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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

$38.76 – $1,000

Negotiated median

$38.76

CPT 72100 Lumbosacral spine X-ray · Showing 200 of 213 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
RIO GRANDE HOSPITAL	CO	Chargemaster	N/A	outpatient	gross	$1,393.28
RIO GRANDE HOSPITAL	CO	Chargemaster	N/A	outpatient	gross	$1,218.56
PAM SPECIALTY HOSPITAL OF DENVER	CO	Cash pay	N/A	inpatient	cash	$517.45
EAST MORGAN COUNTY HOSPITAL	CO	Cash pay	N/A	inpatient	cash	$331.2
EAST MORGAN COUNTY HOSPITAL	CO	Cash pay	N/A	outpatient	cash	$331.2
EAST MORGAN COUNTY HOSPITAL	CO	Cash pay	N/A	both	cash	$331.2
VAIL VALLEY MEDICAL CENTER	CO	Cash pay	N/A	both	cash	$314.25
RIO GRANDE HOSPITAL	CO	Cash pay	N/A	outpatient	cash	$278.66
RIO GRANDE HOSPITAL	CO	Cash pay	N/A	outpatient	cash	$243.71
ANIMAS SURGICAL HOSPITAL	CO	Cash pay	N/A	—	cash	$213.99
RIO GRANDE HOSPITAL	CO	Cash pay	N/A	outpatient	cash	$211.68
RIO GRANDE HOSPITAL	CO	Cash pay	N/A	outpatient	cash	$181.44
MT. SAN RAFAEL HOSPITAL	CO	Cash pay	N/A	outpatient	cash	$174
RIO GRANDE HOSPITAL	CO	Cash pay	N/A	outpatient	cash	$158.59
RIO GRANDE HOSPITAL	CO	Cash pay	N/A	outpatient	cash	$128.58
MT. SAN RAFAEL HOSPITAL	CO	Cash pay	N/A	outpatient	cash	$105
VAIL VALLEY MEDICAL CENTER	CO	Cash pay	N/A	both	cash	$100.5
PAM SPECIALTY HOSPITAL OF DENVER	CO	[De-identified Min]	—	inpatient	min	$362.22
EAST MORGAN COUNTY HOSPITAL	CO	[De-identified Min]	—	inpatient	min	$115.92
EAST MORGAN COUNTY HOSPITAL	CO	[De-identified Min]	—	both	min	$115.92
EAST MORGAN COUNTY HOSPITAL	CO	[De-identified Min]	—	outpatient	min	$115.92
VAIL VALLEY MEDICAL CENTER	CO	[De-identified Min]	—	both	min	$106.36
MT. SAN RAFAEL HOSPITAL	CO	[De-identified Min]	—	outpatient	min	$106
MT. SAN RAFAEL HOSPITAL	CO	[De-identified Min]	—	outpatient	min	$64
RIO GRANDE HOSPITAL	CO	[De-identified Min]	—	outpatient	min	$38.76
VAIL VALLEY MEDICAL CENTER	CO	[De-identified Min]	—	both	min	$10.64
RIO GRANDE HOSPITAL	CO	police departments [50065]	POLICE DEPTS [5006501]	outpatient	negotiated	$1,000
ANIMAS SURGICAL HOSPITAL	CO	Cigna	—	—	negotiated	$503.03
EAST MORGAN COUNTY HOSPITAL	CO	Aetna	Commercial	both	negotiated	$485.76
EAST MORGAN COUNTY HOSPITAL	CO	Anthem BCBS	Commercial	outpatient	negotiated	$482.61
ANIMAS SURGICAL HOSPITAL	CO	Aetna	—	—	negotiated	$473.44
PAM SPECIALTY HOSPITAL OF DENVER	CO	medincrease	Commercial	inpatient	negotiated	$465.71
EAST MORGAN COUNTY HOSPITAL	CO	Anthem BCBS	Commercial	outpatient	negotiated	$458.49
ANIMAS SURGICAL HOSPITAL	CO	health management network	—	—	negotiated	$457.3
PAM SPECIALTY HOSPITAL OF DENVER	CO	prime health services	Commercial	inpatient	negotiated	$439.83
ANIMAS SURGICAL HOSPITAL	CO	Blue Cross Blue Shield	—	—	negotiated	$430.4
ANIMAS SURGICAL HOSPITAL	CO	presbyterian of nm: php pos, administrative services only & ppo plan	—	—	negotiated	$430.4
PAM SPECIALTY HOSPITAL OF DENVER	CO	devon health services	All Plans	inpatient	negotiated	$413.96
PAM SPECIALTY HOSPITAL OF DENVER	CO	Multiplan	Commercial	inpatient	negotiated	$413.96
EAST MORGAN COUNTY HOSPITAL	CO	UnitedHealthcare	Commercial	outpatient	negotiated	$412.9
EAST MORGAN COUNTY HOSPITAL	CO	umr	Commercial	outpatient	negotiated	$412.9
ANIMAS SURGICAL HOSPITAL	CO	cofinity	—	—	negotiated	$403.5
ANIMAS SURGICAL HOSPITAL	CO	allsavers ip	—	—	negotiated	$403.5
ANIMAS SURGICAL HOSPITAL	CO	presbyterian of nm: php salud plan	—	—	negotiated	$403.5
ANIMAS SURGICAL HOSPITAL	CO	UnitedHealthcare	—	—	negotiated	$403.5
PAM SPECIALTY HOSPITAL OF DENVER	CO	quik trip	Employee Coverage	inpatient	negotiated	$388.09
PAM SPECIALTY HOSPITAL OF DENVER	CO	intergroup	All Plans	inpatient	negotiated	$388.09
PAM SPECIALTY HOSPITAL OF DENVER	CO	provider network of amercia	All Plans	inpatient	negotiated	$388.09
PAM SPECIALTY HOSPITAL OF DENVER	CO	velocity provider ppo network	Group Health and All Other	inpatient	negotiated	$388.09
PAM SPECIALTY HOSPITAL OF DENVER	CO	usa managed care organization	Health and Wellness HMO	inpatient	negotiated	$388.09
ANIMAS SURGICAL HOSPITAL	CO	friday health plan	—	—	negotiated	$376.6
ANIMAS SURGICAL HOSPITAL	CO	rocky mountain health plan: commercial op	—	—	negotiated	$376.6
ANIMAS SURGICAL HOSPITAL	CO	Humana	—	—	negotiated	$376.6
