Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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75572 — CT Hrt W/3d Image

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $489

Usually $335–$1,230 (25th–75th percentile) across 2,552 hospitals · 7,614 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 75572 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$335 $489 typical $1,230

The middle 50% of negotiated facility rates for this procedure, measured across 2,552 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. $489
Radiologist read Estimate national typical Medicare $80 × 1.8 commercial. $144
Likely subtotal $633
Complete-episode estimate (typical) ~$633

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 $335–$1,230.

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
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, City of LA, Vivity — $9,006.13 $5,853.98 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO — $9,006.13 $5,853.98 2025-11-26 MRF ↗
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient — — — $8,452.23 $4,226.12 2024-12-15 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates HMO, Non-City of LA, Vivity — $9,006.13 $5,853.98 2025-11-26 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient — — — $8,452.23 $4,226.12 2024-12-15 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 — — 2026-09-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Kaiser Foundation Hospitals Medicare Advantage — $9,006.13 $5,853.98 2025-11-26 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 $2,530.00 $1,897.50 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 $2,530.00 $1,897.50 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN OF SC $0.29 $3,318.00 $2,488.50 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BCBS PREFERRED BLUE PPO $0.29 $3,318.00 $2,488.50 2026-09-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient Kaiser Foundation Hospitals HMO — $11,707.99 $7,610.19 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Kaiser Foundation Hospitals HMO — $9,006.13 $5,853.98 2025-11-26 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient HealthNet of California, Inc. HMO — $11,707.99 $7,610.19 2025-11-26 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 — — 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 $2,530.00 $1,897.50 2026-09-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient AETNA HEALTH OF CALIFORNIA INC. HMO — $9,006.13 $5,853.98 2025-11-26 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.49 $6,521.00 $4,890.75 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN STATE EMPLOYEE $0.60 $3,318.00 $2,488.50 2026-09-01 MRF ↗
James Cancer Hospital & Solove Research Institute Outpatient Cigna Cigna - Transplant $0.62 $2,181.00 — 2026-07-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Blue Cross of California, dba Anthem Blue Cross and its Affiliates PPO — $9,006.13 $5,853.98 2025-11-26 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility HUMANA HUMANA MEDICARE- MIDTOWN IMAGING $0.72 — — 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility HUMANA HUMANA- MIDTOWN IMAGING $0.82 — — 2026-09-01 MRF ↗
CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility AETNA Acop $0.87 $2,464.00 $1,601.60 2026-06-15 MRF ↗
FAIRVIEW HOSPITAL OutpatientFacility AETNA Acop $0.87 $2,464.00 $1,601.60 2026-06-15 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $3,692.00 $2,769.00 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $3,692.00 $2,769.00 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $3,546.00 $2,659.50 2026-05-20 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Medicaid Medicaid $1.00 $2,210.00 $1,105.00 2026-07-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $2,890.00 $2,167.50 2026-09-02 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN STATE EMPLOYEE $1.00 $3,318.00 $2,488.50 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECHOICE HEALTHPLAN OF SC $1.00 $3,318.00 $2,488.50 2026-09-01 MRF ↗
Harper University Hospital BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $2,890.00 $2,167.50 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $3,546.00 $2,659.50 2026-05-20 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE $1.00 $3,692.00 $2,769.00 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $3,805.00 $2,853.75 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $2,530.00 $1,897.50 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE COMMUNITY NM HMO NETWORK EXCHANGE $1.00 $3,805.00 $2,853.75 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BCBS PREFERRED BLUE PPO $1.00 $3,318.00 $2,488.50 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $2,890.00 $2,167.50 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $3,546.00 $2,659.50 2026-05-20 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage — $9,006.13 $5,853.98 2025-11-26 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $2,890.00 $2,167.50 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO $1.00 $3,692.00 $2,769.00 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO $1.00 $3,805.00 $2,853.75 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $3,546.00 $2,659.50 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $3,546.00 $2,659.50 2026-05-20 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE COMMUNITY NM HMO NETWORK EXCHANGE $1.00 $3,692.00 $2,769.00 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $3,546.00 $2,659.50 2026-05-20 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $3,805.00 $2,853.75 2026-09-01 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility UNITED EXCHANGE $1.00 $1,766.52 $422.61 2026-09-05 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $2,890.00 $2,167.50 2026-09-02 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE $1.00 $3,805.00 $2,853.75 2026-09-01 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage — $11,707.99 $7,610.19 2025-11-26 MRF ↗
