,164.97 | 2025-11-26 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield PHP | Commercial | $0.34 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Celtic/Ambetter | Commercial | $0.41 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield BC | Commercial | $0.45 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Blue Access | Commercial | $0.45 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield FN | Commercial | $0.47 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Humana | PPO | $0.48 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Oscar | Commercial | $0.50 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield BC | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield Blue Access | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PC | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | IVL/Carelink | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield FNS | Commercial | $0.54 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PCB | Commercial | $0.55 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Humana | HMO | $0.59 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna I-35 NN | Commercial | $0.60 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $0.68 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.68 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.68 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.68 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $0.68 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.68 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.68 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.68 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | WPPA Unified Health Plan | Commercial | $0.75 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Local | Commercial | $0.78 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna NAP | Commercial | $0.83 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Multiplan | Commercial | $0.84 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna National | Commercial | $0.85 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna Medical Rental Products | Commercial | $0.90 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.92 | $2,120.00 | $1,590.00 | 2026-03-26 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | San Diego Pace | San Diego Pace | $0.93 | $5,976.00 | $4,482.00 | 2026-04-01 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Coventry Leased | PPO/NAB-FH | $0.97 | $1.00 | $0.70 | 2026-04-07 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $10,329.57 | $6,714.22 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $10,329.57 | $6,714.22 | 2025-11-26 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $1.33 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $1.33 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $1.33 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $1.33 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Multiplan | Multiplan | $2.01 | $5,055.00 | $3,791.25 | 2026-04-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $2.21 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | VIVA | VIVA HEALTH | $2.21 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $2.30 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | AETNA | AETNA COMMERCIAL | $2.30 | $2.95 | $2.95 | 2026-03-27 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.53 | $339.00 | $64.41 | 2026-01-25 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Humana | Medicare | — | $1,787.00 | $1,429.60 | 2026-03-26 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $6.68 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $7.01 | — | — | 2026-05-06 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $7.38 | $4,102.00 | — | 2024-12-31 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $10.51 | $4,171.00 | $1,543.27 | 2026-03-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $13.05 | $298.00 | $44.70 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $13.05 | $298.00 | $44.70 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $13.05 | $465.00 | $139.50 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $13.05 | $465.00 | $139.50 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $13.05 | $331.00 | $89.37 | 2026-01-31 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Interplan | Interplan | $16.08 | $5,055.00 | $3,791.25 | 2026-04-01 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $16.30 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $16.30 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $16.30 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $16.30 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $16.30 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $16.30 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $16.30 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $16.30 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $17.59 | $4,755.00 | $4,517.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $17.59 | $4,755.00 | $4,517.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $17.59 | $4,755.00 | $4,517.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $17.89 | $3,652.00 | $3,469.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $17.89 | $3,652.00 | $3,469.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $18.07 | $4,755.00 | $4,517.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $18.26 | $3,652.00 | $3,469.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $18.54 | $4,755.00 | $4,517.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $18.99 | $3,652.00 | $3,469.40 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $19.02 | $4,755.00 | $4,517.25 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | Medicare Advantage | — | — | — | 2025-10-24 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $19.63 | $4,090.00 | $3,885.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $19.63 | $4,090.00 | $3,885.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $19.72 | $3,652.00 | $3,469.40 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $20.04 | $4,090.00 | $3,885.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $20.04 | $4,090.00 | $3,885.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $20.86 | $4,090.00 | $3,885.50 | 2026-02-20 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $20.88 | $2,069.33 | $1,241.60 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $20.88 | $2,069.33 | $1,241.60 | 2025-08-11 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $21.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Blue Cross Blue Shield Of Florida | Bcbs Medicare Ppo | $21.28 | $112.00 | $112.00 | 2026-05-22 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Health Options Inc | Bcbs Health Options Medicare | $21.28 | $112.00 | $112.00 | 2026-05-22 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $21.82 | $486.00 | $486.00 | 2026-02-13 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Molina | Medicaid - Molina | $25.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Careplus | Careplus | $26.88 | $112.00 | $112.00 | 2026-05-22 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $27.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $27.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $4,525.00 | $3,393.75 | 2024-12-08 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $29.33 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $29.33 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $29.33 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $29.33 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $29.33 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $29.33 | $65.18 | $65.18 | 2026-03-27 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $30.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $30.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $30.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $30.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | $4,525.00 | $3,393.75 | 2024-12-08 | MRF ↗ |