PAM SPECIALTY HOSPITAL OF DENVER	CO	america's choice	PPO	inpatient	negotiated	$362.22
EAST MORGAN COUNTY HOSPITAL	CO	caresoure kentucky	Commercial	outpatient	negotiated	$358.8
ANIMAS SURGICAL HOSPITAL	CO	child health plan+	—	—	negotiated	$349.7
ANIMAS SURGICAL HOSPITAL	CO	rocky mountain health plan: commercial ip	—	—	negotiated	$349.7
ANIMAS SURGICAL HOSPITAL	CO	Blue Cross Blue Shield	—	—	negotiated	$263.62
MT. SAN RAFAEL HOSPITAL	CO	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$224
ANIMAS SURGICAL HOSPITAL	CO	southwest health alliance	—	—	negotiated	$213.99
ANIMAS SURGICAL HOSPITAL	CO	Workers Comp	—	—	negotiated	$178.72
RIO GRANDE HOSPITAL	CO	texas rehabilitation comm [50038]	TEXAS REHABILITATION COMM [5003801]	outpatient	negotiated	$165.82
MT. SAN RAFAEL HOSPITAL	CO	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$156
MT. SAN RAFAEL HOSPITAL	CO	UnitedHealthcare	Commercial	outpatient	negotiated	$144
EAST MORGAN COUNTY HOSPITAL	CO	UnitedHealthcare	Medicare	outpatient	negotiated	$143.52
MT. SAN RAFAEL HOSPITAL	CO	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$135
EAST MORGAN COUNTY HOSPITAL	CO	Aetna	Medicare	outpatient	negotiated	$121.44
EAST MORGAN COUNTY HOSPITAL	CO	Molina	Medicaid	outpatient	negotiated	$118.24
EAST MORGAN COUNTY HOSPITAL	CO	WellCare	Medicaid	outpatient	negotiated	$117.08
EAST MORGAN COUNTY HOSPITAL	CO	WellCare	Medicare	inpatient	negotiated	$117.08
EAST MORGAN COUNTY HOSPITAL	CO	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$117.08
EAST MORGAN COUNTY HOSPITAL	CO	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$117.08
EAST MORGAN COUNTY HOSPITAL	CO	Humana	Medicare	outpatient	negotiated	$117.08
EAST MORGAN COUNTY HOSPITAL	CO	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$117.08
EAST MORGAN COUNTY HOSPITAL	CO	Anthem BCBS	Medicaid	outpatient	negotiated	$115.92
EAST MORGAN COUNTY HOSPITAL	CO	Humana	Medicaid	outpatient	negotiated	$115.92
EAST MORGAN COUNTY HOSPITAL	CO	Aetna	Medicaid	outpatient	negotiated	$115.92
ANIMAS SURGICAL HOSPITAL	CO	rocky mountain health plan: mcr adv	—	—	negotiated	$108.26
ANIMAS SURGICAL HOSPITAL	CO	Humana	—	—	negotiated	$108.26
ANIMAS SURGICAL HOSPITAL	CO	presbyterian of nm: mcr ppo	—	—	negotiated	$108.26
ANIMAS SURGICAL HOSPITAL	CO	Blue Cross Blue Shield	—	—	negotiated	$108.26
MT. SAN RAFAEL HOSPITAL	CO	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$106
MT. SAN RAFAEL HOSPITAL	CO	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$94
ANIMAS SURGICAL HOSPITAL	CO	presbyterian of nm: mcd	—	—	negotiated	$92.13
MT. SAN RAFAEL HOSPITAL	CO	UnitedHealthcare	Commercial	outpatient	negotiated	$87
MT. SAN RAFAEL HOSPITAL	CO	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$64
ANIMAS SURGICAL HOSPITAL	CO	rocky mountain health plan: mcd	—	—	negotiated	$52.46
RIO GRANDE HOSPITAL	CO	Medicaid	STAR - CHRISTUS HEALTH [5021002]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	STAR - CHRISTUS HEALTH [58]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Molina	CHIP - MOLINA HEALTH PLAN OF TEXAS [5017602]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Molina	CHIP PERINATAL [5017604]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Molina	STAR - MOLINA HEALTHCARE [5017601]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Molina	STAR PLUS - MOLINA HEALTHCARE [5017603]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	parkland community health plan [50190]	CHIP - PARKLAND [5019002]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	parkland community health plan [50190]	CHIPS COMMUNITY 1ST. [6]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	parkland community health plan [50190]	PARKLAND HEALTHFIRST [5019003]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	parkland community health plan [50190]	STAR - PARKLAND [5019001]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	pending tx mgd mdcd # [50242]	PENDING TX MGD MDCD # [5024201]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	point comfort underwrite inc [50215]	POINT COMFORT UNDERWRITER INC [5021500]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	rightcare - scott & white health plan [50212]	RIGHTCARE-SCOTT&WHITE HLT PLN [5021201]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	