77048 — MRI Breast C-+ W/cad Uni
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MRI BREAST C-+ W/CAD UNI (CPT 77048) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/77048?code_type=CPT
MLA (9th ed.)
“MRI BREAST C-+ W/CAD UNI (CPT 77048) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/77048?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“MRI BREAST C-+ W/CAD UNI (CPT 77048) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/77048?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $388–$2,143 (25th–75th percentile) across 2,095 hospitals · 4,493 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 77048 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What the whole episode might cost
Your hospital facility price plus the separately-billed professional fees a complete episode adds. The facility figure is an actual negotiated rate from our data; the radiologist-read fees are estimated from the Medicare fee schedule scaled to commercial rates — not facility-specific quotes.
What hospitals actually negotiate
Measured
$388
$927 typical
$2,143
The middle 50% of negotiated facility rates for this procedure, measured across 2,095 hospitals. The radiologist-read fees are modeled estimates added on top.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $927 |
| Radiologist read Estimate national typical Medicare $97 × 1.8 commercial. | $174 |
| Likely subtotal | $1,101 |
Complete-episode estimate (typical)
~$1,101
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $388–$2,143.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
- Radiologist read (estimate)
- rvu_version: RVU26A (updated 2025-12-29) · gpci: National (unadjusted, GPCI = 1.000) · cf_rule: CMS-1832-F ($33.40) · multiplier_source: Urban Institute — commercial-to-Medicare physician price ratios by specialty (Berenson/Ginsburg et al.); radiology ~1.8x. National, approximate; within-specialty/metro variation is a known limitation.
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $1,721.91 | $860.96 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,721.91 | $860.96 | 2024-12-15 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $16,799.00 | $12,599.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $16,799.00 | $12,599.25 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $8,563.00 | $6,422.25 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $8,563.00 | $6,422.25 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $16,799.00 | $12,599.25 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $8,614.00 | $6,460.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $8,563.00 | $6,422.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | $16,799.00 | $12,599.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | $16,799.00 | $12,599.25 | 2026-09-01 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $4,970.00 | $3,230.50 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Acop | $0.87 | $4,970.00 | $3,230.50 | 2026-06-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $10,889.00 | $8,166.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | $8,563.00 | $6,422.25 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $10,889.00 | $8,166.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | $10,889.00 | $8,166.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $3,323.00 | $1,661.50 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $1,235.59 | — | 2026-09-05 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | $10,889.00 | $8,166.75 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | $8,563.00 | $6,422.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | $8,563.00 | $6,422.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | $8,563.00 | $6,422.25 | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $10,889.00 | $8,166.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $16,799.00 | $12,599.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE COMMUNITY NM HMO NETWORK EXCHANGE | $1.00 | $10,889.00 | $8,166.75 | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $12,625.00 | $10,352.50 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $10,889.00 | $8,166.75 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $1.01 | $4,970.00 | $3,230.50 | 2026-06-15 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Aetna | EPO/HMO/POS/PPO/Choice/NAP | $1.04 | $2,653.50 | $902.19 | 2025-03-17 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $3,323.00 | $1,661.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $3,323.00 | $1,661.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $3,323.00 | $1,661.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $3,323.00 | $1,661.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $3,323.00 | $1,661.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $4,295.00 | — | 2025-06-28 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $3,655.00 | $1,827.