Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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76061 — X-rays, Bone Survey Unscheduled

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarise across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $241

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.