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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75625 — Contrast Exam Abdominl Aorta

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 $3,210

Usually $1,283–$4,916 (25th–75th percentile) across 2,755 hospitals · 8,290 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 75625 — 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
$1,283 $3,210 typical $4,916

The middle 50% of negotiated facility rates for this procedure, measured across 2,755 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. $3,210
Radiologist read Estimate national typical Medicare $66 × 1.8 commercial. $118
Likely subtotal $3,329
Complete-episode estimate (typical) ~$3,329

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 $1,283–$4,916.

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 HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient — — — $3,242.88 $1,621.44 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient — — — $3,242.88 $1,621.44 2024-12-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Freedom Blue Medicare Advantage $0.15 $1.00 $0.80 2026-07-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Bcbs Blue Medicare Hmo/Ppo $0.15 $1.00 $0.80 2026-07-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Amerihealth Managed Medicaid $0.17 $1.00 $0.80 2026-07-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Geisinger Managed Medicaid $0.17 $1.00 $0.80 2026-07-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Amerihealth Caritas Chc $0.17 $1.00 $0.80 2026-07-15 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 $7,291.00 $5,468.25 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 $10,269.00 $7,701.75 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 $7,291.00 $5,468.25 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 $10,269.00 $7,701.75 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 $7,291.00 $5,468.25 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 $10,269.00 $7,701.75 2026-09-01 MRF ↗
Guthrie Towanda Memorial Hospital Both Mvp Exchange $0.46 $1.00 $0.80 2026-07-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Meshoppen — $0.49 $1.00 $0.80 2026-07-15 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.49 $11,343.00 $8,507.25 2026-09-01 MRF ↗
METROWEST MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS HMO BLUE $0.50 $13,275.00 $9,956.25 2026-06-05 MRF ↗
METROWEST MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS PREFERRED PROVIDER ARRANGEMENT $0.50 $13,275.00 $9,956.25 2026-06-05 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Core — $0.50 $1.00 $0.80 2026-07-15 MRF ↗
METROWEST MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS INDEMNITY $0.50 $13,275.00 $9,956.25 2026-06-05 MRF ↗
METROWEST MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS OUT OF STATE $0.50 $13,275.00 $9,956.25 2026-06-05 MRF ↗
METROWEST MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS HIGH PERFORMANCE NETWORK $0.50 $13,275.00 $9,956.25 2026-06-05 MRF ↗
Guthrie Towanda Memorial Hospital Both Mvp — $0.53 $1.00 $0.80 2026-07-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Cdphp — $0.55 $1.00 $0.80 2026-07-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Mvp Exchange $0.55 $1.00 $0.80 2026-07-15 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 Aetna Managed Medicare — — — 2026-09-21 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Aetna Commercial — — — 2026-09-21 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Blue Cross Medicare Advantage — — — 2026-09-21 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both United Health Care Medicare Advantage — — — 2026-09-21 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Molina Managed Medicare — — — 2026-09-21 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Absolute Total Care Medicare Advantage — — — 2026-09-21 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Mvp — $0.61 $1.00 $0.80 2026-07-15 MRF ↗