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $3,323.00 | $1,661.50 | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.97 | $399.00 | $75.81 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.97 | $399.00 | $75.81 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH REEDLEY Outpatient | DIGNITY MCR ADV OP/PROFEE ONLY | DIGNITY MCR ADV OP/PROFEE ONLY | $2.97 | $392.00 | $74.48 | 2026-05-20 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Healthplan Medicaid | Wv Medicaid | $6.26 | — | — | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Wellpoint | Wv Medicaid | $6.57 | — | — | 2026-05-06 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Anthem | Ky Pathway Ppo/Hmo | $7.06 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Passport | Molina Ky Medicaid | $7.35 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Wellcare | Ky Medicaid | $7.56 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Uhc | Ky Medicaid | $7.56 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Anthem | Ppo/Hmo | $7.60 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Anthem | Traditional | $7.60 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Aetna | Better Health Ky Medicaid | $7.96 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Humana | Ky Medicaid | $7.96 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $9.39 | $5,215.00 | — | 2024-12-31 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Passport by Molina | Medicaid|All Plans | $10.51 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Passport by Molina | Medicaid|All Plans | $10.51 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Wellcare | Medicaid|All Plans | $10.96 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Wellcare | Medicaid|All Plans | $10.96 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Humana | Medicaid|All Plans | $11.07 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Humana | Medicaid|All Plans | $11.07 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Aetna | Medicaid|Better Health | $11.18 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Aetna | Medicaid|Better Health | $11.18 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | United | Medicaid|Community Plan | $11.41 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | United | Medicaid|Community Plan | $11.41 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | BCBS - Anthem | Medicaid|All Plans | $11.74 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | BCBS - Anthem | Medicaid|All Plans | $11.74 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Prime Group Health | Workers Comp | $14.93 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Passport | Commercial | $16.80 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Uhc | Pathways For Aging | — | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | Pathways For Aging | — | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hhw | — | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Caresource | In Medicaid Hhw | — | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hip | — | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hip | — | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hip | — | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hhw | — | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hcc | — | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Humana | Pathways For Aging | — | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Caresource | In Medicaid Hip | — | — | — | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $19.54 | $5,281.00 | $5,016.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $19.54 | $5,281.00 | $5,016.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $19.54 | $5,281.00 | $5,016.95 | 2026-02-20 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Uhc | Commercial | $20.03 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $20.07 | $5,281.00 | $5,016.95 | 2026-02-20 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $20.16 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $20.16 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Tricare | All | $20.38 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $20.38 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $20.38 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $20.38 | — | — | 2026-03-28 | MRF ↗ |
| FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility | VA Health | All | $20.38 | — | — | 2026-03-28 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $20.60 | $5,281.00 | $5,016.95 | 2026-02-20 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $20.72 | $433.00 | $64.95 | 2026-07-30 | MRF ↗ |
| GLENDALE ADVENTIST MEDICAL CENTER Outpatient | BLUE CROSS NON-MCS | BLUE CROSS NON-MCS | $20.72 | $433.00 | $64.95 | 2026-07-30 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $20.91 | $5,708.00 | $5,708.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $20.91 | $5,708.00 | $5,708.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $20.91 | $5,708.00 | $5,708.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $20.91 | $5,732.00 | $5,732.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $20.91 | $5,708.00 | $5,708.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $20.91 | $5,732.00 | $5,732.00 | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Signature | Medicare Advantage | $21.00 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Passport | Medicare Advantage | $21.00 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $21.12 | $5,281.00 | $5,016.95 | 2026-02-20 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $21.16 | $392.00 | $58.80 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $21.16 | $433.00 | $64.95 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $21.16 | $549.00 | $164.70 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $21.16 | $549.00 | $164.70 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $21.16 | $549.00 | $164.70 | 2026-01-25 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $21.16 | $392.00 | $105.84 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $21.16 | $392.00 | $105.84 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH ST HELENA Outpatient | BLUE CROSS NON MCS | BLUE CROSS NON MCS | $21.16 | $433.00 | $64.95 | 2026-07-15 | MRF ↗ |
