76061 — X-rays, Bone Survey Unscheduled
Cite this view
HANK Price Transparency. (n.d.). X-RAYS, BONE SURVEY UNSCHEDULED (CPT 76061) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/76061?code_type=CPT
“X-RAYS, BONE SURVEY UNSCHEDULED (CPT 76061) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/76061?code_type=CPT. Accessed .
“X-RAYS, BONE SURVEY UNSCHEDULED (CPT 76061) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/76061?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $60–$575 (25th–75th percentile) across 112 hospitals · 73 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 76061 — 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 |
|---|---|---|---|---|---|---|---|
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $16.72 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $16.72 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $16.72 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $16.72 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $21.41 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $21.41 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $21.41 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $21.41 | — | — | 2026-04-14 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | MEDICAL CARD SYSTEM | MCS ADVANTAGE | $26.25 | $77.00 | — | 2026-03-24 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | PLAN DE SALUD MENONITA | MENONITA COMERCIAL | $29.69 | $77.00 | — | 2026-03-24 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $30.71 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $30.71 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $30.71 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $30.71 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $30.71 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $30.71 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $30.71 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $30.71 | — | — | 2026-04-14 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $31.86 | — | — | 2026-04-01 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | SEGUROS DE SERVICIOS DE SALUD COM | SSS COMERCIAL | $32.18 | $77.00 | — | 2026-03-24 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | SEGUROS DE SERVICIOS DE SALUD VITAL | SSS VITAL | $32.18 | $77.00 | — | 2026-03-24 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Small Group Network - Tmsh | $34.02 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Ppo/Epo - Tmsh | $34.02 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire Bc | Empire Bc - Individual Network - Tmsh | $34.02 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $34.11 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $34.11 | — | — | 2026-04-14 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Univera | All Commercial Plans | $34.11 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $34.11 | — | — | 2026-04-14 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | Essential Other Commercial Plan | $34.11 | — | — | 2026-04-01 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Univera | All Commercial Plans | $34.11 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $34.11 | — | — | 2026-04-14 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | MEDICAL CARD SYSTEM | MCS COMERCIAL | $35.00 | $77.00 | — | 2026-03-24 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $35.77 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $37.48 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $38.25 | — | — | 2026-04-01 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $38.85 | — | — | 2026-04-01 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | SEGUROS DE SERV DE SA;ID ADV | SSS ADVANTAGE | $42.41 | $77.00 | — | 2026-03-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Christian Health Aid | Commercial | $44.00 | $58.00 | $41.00 | 2025-10-24 | MRF ↗ |
| Shepherd Center Outpatient | Cigna Commercial | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Access All Commercial Plans | $44.75 | — | — | 2026-04-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $47.31 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $47.31 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $47.31 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $47.31 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $47.31 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $47.31 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $47.31 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $47.31 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $47.31 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $47.31 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $47.31 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $47.31 | — | — | 2026-03-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Access Other Commercial Plan | $47.42 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $47.42 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera | Access Other Commercial Plan | $47.42 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Access Other Commercial Plan | $47.42 | — | — | 2026-04-01 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial | $48.00 | $58.00 | $41.00 | 2025-10-24 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | MAPFRE | MAPFRE | $49.00 | $77.00 | — | 2026-03-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Health Partners of Kansas | Commercial | $49.00 | $58.00 | $41.00 | 2025-10-24 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicaid | $49.74 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $49.74 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $49.74 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicaid | $49.74 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Special Programs Medicaid Managed Care Plan | $50.23 | — | — | 2026-04-01 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $51.00 | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $51.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $51.00 | — | — | 2026-04-01 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $51.00 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $51.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | $51.00 | — | — | 2026-04-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $51.00 | — | — | 2025-08-06 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $51.00 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Bi | $51.00 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $51.00 | — | — | 2026-04-01 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | $52.00 | $58.00 | $41.00 | 2025-10-24 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicaid | $52.23 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicaid | $52.23 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | All Commercial Plans | $52.65 | — | — | 2026-04-01 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | Medicare Managed Care Plan | $52.98 | — | — | 2026-04-01 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Select Plus | $53.45 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Preferred Care Blue | $53.45 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Freedom Network Select | $53.45 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Access | $53.45 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue-Care | $53.45 | — | — | 2025-12-05 | MRF ↗ |
