78195 — Lymph System Imaging
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lymph system imaging (OTHER 78195) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/78195?code_type=OTHER
MLA (9th ed.)
“Lymph system imaging (OTHER 78195) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/78195?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Lymph system imaging (OTHER 78195) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/78195?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $394–$1,204 (25th–75th percentile) across 75 hospitals · 289 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 78195 — 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 |
|---|---|---|---|---|---|---|---|
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $19.69 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $19.69 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $19.88 | — | — | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $31.53 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $31.53 | — | — | 2026-05-14 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Medicaid Rate | — | $33.00 | $1,298.00 | $973.50 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Medicaid Rate | — | $33.00 | $1,298.00 | $973.50 | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional | $34.93 | $109.00 | $54.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $34.93 | $109.00 | $54.50 | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $36.85 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | $36.85 | — | — | 2026-05-14 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $41.43 | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $41.43 | $983.00 | $491.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | $41.43 | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | $41.43 | $983.00 | $491.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $42.02 | $983.00 | $491.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | $42.02 | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | $42.22 | $983.00 | $491.50 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | $42.22 | $1,810.00 | $905.00 | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Both | Molina | Medicaid | $44.64 | $5,781.00 | $2,312.40 | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $48.89 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $48.89 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $48.89 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $48.89 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $49.41 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Freedom Blue Mcr Adv | $49.41 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $49.79 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $49.79 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $49.79 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $49.79 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $50.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $50.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $50.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Chip | $50.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $50.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $50.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $50.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Jefferson Health | Mcd Advantage | $50.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicaid | Traditional Medicaid | $50.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcd Advantage | $50.00 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcd Advantage | $50.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcd Advantage | $50.00 | — | — | 2026-05-23 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Caresource | Passe | $50.16 | $1,298.00 | $973.50 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Summit Community Care | Passe | $50.16 | $1,298.00 | $973.50 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Empower | Passe | $50.16 | $1,298.00 | $973.50 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Total Care | Passe | $50.16 | $1,298.00 | $973.50 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Summit Community Care | Passe | $50.16 | $1,298.00 | $973.50 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Empower | Passe | $50.16 | $1,298.00 | $973.50 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Total Care | Passe | $50.16 | $1,298.00 | $973.50 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Caresource | Passe | $50.16 | $1,298.00 | $973.50 | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $52.01 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $52.01 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $52.01 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $52.01 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $52.01 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Traditional Medicare | Traditional Medicare | $52.01 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $52.01 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $52.01 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $52.01 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $52.01 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $52.01 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - All Social Mission | $52.01 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $52.01 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $52.01 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicare | Professional | $52.21 | $109.00 | $54.50 | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $52.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $52.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $52.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $52.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $52.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $52.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $52.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $52.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicaid | $52.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $52.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $52.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Molina | Medicaid Illinois | $52.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $52.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $52.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $52.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $52.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $52.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $52.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $52.55 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Mutual Medical | Commercial | $52.