75635 — CT Angio Abdominal Arteries
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ct angio abdominal arteries (OTHER 75635) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/75635?code_type=OTHER
MLA (9th ed.)
“Ct angio abdominal arteries (OTHER 75635) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/75635?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Ct angio abdominal arteries (OTHER 75635) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/75635?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $177–$1,036 (25th–75th percentile) across 340 hospitals · 1,119 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 75635 — 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 |
|---|---|---|---|---|---|---|---|
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $2,010.12 | $2,010.12 | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $12.99 | — | — | 2026-05-27 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $2,010.12 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $2,010.12 | $2,010.12 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $2,010.12 | $2,010.12 | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $24.74 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $24.74 | — | — | 2026-05-14 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare Comm. | — | — | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | All Sentara Comm. Plans | — | — | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Ip | — | — | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $27.01 | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $27.01 | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $27.01 | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Op | — | — | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Op | — | — | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $27.01 | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Ip | — | — | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $27.28 | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $27.28 | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $27.55 | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $27.55 | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $27.82 | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $27.82 | $4,208.00 | $1,388.64 | 2026-05-13 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Unitedhealthcare Insurance Company (Contracting On Behalf Of Itself, Unitedhealthcare Of Alabama, Inc. And United'S Affiliates) | Commercial All Payer | — | $2,045.44 | $1,738.62 | 2026-05-23 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Outpatient | Medicare A Fl Jn | Default | $35.99 | $153.00 | $68.85 | 2026-05-17 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Outpatient | Medicare A Fl Jn | Default | $35.99 | $153.00 | $68.85 | 2026-05-22 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $36.46 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $37.56 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $37.56 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $37.56 | — | — | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $37.56 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $37.92 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $38.28 | — | — | 2026-05-08 | MRF ↗ |
| COFFEY COUNTY HOSPITAL Outpatient | Standard_Charge|Ambetter| Negotiated_Percentage | — | $38.50 | $1,912.00 | $573.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $38.65 | — | — | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $39.02 | $2,010.12 | $2,010.12 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $42.30 | $2,010.12 | $2,010.12 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $42.30 | $2,010.12 | $2,010.12 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage | — | $42.30 | $2,010.12 | $2,010.12 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $2,010.12 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $2,010.12 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $2,010.12 | $2,010.12 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $2,010.12 | $2,010.12 | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Confluence Health | Medicare Advantage | $46.90 | — | — | 2026-05-27 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete|Negotiated_Percentage | — | $47.20 | $2,010.12 | $2,010.12 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $2,010.12 | $2,010.12 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $2,010.12 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete|Negotiated_Percentage | — | $47.20 | $2,010.12 | $2,010.12 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Choice_Care_Medicaid_Replacement_And_Access_Ability_Solution|Negotiated_Percentage | — | $49.10 | $2,010.12 | $2,010.12 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Choice_Care_Medicaid_Replacement_And_Access_Ability_Solution|Negotiated_Percentage | — | $49.10 | $2,010.12 | $2,010.12 | 2026-05-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $52.31 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $52.50 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Uhc Community Tenncare | $52.50 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| TRINITY HOSPITAL Both | Cigna | Default | $62.28 | $182.00 | — | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $63.57 | — | — | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $64.40 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $64.40 | — | — | 2026-05-14 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Cigna | Cigna | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Cigna | Cigna | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | $66.97 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | The Health Plan Wv | Mgd Mcaid | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Aetna | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Molina Oh Medicare Advantage | All Plans | $66.97 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Peak Health Medicare Advantage | All Plans | $66.97 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Anthem Va Medicare Advantage | Hmo | $66.97 | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Humana | Managed Medicaid | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Peak Health Medicare Advantage | All Plans | $66.97 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Buckeye Oh | Managed Medicaid | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Anthem Pathway | Anthem Pathway | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource | Caresource | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health Mgd Medicaid | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource Oh | Managed Medicaid | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | $66.97 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna Rental | First Health | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Humana | Managed Medicaid | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | $66.97 | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Caresource | Caresource | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Aetna | Better Health | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Anthem Pathway | Anthem Pathway | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | United Healthcare | United Healthcare | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Aetna Rental | First Health | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Multiplan | Multiplan | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Better Health Mgd Medicaid | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource | Caresource | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna | Aetna | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource Oh | Managed Medicaid | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Peak Health Medicare Advantage | All Plans | $66.97 | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Molina Oh | Managed Medicaid | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Molina Oh Medicare Advantage | All Plans | $66.97 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Optima Va Medicare Advantage | All Plans | $66.97 | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Aetna | Better Health Va Mgd Medicaid | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Aetna | Aetna | — | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Buckeye Oh | Managed Medicaid | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | The Health Plan Wv | Mgd Mcaid | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Anthem Ohio | Managed Medicaid | $68.98 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Anthem Ohio | Managed Medicaid | $68.98 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Anthem Oh Medicare Advantage | Hmo | $68.98 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Anthem Oh Medicare Advantage | Hmo | $68.98 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Highmark Wv Medicare Advantage | All Plans | $69.65 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Highmark Wv Medicare Advantage | All Plans | $69.65 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Highmark Wv Medicare Advantage | All Plans | $69.65 | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Humana Medicare Advantage | All Plans | $70.32 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Humana Medicare Advantage | All Plans | $70.32 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Humana Medicare Advantage | All Plans | $70.32 | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Aetna Medicare Advantage | All Plans | $70.32 | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna Medicare Advantage | All Plans | $70.32 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource Oh Medicare Advantage | All Plans | $70.32 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Buckeye Oh Medicare Advantage | All Plans | $70.32 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Aetna Medicare Advantage | All Plans | $70.32 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Buckeye Oh Medicare Advantage | All Plans | $70.32 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Caresource Oh Medicare Advantage | All Plans | $70.32 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | $70.32 | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | $70.32 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Senior Life Medicare Advantage | All Plans | $70.32 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | $70.32 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Senior Life Medicare Advantage | All Plans | $70.32 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Selectvalue | $70.52 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Selectshare | $70.52 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectshare | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectvalue | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectvalue | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectvalue | $70.52 | — | — | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Selecthealth | Selectshare | $70.52 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | $70.52 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $70.52 | — | — | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $70.52 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectvalue | $70.52 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Selectshare | $70.52 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectvalue | $70.52 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Selectshare | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectshare | $70.52 | — | — | 2026-05-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Selecthealth | Selectvalue | $70.52 | — | — | 2026-05-14 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectvalue | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $70.52 | — | — | 2026-05-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $70.52 | — | — | 2026-05-14 | MRF ↗ |
| LDS HOSPITAL Outpatient | Selecthealth | Selectshare | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectvalue | $70.52 | — | — | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $70.52 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $70.52 | — | — | 2026-05-18 | MRF ↗ |
| LDS HOSPITAL Outpatient | Intermountain Caregiver Plan | Share Network | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Selecthealth | Selectshare | $70.52 | — | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Selecthealth | Selectshare | $70.52 | — | — | 2026-05-22 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | The Health Plan Wv Medicare Advantage | All Plans | $70.99 | $3,244.00 | $1,622.00 | 2026-05-13 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | The Health Plan Wv Medicare Advantage | All Plans | $70.99 | $2,767.00 | $1,383.50 | 2026-05-26 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | The Health Plan Wv Medicare Advantage | All Plans | $70.99 | $3,032.00 | $1,516.00 | 2026-05-13 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional | $71.14 | $222.00 | $111.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $71.14 | $222.00 | $111.00 | 2026-05-23 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional | $71.14 | $222.00 | $111.00 | 2026-05-09 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $71.14 | $222.00 | $111.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $71.14 | $222.00 | $111.00 | 2026-05-23 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $71.14 | $222.00 | $111.00 | 2026-05-09 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional | $71.14 | $222.00 | $111.00 | 2026-05-23 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $71.14 | $222.00 | $111.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $71.14 | $222.00 | $111.00 | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $71.14 | $222.00 | $111.00 | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional | $71.14 | $222.00 | $111.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $71.14 | $222.00 | $111.00 | 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.