GOOD SAMARITAN MEDICAL CENTER OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $2,890.00 $2,167.50 2026-09-02 MRF ↗
FAIRVIEW HOSPITAL OutpatientFacility AETNA Asa_Whirlpool_Peia $1.01 $2,464.00 $1,601.60 2026-06-15 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Geisinger Family Plan Geisinger Family Plan - Managed Medicaid $1.07 $2,210.00 $1,105.00 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient AmeriHealth AmeriHealth Cartias - Managed Medicaid $1.10 $2,210.00 $1,105.00 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient UPMC For You UPMC For You - Managed Medicaid $1.18 $2,210.00 $1,105.00 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Jefferson Health Plan Jefferson Health Plan - Managed Medicaid $1.20 $2,210.00 $1,105.00 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - Managed Medicaid $1.47 $2,210.00 $1,105.00 2026-07-01 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $2.46 $322.00 $61.18 2026-05-20 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - CHIP - Managed Medicare $2.50 $2,210.00 $1,105.00 2026-07-01 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Both CIGNA [100009] HB Cigna PPO - LeBonheur $3.75 $3,235.00 $711.70 2026-03-19 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Healthplan Medicaid Wv Medicaid $3.89 — — 2026-05-06 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $3.95 $2,192.00 $198.00 2024-12-31 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Wellpoint Wv Medicaid $4.08 — — 2026-05-06 MRF ↗
JACKSONVILLE MEMORIAL HOSPITAL Outpatient Commercial Workers Compensation Commercial Workers Compensation $4.60 $1,461.00 $1,461.00 2026-07-15 MRF ↗
DECATUR MEMORIAL HOSPITAL Outpatient Commercial Workers Compensation Commercial Workers Compensation $4.60 $1,461.00 $1,461.00 2026-07-15 MRF ↗
DECATUR MEMORIAL HOSPITAL Outpatient Hfn Hfn Workers Compensation $4.60 $1,461.00 $1,461.00 2026-07-15 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.62 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.66 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $6.66 — — 2026-03-18 MRF ↗
HUNTINGTON HOSPITAL Outpatient Blue Cross of California d/b/a Anthem Blue Cross HMO, Non-City of LA, Vivity — $6,974.69 $4,533.55 2025-11-26 MRF ↗
HUNTINGTON HOSPITAL Outpatient Blue Cross of California d/b/a Anthem Blue Cross HMO — $6,974.69 $4,533.55 2025-11-26 MRF ↗
HUNTINGTON HOSPITAL Outpatient Blue Cross of California d/b/a Anthem Blue Cross HMO, City of LA, Vivity — $6,974.69 $4,533.55 2025-11-26 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $7.58 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $7.63 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $7.63 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $8.26 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $8.31 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $8.31 — — 2026-03-18 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $8.55 $2,312.00 $2,196.40 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $8.55 $2,312.00 $2,196.40 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $8.55 $2,312.00 $2,196.40 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $8.79 $2,312.00 $2,196.40 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $9.02 $2,312.00 $2,196.40 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $9.25 $2,312.00 $2,196.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $11.33 $2,312.00 $2,196.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $11.33 $2,312.00 $2,196.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $11.56 $2,312.00 $2,196.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $12.02 $2,312.00 $2,196.40 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $12.48 $2,312.00 $2,196.40 2026-02-20 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $12.77 $338.00 $60.84 2026-05-23 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $12.77 $338.00 $50.70 2026-07-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE CROSS NON MCS BLUE CROSS NON MCS $12.77 $338.00 $60.84 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $12.77 $338.00 $60.84 2026-01-30 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient BLUE CROSS NON-MCS BLUE CROSS NON-MCS $12.77 $338.00 $50.70 2026-07-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE CROSS NON MCS BLUE CROSS NON MCS $12.77 $338.00 $60.84 2026-01-30 MRF ↗
INTEGRIS GROVE HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $12.90 — — 2026-04-01 MRF ↗
INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $12.90 — — 2026-04-01 MRF ↗
