Price Transparencybeta 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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78709 — K Flow/funct Image Multiple

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

Typical negotiated price $741

Usually $515–$1,503 (25th–75th percentile) across 2,596 hospitals · 7,574 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 78709 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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.

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$515 $741 typical $1,503

The middle 50% of negotiated facility rates for this procedure, measured across 2,596 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. $741
Radiologist read Estimate national typical Medicare $63 × 1.8 commercial. $114
Likely subtotal $855
Complete-episode estimate (typical) ~$855

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 $515–$1,503.

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
GOOD SAMARITAN MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 $5,658.00 $4,243.50 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE EXCHANGE HIX $0.23 $6,848.00 $5,136.00 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 $6,848.00 $5,136.00 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AMBETTER AMBETTER BY SUNSHINE HIX $0.27 $5,658.00 $4,243.50 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 $5,658.00 $4,243.50 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.33 $6,848.00 $5,136.00 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AMBETTER AMBETTER EXCHANGE VALUE AND SELECT NONPAR $0.49 $5,967.00 $4,475.25 2026-09-01 MRF ↗
METROWEST MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS OUT OF STATE $0.50 $2,105.00 $1,578.75 2026-06-05 MRF ↗
METROWEST MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS INDEMNITY $0.50 $2,105.00 $1,578.75 2026-06-05 MRF ↗
METROWEST MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS PREFERRED PROVIDER ARRANGEMENT $0.50 $2,105.00 $1,578.75 2026-06-05 MRF ↗
METROWEST MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS HMO BLUE $0.50 $2,105.00 $1,578.75 2026-06-05 MRF ↗
METROWEST MEDICAL CENTER BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS HIGH PERFORMANCE NETWORK $0.50 $2,105.00 $1,578.75 2026-06-05 MRF ↗
James Cancer Hospital & Solove Research Institute Outpatient Cigna Cigna - Transplant $0.62 $2,541.00 — 2026-07-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility HUMANA HUMANA MEDICARE- MIDTOWN IMAGING $0.72 $5,658.00 $4,243.50 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility HUMANA HUMANA- MIDTOWN IMAGING $0.82 $5,658.00 $4,243.50 2026-09-01 MRF ↗
CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility AETNA Acop $0.87 $3,714.00 $2,414.10 2026-06-15 MRF ↗
FAIRVIEW HOSPITAL OutpatientFacility AETNA Acop $0.87 $3,714.00 $2,414.10 2026-06-15 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California Covered — $5,163.00 $4,233.66 2025-11-26 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility AETNA AETNA US HEALTHCARE PPO $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 $7,225.00 $5,418.75 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient California Physicians' Service dba Blue Shield of California HMO — $5,163.00 $4,233.66 2025-11-26 MRF ↗
HI-DESERT MEDICAL CENTER OutpatientFacility AETNA AETNA GATEKEEPER (HMO/POS/EPO) $1.00 — — 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA US HEALTHCARE $1.00 $7,225.00 $5,418.75 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage — $5,163.00 $4,233.66 2025-11-26 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 $6,774.00 $5,080.50 2026-09-02 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility AETNA AETNA US HEALTHCARE OF CALIFORNIA $1.00 — — 2026-09-02 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA SPP $1.00 $5,967.00 $4,475.25 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 $6,774.00 $5,080.50 2026-09-02 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE COMMUNITY NM HMO NETWORK EXCHANGE $1.00 $7,225.00 $5,418.75 2026-09-01 MRF ↗
Harper University Hospital BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $6,774.00 $5,080.50 2026-09-02 MRF ↗
