77061 — Pr Digital Breast Tomo Unilat
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR DIGITAL BREAST TOMO UNILAT (CPT 77061) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/77061?code_type=CPT
MLA (9th ed.)
“PR DIGITAL BREAST TOMO UNILAT (CPT 77061) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/77061?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR DIGITAL BREAST TOMO UNILAT (CPT 77061) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/77061?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $49–$195 (25th–75th percentile) across 1,792 hospitals · 4,443 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 77061 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $195.69 | $97.84 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $195.69 | $97.84 | 2024-12-15 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | PPO | $0.56 | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | PPO | $0.56 | — | — | 2026-03-31 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | LIFETIME_BEN | LIFETIME BENEFITS | $0.83 | $1.31 | $1,018.59 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | CIGNA | CIGNA | $0.92 | $1.31 | $1,018.59 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | MVP | MVP HEALTH CARE | $0.92 | $1.31 | $1,018.59 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | MVP_EXCHANGE | MVP INSURANCE EXCHANGE | $0.92 | $1.31 | $1,018.59 | 2025-01-19 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,387.65 | $901.97 | 2025-11-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $273.00 | — | 2024-12-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $1,067.41 | $693.82 | 2025-11-26 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $273.00 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $273.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Karna | Medicare Advantage | $1.00 | $273.00 | — | 2024-12-31 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | AETNA | AETNA | $1.02 | $1.31 | $1,018.59 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | TRICARE | TRICARE | $1.31 | $1.31 | $1,018.59 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | MARTINS_POINT | MARTINS POINT | $1.31 | $1.31 | $1,018.59 | 2025-01-19 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.24 | $111.00 | — | 2025-06-28 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Humana | Medicare | — | $125.00 | $100.00 | 2026-03-26 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | OccuNet | OccuNet WC | $3.09 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | OPTUM VACCN | VA COMMUNITY CARE NETWORK | $3.25 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | WELLPOINT | WELLPOINT TN -TENNCARE | $3.50 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | CLOVER | Medicare Advantage | $3.50 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | AETNA | AETNA MEDICARE | $3.50 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | AMERICAN HEALTH | CAH ? BLEDSOE | $3.50 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | NHC | Medicare Advantage | $3.50 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | WELLPOINT | WELLPOINT TN MEDICARE | $3.50 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADVANTAGE | $3.50 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | BCBST | BLUE ADVANTAGE | $3.50 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | UPMC | Medicare Advantage | $3.50 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | BLUECARE | DSNP | $3.50 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | VAYA HEALTH | HMO | $3.66 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | BLUE CROSS NC - HEALTHY BLUE | Medicaid | $3.66 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | VAYA HEALTH | HMO | $3.66 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | BLUE CROSS NC - HEALTHY BLUE | Medicaid | $3.66 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | UNITEDHEALTHCARE COMMUNITY PLAN OF NORTH CAROLINA | Medicaid | $3.73 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS NORTH CAROLINA | Medicaid | $3.73 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | UNITEDHEALTHCARE COMMUNITY PLAN OF NORTH CAROLINA | Medicaid | $3.73 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS NORTH CAROLINA | Medicaid | $3.73 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | PARTNERS HEALTH MANAGEMENT | Medicaid | $3.74 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | PARTNERS HEALTH MANAGEMENT | Medicaid | $3.74 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | Carolina Complete Health Inc. | Medicaid | $3.74 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | Carolina Complete Health Inc. | Medicaid | $3.74 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | ATRIO HEALTH | Medicare Advantage | $3.75 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | CIGNA | CIGNA MEDICARE | $3.75 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | CARESOURCE | CARESOURCE MARKETPLACE PLANS | $3.75 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | WELLCARE OF NORTH CAROLINA, INC | Medicaid | $3.77 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | WELLCARE OF NORTH CAROLINA, INC | Medicaid | $3.77 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| Taylor Regional Hospital OutpatientFacility | AMGP GEORGIA MANAGED CARE CO INC | Medicaid | $4.10 | $39.84 | $39.84 | 2026-01-01 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $4.28 | $107.00 | $45.48 | 2026-01-29 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | AMBETTER | AMBETTER TN | $4.38 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| CENTRAL CAROLINA HOSPITAL Outpatient | AMERIHEALTH CARITAS NORTH CAROLINA | Medicaid | $4.57 | $48.86 | $19.54 | 2025-07-01 | MRF ↗ |