James Cancer Hospital & Solove Research Institute Outpatient Cigna Cigna - Transplant $0.62 $4,937.00 — 2026-07-01 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Cigna Behavioral $0.63 $1.00 $0.80 2026-07-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Healthamerica — $0.63 $1.00 $0.80 2026-07-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient United Healthcare Student $0.70 $1.00 $0.80 2026-07-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient United Healthcare Empire $0.70 $1.00 $0.80 2026-07-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient United Healthcare — $0.70 $1.00 $0.80 2026-07-15 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility HUMANA HUMANA MEDICARE- MIDTOWN IMAGING $0.72 $10,269.00 $7,701.75 2026-09-01 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Pomco — $0.75 $1.00 $0.80 2026-07-15 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility HUMANA HUMANA- MIDTOWN IMAGING $0.82 $10,269.00 $7,701.75 2026-09-01 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Multiplan — $0.85 $1.00 $0.80 2026-07-15 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Devon — $0.85 $1.00 $0.80 2026-07-15 MRF ↗
CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility AETNA Acop $0.87 $21,718.00 $14,116.70 2026-06-15 MRF ↗
FAIRVIEW HOSPITAL OutpatientFacility AETNA Acop $0.87 $21,718.00 $14,116.70 2026-06-15 MRF ↗
FREDERICK HEALTH HOSPITAL Both All Payers All Plans — $1.00 $0.98 2025-03-17 MRF ↗
FREDERICK HEALTH HOSPITAL Both All Payers All Plans — $1.00 $0.98 2025-08-04 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AETNA AETNA EXCHANGE $1.00 $7,291.00 $5,468.25 2026-09-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Medicaid Medicaid $1.00 $7,171.00 $3,585.50 2026-07-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE $1.00 $14,496.00 $10,872.00 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility CIGNA CIGNA COMMERCIAL $1.00 — — 2026-09-02 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE HMO/POS $1.00 $7,291.00 $5,468.25 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California Covered — $4,495.00 $3,685.90 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage — $4,495.00 $3,685.90 2025-11-26 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE PPO $1.00 $7,291.00 $5,468.25 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility AETNA AETNA COMMERCIAL NEW BUSINESS DISCOUNT $1.00 $14,496.00 $10,872.00 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California HMO — $4,495.00 $3,685.90 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage — $4,495.00 $3,685.90 2025-11-26 MRF ↗
METROWEST MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE $1.00 $13,275.00 $9,956.25 2026-06-05 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $4,973.00 $3,729.75 2026-05-20 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Upmc — $1.00 $1.00 $0.80 2026-07-15 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA SOUTH SAN ANTONIO ISD $1.00 $11,343.00 $8,507.25 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE $1.00 $14,496.00 $10,872.00 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO — $4,495.00 $3,685.90 2025-11-26 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AETNA AETNA EXCHANGE $1.00 $10,269.00 $7,701.75 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $7,325.00 $5,493.75 2026-09-02 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA COMMERCIAL NEW BUSINESS DISCOUNT $1.00 $11,343.00 $8,507.25 2026-09-01 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility AETNA AETNA COMMERCIAL $1.00 $8,515.00 $6,386.25 2026-09-01 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility AETNA AETNA US HEALTHCARE OF CALIFORNIA $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $4,973.00 $3,729.75 2026-05-20 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility CIGNA CIGNA/PPO $1.00 — — 2026-09-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE HMO/POS $1.00 $10,269.00 $7,701.75 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility AETNA AETNA US HEALTHCARE HMO $1.00 — — 2026-09-02 MRF ↗