| CUBA MEMORIAL HOSPITAL, INC OutpatientFacility | Univera | All Commercial Plans | $54.17 | — | — | 2026-04-01 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $54.26 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Chip | United Chip | $54.26 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $54.26 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | United Medicaid | United Medicaid | $54.26 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| Roswell Park Cancer Institute OutpatientFacility | Univera | Medicare Managed Care Plan | $54.56 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Medicare Managed Care Plan | $54.57 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | Medicare Managed Care Plan | $54.57 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera | Medicare Managed Care Plan | $54.57 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera - Wchob | Medicare Managed Care Plan | $54.57 | — | — | 2026-04-01 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $54.60 | — | — | 2026-01-25 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $55.53 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $55.53 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Commercial | $55.53 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $55.53 | — | — | 2026-04-14 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera - Wchob | All Commercial Plans | $55.80 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Univera | Other Commercial Plan | $55.80 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera | Other Commercial Plan | $55.80 | — | — | 2026-04-01 | MRF ↗ |
| BLYTHEDALE CHILDREN'S HOSPITAL OutpatientFacility | Univera - Wchob | All Commercial Plans | $55.80 | — | — | 2026-04-01 | MRF ↗ |
| Crosbyton Clinic Hospital Outpatient | Aetna | Commercial | $56.00 | $297.00 | $297.00 | 2025-10-01 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | ChoiceCare | Commercial | $58.00 | $58.00 | $41.00 | 2025-10-24 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | UNION DE TRABAJADORES DE MUELLES | UNION DE TRABAJADORES DE MUELLES | $58.00 | $77.00 | — | 2026-03-24 | MRF ↗ |
| PRATT REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $59.00 | $58.00 | $41.00 | 2025-10-24 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicaid | Geisinger Medicaid | $59.69 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicaid | Geisinger Medicaid | $59.69 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST MARY'S MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | HealthPartners PCC PRIME | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | HealthPartners PCC PRIME | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | HealthPartners | SHP | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | HealthPartners PCC Prime | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | Cigna | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH VIRGINIA OutpatientFacility | HealthPartners | Commercial | — | — | — | 2026-01-01 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield | PPO_HMO_EPO | $88.01 | — | — | 2026-03-27 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Anthem Blue Cross and Blue Shield | PPO_HMO_EPO | $88.01 | — | — | 2026-03-27 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $91.70 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $91.70 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Freedom Blue | $92.31 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Freedom Blue | $92.31 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Bcbs | Ppo | $94.73 | — | — | 2026-04-01 | MRF ↗ |
| ST JAMES PARISH HOSPITAL OutpatientFacility | Bcbs | Hmo | $94.73 | — | — | 2026-04-01 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $95.20 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $95.20 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicare | $100.20 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United Medicare | $100.20 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna Medicare | $100.20 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Aetna | Aetna Medicare | $100.20 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Upmc Health Plan | Upmc Medicare | $100.20 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United Medicare | $100.20 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicare | $101.20 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Centene Corporation | Pa H And W Medicare | $101.20 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | Va Ccn Optum | $101.83 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $101.83 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Umwa | Umwa | $101.83 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Tricare | Tricare | $101.83 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Umwa | Umwa | $101.83 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Unitedhealthcare Insurance Company | Va Ccn Optum | $101.83 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $102.20 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger Medicare | Geisinger Medicare | $102.20 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas Medicare | Amerihealth Caritas Medicare | $103.87 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Amerihealth Caritas Medicare | Amerihealth Caritas Medicare | $103.87 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Wholecare Medicare | $106.81 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Wholecare Medicare | $106.81 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Security Blue | $108.18 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Mcr Security Blue | $108.18 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $114.20 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Pa Health And Wellness Commercial | Pa Health And Wellness Commercial | $114.20 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Chip / Social Mission | $123.08 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Highmark | Highmark Chip / Social Mission | $123.08 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $127.90 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Outpatient | Geisinger | Geisinger | $127.90 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $127.90 | $721.00 | $216.30 | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Outpatient | The Health Plan Commercial | The Health Plan Commercial | $127.90 | $721.00 | $216.30 | 2026-05-23 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Outpatient | INTERNATIONAL MEDICAL CARD | INTERNATIONAL MEDICAL CARD | $132.00 | $77.00 | — | 2026-03-24 | MRF ↗ |
| INGALLS MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Ppo | $139.76 | — | — | 2026-04-01 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Molina Reimbursement | — | $143.00 | $143.00 | $143.00 | 2026-05-22 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Optum Reimbursement | — | $143.00 | $143.00 | $143.00 | 2026-05-22 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Tricare Reimbursement | — | $143.00 | $143.00 | $143.00 | 2026-05-22 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Tricare-Humana Reimbursement | — | $143.00 | $143.00 | $143.00 | 2026-05-22 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Tricare-Champus Imbursement | — | $143.00 | $143.00 | $143.00 | 2026-05-22 | MRF ↗ |
| HEALTHSOURCE SAGINAW | United Healthcare Imbursement | — | $143.00 | $143.00 | $143.00 | 2026-05-22 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Aetna Reimbursement | — | $143.00 | $143.00 | $143.00 | 2026-05-22 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Hap Reimbursement | — | $143.00 | $143.00 | $143.00 | 2026-05-22 | MRF ↗ |
| HEALTHSOURCE SAGINAW | Blue Cross Inpatient Reimbursement | — | $143.00 | $143.00 | $143.00 | 2026-05-22 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $156.76 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $156.76 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $156.76 | — | — | 2025-06-28 | MRF ↗ |
| SCK HEALTH Outpatient | AETNA COMM OP ONLY - ALL OTHER PLANS | AETNA COMM OP ONLY - ALL OTHER PLANS | $160.66 | $200.83 | $200.83 | 2026-05-04 | 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.