74360 — X-ray Guide Gi Dilation
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). X-RAY GUIDE GI DILATION (HCPCS 74360) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74360?code_type=HCPCS
MLA (9th ed.)
“X-RAY GUIDE GI DILATION (HCPCS 74360) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74360?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“X-RAY GUIDE GI DILATION (HCPCS 74360) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74360?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $157–$811 (25th–75th percentile) across 1,934 hospitals · 4,829 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 74360 — 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 radiologist-read fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$157
$424 typical
$811
The middle 50% of negotiated facility rates for this procedure, measured across 1,934 hospitals. The radiologist-read 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. | $424 |
| Radiologist read Estimate national typical Medicare $29 × 1.8 commercial. | $52 |
| Likely subtotal | $476 |
Complete-episode estimate (typical)
~$476
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $157–$811.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Radiologist read (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban Institute — commercial-to-Medicare physician price ratios by specialty (Berenson/Ginsburg et al.); radiology ~1.8x. National, approximate; within-specialty/metro variation is a known limitation.
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 HOSPITAL MANSFIELD Inpatient | — | — | — | $1,074.52 | $537.26 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,074.52 | $537.26 | 2024-12-15 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $2,633.00 | $1,448.15 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $2,633.00 | $1,448.15 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | BSCA | EPN | — | $774.00 | $541.80 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $540.00 | $459.00 | 2025-01-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $639.00 | $479.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $1,277.00 | $957.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $639.00 | $479.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $1,277.00 | $957.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $639.00 | $479.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $1,277.00 | $957.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $642.00 | $481.50 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $696.00 | — | 2026-07-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $639.00 | $479.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $0.80 | $1,277.00 | $957.75 | 2026-09-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $0.80 | $66.00 | $12.54 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA EXCHANGE | $0.80 | $639.00 | $479.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | $639.00 | $479.25 | 2026-09-01 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $894.00 | $581.10 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $894.00 | $581.10 | 2026-06-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $0.90 | $1,277.00 | $957.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA HMO | $0.90 | $639.00 | $479.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $0.90 | $639.00 | $479.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OF FLORIDA PPO | $0.90 | $1,277.00 | $957.75 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $3,128.00 | $2,346.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $3,128.00 | $2,346.00 | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $1,777.00 | $1,332.75 | 2026-09-01 | MRF ↗ |
| SIOUX FALLS SPECIALTY HOSPITAL | Bcbs Mn | — | $1.00 | $1,112.37 | $834.28 | 2026-07-16 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners MSHO HMO | — | $575.00 | $385.25 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners Commercial | — | $575.00 | $385.25 | 2024-12-10 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | HealthPartners Community Health Plan | — | $575.00 | $385.25 | 2024-12-10 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $760.00 | — | 2024-12-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica Community Health Plan | — | $575.00 | $385.25 | 2024-12-10 | MRF ↗ |
| SIOUX FALLS SPECIALTY HOSPITAL | Regence | — | $1.00 | $1,112.37 | $834.28 | 2026-07-16 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE - OPTIONS | $1.00 | $1,777.00 | $1,332.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $4,260.00 | $3,195.00 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $1,777.00 | $1,332.75 | 2026-09-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $760.00 | — | 2024-12-31 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $4,260.00 | $3,195.00 | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $4,260.00 | $3,195.00 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $3,128.00 | $2,346.00 | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $1,073.73 | — | 2026-09-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $3,128.00 | $2,346.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $3,128.00 | $2,346.00 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $3,128.00 | $2,346.00 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional HMO | — | $760.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Oxford | Value Based/Exchange - All Payor | — | $760.00 | — | 2024-12-31 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | $642.00 | $481.50 | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | $2,630.00 | $1,972.50 | 2026-06-05 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $1,777.00 | $1,332.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Health Partners | Cigna APWU | — | $575.00 | $385.25 | 2024-12-10 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIOUX FALLS SPECIALTY HOSPITAL | Bcbs Ppo Hmo Blue Card | — | $1.00 | $1,112.37 | $834.28 | 2026-07-16 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $1,777.00 | $1,332.75 | 2026-09-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | — | $760.00 | — | 2024-12-31 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $1,777.00 | $1,332.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $1,777.00 | $1,332.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NON OPTIONS | $1.00 | $642.00 | $481.50 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE CHARTER | $1.00 | $1,777.00 | $1,332.75 | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $1,777.00 | $1,332.75 | 2026-09-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | — | $760.00 | — | 2024-12-31 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $729.00 | $364.50 | 2026-07-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica IFB | — | $575.00 | $385.25 | 2024-12-10 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $1,777.00 | $1,332.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $1,777.00 | $1,332.75 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $2,630.00 | $1,972.50 | 2026-06-05 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | HMO | — | $760.00 | — | 2024-12-31 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Optum | UBH Optum | — | $575.00 | $385.25 | 2024-12-10 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $642.00 | $481.50 | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW BUSINESS | $1.00 | $4,260.00 | $3,195.