C8920 — Pr MRA Pelvis Wo/w Cntrst
Cite this view
HANK Price Transparency. (n.d.). PR MRA PELVIS WO/W CNTRST (HCPCS C8920) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C8920?code_type=HCPCS
“PR MRA PELVIS WO/W CNTRST (HCPCS C8920) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C8920?code_type=HCPCS. Accessed .
“PR MRA PELVIS WO/W CNTRST (HCPCS C8920) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C8920?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $423–$2,328 (25th–75th percentile) across 1,994 hospitals · 5,026 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS C8920 — 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 | — | — | — | $3,870.66 | $1,935.33 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $3,870.66 | $1,935.33 | 2024-12-15 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | United Healthcare | BH Empire MPN | $0.03 | $4,818.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | United Healthcare | BH Empire MPN | $0.03 | $4,818.00 | — | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER OutpatientFacility | Self Pay | All Plans | $0.03 | $4,818.00 | — | 2026-02-19 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL OutpatientFacility | Self Pay | All Plans | $0.03 | $4,818.00 | — | 2026-02-19 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [Empire] | [Connections] | $0.06 | $6,867.00 | $6,867.00 | 2024-09-15 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Blue Cross | All Commercial Plans | $0.06 | — | — | 2026-04-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [Empire] | [Commercial] | $0.07 | $6,867.00 | $6,867.00 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [Empire] | [Blue Access] | $0.07 | $6,867.00 | $6,867.00 | 2024-09-15 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MCS PPO | $0.12 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS NON MCS PPO/HMO | $0.12 | — | — | 2026-09-02 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARHealth | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARKids | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | CHIP | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $0.33 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Outpatient | Bcbs | Bcbs | $0.58 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $3,423.00 | — | 2026-07-01 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | Medcost | Medcost | $0.62 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | QHPHIX | $0.63 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | IFP | $0.63 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Cigna | QHP | $0.66 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | Cigna | Cigna | $0.72 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | United Healthcare | United Healthcare | $0.79 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | Self Pay | Self Pay | $0.80 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | Humana | Humana | $0.80 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | Aetna | Aetna | $0.85 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.90 | $5,010.00 | $3,757.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.92 | $6,847.00 | $5,135.25 | 2026-09-02 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | NewBusiness | $0.93 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | United | OptionsPPO | $0.93 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $10,929.00 | $5,464.50 | 2026-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $11,571.00 | $9,488.22 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $11,571.00 | $9,488.22 | 2025-11-26 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | COMM | $1.00 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $5,010.00 | $3,757.50 | 2026-05-20 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | EXCHANGE | $1.00 | $1,670.32 | $422.61 | 2026-09-05 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $11,571.00 | $9,488.22 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $5,010.00 | $3,757.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $5,010.00 | $3,757.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $5,010.00 | $3,757.50 | 2026-05-20 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Inpatient | Non Contracted (100% Poc) | Non Contracted (100 Poc) | $1.00 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | Meritain | $1.00 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $11,571.00 | $9,488.22 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $6,847.00 | $5,135.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $6,847.00 | $5,135.25 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $11,571.00 | $9,488.22 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $6,847.00 | $5,135.25 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $11,571.00 | $9,488.22 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $6,847.00 | $5,135.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $5,010.00 | $3,757.50 | 2026-05-20 | MRF ↗ |
| GRANVILLE HEALTH SYSTEMS Outpatient | Tricare/Champus (Mcr) | Tricare/Champus (Mcr) | $1.00 | $1.00 | $0.80 | 2026-10-12 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $6,847.00 | $5,135.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.04 | $5,010.00 | $3,757.50 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.06 | $6,847.00 | $5,135.25 | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $10,929.00 | $5,464.50 | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.10 | $5,010.00 | $3,757.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.10 | $5,010.00 | $3,757.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.10 | $5,010.00 | $3,757.50 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $10,929.00 | $5,464.50 | 2026-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.12 | $6,847.00 | $5,135.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.12 | $6,847.00 | $5,135.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.12 | $6,847.00 | $5,135.25 | 2026-09-02 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | CHIP | $1.13 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $10,929.00 | $5,464.50 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | OON | $1.18 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $10,929.00 | $5,464.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $10,929.00 | $5,464.50 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Healthcare Highways | CityofPlano | $1.59 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | BCBS | Traditional | $2.08 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | City of McKinney | COMM | $2.11 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Fidelis SecureCare | MGMCR | $2.11 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National ChoiceCare | WCOMP | $2.34 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | ASA | $2.47 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $10,929.00 | $5,464.50 | 2026-07-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | PC Texas Partners | WCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna | WCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Physicians Coop of TX | MGMCR | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Rockport Health Group | WORKERSCOMP | $2.58 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Averde Health, Inc | PPO | $2.72 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USC Health Services | COMM | $2.81 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Jostens | WCOMP | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Coastal Comp Health Networks | WCOMP | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Mega Life | MGMCRPPO | $3.28 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Aetna