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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Hospitals

Payers

Negotiated range

$2,216.51 – $8,803.45

Negotiated median

$3,004.52

CPT 71550 MRI chest without contrast · Showing 200 of 1,670 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
UPMC SHADYSIDE	PA	intergroup	Approved National Affiliated PPO Business	inpatient	negotiated	$8,803.45
UPMC SHADYSIDE	PA	health payors organization	Commercial	outpatient	negotiated	$8,803.45
UPMC SHADYSIDE	PA	Humana	Commercial	outpatient	negotiated	$8,803.45
UPMC SHADYSIDE	PA	Multiplan	PPO	outpatient	negotiated	$8,285.6
UPMC SHADYSIDE	PA	selectcare	Commercial	inpatient	negotiated	$8,285.6
UPMC SHADYSIDE	PA	health coalition partners	Intergroup	outpatient	negotiated	$8,285.6
UPMC SHADYSIDE	PA	private health care systems	PPO	inpatient	negotiated	$8,285.6
UPMC SHADYSIDE	PA	intergroup	InterGroup Services Corporation	outpatient	negotiated	$7,767.75
UPMC SHADYSIDE	PA	fidelis	Medicare	inpatient	negotiated	$7,767.75
UPMC SHADYSIDE	PA	First Health	Commercial	inpatient	negotiated	$7,249.9
UPMC SHADYSIDE	PA	preferred healthcare system	PPO	outpatient	negotiated	$6,732.05
AMERICAN ONCOLOGIC HOSPIAL	PA	qualcare	Managed Care	outpatient	negotiated	$6,475.28
UPMC MERCY HOSPITAL	PA	Multiplan	PPO (inc. Auto and Worker's Compensation)	outpatient	negotiated	$6,187.5
UPMC MERCY HOSPITAL	PA	health payors organization	Commercial	outpatient	negotiated	$6,187.5
AMERICAN ONCOLOGIC HOSPIAL	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$6,067.96
UPMC PASSAVANT	PA	private health care systems	PPO	inpatient	negotiated	$5,892.48
UPMC MERCY HOSPITAL	PA	national provider network	PPO	inpatient	negotiated	$5,637.5
UPMC MERCY HOSPITAL	PA	american healthcare group	Commercial	outpatient	negotiated	$5,500
UPMC MERCY HOSPITAL	PA	intergroup	Approved National Affiliated PPO Business	inpatient	negotiated	$5,500
UPMC MCKEESPORT	PA	Humana	Commercial	outpatient	negotiated	$5,432.35
UPMC BEDFORD MEMORIAL HOSPITAL	PA	health coalition partners	Intergroup	inpatient	negotiated	$5,409
UPMC BEDFORD MEMORIAL HOSPITAL	PA	selectcare	Commercial	outpatient	negotiated	$5,409
UPMC BEDFORD MEMORIAL HOSPITAL	PA	Humana	Commercial	inpatient	negotiated	$5,409
UPMC BEDFORD MEMORIAL HOSPITAL	PA	private health care systems	PPO	outpatient	negotiated	$5,409
UPMC PASSAVANT	PA	Humana	Commercial	outpatient	negotiated	$5,385.6
UPMC PASSAVANT	PA	Multiplan	PPO (Includes Workers' Comp)	outpatient	negotiated	$5,385.6
UPMC PASSAVANT	PA	intergroup	PPO	outpatient	negotiated	$5,258.88
UPMC EAST HOSPITAL	PA	private health care systems	PPO	inpatient	negotiated	$5,254.4
UPMC ST MARGARET	PA	Humana	Commercial	outpatient	negotiated	$5,217.3
UPMC MERCY HOSPITAL	PA	private health care systems	PPO	outpatient	negotiated	$5,156.25
UPMC MCKEESPORT	PA	selectcare	Commercial	outpatient	negotiated	$5,112.8
UPMC MCKEESPORT	PA	private health care systems	PPO	outpatient	negotiated	$5,112.8
UPMC ST MARGARET	PA	selectcare	Commercial	inpatient	negotiated	$4,910.4
UPMC ST MARGARET	PA	private health care systems	PPO	outpatient	negotiated	$4,910.4
UPMC HORIZON HOSPITAL	PA	Humana	Commercial	inpatient	negotiated	$4,885.8
UPMC SHADYSIDE	PA	upmc health plan	Commercial	outpatient	negotiated	$4,856.4
UPMC BEDFORD MEMORIAL HOSPITAL	PA	preferred healthcare system	PPO	outpatient	negotiated	$4,808