| ADVENTIST HEALTH BAKERSFIELD Outpatient | BLUE CROSS MCS | BLUE CROSS MCS | $21.16 | $392.00 | $58.80 | 2026-10-05 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC MCS | BC MCS | $21.16 | $392.00 | $66.64 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BC NON-MCS - ALL OTHER PLANS | BC NON-MCS - ALL OTHER PLANS | $21.16 | $392.00 | $66.64 | 2026-05-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $21.16 | $392.00 | $105.84 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH HOWARD MEMORIAL Outpatient | BLUE CROSS MCS - ALL OTHER PLANS | BLUE CROSS MCS - ALL OTHER PLANS | $21.16 | $549.00 | $164.70 | 2026-01-25 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Centene | Medicaid|NE Total Care | $21.60 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Centene | Medicaid|NE Total Care | $21.60 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Centene | Medicaid|NE Total Care | $21.60 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Centene | Medicaid|NE Total Care | $21.60 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | United | Medicaid|Community Plan | $23.04 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | United | Medicaid|Community Plan | $23.04 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Centene | Medicaid|NE Total Care | $23.04 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Centene | Medicaid|NE Total Care | $23.04 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|NE Total Care | $24.48 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $24.48 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Centene | Medicaid|NE Total Care | $24.48 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | United | Medicaid|Community Plan | $24.48 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | United | Medicaid|Community Plan | $24.48 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Centene | Medicaid|NE Total Care | $24.48 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Centene | Medicaid|NE Total Care | $24.48 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | United | Medicaid|Community Plan | $24.48 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| WHIDBEYHEALTH MEDICAL CENTER Outpatient | Group Health Coop (Ghc) | Ghc Commercial (Kaiser) | $24.60 | $246.00 | $246.00 | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Encore | Commercial | $25.20 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $25.76 | $5,257.00 | $4,994.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $25.76 | $5,257.00 | $4,994.15 | 2026-02-20 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | United | Medicaid|Community Plan | $25.92 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | United | Medicaid|Community Plan | $25.92 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Centene | Medicaid|NE Total Care | $25.92 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Centene | Medicaid|NE Total Care | $25.92 | $144.00 | $60.48 | 2026-02-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $26.29 | $5,257.00 | $4,994.15 | 2026-02-20 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Aetna | Commercial|PPO | $27.09 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Aetna | Commercial|HMO | $27.09 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Aetna | Commercial|All Other Plans | $27.09 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Aetna | Commercial|PPO | $27.09 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Aetna | Commercial|All Other Plans | $27.09 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Aetna | Commercial|HMO | $27.09 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $27.34 | $5,257.00 | $4,994.15 | 2026-02-20 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Cigna | Commercial|PPO | $27.52 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Cigna | Commercial|All Other Plans | $27.52 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Cigna | Commercial|All Other Plans | $27.52 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| CHI Saint Joseph Health - Saint Joseph Jessamine Outpatient | Cigna | Commercial|PPO | $27.52 | $43.00 | $17.28 | 2026-02-28 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Multiplan | Commercial | $27.72 | $42.00 | $18.90 | 2026-08-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $28.39 | $5,257.00 | $4,994.15 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| PELLA REGIONAL HEALTH CENTER Outpatient | Wellmark Inc Dba Wellmark Blue Cross And Blue Shield Of Iowa | Ppo | $28.70 | $381.00 | $381.00 | 2026-07-15 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MERIDIAN HEALTH PLAN - ALL PLANS | MERIDIAN HEALTH PLAN - ALL PLANS | $29.25 | $322.00 | $257.60 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MERIDIAN HEALTH PLAN - ALL PLANS | MERIDIAN HEALTH PLAN - ALL PLANS | $29.25 | $322.00 | $257.60 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MERIDIAN HEALTH PLAN - ALL PLANS | MERIDIAN HEALTH PLAN - ALL PLANS | $29.25 | $322.00 | $257.60 | 2026-02-23 | MRF ↗ |
| FHN MEMORIAL HOSPITAL Outpatient | MERIDIAN HEALTH PLAN - ALL PLANS | MERIDIAN HEALTH PLAN - ALL PLANS | $29.25 | $322.00 | $257.60 | 2026-02-23 | MRF ↗ |
| DECATUR COUNTY MEMORIAL HOSPITAL Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $30.00 | $378.00 | $283.50 | 2026-03-18 | 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.