INTEGRIS MIAMI HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $12.90 — — 2026-04-01 MRF ↗
INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $12.90 — — 2026-04-01 MRF ↗
LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility Healthchoice All Commercial Plans $12.90 — — 2026-04-01 MRF ↗
INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility Healthchoice All Commercial Plans $12.90 — — 2026-04-01 MRF ↗
INTEGRIS HEALTH PONCA CITY OutpatientFacility Healthchoice All Commercial Plans $12.90 — — 2026-04-01 MRF ↗
ALLIANCEHEALTH WOODWARD OutpatientFacility Healthchoice All Commercial Plans $12.90 — — 2026-04-01 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Humana Medicare Advantage $12.94 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Tricare All $12.94 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility VA Health All $12.94 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility UHC Medicare Advantage $12.94 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Blue Cross Blue Shield Medicare Advantage $12.94 — — 2026-03-28 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC NON-MCS - ALL OTHER PLANS BC NON-MCS - ALL OTHER PLANS $13.05 $322.00 $54.74 2026-05-23 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC MCS BC MCS $13.05 $330.00 $56.10 2026-01-24 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient BLUE CROSS MCS BLUE CROSS MCS $13.05 $113.81 $17.07 2026-10-05 MRF ↗
ADVENTIST HEALTH ST HELENA Outpatient BLUE CROSS NON MCS BLUE CROSS NON MCS $13.05 $357.00 $53.55 2026-07-15 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $13.05 $113.81 $17.07 2026-10-05 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC MCS BC MCS $13.05 $322.00 $54.74 2026-05-23 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC NON-MCS - ALL OTHER PLANS BC NON-MCS - ALL OTHER PLANS $13.05 $330.00 $56.10 2026-01-24 MRF ↗
ADVENTIST HEALTH ST HELENA Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $13.05 $357.00 $53.55 2026-07-15 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient BLUE CROSS NON-MCS- ALL OTHER PLANS BLUE CROSS NON-MCS- ALL OTHER PLANS $13.05 $322.00 $86.94 2026-01-31 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient BLUE CROSS NON-MCS- ALL OTHER PLANS BLUE CROSS NON-MCS- ALL OTHER PLANS $13.05 $322.00 $86.94 2026-05-21 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $14.02 $429.00 $429.00 2026-02-13 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $14.02 $429.00 $429.00 2026-06-03 MRF ↗
Kentfield Hospital First Health , Affordable, Ccn, Coventry 700 — $16.00 $25.00 — 2026-07-30 MRF ↗
Kentfield Hospital Tricare Healthnet 232 — $16.25 $25.00 — 2026-07-30 MRF ↗
Kentfield Hospital Tricare 369 — $17.50 $25.00 — 2026-07-30 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Outpatient Aetna Medicare Advantage — — — 2025-10-24 MRF ↗
Kentfield Hospital Multiplan Complimentary 737 Multiplan, Value Point — $20.00 $25.00 — 2026-07-30 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Group Health Coop (Ghc) Ghc Commercial (Kaiser) $20.40 $204.00 $204.00 2026-07-15 MRF ↗
DOCTORS' CENTER BAYAMON Outpatient Mapfre Commercial $21.00 $250.00 $250.00 2025-10-20 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $22.00 $174.00 $87.00 2025-02-03 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient NYSDOH_1400 NY MEDICAID CLINIC EPISODE $22.22 $458.17 $99.33 2025-01-19 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient FIDELIS_1400 FIDELIS CLINIC $22.22 $458.17 $99.33 2025-01-19 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient UNITED_1400 UNITED COMMUNITY CLINIC $23.33 $458.17 $99.33 2025-01-19 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Covered $23.43 $53.00 $43.46 2025-11-26 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Meridian Medicaid - Meridian $24.00 $174.00 $87.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $24.00 $174.00 $87.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $24.00 $174.00 $87.00 2025-02-03 MRF ↗
MON HEALTH MARION Outpatient The Health Plan Commercial Plan Commercial $24.01 $171.47 $85.73 2026-07-15 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Covered $24.78 $56.06 $45.97 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. POS $24.96 $53.00 $43.46 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. PPO $24.96 $53.00 $43.46 2025-11-26 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - United Medicaid - United $25.00 $174.00 $87.00 2025-02-03 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient NYSDOH_1402 NY MEDICAID EMERGENCY ROOM $25.44 $458.17 $99.33 2025-01-19 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient FIDELIS_1402 FIDELIS EMERGENCY ROOM $25.44 $458.17 $99.33 2025-01-19 MRF ↗
AUBURN COMMUNITY HOSPITAL Outpatient UNITED_1402 UNITED COMMUNITY EMERGENCY ROOM $26.71 $458.17 $99.33 2025-01-19 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 — — 2024-12-08 MRF ↗