HI-DESERT MEDICAL CENTER OutpatientFacility AETNA AETNA NON GATEKEEPER (PPO) $1.00 — — 2026-09-02 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA COMMERCIAL $1.00 $11,343.00 $8,507.25 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $14,496.00 $10,872.00 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $7,325.00 $5,493.75 2026-09-02 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient SCAN Health Plan Medicare Advantage — $13,829.70 $8,989.31 2025-11-26 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility AETNA AETNA US HEALTHCARE PPO $1.00 — — 2026-09-02 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Tricare Medicare Advantage $1.00 $1.00 $0.80 2026-07-15 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA QPIC $1.00 $11,343.00 $8,507.25 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $19,682.00 $14,761.50 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE $1.00 $19,682.00 $14,761.50 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $7,291.00 $5,468.25 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA COMMERCIAL NEW BUSINESS DISCOUNT $1.00 $19,682.00 $14,761.50 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $4,973.00 $3,729.75 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $4,973.00 $3,729.75 2026-05-20 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $10,269.00 $7,701.75 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $19,682.00 $14,761.50 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE PPO $1.00 $10,269.00 $7,701.75 2026-09-01 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility CIGNA CIGNA HMO $1.00 — — 2026-09-02 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility CIGNA CIGNA COMMERCIAL $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA EXCHANGE $1.00 $19,682.00 $14,761.50 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $4,973.00 $3,729.75 2026-05-20 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility CIGNA CIGNA PPO $1.00 — — 2026-09-02 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility CIGNA CIGNA HMO $1.00 — — 2026-09-02 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Wellcare Fidelis Medicare Advantage $1.00 $1.00 $0.80 2026-07-15 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $14,496.00 $10,872.00 2026-09-01 MRF ↗
SOUTH BROOKLYN HEALTH OutpatientFacility UNITED EXCHANGE $1.00 $8,119.58 $3,724.63 2026-09-05 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA US HEALTHCARE $1.00 $19,682.00 $14,761.50 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA ACO NETWORK $1.00 $19,682.00 $14,761.50 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE COMMUNITY NM HMO NETWORK EXCHANGE $1.00 $14,496.00 $10,872.00 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage — $4,495.00 $3,685.90 2025-11-26 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient United Healthcare Medicare Advantage $1.00 $1.00 $0.80 2026-07-15 MRF ↗
CEDARS-SINAI MEDICAL CENTER Inpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage — $13,829.70 $8,989.31 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage — $4,495.00 $3,685.90 2025-11-26 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO $1.00 $19,682.00 $14,761.50 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage — $4,495.00 $3,685.90 2025-11-26 MRF ↗
SIERRA MEDICAL CENTER BothFacility AETNA AETNA ACO NETWORK $1.00 $14,496.00 $10,872.00 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA SPP $1.00 $11,343.00 $8,507.25 2026-09-01 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Emblem Medicare Advantage $1.00 $1.00 $0.80 2026-07-15 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $7,325.00 $5,493.75 2026-09-02 MRF ↗
HI-DESERT MEDICAL CENTER OutpatientFacility AETNA AETNA GATEKEEPER (HMO/POS/EPO) $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE COMMUNITY NM HMO NETWORK EXCHANGE $1.00 $19,682.00 $14,761.50 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO $1.00 $14,496.00 $10,872.00 2026-09-01 MRF ↗
Harper University Hospital BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $7,325.00 $5,493.75 2026-09-02 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $7,325.00 $5,493.75 2026-09-02 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Cdphp Medicare Advantage $1.00 $1.00 $0.80 2026-07-15 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA EXCHANGE $1.00 $11,343.00 $8,507.25 2026-09-01 MRF ↗
Guthrie Towanda Memorial Hospital Outpatient Mvp Managed Medicaid $1.00 $1.00 $0.80 2026-07-15 MRF ↗
