75630 — X-ray Aorta Leg Arteries
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). X-ray aorta leg arteries (OTHER 75630) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/75630?code_type=OTHER
MLA (9th ed.)
“X-ray aorta leg arteries (OTHER 75630) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/75630?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“X-ray aorta leg arteries (OTHER 75630) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/75630?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $187–$4,125 (25th–75th percentile) across 254 hospitals · 821 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 75630 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $4.84 | — | — | 2026-05-27 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $8.58 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $8.58 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $33.99 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $33.99 | — | — | 2026-05-24 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional | $40.68 | $127.00 | $63.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $40.68 | $127.00 | $63.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $40.68 | $127.00 | $63.50 | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $40.68 | $127.00 | $63.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $40.68 | $127.00 | $63.50 | 2026-05-23 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional | $40.68 | $127.00 | $63.50 | 2026-05-09 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional | $40.68 | $127.00 | $63.50 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cdphp | Medicaid | $43.78 | — | — | 2026-05-09 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $43.78 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Cdphp | Medicaid | $43.78 | — | — | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Cdphp | Medicaid/Chp/Essential | $43.78 | — | — | 2026-05-08 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $44.70 | $20,325.00 | $2,032.50 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $44.70 | $20,325.00 | $2,032.50 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $44.70 | $20,325.00 | $2,032.50 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $44.70 | $20,325.00 | $2,032.50 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $44.70 | $20,325.00 | $2,032.50 | 2026-05-09 | MRF ↗ |
| PALO PINTO GENERAL HOSPITAL Outpatient | Uhc | Commercial | $45.00 | $3,229.30 | $1,614.65 | 2026-05-22 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $48.80 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $48.80 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | The Healthplan | Wv Medicaid | $48.80 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Unicare | Wv Medicaid | $48.80 | — | — | 2026-05-14 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $48.83 | — | — | 2026-05-09 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | Harvardpilgrim | — | — | $272.00 | $272.00 | 2026-05-06 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | Excellus | Managedmedicaidessentialplans1Thru4 | $49.06 | $272.00 | $272.00 | 2026-05-06 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | Magnacare | — | — | $272.00 | $272.00 | 2026-05-06 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL Both | Coventry | — | — | $272.00 | $272.00 | 2026-05-06 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Humana Choicecare | Medicare | $52.91 | — | — | 2026-05-09 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Commercial | $53.50 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $53.50 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $53.50 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $53.50 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Medicare Advantage | $53.50 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Aetna | Commercial | $53.50 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Cigna | Commercial | $53.50 | — | — | 2026-05-06 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $53.79 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $53.79 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $53.79 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $53.79 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $53.83 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $53.83 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $53.83 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $53.83 | — | — | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Medicare | $53.97 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $53.97 | — | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $54.35 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $54.35 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Freedom Blue Mcr Adv | $54.41 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $54.41 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $54.41 | — | — | 2026-05-14 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Humana Medicare Advantage All | Humana Medicare Advantage All | $54.96 | $378.40 | $378.40 | 2026-05-13 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Uhc Medicare Advantage Ppo | Uhc Medicare Advantage Ppo | $54.96 | $378.40 | $378.40 | 2026-05-13 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Wellcare | Wellcare | $54.96 | $378.40 | $378.40 | 2026-05-13 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $54.96 | $378.40 | $378.40 | 2026-05-13 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Healthspring | Healthspring | $54.96 | $378.40 | $378.40 | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $55.01 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $55.01 | — | — | 2026-05-23 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $55.01 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $55.01 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $55.01 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $55.01 | — | — | 2026-05-23 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Peia | Other Governmental | $55.07 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Highmark Blue Cross | Medicare | $55.07 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | United Healthcare | Medicare | $55.07 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Humana | Medicare | $55.07 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Peia | Other Governmental | $55.07 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Aetna | Medicare | $55.07 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Highmark Blue Cross | Medicare | $55.07 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Peak Health | Medicare | $55.07 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Humana | Medicare | $55.07 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Peak Health | Medicare | $55.07 | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | United Healthcare | Medicare | $55.07 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Aetna | Medicare | $55.07 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Community Blue Mcr Adv | $55.27 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Complete Blue Mcr Adv | $55.27 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Cigna Healthspring | Medicare | $55.56 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Windsor | Medicare | $55.56 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Wellcare | Medicare | $55.56 | — | — | 2026-05-09 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $55.66 | $4,370.00 | $3,277.50 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $55.66 | $4,370.00 | $3,277.50 | 2026-05-24 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Blue Access Small Group | $55.76 | — | — | 2026-05-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Optum | Vaccnoptum | $56.36 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Perennial Advantage | Perennial Advantage | $56.36 | — | — | 2026-05-27 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $56.38 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $56.38 | — | — | 2026-05-23 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicare | Professional | $56.45 | $127.00 | $63.