HI-DESERT MEDICAL CENTER OutpatientFacility AETNA AETNA NON GATEKEEPER (PPO) $1.00 — — 2026-09-02 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility CIGNA CIGNA COMMERCIAL $1.00 — — 2026-09-02 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA COMMERCIAL NEW BUSINESS DISCOUNT $1.00 $5,967.00 $4,475.25 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage — $5,163.00 $4,233.66 2025-11-26 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 $7,225.00 $5,418.75 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER 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 BLUE CARE NETWORK $1.00 — — 2026-05-20 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO $1.00 $7,225.00 $5,418.75 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE CROSS MYBLUE HEALTH HIX $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility AETNA AETNA EXCHANGE $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility AETNA AETNA COMMERCIAL NEW BUSINESS DISCOUNT $1.00 — — 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare POS — $5,163.00 $4,233.66 2025-11-26 MRF ↗
PIEDMONT MEDICAL CENTER BothFacility AETNA AETNA COMMERCIAL $1.00 $4,291.00 $3,218.25 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA QPIC $1.00 $5,967.00 $4,475.25 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUE OPTIONS/BLUE PRECISION $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 $6,774.00 $5,080.50 2026-09-02 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE PPO $1.00 $6,848.00 $5,136.00 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient United Healthcare HMO — $5,163.00 $4,233.66 2025-11-26 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $5,658.00 $4,243.50 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA EXCHANGE $1.00 $5,967.00 $4,475.25 2026-09-01 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility CIGNA CIGNA HMO $1.00 — — 2026-09-02 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AETNA AETNA EXCHANGE $1.00 $5,658.00 $4,243.50 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE HMO/POS $1.00 $5,658.00 $4,243.50 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-05-20 MRF ↗
METROWEST MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE $1.00 $2,105.00 $1,578.75 2026-06-05 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 $6,774.00 $5,080.50 2026-09-02 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage — $5,163.00 $4,233.66 2025-11-26 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 — — 2026-05-20 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage — $5,163.00 $4,233.66 2025-11-26 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA EXCHANGE $1.00 $7,225.00 $5,418.75 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE HMO/POS $1.00 $6,848.00 $5,136.00 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE $1.00 — — 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility AETNA AETNA US HEALTHCARE HMO $1.00 — — 2026-09-02 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage — $5,163.00 $4,233.66 2025-11-26 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA ACO NETWORK $1.00 $7,225.00 $5,418.75 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NEW MEXICO HMO $1.00 — — 2026-09-01 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA COMMERCIAL $1.00 $5,967.00 $4,475.25 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility BLUE CROSS/BLUE SHIELD BLUECROSS AND BLUESHIELD OF NM BLUE ADVANTAGE $1.00 $7,225.00 $5,418.75 2026-09-01 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Inpatient Health Net of California, Inc. HMO — $5,163.00 $4,233.66 2025-11-26 MRF ↗
RESOLUTE HEALTH HOSPITAL BothFacility AETNA AETNA SOUTH SAN ANTONIO ISD $1.00 $5,967.00 $4,475.25 2026-09-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-05-20 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility AETNA AETNA EXCHANGE $1.00 $6,848.00 $5,136.00 2026-09-01 MRF ↗
THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility AETNA AETNA COMMERCIAL NEW BUSINESS DISCOUNT $1.00 $7,225.00 $5,418.75 2026-09-01 MRF ↗
ST MARY'S MEDICAL CENTER BothFacility OSCAR HEALTH PLAN OSCAR HEALTH PLAN HIX $1.00 $6,848.00 $5,136.00 2026-09-01 MRF ↗
