75630 — X-ray Aorta Leg Arteries
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). X-RAY AORTA LEG ARTERIES (CPT 75630) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/75630?code_type=CPT
MLA (9th ed.)
“X-RAY AORTA LEG ARTERIES (CPT 75630) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/75630?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“X-RAY AORTA LEG ARTERIES (CPT 75630) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/75630?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,286–$5,115 (25th–75th percentile) across 2,722 hospitals · 8,341 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 75630 — 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
$1,286
$3,317 typical
$5,115
The middle 50% of negotiated facility rates for this procedure, measured across 2,722 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. | $3,317 |
| Radiologist read Estimate national typical Medicare $91 × 1.8 commercial. | $164 |
| Likely subtotal | $3,482 |
Complete-episode estimate (typical)
~$3,482
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 $1,286–$5,115.
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 | — | — | — | $3,762.83 | $1,881.42 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $3,762.83 | $1,881.42 | 2024-12-15 | 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 | Freedom Blue | Medicare Advantage | $0.15 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Amerihealth | Managed Medicaid | $0.17 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | 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 OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $12,035.00 | $9,026.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $12,035.00 | $9,026.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $12,035.00 | $9,026.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $12,099.00 | $9,074.25 | 2026-09-01 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Meshoppen | — | $0.49 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS OUT OF STATE | $0.50 | $7,573.00 | $5,679.75 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS PREFERRED PROVIDER ARRANGEMENT | $0.50 | $7,573.00 | $5,679.75 | 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 HMO BLUE | $0.50 | $7,573.00 | $5,679.75 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS HIGH PERFORMANCE NETWORK | $0.50 | $7,573.00 | $5,679.75 | 2026-06-05 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS INDEMNITY | $0.50 | $7,573.00 | $5,679.75 | 2026-06-05 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Both | Mvp | Exchange | $0.55 | $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 Both | Mvp | — | $0.61 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $10,588.00 | — | 2026-07-01 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Healthamerica | — | $0.63 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Cigna | Behavioral | $0.63 | $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 ↗ |
| 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 | Student | $0.70 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $12,035.00 | $9,026.25 | 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 | $12,035.00 | $9,026.25 | 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 | 2025-08-04 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | County Medical Services | County of San Diego | $0.98 | $8,897.00 | $6,672.75 | 2026-04-01 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $1.00 | $0.98 | 2025-03-17 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $12,171.00 | $9,128.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $14,086.00 | $10,564.50 | 2026-05-20 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Tricare | Medicare Advantage | $1.00 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $20,960.25 | $13,624.16 | 2025-11-26 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Mvp | Managed Medicaid | $1.00 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $6,923.00 | $5,192.25 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SPP | $1.00 | $12,099.00 | $9,074.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $4,956.00 | $3,717.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $12,171.00 | $9,128.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $4,956.00 | $3,717.00 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $16,123.30 | $10,480.15 | 2025-11-26 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA SOUTH SAN ANTONIO ISD | $1.00 | $12,099.00 | $9,074.25 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $12,035.00 | $9,026.25 | 2026-09-01 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Cdphp | Medicare Advantage | $1.00 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Upmc | — | $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 | $12,171.00 | $9,128.25 | 2026-09-01 | MRF ↗ |
| METROWEST MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $7,573.00 | $5,679.75 | 2026-06-05 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $4,956.00 | $3,717.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $12,171.00 | $9,128.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $4,956.00 | $3,717.00 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $14,086.00 | $10,564.50 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $12,171.00 | $9,128.25 | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA GATEKEEPER (HMO/POS/EPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $12,099.00 | $9,074.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE HMO/POS | $1.00 | $12,035.00 | $9,026.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $14,086.00 | $10,564.50 | 2026-05-20 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA/PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $6,923.00 | $5,192.25 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $4,956.00 | $3,717.00 | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | AETNA | AETNA NON GATEKEEPER (PPO) | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Emblem | Medicare Advantage | $1.00 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $4,956.00 | $3,717.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE | $1.00 | $12,171.00 | $9,128.25 | 2026-09-01 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE OF CALIFORNIA | $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 ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA HMO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $8,119.58 | $3,724.63 | 2026-09-05 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $14,086.00 | $10,564.50 | 2026-05-20 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA ACO NETWORK | $1.00 | $4,956.00 | $3,717.00 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AETNA | AETNA EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $6,923.00 | $5,192.25 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $12,171.00 | $9,128.25 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA QPIC | $1.00 | $12,099.00 | $9,074.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | $12,035.00 | $9,026.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $14,086.00 | $10,564.50 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $12,035.00 | $9,026.25 | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $7,296.00 | $3,648.00 | 2026-07-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $4,956.00 | $3,717.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $6,923.00 | $5,192.25 | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | AETNA | AETNA US HEALTHCARE PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL | $1.00 | $11,420.00 | $8,565.00 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $6,923.00 | $5,192.25 | 2026-09-02 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Mvp | Essential | $1.00 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $12,099.00 | $9,074.25 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $14,086.00 | $10,564.