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicare | Professional | $56.45 | $127.00 | $63.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicare | Professional | $56.45 | $127.00 | $63.50 | 2026-05-09 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicare | Professional | $56.45 | $127.00 | $63.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicare | Professional | $56.45 | $127.00 | $63.50 | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicare | Professional | $56.45 | $127.00 | $63.50 | 2026-05-23 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicare | Professional | $56.45 | $127.00 | $63.50 | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $56.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $56.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $56.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $56.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $56.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $56.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $56.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $56.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $56.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $56.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $56.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $56.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $56.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $56.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $56.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $56.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $56.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $56.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $56.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $56.65 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $56.65 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $56.65 | — | — | 2026-05-14 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $57.14 | $20,325.00 | $2,032.50 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $57.14 | $20,325.00 | $2,032.50 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $57.14 | $20,325.00 | $2,032.50 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $57.14 | $20,325.00 | $2,032.50 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $57.14 | $20,325.00 | $2,032.50 | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $57.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $57.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $57.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $57.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $57.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $57.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $57.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $57.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $57.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $57.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $57.27 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $57.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicare | Traditional Medicare | $57.27 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcr Advantage | $57.27 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $57.27 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $57.27 | — | — | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Blue Cross | Epo Hmo | $57.73 | — | — | 2026-05-08 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Ghi | Commercial Ppo/Hmo | $58.08 | $7,372.00 | $7,372.00 | 2026-05-17 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $58.42 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $58.42 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $58.42 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $58.42 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $58.79 | $182.00 | $91.00 | 2026-05-08 | MRF ↗ |
| Sparrow Specialty Hospital Inpatient | Medicaid | Professional | $58.79 | $182.00 | $91.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $58.79 | $182.00 | $91.00 | 2026-05-13 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicaid | Professional | $58.79 | $182.00 | $91.00 | 2026-05-09 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Medicaid | Professional | $58.79 | $182.00 | $91.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Dsnp | $58.81 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Dsnp | $58.81 | — | — | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $58.90 | — | — | 2026-05-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Sidecar | Sidecarcommercial | $58.91 | — | — | 2026-05-27 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $58.99 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Uhc | Mcr Advantage | $58.99 | — | — | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $58.99 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $58.99 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $58.99 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $58.99 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $58.99 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $59.00 | $184.00 | $92.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $59.00 | $184.00 | $92.00 | 2026-05-09 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $59.00 | $184.00 | $92.00 | 2026-05-09 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional | $59.00 | $184.00 | $92.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $59.00 | $184.00 | $92.00 | 2026-05-09 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $59.00 | $184.00 | $92.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $59.00 | $184.00 | $92.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $59.00 | $184.00 | $92.00 | 2026-05-14 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional | $59.00 | $184.00 | $92.00 | 2026-05-23 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $59.00 | $184.00 | $92.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $59.00 | $184.00 | $92.00 | 2026-05-09 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional | $59.00 | $184.00 | $92.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $59.00 | $184.00 | $92.00 | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $59.00 | $184.00 | $92.00 | 2026-05-23 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Blue Cross | Hmo | $59.04 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Medicare Advantage | $59.76 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Both | Uhc | Medicare Advantage | $59.76 | — | — | 2026-05-13 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Molina | Medicare Complete Care Hmo Snp | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Humana | Medicare Choice Ppo | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | American Health | Medicare Adv Ut Hmo I-Snp | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Medicare Advantage | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Hmo | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Medicaid | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uhc | Medicare Advantage | $60.54 | — | — | 2026-05-13 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Med Individual Aca | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Uhc | Medicare Advantage | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH DELTA COMMUNITY HOSPITAL Outpatient | Aetna | Medicare Adv Ppo | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Partners Of Nevada | Medicare Advantage | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Signature Individual Aca | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Value Individual Aca | $60.54 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Healthy U | Medicaid | $60.54 | — | — | 2026-05-09 | 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.