GOOD SAMARITAN MEDICAL CENTER BothFacility AETNA AETNA US HEALTHCARE PPO $1.00 $5,658.00 $4,243.50 2026-09-01 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility CIGNA CIGNA HMO $1.00 — — 2026-09-02 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility CIGNA CIGNA COMMERCIAL $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BLUECROSSBLUESHIELD MI $1.00 — — 2026-05-20 MRF ↗
DOCTORS HOSPITAL OF MANTECA OutpatientFacility CIGNA CIGNA PPO $1.00 — — 2026-09-02 MRF ↗
DOCTORS MEDICAL CENTER OutpatientFacility CIGNA CIGNA/PPO $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-05-20 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility AETNA AETNA US HEALTHCARE $1.00 — — 2026-09-01 MRF ↗
SIERRA MEDICAL CENTER OutpatientFacility AETNA AETNA ACO NETWORK $1.00 — — 2026-09-01 MRF ↗
Harper University Hospital BothFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 $6,774.00 $5,080.50 2026-09-02 MRF ↗
FAIRVIEW HOSPITAL OutpatientFacility AETNA Asa_Whirlpool_Peia $1.01 $3,714.00 $2,414.10 2026-06-15 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient Aetna Medicare Advantage Hmo $1.22 — — 2026-07-15 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $1.93 $260.00 $49.40 2026-01-25 MRF ↗
ADVENTIST HEALTH REEDLEY Outpatient DIGNITY MCR ADV OP/PROFEE ONLY DIGNITY MCR ADV OP/PROFEE ONLY $1.93 $254.00 $48.26 2026-05-20 MRF ↗
ROANE MEDICAL CENTER BothFacility United Healthcare All Other Plans $2.05 $807.00 $250.17 2025-12-23 MRF ↗
ROANE MEDICAL CENTER BothFacility United Healthcare Options PPO $2.05 $807.00 $250.17 2025-12-23 MRF ↗
ROANE MEDICAL CENTER BothFacility United Healthcare Heritage Select $2.05 $807.00 $250.17 2025-12-23 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $5.35 $2,970.00 $553.90 2024-12-31 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Healthplan Medicaid Wv Medicaid $6.94 — — 2026-05-06 MRF ↗
ST MARYS MEDICAL CENTER Outpatient Wellpoint Wv Medicaid $7.29 — — 2026-05-06 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California Covered California/IFP/PPO $8.06 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California Covered California/IFP/PPO $8.11 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California Covered California/IFP/PPO $8.11 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California HMO $9.23 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California HMO $9.29 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California HMO $9.29 — — 2026-03-18 MRF ↗
FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility Blue Shield of California EPO/PPO/Out of State $10.05 — — 2026-03-18 MRF ↗
Southern California Hospital At Culver City OutpatientFacility Blue Shield of California EPO/PPO/Out of State $10.12 — — 2026-03-18 MRF ↗
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility Blue Shield of California EPO/PPO/Out of State $10.12 — — 2026-03-18 MRF ↗
METHODIST HOSPITALS OF MEMPHIS Both CIGNA [100009] HB Cigna PPO - LeBonheur $10.24 $3,478.00 $765.16 2026-03-19 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient First Choice Commercial $10.81 — — 2026-07-15 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Bcbs Medicare Medicare $11.07 $500.00 $375.00 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Medicare Medicare $11.07 $500.00 $375.00 2026-10-01 MRF ↗
MEMORIAL HOSPITAL OF CARBON COUNTY Outpatient Vaccn Medicare $11.07 $500.00 $375.00 2026-10-01 MRF ↗
BACON COUNTY HOSPITAL Outpatient Wellcare Medicare Advantage $11.98 $864.00 $691.20 2026-07-15 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient Confluence Health Medicare Advantage $14.49 — — 2026-07-15 MRF ↗
WHIDBEYHEALTH MEDICAL CENTER Outpatient Group Health Coop (Ghc) Ghc Commercial (Kaiser) $16.10 $161.00 $161.00 2026-07-15 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $18.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - United Medicaid - United $18.00 $147.00 $73.00 2025-02-03 MRF ↗
BACON COUNTY HOSPITAL Outpatient Wellcare Medicare Advantage $18.40 $256.00 $204.80 2026-07-15 MRF ↗
LECONTE MEDICAL CENTER Outpatient Ambetter Exchange $18.58 $773.00 $386.50 2024-12-10 MRF ↗
ROANE MEDICAL CENTER Outpatient Ambetter Exchange $18.58 $773.00 $386.50 2024-12-10 MRF ↗