| UNITY HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $32.02 | $188.11 | $188.11 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Inpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN [10104] | $32.02 | $188.11 | $188.11 | 2024-12-30 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Molina | Molina Medi-Cal | $32.95 | $5,976.00 | $4,482.00 | 2026-04-01 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $33.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $3,894.00 | $2,920.50 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $3,894.00 | $2,920.50 | 2024-12-08 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Aetna Health | Aetna Medicare | $33.60 | $112.00 | $112.00 | 2026-05-22 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Vaccn | — | — | $105.00 | $105.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Martinspoint | Tricare | — | $105.00 | $105.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Magnacare | — | — | $105.00 | $105.00 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $105.00 | $105.00 | 2026-05-09 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $34.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | POS | — | $7,210.00 | $5,912.20 | 2025-11-26 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $6,469.00 | $4,851.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $6,469.00 | $4,851.75 | 2024-12-08 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $36.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $36.41 | $136.00 | $95.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $36.41 | $136.00 | $95.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Montana Medicaid | Medicaid | $36.41 | $136.00 | $95.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Healthy Kids Medicaid | Medicaid | $36.41 | $136.00 | $95.20 | 2026-04-02 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $4,476.00 | $3,357.00 | 2026-02-25 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $37.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $37.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Tricare | Tricare | $38.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $39.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $39.37 | $3,786.00 | $3,786.00 | 2026-04-24 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | BCBS Blue Advantage | PPO | $40.00 | $4,978.00 | — | 2026-01-23 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $40.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $40.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION [10402] | $40.10 | $188.11 | $188.11 | 2024-12-30 | MRF ↗ |
| UNITY HOSPITAL Inpatient | EXCELLUS HMO [104] | EXCELLUS ESSENTIAL 1&2 [10413] | $40.10 | $188.11 | $188.11 | 2024-12-30 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $40.80 | $136.00 | $95.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $40.80 | $136.00 | $95.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $40.80 | $136.00 | $95.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | TriWest | PPO | $40.80 | $136.00 | $95.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Humana Medicare Advantage | Medicare | $40.80 | $136.00 | $95.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | United Medicare Advantage | Medicare | $40.80 | $136.00 | $95.20 | 2026-04-02 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $41.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $41.90 | $2,049.00 | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $41.90 | $2,049.00 | — | 2025-12-27 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $42.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $42.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $42.16 | $136.00 | $95.20 | 2026-04-02 | MRF ↗ |
| Northern Montana Hospital Outpatient | Aetna Medicare Advantage | Medicare | $42.16 | $136.00 | $95.20 | 2026-04-02 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $43.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $43.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $43.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $43.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL Both | UNITEDHEALTHCARE | MEDICARE ADVANTAGE SNP | $43.14 | $3,806.00 | $2,283.60 | 2024-07-01 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | AMBETTER NH HEALTHY FAMILIES | NH HEALTHY FAMILIES AMBETTER | $43.86 | $2,952.00 | $1,591.13 | 2026-01-01 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | Medicaid | HMO | $44.00 | $4,978.00 | — | 2026-01-23 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $44.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| ST LUKE COMMUNITY HOSPITAL | Anthem | — | $44.93 | $143.65 | $114.92 | 2024-01-17 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $45.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| ALICE PECK DAY MEMORIAL HOSPITAL Outpatient | NH HEALTHY FAMILIES | NH HEALTHY FAMILIES | $45.61 | $2,952.00 | $1,591.13 | 2026-01-01 | MRF ↗ |
| HUNT REGIONAL MEDICAL CENTER Inpatient | Aetna Teachers' Retirement System | HMO | $46.20 | $4,978.00 | — | 2026-01-23 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | New York Medicaid | Medicaid | $46.55 | $730.00 | $2,060.10 | 2026-04-01 | MRF ↗ |
| ADVENTIST HEALTH TULARE Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $46.56 | $331.00 | $62.89 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA HMO/OPEN ACCESS | CIGNA HMO/OPEN ACCESS | $46.56 | $298.00 | $44.70 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | CIGNA- ALL OTHER PLANS | CIGNA- ALL OTHER PLANS | $46.56 | $298.00 | $44.70 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | CIGNA - ALL PLANS | CIGNA - ALL PLANS | $46.75 | $465.00 | $139.50 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $46.75 | $339.00 | $64.41 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $46.75 | $331.00 | $89.37 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH HANFORD Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $46.75 | $339.00 | $64.41 | 2026-01-25 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $47.00 | $212.00 | $106.00 | 2025-02-03 | MRF ↗ |
| MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC Outpatient | Msmc | Cigna | $47.04 | $112.00 | $112.00 | 2026-05-22 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Montana Health CoOp | All | — | — | — | 2026-03-28 | 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.