MCLAREN MACOMB Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $30.00 $174.00 $87.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - United Medicaid - United $30.00 $174.00 $87.00 2025-02-03 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Anthem Healthkeepers Medicaid Plans $30.43 $1,709.00 $563.97 2026-07-15 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Anthem Healthkeepers Medicaid Plans $30.43 $1,709.00 $563.97 2026-09-21 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Aetna Better Health Medicaid Plans $30.43 $1,709.00 $563.97 2026-07-15 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Aetna Better Health Medicaid Plans $30.43 $1,709.00 $563.97 2026-09-21 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Sentara Medicaid — $30.73 $1,709.00 $563.97 2026-09-21 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Sentara Medicaid — $30.73 $1,709.00 $563.97 2026-07-15 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 — — 2024-12-08 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Molina Medicaid - Molina $31.00 $174.00 $87.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Tricare Tricare $31.00 $174.00 $87.00 2025-02-03 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both United Healthcare Medicaid $31.04 $1,709.00 $563.97 2026-09-21 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both United Healthcare Medicaid $31.04 $1,709.00 $563.97 2026-07-15 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI [11301] — $491.90 $491.90 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK [11401] — $155.69 $155.69 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient HIGHMARK [114] HIGHMARK ESSENTIALS [11404] — $491.90 $491.90 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MULTIPLAN [141] MULTIPLAN [14101] — $155.69 $155.69 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 3&4 [18804] — $155.69 $155.69 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 1&2 [18803] — $155.69 $155.69 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK ESSENTIALS [11404] — $155.69 $155.69 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA MEDICAID MANAGED CARE [18801] — $491.90 $491.90 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient HIGHMARK [114] HIGHMARK [11401] — $491.90 $491.90 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient MULTIPLAN [141] MULTIPLAN [14101] — $491.90 $491.90 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient EMBLEM GHI [113] EMBLEM GHI [11301] — $155.69 $155.69 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient HIGHMARK [114] HIGHMARK MEDICARE [11402] — $155.69 $155.69 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA MEDICAID MANAGED CARE [18801] — $155.69 $155.69 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient GENERIC MEDICARE HMO [125] GENERIC MEDICARE HMO [12505] — $491.90 $491.90 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 1&2 [18803] — $491.90 $491.90 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient GENERIC CARRIER [107] COMMERCIAL [10701] — $491.90 $491.90 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient UNITED BEHAVORIAL HEALTH [120] UNITED BEHAVORIAL HEALTH [12001] — $491.90 $491.90 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient HIGHMARK [114] HIGHMARK MEDICARE [11402] — $491.90 $491.90 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient UNITED HEALTHCARE [101] UHC COMMUNITY PLAN [10104] $31.14 $155.69 $155.69 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient GENERIC CARRIER [107] COMMERCIAL [10701] — $155.69 $155.69 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Inpatient MOLINA HEALTHCARE OF NY [188] MOLINA ESSENTIALS 3&4 [18804] — $491.90 $491.90 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE [10301] — $491.90 $491.90 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient GENERIC MEDICARE HMO [125] GENERIC MEDICARE HMO [12505] — $155.69 $155.69 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient CHAMPUS/TRICARE [103] CHAMPUS/TRICARE [10301] — $155.69 $155.69 2024-12-30 MRF ↗
ROCHESTER GENERAL HOSPITAL Outpatient UNITED BEHAVORIAL HEALTH [120] UNITED BEHAVORIAL HEALTH [12001] — $155.69 $155.69 2024-12-30 MRF ↗
SOUTHSIDE COMMUNITY HOSPITAL, INC Both Molina Medicaid $31.34 $1,709.00 $563.97 2026-09-21 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Molina Medicaid $31.34 $1,709.00 $563.97 2026-07-15 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Molina Medicaid - Molina $32.00 $174.00 $87.00 2025-02-03 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Beacon Health Strategies/Carelon Wellsense - Nh Managed Medicaid Beh Health - Dhp $32.45 — — 2026-07-18 MRF ↗
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both Vaccn — — $102.00 $102.00 2026-05-09 MRF ↗
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both Humanamilitary Tricare — $102.00 $102.00 2026-05-09 MRF ↗
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both Magnacare — — $102.00 $102.00 2026-05-09 MRF ↗
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both Martinspoint Tricare — $102.00 $102.00 2026-05-09 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - Molina Medicaid - Molina $33.00 $174.00 $87.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicare - United Medicare - United $33.00 $174.00 $87.00 2025-02-03 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 $7,267.00 $5,450.25 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 $7,267.00 $5,450.25 2024-12-08 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.