Coventry First Health | COMM | $3.41 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | HealthSmart Preferred Care | PPO | $3.52 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $3.52 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | USA Managed Care | COMM | $3.75 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Galaxy Health Network | PPO | $3.99 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | National Healthcare Solutions | COMM | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Unicare | MCD | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Independent Medical Systems | COMM | $4.69 | $4.69 | $4.69 | 2026-03-01 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | CIGNA [100009] | HB Cigna PPO - LeBonheur | $7.73 | $8,872.00 | $1,951.84 | 2026-03-19 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.50 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.59 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $13.59 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $15.48 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $15.57 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $15.57 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.85 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.96 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $16.96 | — | — | 2026-03-18 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,250.00 | $1,462.50 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $2,250.00 | $1,462.50 | 2025-01-01 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - United | Medicaid - United | $22.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $25.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | — | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-07-15 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Meridian | Medicaid - Meridian | $25.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | — | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $25.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - United | Medicaid - United | $26.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicaid - Meridian | Medicaid - Meridian | $29.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $30.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Molina | Medicaid - Molina | $31.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - United | Medicaid - United | $31.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicaid - Molina | Medicaid - Molina | $33.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicaid - Molina | Medicaid - Molina | $33.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - United | Medicare - United | $34.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | WC - Workers Compensation | WC - Workers Compensation | $34.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $35.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicaid - Meridian | Medicaid - Meridian | $35.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP - HMO | HAP - HMO | $36.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $36.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Tricare | Tricare | $36.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Molina | Medicare - Molina | $36.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $36.64 | $1,962.00 | $1,275.30 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $36.64 | $1,962.00 | $1,275.30 | 2025-01-01 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Priority Health | Medicare - Priority Health | $37.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - United | Medicare - United | $38.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | United Healthcare | United Healthcare | $39.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Tricare | Tricare | $40.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Tricare | Tricare | $41.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Humana | Medicare - Humana | $42.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - United | Medicare - United | $42.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | United Healthcare | United Healthcare | $42.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Aetna | Aetna | $43.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Humana | Medicare - Humana | $43.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $43.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Priority Health | Priority Health | $44.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $44.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Aetna | Aetna | $44.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | United Healthcare | United Healthcare | $44.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Priority Health | Priority Health | $44.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - United | Medicare - United | $44.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Medicare - Molina | Medicare - Molina | $45.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Priority Health | Priority Health | $45.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | HAP - HMO | HAP - HMO | $45.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP - HMO | HAP - HMO | $45.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $45.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | United Healthcare | United Healthcare | $45.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP | HAP | $45.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Priority Health | Medicare - Priority Health | $45.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Outpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $45.29 | $1,509.78 | $1,509.78 | 2026-07-15 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Priority Health | Priority Health | $46.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Medicare - United | Medicare - United | $46.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | Tricare | Tricare | $46.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | HAP - HMO | HAP - HMO | $46.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | WC - Workers Compensation | WC - Workers Compensation | $46.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Humana | Medicare - Humana | $47.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Outpatient | HAP | HAP | $47.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Aetna | Aetna | $47.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | WC - Workers Compensation | WC - Workers Compensation | $47.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $47.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Traditional Medicare HMO PPO | Traditional Medicare HMO PPO | $48.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Medicare - Priority Health | Medicare - Priority Health | $49.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Outpatient | Medicare - Humana | Medicare - Humana | $49.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $8,449.00 | $1,858.78 | 2026-03-19 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | HAP | HAP | $50.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $8,449.00 | $1,858.78 | 2026-03-19 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Outpatient | Priority Health | Priority Health | $50.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $8,449.00 | $1,858.78 | 2026-03-19 | MRF ↗ |
| MCLAREN BAY REGION Outpatient | Medicare - Molina | Medicare - Molina | $50.00 | $178.00 | $89.00 | 2025-02-03 | MRF ↗ |
| METHODIST HOSPITALS OF MEMPHIS Both | UHC MEDICAID [350006] | HB UHC MSCHIPS OB & MLH-TN ADULT HOSPITALS CONTRACT | $50.00 | $8,449.00 | $1,858.78 | 2026-03-19 | 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.