UPMC HORIZON HOSPITAL	PA	prime net	Commercial	outpatient	negotiated	$4,713.36
UPMC HORIZON HOSPITAL	PA	private health care systems	PPO	outpatient	negotiated	$4,598.4
UPMC EAST HOSPITAL	PA	First Health	Commercial	outpatient	negotiated	$4,597.6
UPMC MCKEESPORT	PA	First Health	Commercial	inpatient	negotiated	$4,473.7
UPMC PASSAVANT	PA	First Health	Commercial	outpatient	negotiated	$4,435.2
UPMC ST MARGARET	PA	First Health	Commercial	outpatient	negotiated	$4,296.6
UPMC BEDFORD MEMORIAL HOSPITAL	PA	First Health	Commercial	inpatient	negotiated	$4,207
UPMC MERCY HOSPITAL	PA	Cigna	Commercial	outpatient	negotiated	$4,125
UPMC BEDFORD MEMORIAL HOSPITAL	PA	Cigna	New Business ASO	inpatient	negotiated	$4,026.7
UPMC HORIZON HOSPITAL	PA	health coalition partners	PPO	outpatient	negotiated	$4,023.6
MUNCY VALLEY HOSPITAL	PA	Multiplan	Worker's Compensation	outpatient	negotiated	$3,980.5
UPMC BEDFORD MEMORIAL HOSPITAL	PA	UnitedHealthcare	All Business	outpatient	negotiated	$3,906.5
UPMC BEDFORD MEMORIAL HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$3,906.5
UPMC BEDFORD MEMORIAL HOSPITAL	PA	Aetna	NBR ASO/FI	outpatient	negotiated	$3,906.5
UPMC BEDFORD MEMORIAL HOSPITAL	PA	Cigna	NBR ASO/FI	outpatient	negotiated	$3,906.5
UPMC SHADYSIDE	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$3,854.94
UPMC BEDFORD MEMORIAL HOSPITAL	PA	Aetna	Neighborhood Network	inpatient	negotiated	$3,846.4
UPMC BEDFORD MEMORIAL HOSPITAL	PA	Aetna	Home Depot Employer Group	outpatient	negotiated	$3,828.37
UPMC HORIZON HOSPITAL	PA	First Health	Commercial	outpatient	negotiated	$3,793.68
DIVINE PROVIDENCE HOSPITAL	PA	three rivers provider network	All	inpatient	negotiated	$3,771
LOCK HAVEN HOSPITAL	PA	three rivers provider network	All	inpatient	negotiated	$3,771
MUNCY VALLEY HOSPITAL	PA	three rivers provider network	All	inpatient	negotiated	$3,771
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	three rivers provider network	All	inpatient	negotiated	$3,771
UPMC HORIZON HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$3,736.2
UPMC SHADYSIDE	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$3,635.8
WELLSBORO	PA	Aetna	Commercial	outpatient	negotiated	$3,615.97
WELLSBORO	PA	Multiplan	Worker's Compensation	inpatient	negotiated	$3,610
WELLSBORO	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$3,561.5
TEMPLE UNIVERSITY HOSPITAL	PA	UnitedHealthcare	Options PPO	outpatient	negotiated	$3,550.96
JEANES HOSPITAL	PA	UnitedHealthcare	Options PPO	outpatient	negotiated	$3,550.96
UPMC PASSAVANT	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$3,462.83
UPMC EAST HOSPITAL	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$3,462.83
UPMC ST MARGARET	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$3,462.83
UPMC HORIZON HOSPITAL	PA	Aetna	EBR FI	inpatient	negotiated	$3,448.8
UPMC MERCY HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$3,437.5
UPMC BEDFORD MEMORIAL HOSPITAL	PA	UnitedHealthcare	Compass Exchange	inpatient	negotiated	$3,425.7
WELLSBORO	PA	america's choice	PPO	inpatient	negotiated	$3,420
WELLSBORO	PA	intergroup	PPO	outpatient	negotiated	$3,420
MUNCY VALLEY HOSPITAL	PA	america's choice	PPO	inpatient	negotiated	$3,352
DIVINE PROVIDENCE HOSPITAL	PA	america's choice	PPO	inpatient	negotiated	$3,352
DIVINE PROVIDENCE HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$3,352