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $52.55 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid | Medicaid Illinois | $52.55 | — | — | 2026-05-24 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $53.05 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $53.05 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Hmo Epo | $53.05 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Mcr Advantage | $53.05 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $53.31 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $53.31 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $53.31 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $53.31 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $53.57 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $53.57 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $53.57 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Humana | Mcr Advantage | $53.57 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Geisinger | Mcr Advantage | $53.57 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Uhc | Mcr Advantage | $53.57 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $54.90 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $54.91 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $55.97 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $56.17 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Mcr Advantage | $56.17 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $56.69 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Security Blue Mcr Adv | $56.69 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $60.93 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Upmc | Commercial | $60.93 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $61.30 | — | — | 2026-05-23 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN | Commercial|Cigna|All Plans | — | $63.00 | $2,612.00 | $914.20 | 2026-07-31 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON | Commercial|Cigna|All Plans | — | $63.00 | $2,612.00 | $914.20 | 2026-07-31 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $63.15 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $63.15 | — | — | 2026-05-23 | MRF ↗ |
| ST JOSEPHS AREA HEALTH SERVICES | Commercial|Bcbs - Mn|All Plans | — | $68.78 | $101.97 | $63.12 | 2026-08-01 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $69.20 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $69.30 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $72.16 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $74.00 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $74.63 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $77.67 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $77.67 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $85.02 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Bcbs | Professional Facility | $87.35 | $109.00 | $54.50 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Bcbs | Professional | $87.35 | $109.00 | $54.50 | 2026-05-09 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Bcbs | Ppo | $91.65 | $141.00 | $98.70 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Bcbs | Ppo | $91.65 | $141.00 | $98.70 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Bcbs | Hmo | $112.80 | $141.00 | $98.70 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Bcbs | Hmo | $112.80 | $141.00 | $98.70 | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $119.79 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Kids Medicaid | $119.79 | $769.00 | $185.79 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Kids Medicaid | $119.79 | $769.00 | $185.79 | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Chip | $119.79 | — | — | 2026-05-23 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ambetter, Qualchoice And Novasys Health | All Plan | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ppo Plus (Stratose) | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Mercy Managed Care | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Health Partners Pho | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | First Community Bank Corp Benefit | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna Accn Network | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | American Lifecare | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | American Ppo Inc. | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Sharp | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Vantage Health | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Municipal Health Benefit Fund | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | First Health | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | United Healthcare | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Usa Managed Care | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Healthscope Benefits | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Arkansas Total Care | Medicaid | $125.07 | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Care Source | Medicaid | $125.07 | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Zelis | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Aetna | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Phcs | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Three Rivers Provider Network | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | White River Health System | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Vantos Health System | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Multiplan | All Plans | — | $1,458.55 | $1,312.70 | 2026-05-09 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Hmo | $128.67 | $141.00 | $98.70 | 2026-05-22 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Ppo | $128.67 | $141.00 | $98.70 | 2026-05-14 | MRF ↗ |
| JOHN H STROGER JR HOSPITAL Both | Aetna | Hmo | $128.67 | $141.00 | $98.70 | 2026-05-14 | MRF ↗ |
| PROVIDENT HOSPITAL OF CHICAGO Both | Aetna | Ppo | $128.67 | $141.00 | $98.70 | 2026-05-22 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $130.00 | $983.00 | $491.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $130.00 | $983.00 | $491.50 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $130.00 | $983.00 | $491.50 | 2026-05-13 | MRF ↗ |
| SEVIER VALLEY HOSPITAL | Medicaid Qmb - Inpatient | — | $133.12 | $149.57 | $112.18 | 2026-07-31 | MRF ↗ |
| SEVIER VALLEY HOSPITAL | Medicaid Health Choice Of Utah - Inpatient | — | $133.12 | $149.57 | $112.18 | 2026-07-31 | MRF ↗ |
| SEVIER VALLEY HOSPITAL | Medicaid Utah Healthy U - Inpatient | — | $133.12 | $149.57 | $112.18 | 2026-07-31 | MRF ↗ |
| SEVIER VALLEY HOSPITAL | Medicaid Selecthealth Community Care - Inpatient | — | $133.12 | $149.57 | $112.18 | 2026-07-31 | MRF ↗ |
| SEVIER VALLEY HOSPITAL | Medicaid Molina - Utah - Inpatient | — | $133.12 | $149.57 | $112.18 | 2026-07-31 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Aetna | Whole Health & Vhan | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $138.54 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $138.54 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Aetna | Whole Health & Vhan | — | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $139.75 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $139.75 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL | Cigna Healthcare Utah Connect - Inpatient/Outpatient | — | $142.09 | $149.57 | $112.18 | 2026-07-31 | MRF ↗ |
| SEVIER VALLEY HOSPITAL | Chip Molina Healthy Kids - Inpatient/Outpatient | — | $142.09 | $149.57 | $112.18 | 2026-07-31 | MRF ↗ |
| SEVIER VALLEY HOSPITAL | Humana - Inpatient/Outpatient | — | $142.09 | $149.57 | $112.18 | 2026-07-31 | 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.