| GOUVERNEUR HOSPITAL Outpatient | MVP [109] | MVP GOLD HMO|MVP GOLD PPO | $4.76 | $84.53 | $54.94 | 2024-12-30 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Banner University Family Care | Arizona Health Care Cost Containment System (AHCCCS) | $4.86 | $34.00 | $9.52 | 2026-04-30 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Arizona Complete | Arizona Health Care Cost Containment System (AHCCCS) | $4.86 | $34.00 | $9.52 | 2026-04-30 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | United Healthcare Community Care | Arizona Health Care Cost Containment System (AHCCCS) | $4.86 | $34.00 | $9.52 | 2026-04-30 | MRF ↗ |
| ERLANGER MURPHY MEDICAL CENTER OutpatientFacility | Peach State | All Products | $5.06 | $25.00 | $17.50 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | AETNA | AETNA MEDICARE | $5.10 | $25.00 | $13.20 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | AETNA | AETNA MEDICARE | $5.10 | $25.00 | $13.20 | 2026-01-25 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | BCBS of NC | POS | $5.11 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | BCBS of NC | POS | $5.11 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $5.12 | $8.00 | $4.56 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $5.12 | $8.00 | $4.56 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CENTIVO NW3 | 1013_CENTIVO NW3 MEWI SEWI 20221001 | $5.12 | $8.00 | $4.56 | 2026-01-01 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | CARESOURCE | CARESOURCE GA MEDICAID | $5.23 | $25.00 | $13.20 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | AMERIGROUP | AMERIGROUP GA | $5.23 | $25.00 | $13.20 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | CARESOURCE | CARESOURCE GA MEDICAID | $5.23 | $25.00 | $13.20 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | AMERIGROUP | AMERIGROUP GA | $5.23 | $25.00 | $13.20 | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | CARESOURCE | CARESOURCE GA MEDICAID | $5.23 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | AETNA | PPO | $5.48 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | AETNA | PPO | $5.48 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $5.52 | $8.00 | $4.56 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $5.52 | $8.00 | $4.56 | 2026-01-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | Blue Cross NC State Health Plan | PPO | $5.52 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | Blue Cross NC State Health Plan | PPO | $5.52 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CENTIVO NW1 | 892_CENTIVO NW1 MEWI SEWI 20221001 | $5.52 | $8.00 | $4.56 | 2026-01-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | BCBSNC Host | Indemnity | $5.63 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | BCBS of NC | HMO | $5.63 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | BCBSNC ASO | PPO | $5.63 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | BCBSNC Host | Indemnity | $5.63 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | BCBSNC ASO | PPO | $5.63 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | BCBS of NC | HMO | $5.63 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | BCBS of NC | PPO | $5.63 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | BCBS of NC | PPO | $5.63 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | OccuNet | OccuNet Commercial | $5.69 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| LORING HOSPITAL Outpatient | Meritain | Commercial | $5.80 | $29.00 | $23.20 | 2026-05-08 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL OutpatientFacility | PNOA | PNOA | $5.85 | $25.00 | $7.23 | 2026-01-25 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UHC GOLDEN RULE CHOICE/CHOICE PLUS [5117] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICAID - ILLINOIS [4367] | TRANS -INTERLINK IL MGD MEDICAID [6437] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UHC UMR CHOICE/CHOICE PLUS [4258] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UHC CHOICE FLEXWORK [6267] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICA [6253] | MEDICA EMPLOYEES (NOT SSMHEALTH EES) [6912] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UHC CHOICE/SELECT/CHOICE PLUS/ALL PAYORS [4410] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HEALTHLINK [4146] | HEALTHLINK STATE OF ILLINOIS OA [4117] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UNITED HEALTHCARE PPO [4278] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICA [6253] | MEDICA IFB [6913] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | BHM UNITED/OPTUM BEHAVIORAL HEALTH [5489] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UHC GEHA LABORERS CHOICE/CHOICE PLUS [5123] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICA [6253] | MEDICA SSM HEALTH [6911] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UNITED HEALTHCARE PPO [5257] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HEALTH ALLIANCE [4139] | HEALTH ALLIANCE PPO [5158] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UMR GENERIC [5122] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HUMANA MEDICARE [6333] | HUMANA MEDICARE ADV D-SNP & C-SNP [6891] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UNITED HEALTH CARE [4342] | UHC LABORERS [6440] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UHC MANAGED MEDICARE ADV [4854] | UHC STATE RETIREES MEDICARE ADV [6016] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HUMANA MEDICARE [6333] | HUMANA MEDICARE ADV PFFS [6890] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UHC MANAGED MEDICARE ADV [4854] | UHC GENERIC MEDICARE ADV [4951] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HEALTH ALLIANCE [4139] | HEALTH ALLIANCE MEDICARE ADV [6258] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | UHC MANAGED MEDICARE ADV [4854] | UHC COMPLETE CHOICE MEDICARE ADV PPO [4408] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HUMANA MEDICARE [6333] | HUMANA MEDICARE ADV HMO & PPO [6892] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MOLINA HEALTHCARE OF IL [6108] | MOLINA HEALTHCARE OF IL MEDICAID [6725] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | CIGNA BEHAVIORAL HEALTH [4465] | BHM CIGNA BEHAVIORAL HEALTH [5407] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | BLUE CROSS BLUE SHIELD OF ILLINOIS [4048] | BLUE CROSS BLUE SHIELD PPO [4712] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | CIGNA [4072] | OON CIGNA/LOCAL PLUS/SURFIT [6293] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MOLINA HEALTHCARE OF IL [4861] | MOLINA ILLINOIS MEDICAID [5993] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MERIDIAN HEALTH PLAN OF IL [4860] | MERIDIAN HEALTH PLAN OF IL MEDICAID [5992] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HUMANA GOLD PLUS HMO [4824] | HUMANA MEDICARE ADV HMO/PPO [5846] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MERIDIAN HEALTH PLAN ALT [10059] | MERIDIAN HEALTH PLAN ALT [10049] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HUMANA GOLD PLUS HMO [4824] | HUMANA MEDICARE ADV PFFS [6887] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE MANAGED CARE PLAN GENERIC MEDICARE ADV [6115] | MEDICARE MANAGED CARE PLAN GENERIC [6755] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE MANAGED CARE PLAN GENERIC MEDICARE ADV [6115] | MERIDIAN COMPLETE MEDICARE ADV OUT OF NE [6793] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HUMANA GOLD PLUS HMO [4824] | HUMANA MEDICARE ADV D-SNP & C-SNP [6888] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | CIGNA [4072] | CIGNA GENERIC [4069] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE ALT PAYOR [10049] | MEDICARE ALT PLAN [10045] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE ADVANTAGE GENERIC [4119] | MEDICARE ADV [4355] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HUMANA [4153] | HUMANA CHOICE CARE PPO [5185] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE [4372] | MEDICARE UMWA [4384] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | BC COMMUNITY IL MEDICAID ALT [10058] | BC COMMUNITY IL MEDICAID ALT [10048] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE [4372] | MEDICARE PART A ONLY [4881] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HUMANA [4153] | HUMANA HPN [5182] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | CIGNA [4072] | CIGNA PPO [5349] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE [4372] | MEDICARE PART A AND B [4880] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | AETNA MEDICARE ADV [6331] | AETNA MEDICARE ADV HMO/POS [6654] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE [4372] | MEDICARE PART B ONLY [5967] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HUMANA [4153] | HUMANA MEDICARE ADV [4376] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | BC COMMUNITY IL MEDICAID [6038] | BC COMMUNITY IL MEDICAID [6438] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE [4372] | MEDICARE IME ONLY [5990] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HFN (DPA) [4151] | HFN PPO [4374] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | CIGNA [4072] | CIGNA HMO POS OAP [5001] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICARE [4372] | MEDICARE RAILROAD [5071] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | AETNA MEDICARE ADV [6331] | AETNA PREMIER ELITE MEDICARE ADV PPO [6657] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICAID AETNA BETTER HEALTH ILLNOIS [6104] | AETNA BETTER HEALTH OF ILLINOIS MEDICAID [6718] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | AETNA MEDICARE ADV [6331] | AETNA MEDICARE ADV HMO/PPO/PFFS [6655] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | CIGNA [4072] | CIGNA [5572] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | AETNA MEDICARE ADV [6331] | AETNA PRIME MEDICARE ADV HMO/PPO [6656] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICAID - ILLINOIS [4367] | MEDICAID - ILLINOIS