74485 — Dilation Urtr/urt Rs&i
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DILATION URTR/URT RS&I (CPT 74485) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74485?code_type=CPT
MLA (9th ed.)
“DILATION URTR/URT RS&I (CPT 74485) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74485?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“DILATION URTR/URT RS&I (CPT 74485) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74485?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $417–$2,795 (25th–75th percentile) across 2,271 hospitals · 5,659 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 74485 — 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
$417
$1,937 typical
$2,795
The middle 50% of negotiated facility rates for this procedure, measured across 2,271 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. | $1,937 |
| Radiologist read Estimate national typical Medicare $39 × 1.8 commercial. | $71 |
| Likely subtotal | $2,008 |
Complete-episode estimate (typical)
~$2,008
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 $417–$2,795.
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 | — | — | — | $8,457.12 | $4,228.56 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $8,457.12 | $4,228.56 | 2024-12-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $3,867.00 | $2,900.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $5,584.00 | $4,188.00 | 2026-09-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $0.24 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | AMERIHEALTH MCAID ADV [1316] | AMERIHEALTH [376] | $0.24 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $0.24 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | AMERIHEALTH MCAID ADV [1316] | AMERIHEALTH [376] | $0.24 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | CAROLINA COMPLETE HEALTH [1317] | CAROLINA COMPLETE [377] | $0.24 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | BCBS MEDICAID - HEALTHY BLUE [1318] | BCBS MEDICAID - HEALTHY BLUE [378] | $0.24 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | WELLCARE [1320] | WELLCARE [380] | $0.24 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $0.24 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | WELLCARE [1320] | WELLCARE [380] | $0.24 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | BCBS MEDICAID - HEALTHY BLUE [1318] | NCHC BCBS MEDICAID - HEALTHY BLUE [406] | $0.24 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $3,867.00 | $2,900.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $5,584.00 | $4,188.00 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $5,584.00 | $4,188.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $3,867.00 | $2,900.25 | 2026-09-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | UNITED HEALTHCARE [1030] | UNITED HC HERITAGE PRODUCT [1446] | $0.44 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | UNITED HEALTHCARE [1030] | UNITED HC HERITAGE PRODUCT [1446] | $0.44 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | BCBS [1013] | BCBS BLUE OPTIONS HRA/HSA [1023] | $0.46 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | BCBS [1013] | BCBS BLUE OPTIONS HRA/HSA [1023] | $0.46 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $11,179.00 | $8,384.25 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS PREFERRED PROVIDER ARRANGEMENT | $0.50 | $5,591.00 | $4,193.25 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS OUT OF STATE | $0.50 | $5,591.00 | $4,193.25 | 2026-06-05 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | AETNA [1015] | AETNA NC PREFERRED [403] | $0.50 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS INDEMNITY | $0.50 | $5,591.00 | $4,193.25 | 2026-06-05 | MRF ↗ |
| Vidant Beaufort Hospital Both | AETNA [1015] | AETNA NC PREFERRED [403] | $0.50 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS HIGH PERFORMANCE NETWORK | $0.50 | $5,591.00 | $4,193.25 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS HMO BLUE | $0.50 | $5,591.00 | $4,193.25 | 2026-06-05 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | UNITED HEALTHCARE [1030] | UNITED HC PPO [1140] | $0.53 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | UNITED HEALTHCARE [1030] | UNITED HC BEHAVIORAL HEALTH/OPTUM [1532] | $0.53 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | UMR UNITED HC [1290] | UMR UNITED HC [1567] | $0.53 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | UNITED HEALTHCARE [1030] | UNITED HC HMO [1138] | $0.53 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | UNITED HEALTHCARE [1030] | UNITED HC HMO [1138] | $0.53 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | UMR UNITED HC [1290] | UMR UNITED HC [1567] | $0.53 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | UNITED HEALTHCARE [1030] | UNITED HC INDEMNITY [1139] | $0.53 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | UNITED HEALTHCARE [1030] | UNITED HC BEHAVIORAL HEALTH/OPTUM [1532] | $0.53 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | UNITED HEALTHCARE [1030] | UNITED HC GOLDEN RULE [1448] | $0.53 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | UNITED HEALTHCARE [1030] | UNITED HC GOLDEN RULE [1448] | $0.53 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | UNITED HEALTHCARE [1030] | UNITED HC PPO [1140] | $0.53 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | UNITED HEALTHCARE [1030] | UNITED HC INDEMNITY [1139] | $0.53 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | MEDCOST [1067] | MEDCOST - CITY OF HAVELOCK [387] | $0.56 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | MEDCOST [1067] | MEDCOST -EDWARDS [383] | $0.56 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | MEDCOST [1067] | MEDCOST ULTRA [1467] | $0.56 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MEDCOST [1067] | MEDCOST -EDWARDS [383] | $0.56 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MEDCOST [1067] | MEDCOST - CITY OF HAVELOCK [387] | $0.56 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MEDCOST [1067] | MEDCOST ULTRA [1467] | $0.56 