FORT LOUDOUN MEDICAL CENTER Outpatient Ambetter Exchange $18.58 $773.00 $386.50 2024-12-10 MRF ↗
FORT LOUDOUN MEDICAL CENTER Outpatient Ambetter Exchange $18.58 $773.00 $386.50 2024-12-10 MRF ↗
LECONTE MEDICAL CENTER Outpatient Ambetter Exchange $18.58 $773.00 $386.50 2024-12-10 MRF ↗
ROANE MEDICAL CENTER Outpatient Ambetter Exchange $18.58 $773.00 $386.50 2024-12-10 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - United Medicaid - United $19.00 $147.00 $73.00 2025-02-03 MRF ↗
CHERRY COUNTY HOSPITAL Outpatient AMBETTER COMM - ALL PLANS AMBETTER COMM - ALL PLANS $19.00 $1,826.85 $1,826.85 2026-04-24 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $1,301.00 $845.65 2025-01-01 MRF ↗
ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility VACCN United Veterans Affairs $20.50 $1,301.00 $845.65 2025-01-01 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility UHC Medicare Advantage $20.70 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Blue Cross Blue Shield Medicare Advantage $20.70 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Tricare All $20.70 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility VA Health All $20.70 — — 2026-03-28 MRF ↗
FALLON MEDICAL COMPLEX HOSPITAL OutpatientFacility Humana Medicare Advantage $20.70 — — 2026-03-28 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Meridian Medicaid - Meridian $21.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $21.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - United Medicaid - United $21.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $21.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $21.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $23.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Medicaid - Meridian Medicaid - Meridian $24.00 $147.00 $73.00 2025-02-03 MRF ↗
MCKAY-DEE HOSPITAL Inpatient Donor Connect Other $24.08 $2,408.39 $1,806.29 2026-07-31 MRF ↗
SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient BCBS HIX $24.63 — — 2024-10-01 MRF ↗
SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient BCBS Pathway $24.63 — — 2024-10-01 MRF ↗
MCLAREN MACOMB Outpatient Traditional Medicaid HMO PPO Traditional Medicaid HMO PPO $25.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - United Medicaid - United $25.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Molina Medicaid - Molina $26.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN NORTHERN MICHIGAN Outpatient Tricare Tricare $26.00 $147.00 $73.00 2025-02-03 MRF ↗
CONEMAUGH MINERS MEDICAL CENTER Outpatient Bcbs Of Pa Highmark Medicare Advantage $26.35 $1,068.00 $427.20 2026-07-18 MRF ↗
CONEMAUGH MINERS MEDICAL CENTER Outpatient Bcbs Of Pa Highmark Medicare Advantage $26.35 $971.00 $388.40 2026-07-18 MRF ↗
HUNTSVILLE HOSPITAL Both VIVA VIVA MEDICARE $26.37 $498.00 $498.00 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both BLUE CROSS OF AL BLUE ADVANTAGE $26.37 $498.00 $498.00 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both MEDICARE MEDICARE ADVANTAGE $26.37 $498.00 $498.00 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both BLUE CROSS TN BLUE ADVANTAGE TN $26.37 $498.00 $498.00 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both AETNA AETNA MEDICARE $26.90 $498.00 $498.00 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both HUMANA HUMANA MEDICARE $26.90 $498.00 $498.00 2026-03-27 MRF ↗
MCLAREN MACOMB Outpatient Medicaid - Molina Medicaid - Molina $27.00 $147.00 $73.00 2025-02-03 MRF ↗
HUNTSVILLE HOSPITAL Both UNITED HEALTHCARE UNITED MEDICARE $27.03 $498.00 $498.00 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both DEVOTED DEVOTED MEDICARE $27.16 $498.00 $498.00 2026-03-27 MRF ↗
HUNTSVILLE HOSPITAL Both CIGNA CIGNA MEDICARE $27.16 $498.00 $498.00 2026-03-27 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid Nhhf $27.20 $296.00 $88.80 2026-07-15 MRF ↗
MCLAREN OAKLAND Outpatient Medicaid - Molina Medicaid - Molina $28.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicare - United Medicare - United $28.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN MACOMB Outpatient WC - Workers Compensation WC - Workers Compensation $28.00 $147.00 $73.00 2025-02-03 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCBlueChoice $28.70 $1,786.00 $1,339.50 2024-12-08 MRF ↗