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | $4,260.00 | $3,195.00 | 2026-09-02 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | United Healthcare | United Healthcare Commercial | — | $575.00 | $385.25 | 2024-12-10 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Medica | Medica Commercial | — | $575.00 | $385.25 | 2024-12-10 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $760.00 | — | 2024-12-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NONOPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | $4,260.00 | $3,195.00 | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $4,260.00 | $3,195.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $4,260.00 | $3,195.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $4,260.00 | $3,195.00 | 2026-09-02 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $760.00 | — | 2024-12-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional PPO | — | $760.00 | — | 2024-12-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $3,128.00 | $2,346.00 | 2026-09-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | America's PPO | HealthEz - America's PPO | — | $575.00 | $385.25 | 2024-12-10 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| CENTRACARE- RICE MEMORIAL HOSPITAL Outpatient | Sanford | Sanford Health Plan | — | $575.00 | $385.25 | 2024-12-10 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $3,128.00 | $2,346.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $3,128.00 | $2,346.00 | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $3,128.00 | $2,346.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $3,128.00 | $2,346.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $894.00 | $581.10 | 2026-06-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $729.00 | $364.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $729.00 | $364.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $729.00 | $364.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $729.00 | $364.50 | 2026-07-01 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Blue Cross | Medicare Advantage | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Absolute Total Care | Medicare Advantage | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | America'S First Choice | Managed Medicare | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Managed Medicare | — | — | — | 2026-09-21 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | United Health Care | Medicare Advantage | — | — | — | 2026-09-21 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.37 | $760.00 | — | 2024-12-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $729.00 | $364.50 | 2026-07-01 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | Cigna | All Products | $1.50 | $3.00 | — | 2025-10-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Products | $1.50 | $3.00 | — | 2025-10-31 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $1.60 | $160.00 | $160.00 | 2026-02-13 | MRF ↗ |
| Harper University Hospital BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.60 | $4,260.00 | $3,195.00 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE COMMERCIAL | $1.60 | — | — | 2026-05-20 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | HLTH ALLIANCE-ALL OTHER PLANS | HLTH ALLIANCE-ALL OTHER PLANS | $1.60 | $160.00 | $160.00 | 2026-06-03 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Shield | Blue Shield - HMO | $1.61 | $1,021.00 | $765.75 | 2026-04-01 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | Aetna | All Products | $1.65 | $3.00 | — | 2025-10-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | Humana | PPO | $1.80 | $3.00 | — | 2025-10-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | First Health | All Products | $2.10 | $3.00 | — | 2025-10-31 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $442.00 | — | 2025-06-28 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $729.00 | $364.50 | 2026-07-01 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Humana | Medicare | — | $787.00 | $629.60 | 2026-03-26 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Humana | Medicare | — | $787.00 | $629.60 | 2026-03-26 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED CHICAGO TEACHER FUND-ALL PLANS | UNITED CHICAGO TEACHER FUND-ALL PLANS | $3.92 | $29.00 | $21.75 | 2026-01-16 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $3.96 | $116.00 | $17.40 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $3.96 | $116.00 | $17.40 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $4.05 | $105.00 | $17.85 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $4.05 | $107.00 | $18.19 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $4.05 | $105.00 | $17.85 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $4.05 | $107.00 | $18.19 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $4.05 | $116.00 | $17.40 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $4.05 | $105.00 | $28.35 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $4.05 | $116.00 | $17.40 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $4.05 | $95.00 | $14.25 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $4.05 | $95.00 | $14.25 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $4.05 | $105.00 | $28.35 | 2026-05-21 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Cross | Blue Cross - Prudent Buyer | $5.22 | $1,021.00 | $765.75 | 2026-04-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.45 | $1,474.00 | $1,400.30 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.45 | $1,474.00 | $1,400.30 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $5.45 | $1,474.00 | $1,400.30 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.60 | $1,474.00 | $1,400.30 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.75 | $1,474.00 | $1,400.30 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $5.90 | $1,474.00 | $1,400.30 | 2026-02-20 | MRF ↗ |
| EAST CARROLL PARISH HOSPITAL Outpatient | UNITED AT&T-ALL PLANS | UNITED AT&T-ALL PLANS | $6.02 | $29.00 | $21.75 | 2026-01-16 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.22 | $1,474.00 | $1,400.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.22 | $1,474.00 | $1,400.30 | 2026-02-20 | MRF ↗ |
| ABRAZO ARROWHEAD HOSPITAL OutpatientFacility | AMBETTER | AMBETTER FROM ARIZONA COMPLETE HEALTH HIX | $7.30 | — | — | 2026-04-16 | MRF ↗ |
| CROSS CREEK HOSPITAL OutpatientFacility | AMBETTER | AMBETTER FROM ARIZONA COMPLETE HEALTH HIX | $7.30 | — | — | 2026-04-16 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $7.37 | $1,474.00 | $1,400.30 | 2026-02-20 | MRF ↗ |
| BANNER-UNIVERSITY MEDICAL CENTER SOUTH CAMPUS OutpatientFacility | Humana | Medicare Advantage | $7.51 | $604.00 | $186.03 | 2026-10-13 | MRF ↗ |
| University Physicians Hospital At Kino, The OutpatientFacility | Humana | Medicare Advantage | $7.51 | $604.00 | $186.03 | 2026-09-25 | MRF ↗ |
| BANNER DEL E. WEBB MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | $7.51 | $717.00 | $167.06 | 2026-09-22 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.66 | $1,474.00 | $1,400.30 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $7.96 | $1,474.00 | $1,400.30 | 2026-02-20 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Both | Pacific Administrators Inc | Commercial | $8.51 | $1,059.00 | $423.60 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | PAC ADMIN | ALL PRODUCTS | $8.51 | $1,073.00 | $643.80 | 2026-02-12 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $9.53 | — | — | 2026-08-01 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $10.48 | $114.00 | $34.20 | 2026-07-15 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Aetna | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $10.60 | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Washington L & I | Workers Comp | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Kaiser Foundation Health Plan of Washington | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Tricare | POS | — | — | — | 2026-08-19 | 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.