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | MEDCOST [1067] | MEDCOST -PHYSICIANS EAST [368] | $0.56 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MEDCOST [1067] | MEDCOST -PHYSICIANS EAST [368] | $0.56 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | AETNA [1015] | AETNA [1016] | $0.57 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | AETNA [1015] | AETNA [1016] | $0.57 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $4,162.00 | — | 2026-07-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | MEDCOST [1067] | MEDCOST [1207] | $0.63 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MEDCOST [1067] | MEDCOST -NC LEAGUE OF MUNICIPALITIES [1420] | $0.63 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | MEDCOST [1067] | MEDCOST -UPPER COASTAL PLAIN COG [1357] | $0.63 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | MEDCOST [1067] | MEDCOST -CONTINUUM OF CRAVEN [1294] | $0.63 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | MEDCOST [1067] | MEDCOST -EASTERN DERMATOLOGY [1464] | $0.63 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | MEDCOST [1067] | MEDCOST - ECAA [389] | $0.63 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MEDCOST [1067] | MEDCOST -UPPER COASTAL PLAIN COG [1357] | $0.63 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | MEDCOST [1067] | MEDCOST -ORTHOPEDICS EAST [369] | $0.63 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MEDCOST [1067] | MEDCOST -CONTINUUM OF CRAVEN [1294] | $0.63 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MEDCOST [1067] | MEDCOST [1207] | $0.63 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MEDCOST [1067] | MEDCOST -ORTHOPEDICS EAST [369] | $0.63 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MEDCOST [1067] | MEDCOST - ECU HEALTH [1247] | $0.63 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | MEDCOST [1067] | MEDCOST -NC LEAGUE OF MUNICIPALITIES [1420] | $0.63 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MEDCOST [1067] | MEDCOST - ECAA [389] | $0.63 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | MEDCOST [1067] | MEDCOST - ECU HEALTH [1247] | $0.63 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MEDCOST [1067] | MEDCOST -EASTERN DERMATOLOGY [1464] | $0.63 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | AETNA [1015] | AETNA CONNECTED CVS [402] | $0.69 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | AETNA [1015] | AETNA CONNECTED CVS [402] | $0.69 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.70 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | CIGNA [1016] | CIGNA CITY GREENVILLE/GVILLE UTILITIES [1313] | $0.70 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.70 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | CIGNA [1016] | VMC HILLCO CIGNA [1621] | $0.70 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $3,867.00 | $2,900.25 | 2026-09-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | NC DEPT OF PUBLIC SAFETY [1095] | NC DEPT OF PUBLIC SAFETY [1098] | $0.74 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | NC DEPT OF PUBLIC SAFETY [1095] | NC DEPT OF PUBLIC SAFETY [1098] | $0.74 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.78 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | CIGNA [1016] | CIGNA PPO - OPEN ACCESS [1035] | $0.78 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | $3,867.00 | $2,900.25 | 2026-09-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.85 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| Vidant Beaufort Hospital Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.85 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | CIGNA [1016] | CIGNA NUCOR CORP [1036] | $0.85 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | CIGNA [1016] | CIGNA - EDGECOMBE COUNTY [1618] | $0.85 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.85 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | CIGNA [1016] | CIGNA HEALTHCARE HMO [1034] | $0.85 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $14,135.00 | $9,187.75 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $14,135.00 | $9,187.75 | 2026-06-15 | MRF ↗ |
| Vidant Beaufort Hospital Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.92 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | MULTIPLAN [1031] | MULTIPLAN [1147] | $0.92 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $1.00 | $0.98 | 2025-08-04 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $1.00 | $0.98 | 2025-03-17 | MRF ↗ |
| Vidant Beaufort Hospital Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.99 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.99 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| Vidant Beaufort Hospital Both | CIGNA [1016] | CIGNA STARBRIDGE [1285] | $0.99 | $1.00 | $0.53 | 2026-04-01 | MRF ↗ |
| ECU HEALTH MEDICAL CENTER Both | CIGNA [1016] | CIGNA STARBRIDGE BEECHSTREET [1286] | $0.99 | $1.00 | $0.53 | 2026-03-24 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $2,706.00 | $2,029.50 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $2,706.00 | $2,029.50 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $2,706.00 | $2,029.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $5,584.00 | $4,188.00 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $11,785.00 | $8,838.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $11,785.00 | $8,838.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $11,785.00 | $8,838.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $11,785.00 | $8,838.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $11,785.00 | $8,838.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $11,785.00 | $8,838.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $11,785.00 | $8,838.75 | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $5,190.48 | — | 2026-09-05 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $2,706.00 | $2,029.50 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $11,785.00 | $8,838.