PUBLIC AID [4942] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | AETNA [4008] | AETNA CARELINK [6964] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | AETNA [4008] | AETNA MEDICARE ADV HMO [4016] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICAID - ILLINOIS [4367] | MEDICAID - ILLINOIS MEDICAID [4380] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | AETNA [4008] | AETNA PPO/POS/OA [4012] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HEALTHLINK [4146] | TRUSTMARK HEALTH BENEFIT [6692] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | AETNA [4008] | AETNA SELECT/HMO (REF REQ) [6000] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICAID - ILLINOIS [4367] | ILLINOIS MANAGED MEDICAID GENERIC [6629] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | AETNA [4008] | MERITAIN HEALTH PPO [5989] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | HEALTHLINK [4146] | HEALTHLINK PPO [4119] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | AETNA [4008] | AETNA GENERIC [5263] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | AETNA [4008] | ALLIED BENEFIT SYSTEMS [6671] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL InpatientFacility | MEDICAID - ILLINOIS [4367] | TRANS -INTERLINK IL MGD MEDICAID [6696] | — | $69.00 | $55.20 | 2025-09-18 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $6.02 | $96.94 | $21.07 | 2025-01-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | $6.02 | $96.94 | $21.07 | 2025-01-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $6.08 | $152.00 | $152.00 | 2026-05-15 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Prime Health | Prime Health Indigent | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Prime Health | Prime Health | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Healthspring | Managed Medicare 100% | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Managed Medicare 100% | Managed Medicare 100% | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Bcbs Of Tn | Managed Medicare 100% | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Wellcare | Managed Medicare 100% | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Bcbs Of Tn | Blue Cross Medicare Advantage | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Uhc | Uhc | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Veterans Admin - Governmental | Managed Medicare 100% | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Multiplan | Multiplan | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Cigna | Cigna Hmo | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Cigna | Cigna Ppo | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Veterans Admin - Governmental | Managed Medicare 100% | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Multiplan | Multiplan | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Healthspring | Managed Medicare 100% | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Uhc | Uhc Managed Medicare | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Cigna | Cigna Ppo | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Aetna | Aetna | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Aetna | Aetna | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Bcbs Of Tn | Blue Cross Medicare Advantage | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Prime Health | Prime Health | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Amerigroup | Managed Medicare 100% | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Humana | Managed Medicare 100% | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Amerigroup | Managed Medicare 100% | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Humana | Managed Medicare 100% | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Aetna | Managed Medicare 100% | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Cigna | Cigna Hmo | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Aetna | Managed Medicare 100% | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Prime Health | Prime Health Indigent | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Managed Medicare 100% | Managed Medicare 100% | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Wellcare | Managed Medicare 100% | — | $38.71 | $12.62 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Bcbs Of Tn | Managed Medicare 100% | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Uhc | Uhc Managed Medicare | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| HIGHPOINT HEALTH-RIVERVIEW WITH ASCENSION SAINT TH Outpatient | Uhc | Uhc | — | $42.19 | $13.92 | 2026-05-18 | MRF ↗ |
| ERLANGER MURPHY MEDICAL CENTER OutpatientFacility | UNITEDHEALTHCARE | MEDICARE ADVANTAGE | $6.25 | $25.00 | $17.50 | 2026-01-25 | MRF ↗ |
| ERLANGER MURPHY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $6.25 | $25.00 | $17.50 | 2026-01-25 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | SHERRILL FURNITURE | HMO | $6.47 | $37.05 | $14.82 | 2025-07-01 | MRF ↗ |
| FRYE REGIONAL MEDICAL CENTER Outpatient | SHERRILL FURNITURE | HMO | $6.47 | $37.05 | $14.82 | 2026-05-06 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $6.49 | $152.00 | $152.00 | 2026-05-15 | 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.