LOCK HAVEN HOSPITAL	PA	america's choice	PPO	outpatient	negotiated	$3,352
LOCK HAVEN HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$3,352
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	america's choice	PPO	inpatient	negotiated	$3,352
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	intergroup	PPO	inpatient	negotiated	$3,352
MUNCY VALLEY HOSPITAL	PA	intergroup	PPO	inpatient	negotiated	$3,352
UPMC EAST HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$3,284
UPMC MERCY HOSPITAL	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$3,272.25
LOCK HAVEN HOSPITAL	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$3,268.2
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Multiplan	PPO (Includes PHCS as a Payer)	outpatient	negotiated	$3,268.2
WELLSBORO	PA	Multiplan	Auto	outpatient	negotiated	$3,268.2
DIVINE PROVIDENCE HOSPITAL	PA	Multiplan	Auto	inpatient	negotiated	$3,268.2
MUNCY VALLEY HOSPITAL	PA	Multiplan	Auto	inpatient	negotiated	$3,268.2
LOCK HAVEN HOSPITAL	PA	Multiplan	Auto	inpatient	negotiated	$3,268.2
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Multiplan	Auto	outpatient	negotiated	$3,268.2
DIVINE PROVIDENCE HOSPITAL	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$3,268.2
MUNCY VALLEY HOSPITAL	PA	Multiplan	PPO (Includes PHCS as a Payer)	outpatient	negotiated	$3,268.2
WELLSBORO	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$3,268.2
UPMC MCKEESPORT	PA	intergroup	PPO	outpatient	negotiated	$3,195.5
UPMC NORTHWEST HOSPITAL	PA	Humana	Commercial	outpatient	negotiated	$3,123.75
WELLSBORO	PA	Aetna	PEBTF Custom Network	outpatient	negotiated	$3,073.78
UPMC MERCY HOSPITAL	PA	First Health	Commercial	outpatient	negotiated	$3,025
TEMPLE UNIVERSITY HOSPITAL	PA	Blue Cross Blue Shield	Indemnity	outpatient	negotiated	$3,004.52
UPMC BEDFORD MEMORIAL HOSPITAL	PA	Aetna	EBR FI	inpatient	negotiated	$2,944.9
UPMC NORTHWEST HOSPITAL	PA	private health care systems	PPO	inpatient	negotiated	$2,940
TEMPLE UNIVERSITY HOSPITAL	PA	Blue Cross Blue Shield	Temple Member	outpatient	negotiated	$2,937.3
TEMPLE UNIVERSITY HOSPITAL	PA	Blue Cross Blue Shield	HMO/PPO	outpatient	negotiated	$2,937.3
UPMC MCKEESPORT	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$2,931.76
UPMC PASSAVANT	PA	health plan of upper ohio valley	Commercial	outpatient	negotiated	$2,927.23
TEMPLE UNIVERSITY HOSPITAL	PA	Blue Cross Blue Shield	PIP	inpatient	negotiated	$2,919.1
DIVINE PROVIDENCE HOSPITAL	PA	Cigna	Commercial	inpatient	negotiated	$2,870.15
MUNCY VALLEY HOSPITAL	PA	Cigna	Commercial	inpatient	negotiated	$2,870.15
LOCK HAVEN HOSPITAL	PA	Cigna	Commercial	inpatient	negotiated	$2,870.15
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Cigna	Commercial	outpatient	negotiated	$2,870.15
DIVINE PROVIDENCE HOSPITAL	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$2,865.96
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$2,865.96
MUNCY VALLEY HOSPITAL	PA	UnitedHealthcare	Commercial	outpatient	negotiated	$2,865.96
LOCK HAVEN HOSPITAL	PA	UnitedHealthcare	Commercial	inpatient	negotiated	$2,865.96
TEMPLE UNIVERSITY HOSPITAL	PA	geisinger	Commercial	outpatient	negotiated	$2,854.35
JEANES HOSPITAL	PA	geisinger	Commercial	outpatient	negotiated	$2,854.35
DIVINE PROVIDENCE HOSPITAL	PA	First Health	FH-Medical Rental	outpatient	negotiated	$2,819.87