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $6,011.00 | $4,508.25 | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $5,190.48 | — | 2026-09-05 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $5,584.00 | $4,188.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $11,179.00 | $8,384.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $6,206.00 | $4,654.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $6,206.00 | $4,654.50 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $11,785.00 | $8,838.75 | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $5,584.00 | $4,188.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $2,706.00 | $2,029.50 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $5,584.00 | $4,188.00 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $2,706.00 | $2,029.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $6,229.00 | $4,671.75 | 2026-05-20 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $6,206.00 | $4,654.50 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $6,229.00 | $4,671.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $6,206.00 | $4,654.50 | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $3,867.00 | $2,900.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $6,229.00 | $4,671.75 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SPP | $1.00 | $11,179.00 | $8,384.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $6,206.00 | $4,654.50 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $3,867.00 | $2,900.25 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $5,591.00 | $4,193.25 | 2026-06-05 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | $11,179.00 | $8,384.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $6,229.00 | $4,671.75 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA QPIC | $1.00 | $11,179.00 | $8,384.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $2,706.00 | $2,029.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $6,229.00 | $4,671.75 | 2026-05-20 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $11,179.00 | $8,384.25 | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $5,318.00 | $2,659.00 | 2026-07-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $3,867.00 | $2,900.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $2,706.00 | $2,029.50 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $6,229.00 | $4,671.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $6,206.00 | $4,654.50 | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $3,867.00 | $2,900.25 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $11,179.00 | $8,384.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $2,706.00 | $2,029.50 | 2026-09-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $14,135.00 | $9,187.75 | 2026-06-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $5,318.00 | $2,659.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $5,318.00 | $2,659.00 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $1.14 | $153.00 | $29.07 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $5,318.00 | $2,659.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $5,318.00 | $2,659.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $5,318.00 | $2,659.00 | 2026-07-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $2.04 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $2.14 | — | — | 2026-05-06 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $562.00 | — | 2025-06-28 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $5,318.00 | $2,659.00 | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.87 | $775.00 | $736.25 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.87 | $775.00 | $736.25 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.87 | $775.00 | $736.25 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.94 | $775.00 | $736.25 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.02 | $775.00 | $736.25 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.10 | $775.00 | $736.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.80 | $775.00 | $736.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.80 | $775.00 | $736.25 | 2026-02-20 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $3.85 | $170.00 | $25.50 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $3.85 | $170.00 | $25.50 | 2026-07-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.88 | $775.00 | $736.25 | 2026-02-20 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $3.93 | $153.00 | $22.95 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $3.93 | $153.00 | $41.31 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $3.93 | $153.00 | $22.95 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $3.93 | $170.00 | $25.50 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $3.93 | $170.00 | $25.50 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $3.93 | $153.00 | $26.01 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $3.93 | $153.00 | $26.01 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $3.93 | $153.00 | $41.31 | 2026-05-21 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.03 | $775.00 | $736.25 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $4.18 | $775.00 | $736.25 | 2026-02-20 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $4.53 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $4.53 | $2,914.00 | $1,457.00 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $4.53 | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $4.53 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $4.53 | $2,914.00 | $1,457.00 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $4.53 | — | — | 2024-12-10 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $5.15 | $3,930.00 | $3,930.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $5.15 | $3,993.00 | $3,993.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $5.15 | $3,993.00 | $3,993.00 | 2026-07-15 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $5.51 | $1,909.00 | $1,336.30 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $5.51 | $1,909.00 | $1,336.30 | 2025-01-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.