INTERMOUNTAIN MEDICAL CENTER Inpatient Donor Connect Other $28.90 $2,408.39 $1,806.29 2026-07-17 MRF ↗
LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility Blue Shield of California Commercial/IFP $28.94 — — 2026-03-18 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Traditional Medicare HMO PPO Traditional Medicare HMO PPO $29.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Medicaid - Meridian Medicaid - Meridian $29.00 $147.00 $73.00 2025-02-03 MRF ↗
HUNTSVILLE HOSPITAL Both WELLCARE WELLCARE MEDICARE $29.01 $498.00 $498.00 2026-03-27 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid Medicaid-Trad $29.60 $296.00 $88.80 2026-07-15 MRF ↗
ELLENVILLE REGIONAL HOSPITAL OutpatientFacility United Healthcare CHIP/Family Health Plus/Medicaid $29.85 $199.00 $149.25 2026-05-22 MRF ↗
CONCORD HOSPITAL Outpatient Medicaid-Amerihealth Medicaid-Amerihealth $29.90 $296.00 $88.80 2026-07-15 MRF ↗
MCLAREN MACOMB Outpatient Medicare - Priority Health Medicare - Priority Health $30.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Tricare Tricare $30.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Medicare - Humana Medicare - Humana $30.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient HAP - HMO HAP - HMO $30.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN OAKLAND Outpatient Medicare - Molina Medicare - Molina $30.00 $147.00 $73.00 2025-02-03 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Beacon Health Strategies/Carelon Wellsense - Nh Managed Medicaid Beh Health - Dhp $30.07 — — 2026-07-18 MRF ↗
COASTAL CAROLINA HOSPITAL Outpatient BCBS-SC BCBSSCPreferredBlue $30.90 $1,786.00 $1,339.50 2024-12-08 MRF ↗
ST CATHERINE OF SIENA HOSPITAL OutpatientFacility Beacon Health Options Medicare $30.98 $2,950.00 — 2026-02-19 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid - Dhp $30.98 — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Amerihealth Caritas Nh Amerihealth Caritas - Nh Managed Medicaid - Dhp $30.98 — — 2026-07-18 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both First Choice Select Health Managed Medicaid — — — 2026-10-03 MRF ↗
MCLAREN OAKLAND Outpatient Medicare - United Medicare - United $31.00 $147.00 $73.00 2025-02-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Aetna Managed Medicare — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both America'S First Choice Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Absolute Total Care Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both United Health Care Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Blue Cross Medicare Advantage — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Aetna Commercial — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Molina Mangaged Medicare — — — 2026-10-03 MRF ↗
BEAUFORT COUNTY MEMORIAL HOSPITAL Both Cigna Commercial — — — 2026-10-03 MRF ↗
LDS HOSPITAL Inpatient Donor Connect Other $31.31 $2,408.39 $1,806.29 2026-08-01 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp $31.58 — — 2026-07-18 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid $31.88 — — 2026-07-18 MRF ↗
MCLAREN BAY REGION Outpatient United Healthcare United Healthcare $32.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN BAY REGION Outpatient Tricare Tricare $33.00 $147.00 $73.00 2025-02-03 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCPreferredBlue $33.10 $3,431.00 $2,573.25 2024-12-08 MRF ↗
HILTON HEAD REGIONAL MEDICAL CENTER Outpatient BCBS-SC BCBSSCBlueChoice $33.10 $3,431.00 $2,573.25 2024-12-08 MRF ↗
METRO NASHVILLE GENERAL HOSPITAL Both UNITEDHEALTHCARE MEDICARE ADVANTAGE SNP $33.24 $3,242.00 $1,945.20 2024-07-01 MRF ↗
INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient Donor Connect Other $33.72 $2,408.39 $1,806.29 2026-08-01 MRF ↗
UPMC LITITZ OutpatientFacility Prime Net Managed Medicare $33.90 $253.00 $151.80 2026-03-06 MRF ↗
MCLAREN MACOMB Outpatient Medicare - United Medicare - United $34.00 $147.00 $73.00 2025-02-03 MRF ↗
MCLAREN CENTRAL MICHIGAN Outpatient Tricare Tricare $34.00 $147.00 $73.00 2025-02-03 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.