SIERRA MEDICAL CENTER BothFacility AETNA AETNA EXCHANGE $1.00 $14,496.00 $10,872.00 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $7,325.00 $5,493.75 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $4,973.00 $3,729.75 2026-05-20 MRF ↗
FAIRVIEW HOSPITAL OutpatientFacility AETNA Asa_Whirlpool_Peia $1.01 $21,718.00 $14,116.70 2026-06-15 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Geisinger Family Plan Geisinger Family Plan - Managed Medicaid $1.07 $7,171.00 $3,585.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient AmeriHealth AmeriHealth Cartias - Managed Medicaid $1.10 $7,171.00 $3,585.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient UPMC For You UPMC For You - Managed Medicaid $1.18 $7,171.00 $3,585.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Jefferson Health Plan Jefferson Health Plan - Managed Medicaid $1.20 $7,171.00 $3,585.50 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - Managed Medicaid $1.47 $7,171.00 $3,585.50 2026-07-01 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Healthplan Medicaid Wv Medicaid $1.52 — — 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Wellpoint Wv Medicaid $1.60 — — 2026-05-06 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $1.99 $254.00 $48.26 2026-05-20 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $1.99 $260.00 $49.40 2026-01-25 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility HAP Self Insured $2.24 $2,636.00 — 2025-06-28 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient United Healthcare United Healthcare - CHIP - Managed Medicare $2.50 $7,171.00 $3,585.50 2026-07-01 MRF ↗
LAKEVIEW HOSPITAL BothFacility HP MEDICAID REPLACEMENT [950307] HP CARE PMAP [50327] $3.68 $9,105.00 $3,368.85 2026-03-31 MRF ↗
LECONTE MEDICAL CENTER Outpatient Ambetter Exchange $6.71 $4,560.00 $2,280.00 2024-12-10 MRF ↗
FORT LOUDOUN MEDICAL CENTER Outpatient Ambetter Exchange $6.71 — — 2024-12-10 MRF ↗
LECONTE MEDICAL CENTER Outpatient Ambetter Exchange $6.71 $4,560.00 $2,280.00 2024-12-10 MRF ↗
ROANE MEDICAL CENTER Outpatient Ambetter Exchange $6.71 $4,560.00 $2,280.00 2024-12-10 MRF ↗
ROANE MEDICAL CENTER Outpatient Ambetter Exchange $6.71 $4,560.00 $2,280.00 2024-12-10 MRF ↗
FORT LOUDOUN MEDICAL CENTER Outpatient Ambetter Exchange $6.71 — — 2024-12-10 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $7.84 $398.00 $398.00 2026-02-13 MRF ↗
SARAH BUSH LINCOLN HEALTH CENTER Outpatient HLTH ALLIANCE-ALL OTHER PLANS HLTH ALLIANCE-ALL OTHER PLANS $7.84 $398.00 $398.00 2026-06-03 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] THP GIC NAVIGATOR POS [10026312] $8.26 $11,299.00 $7,909.30 2025-01-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] THP HMO OUT IPA [10026302] $8.26 $11,299.00 $7,909.30 2025-01-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] THP SELECT [10026309] $8.26 $11,299.00 $7,909.30 2025-01-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] IRON CLAD INSURANCE [10026304] $8.26 $11,299.00 $7,909.30 2025-01-01 MRF ↗
LOWELL GENERAL HOSPITAL Outpatient TUFTS HEALTH PLAN [100263] THP POS/EPO [10026306] $8.26 $11,299.00 $7,909.30 2025-01-01 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $8.28 $267.00 $40.05 2026-07-30 MRF ↗
GLENDALE ADVENTIST MEDICAL CENTER Outpatient BLUE CROSS NON-MCS BLUE CROSS NON-MCS $8.28 $267.00 $40.05 2026-07-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE CROSS NON MCS BLUE CROSS NON MCS $8.28 $267.00 $48.06 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $8.28 $267.00 $48.06 2026-05-23 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE CROSS NON MCS BLUE CROSS NON MCS $8.28 $267.00 $48.06 2026-01-30 MRF ↗
ADVENTIST HEALTH WHITE MEMORIAL Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $8.28 $267.00 $48.06 2026-01-30 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient BLUE CROSS NON-MCS- ALL OTHER PLANS BLUE CROSS NON-MCS- ALL OTHER PLANS $8.46 $254.00 $68.58 2026-05-21 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC MCS BC MCS $8.46 $254.00 $43.18 2026-05-23 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC NON-MCS - ALL OTHER PLANS BC NON-MCS - ALL OTHER PLANS $8.46 $254.00 $43.18 2026-05-23 MRF ↗
ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient BLUE CROSS NON-MCS- ALL OTHER PLANS BLUE CROSS NON-MCS- ALL OTHER PLANS $8.46 $254.00 $68.58 2026-01-31 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC NON-MCS - ALL OTHER PLANS BC NON-MCS - ALL OTHER PLANS $8.46 $260.00 $44.20 2026-01-24 MRF ↗
ADVENTIST HEALTH ST HELENA Outpatient BLUE CROSS MCS - ALL OTHER PLANS BLUE CROSS MCS - ALL OTHER PLANS $8.46 $277.00 $41.55 2026-07-15 MRF ↗
ADVENTIST HEALTH ST HELENA Outpatient BLUE CROSS NON MCS BLUE CROSS NON MCS $8.46 $277.00 $41.55 2026-07-15 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient BLUE CROSS MCS BLUE CROSS MCS $8.46 $254.00 $38.10 2026-10-05 MRF ↗
ADVENTIST HEALTH SONORA Outpatient BC MCS BC MCS $8.46 $260.00 $44.20 2026-01-24 MRF ↗
ADVENTIST HEALTH BAKERSFIELD Outpatient BLUE CROSS NON-MCS - ALL OTHER PLANS BLUE CROSS NON-MCS - ALL OTHER PLANS $8.46 $254.00 $38.10 2026-10-05 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Blue Cross of California d/b/a Anthem Blue Cross POS — $4,495.00 $3,685.90 2025-11-26 MRF ↗
POPLAR BLUFF REGIONAL MEDICAL CENTER Outpatient United Behavioral Health Medicaid Mo United Behavioral Health Medicaid Mo $10.73 $53.65 $11.27 2026-07-15 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Traditional Medicaid Traditional Medicaid $11.50 — — 2026-07-15 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Upmc Mcd Advantage $11.50 — — 2026-07-15 MRF ↗
PENN HIGHLANDS CONNELLSVILLE Outpatient Geisinger Mcd Advantage $11.50 — — 2026-07-15 MRF ↗
GOOD SAMARITAN HOSPITAL Both Direct Health Direct Health $11.65 $50.00 $30.00 2026-07-17 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Blue Cross Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Cigna Commercial — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Aetna Commercial — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Molina Mangaged Medicare — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Aetna Managed Medicare — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Absolute Total Care Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both United Health Care Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both America'S First Choice Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both First Choice Select Health Managed Medicaid — — — 2026-10-03 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Caritas D-SNP Medicare $12.08 — — 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Caritas D-SNP Medicare $12.08 — — 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Amerihealth Amerihealth Caritas D-SNP Medicare $12.08 — — 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Amerihealth Amerihealth Caritas Medicare (NY) $12.08 — — 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Amerihealth Amerihealth Caritas D-SNP Medicare $12.08 — — 2026-04-14 MRF ↗
WEST PENN HOSPITAL Inpatient Amerihealth Amerihealth Caritas D-SNP Medicare $12.08 — — 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Amerihealth Amerihealth Caritas D-SNP Medicare $12.08 — — 2026-04-14 MRF ↗
SAINT VINCENT HOSPITAL Inpatient Amerihealth Amerihealth Caritas D-SNP Medicare $12.08 — — 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Amerihealth Amerihealth Caritas Medicare (NY) $12.08 — — 2026-04-14 MRF ↗
AHN WEXFORD HOSPITAL Inpatient Amerihealth Amerihealth Caritas D-SNP Medicare $12.08 — — 2026-04-14 MRF ↗
ALLEGHENY VALLEY HOSPITAL Inpatient Amerihealth Amerihealth Caritas D-SNP Medicare $12.08 — — 2026-04-14 MRF ↗
AHN WEXFORD HOSPITAL Inpatient Amerihealth Amerihealth Caritas Medicare (NY) $12.08 — — 2026-04-14 MRF ↗
GROVE CITY MEDICAL CENTER Inpatient Amerihealth Amerihealth Caritas Medicare (NY) $12.08 — — 2026-04-14 MRF ↗
WEST PENN HOSPITAL Inpatient Amerihealth Amerihealth Caritas Medicare (NY) $12.08 — — 2026-04-14 MRF ↗
JEFFERSON HOSPITAL Inpatient Amerihealth Amerihealth Caritas Medicare (NY) $12.08 — — 2026-04-14 MRF ↗
WESTFIELD MEMORIAL HOSPITAL, INC Outpatient Amerihealth Amerihealth Caritas Medicare (NY) $12.08 — — 2026-04-14 MRF ↗
CANONSBURG GENERAL HOSPITAL Inpatient Amerihealth Amerihealth Caritas Medicare (NY) $12.08 — — 2026-04-14 MRF ↗
FORBES HOSPITAL Inpatient Amerihealth Amerihealth Caritas D-SNP Medicare $12.08 — — 2026-04-14 MRF ↗

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