LOCK HAVEN HOSPITAL	PA	First Health	FH-Medical Rental	inpatient	negotiated	$2,819.87
MUNCY VALLEY HOSPITAL	PA	First Health	FH-Medical Rental	outpatient	negotiated	$2,819.87
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	First Health	FH-Medical Rental	inpatient	negotiated	$2,819.87
JEANES HOSPITAL	PA	Aetna	Workers' Comp	outpatient	negotiated	$2,809.44
JEANES HOSPITAL	PA	Aetna	First Health	outpatient	negotiated	$2,809.44
TEMPLE UNIVERSITY HOSPITAL	PA	Aetna	Workers' Comp	outpatient	negotiated	$2,809.44
TEMPLE UNIVERSITY HOSPITAL	PA	Aetna	First Health	outpatient	negotiated	$2,809.44
JEANES HOSPITAL	PA	Aetna	Commercial	outpatient	negotiated	$2,809.44
TEMPLE UNIVERSITY HOSPITAL	PA	Aetna	Commercial	outpatient	negotiated	$2,809.44
MUNCY VALLEY HOSPITAL	PA	geisinger	Commercial	outpatient	negotiated	$2,807.3
LOCK HAVEN HOSPITAL	PA	geisinger	Commercial	outpatient	negotiated	$2,807.3
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	geisinger	Commercial	outpatient	negotiated	$2,807.3
WELLSBORO	PA	geisinger	Commercial	outpatient	negotiated	$2,807.3
DIVINE PROVIDENCE HOSPITAL	PA	geisinger	Commercial	outpatient	negotiated	$2,807.3
UPMC HAMOT	PA	Blue Cross Blue Shield	UPMC Emergent	outpatient	negotiated	$2,780.79
MUNCY VALLEY HOSPITAL	PA	Aetna	First Health	inpatient	negotiated	$2,765.4
LOCK HAVEN HOSPITAL	PA	Aetna	First Health	inpatient	negotiated	$2,765.4
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	Aetna	First Health	inpatient	negotiated	$2,765.4
DIVINE PROVIDENCE HOSPITAL	PA	Aetna	First Health	outpatient	negotiated	$2,765.4
UPMC MERCY HOSPITAL	PA	Aetna	EBR ASO	inpatient	negotiated	$2,750
UPMC HAMOT	PA	intergroup	Beech Street	outpatient	negotiated	$2,727.2
UPMC HAMOT	PA	Multiplan	Complimentary Network Rate (Includes Multiplan as Payer)	outpatient	negotiated	$2,727.2
UPMC SHADYSIDE	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	outpatient	negotiated	$2,714.82
THOMAS JEFFERSON UNIV. HOSPITAL	PA	Blue Cross Blue Shield	JCC001_ JCC002 Indemnity	outpatient	negotiated	$2,663.35
THOMAS JEFFERSON UNIV. HOSPITAL	PA	Blue Cross Blue Shield	Commercial HMO	outpatient	negotiated	$2,663.35
THOMAS JEFFERSON UNIV. HOSPITAL	PA	Blue Cross Blue Shield	JCC001_JCC002 PPO	outpatient	negotiated	$2,663.35
UPMC NORTHWEST HOSPITAL	PA	health coalition partners	PPO	outpatient	negotiated	$2,646
UPMC EAST HOSPITAL	PA	Aetna	EBR ASO	inpatient	negotiated	$2,627.2
UPMC EAST HOSPITAL	PA	Cigna	Commercial	inpatient	negotiated	$2,627.2
UPMC EAST HOSPITAL	PA	UnitedHealthcare	All Business	inpatient	negotiated	$2,627.2
UPMC EAST HOSPITAL	PA	Cigna	EBR	inpatient	negotiated	$2,627.2
UPMC EAST HOSPITAL	PA	Cigna	New Business ASO	inpatient	negotiated	$2,627.2
UPMC HORIZON HOSPITAL	PA	Anthem BCBS	Traditional	inpatient	negotiated	$2,621.09
UPMC MERCY HOSPITAL	PA	Aetna	EBR FI	inpatient	negotiated	$2,612.5
UPMC NORTHWEST HOSPITAL	PA	First Health	Commercial	outpatient	negotiated	$2,572.5
UPMC EAST HOSPITAL	PA	Cigna	NBR ASO/FI	outpatient	negotiated	$2,561.52
UPMC EAST HOSPITAL	PA	Aetna	NBR ASO/FI	outpatient	negotiated	$2,561.52
UPMC MCKEESPORT	PA	Aetna	EBR ASO	inpatient	negotiated	$2,556.4
UPMC MCKEESPORT	PA	Cigna	Commercial	inpatient	negotiated	$2,556.4
UPMC PASSAVANT	PA	Cigna	Commercial	inpatient	negotiated	$2,534.4
UPMC EAST HOSPITAL	PA	Aetna	Home Depot Employer Group	outpatient	negotiated	$2,508.98