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $6,923.00 | $5,192.25 | 2026-09-02 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AETNA | AETNA EXCHANGE | $1.00 | $12,099.00 | $9,074.25 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $12,171.00 | $9,128.25 | 2026-09-01 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | United Healthcare | Managed Medicaid | $1.00 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | United Healthcare | Medicare Advantage | $1.00 | $1.00 | $0.80 | 2026-07-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $4,956.00 | $3,717.00 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | CIGNA | CIGNA PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | CIGNA | CIGNA COMMERCIAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | AETNA | AETNA COMMERCIAL NEW BUSINESS DISCOUNT | $1.00 | $12,171.00 | $9,128.25 | 2026-09-01 | 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 | $7,296.00 | $3,648.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $7,296.00 | $3,648.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $7,296.00 | $3,648.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $7,296.00 | $3,648.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $7,296.00 | $3,648.00 | 2026-07-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $1.66 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $1.74 | — | — | 2026-05-06 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | California Health and Wellness | California Health and Wellness | $1.77 | $8,897.00 | $6,672.75 | 2026-04-01 | 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 | $7,296.00 | $3,648.00 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.77 | $366.00 | $69.54 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.77 | $49.00 | $9.31 | 2026-05-20 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHHMO | $4.00 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA COMMERCIALEXCHPPO | $4.00 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $4.00 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA HEALTH | $4.45 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $4.60 | $7,852.00 | $2,905.24 | 2026-03-31 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA COMMERCIAL | $5.78 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $6.48 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $6.48 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $6.48 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $6.48 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $6.48 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $6.48 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $6.48 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $6.48 | — | — | 2026-04-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $8.26 | $10,048.00 | $7,033.60 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $8.26 | $10,048.00 | $7,033.60 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $8.26 | $10,048.00 | $7,033.60 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $8.26 | $10,048.00 | $7,033.60 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $8.26 | $10,048.00 | $7,033.60 | 2025-01-01 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $8.34 | $4,560.00 | $2,280.00 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $8.34 | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $8.34 | $4,560.00 | $2,280.00 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $8.34 | $4,560.00 | $2,280.00 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $8.34 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $8.34 | $4,560.00 | $2,280.00 | 2024-12-10 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $8.41 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $8.41 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $8.41 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $8.41 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $8.41 | — | — | 2026-03-28 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $8.89 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $8.89 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $8.89 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $8.89 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA MEDICARE | $8.89 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $8.89 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $8.89 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $8.89 | $8.89 | $8.89 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA MEDICARE | $9.94 | $196.50 | $196.50 | 2026-03-27 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Cigna | Commercial | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Aetna | Managed Medicare | — | — | — | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | Molina | Mangaged Medicare | — | — | — | 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 ↗ |
| 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 | Blue Cross | Medicare Advantage | — | — | — | 2026-10-03 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $12.28 | $6,820.00 | $3,270.67 | 2024-12-31 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $13.24 | $51.00 | $9.18 | 2026-01-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $13.24 | $51.00 | $9.18 | 2026-01-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $13.24 | $51.00 | $7.65 | 2026-07-30 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $13.24 | $51.00 | $9.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $13.24 | $51.00 | $9.18 | 2026-05-23 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $13.24 | $51.00 | $7.65 | 2026-07-30 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS OF AL | BLUE ADVANTAGE | $13.25 | $196.50 | $196.50 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | MEDICARE | MEDICARE ADVANTAGE | $13.25 | $196.50 | $196.50 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | VIVA | VIVA MEDICARE | $13.25 | $196.50 | $196.50 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS TN | BLUE ADVANTAGE TN | $13.25 | $196.50 | $196.50 | 2026-03-27 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $13.52 | $392.00 | $58.80 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $13.52 | $366.00 | $62.22 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $13.52 | $392.00 | $58.80 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $13.52 | $49.00 | $13.23 | 2026-05-21 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | AETNA | AETNA MEDICARE | $13.52 | $196.50 | $196.50 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | HUMANA | HUMANA MEDICARE | $13.52 | $196.50 | $196.50 | 2026-03-27 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $13.52 | $49.00 | $13.23 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $13.52 | $366.00 | $62.22 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $13.52 | $49.00 | $7.35 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $13.52 | $49.00 | $7.35 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $13.52 | $49.00 | $8.33 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $13.52 | $49.00 | $8.33 | 2026-05-23 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE | $13.58 | $196.50 | $196.50 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | DEVOTED | DEVOTED MEDICARE | $13.65 | $196.50 | $196.50 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | WELLCARE | WELLCARE MEDICARE | $14.58 | $196.50 | $196.50 | 2026-03-27 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PROSPECT MG MCR ADV PROFEE ONLY | PROSPECT MG MCR ADV PROFEE ONLY | $15.30 | $51.00 | $9.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN | PROSPECT MG COM/POS PROFEE ONLY-ALL OTHER PLAN | $15.30 | $51.00 | $9.18 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH WHITE MEMORIAL Outpatient | PROSPECT MG MCAL PROFEE ONLY | PROSPECT MG MCAL PROFEE ONLY | $15.30 | $51.00 | $9.18 | 2026-05-23 | 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.