UPMC EAST HOSPITAL	PA	Aetna	EBR FI	inpatient	negotiated	$2,495.84
UPMC MCKEESPORT	PA	Aetna	NBR ASO/FI	inpatient	negotiated	$2,460.53
UPMC MCKEESPORT	PA	Cigna	New Business ASO	inpatient	negotiated	$2,460.53
UPMC ST MARGARET	PA	Aetna	EBR ASO	outpatient	negotiated	$2,455.2
UPMC ST MARGARET	PA	Cigna	Commercial	inpatient	negotiated	$2,455.2
UPMC MERCY HOSPITAL	PA	Blue Cross Blue Shield	Commercial - Social Mission Indemnity	outpatient	negotiated	$2,443.32
UPMC MCKEESPORT	PA	Aetna	EBR FI	inpatient	negotiated	$2,428.58
UPMC MCKEESPORT	PA	Aetna	Home Depot Employer Group	inpatient	negotiated	$2,409.41
UPMC BEDFORD MEMORIAL HOSPITAL	PA	Aetna	EBR ASO	outpatient	negotiated	$2,404
UPMC BEDFORD MEMORIAL HOSPITAL	PA	Cigna	Commercial	outpatient	negotiated	$2,404
UPMC BEDFORD MEMORIAL HOSPITAL	PA	Cigna	EBR	inpatient	negotiated	$2,404
UPMC NORTHWEST HOSPITAL	PA	intergroup	PPO	outpatient	negotiated	$2,388.75
UPMC NORTHWEST HOSPITAL	PA	Cigna	New Business ASO	inpatient	negotiated	$2,388.75
UPMC HAMOT	PA	Multiplan	PPO (Includes PHCS as a Payer)	inpatient	negotiated	$2,386.3
UPMC HAMOT	PA	Aetna	AXA/MMO	inpatient	negotiated	$2,386.3
UPMC EAST HOSPITAL	PA	Aetna	Neighborhood Network	inpatient	negotiated	$2,364.48
UPMC MERCY HOSPITAL	PA	Cigna	New Business ASO	inpatient	negotiated	$2,337.5
UPMC ST MARGARET	PA	Aetna	EBR FI	inpatient	negotiated	$2,332.44
MUNCY VALLEY HOSPITAL	PA	wirerope works	Commercial	inpatient	negotiated	$2,329.64
WILLIAMSPORT HOSPITAL & MEDICAL CTR	PA	wirerope works	Commercial	outpatient	negotiated	$2,329.64
LOCK HAVEN HOSPITAL	PA	wirerope works	Commercial	inpatient	negotiated	$2,329.64
DIVINE PROVIDENCE HOSPITAL	PA	wirerope works	Commercial	outpatient	negotiated	$2,329.64
UPMC NORTHWEST HOSPITAL	PA	Aetna	NBR ASO/FI	outpatient	negotiated	$2,315.25
UPMC HORIZON HOSPITAL	PA	Cigna	EBR	outpatient	negotiated	$2,299.2
UPMC HORIZON HOSPITAL	PA	UnitedHealthcare	All Business	inpatient	negotiated	$2,299.2
UPMC HORIZON HOSPITAL	PA	Cigna	Commercial	inpatient	negotiated	$2,299.2
UPMC HORIZON HOSPITAL	PA	Aetna	EBR ASO	outpatient	negotiated	$2,299.2
UPMC MERCY HOSPITAL	PA	Aetna	Home Depot Employer Group	inpatient	negotiated	$2,289.38
UPMC PASSAVANT	PA	Cigna	New Business ASO	inpatient	negotiated	$2,280.96
UPMC NORTHWEST HOSPITAL	PA	Aetna	Home Depot Employer Group	outpatient	negotiated	$2,267.47
ALTOONA REGIONAL HEALTH SYSTEM	PA	private health care systems	PPO	inpatient	negotiated	$2,265.6
THE CHILDRENS HOME OF PITTSBURGH	PA	private health care systems	PPO	inpatient	negotiated	$2,265.6
UPMC MAGEE-WOMENS HOSPITAL	PA	private health care systems	PPO	inpatient	negotiated	$2,265.6
UPMC CHILDRENS HOSPITAL OF PGH	PA	private health care systems	PPO	outpatient	negotiated	$2,265.6
UPMC ST MARGARET	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$2,250.76
UPMC EAST HOSPITAL	PA	Blue Cross Blue Shield	Commercial - Indemnity	outpatient	negotiated	$2,250.76
UPMC HORIZON HOSPITAL	PA	Cigna	New Business ASO	outpatient	negotiated	$2,241.72
UPMC HORIZON HOSPITAL	PA	Cigna	NBR ASO/FI	outpatient	negotiated	$2,241.72
UPMC HORIZON HOSPITAL	PA	Aetna	NBR ASO/FI	outpatient	negotiated	$2,241.72
UPMC MCKEESPORT	PA	Aetna	Neighborhood Network	inpatient	negotiated	$2,217.68
DIVINE PROVIDENCE HOSPITAL	PA	First Health	Commercial	inpatient	negotiated	$2,216.51

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).