rightcare - scott & white health plan [50212]	RIGHTCARE-SCOTT&WHITE HLT PLN [64]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	texas children's health plan [50198]	CHIP - TEXAS CHILDRENS HEALTH PLAN [5019802]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	texas children's health plan [50198]	STAR - TEXAS CHILDRENS HEALTH PLAN [5019801]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	texas children's health plan [50198]	STAR KIDS-TEXAS CHILDRENS [5019803]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	texas health network [50189]	CHIP - TEXAS HEALTH NETWORK [5018902]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	texas health network [50189]	STAR - TEXAS HEALTH NETWORK [5018901]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	tmhp [50160]	PB TMHP PENDING MEDICAID [5016003]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	tmhp [50160]	PENDING TX MDCD # [5016002]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	tmhp [50160]	TEXAS EMERGENCY MEDICAID [5016004]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	tmhp [50160]	TMHP - KIDNEY [5016023]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	tmhp [50160]	TMHP - OP DIALYSIS [5020801]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	tmhp [50160]	TMHP [5016001]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	tmhp-pccm [50208]	TMHP-PCCM [35]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	unicare health plans of texas [50173]	CHIP - UNICARE HEALTH PLAN OF TEXAS [5017302]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	unicare health plans of texas [50173]	STAR - UNICARE HEALTH PLAN OF TEXAS [5017301]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	UnitedHealthcare	CHIP - UHC COMMUNITY PLAN [5021104]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	UnitedHealthcare	MDR REPLACEMENT-UHC COMM PLAN [5021103]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	UnitedHealthcare	STAR - UHC COMMUNITY PLAN [5021101]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	UnitedHealthcare	STAR - UHC COMMUNITY PLAN [59]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	UnitedHealthcare	STAR KIDS-UHC COMMUNITY [88]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	UnitedHealthcare	STAR KIDS-UHC COMMUNITY PLAN [5021105]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	UnitedHealthcare	STAR PLUS - UHC COMMUNITY PLAN [5021102]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	UnitedHealthcare	UHC DUAL COMPLETE SELECT - HMO MDR REPL [5021106]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	wellpoint amerigroup [50170]	AMERIGROUP - KIDNEY [5017003]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	wellpoint amerigroup [50170]	CHIPS - AMERIGROUP [5017002]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	wellpoint amerigroup [50170]	STAR - AMERIGROUP [5017001]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	wellpoint amerigroup [50170]	STAR KIDS-AMERIGROUP [5017005]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	wellpoint amerigroup [50170]	STAR PLUS - AMERIGROUP [5017004]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Blue Cross Blue Shield	CHIP - BCBS OF TX [5022502]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Aetna	CHIPS - AETNA [5017502]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Aetna	STAR - AETNA [5017501]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Blue Cross Blue Shield	BLUE CROSS COMM CENTENNIAL [5022503]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Blue Cross Blue Shield	COMM CENTENNIAL BLUE CROSS [5026001]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Blue Cross Blue Shield	STAR - BCBS OF TEXAS [5022501]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Blue Cross Blue Shield	STAR KIDS-BLUE CROSS BLUE SHIELD [5022504]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	community first plan [50184]	CHIPS - COMMUNITY FIRST [5018402]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	community first plan [50184]	STAR - COMMUNITY FIRST [5018401]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	community first plan [50184]	STAR KIDS-COMMUNITY FIRST [5018403]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	community health choice [50185]	CHIP-COMMUNITY HEALTH CHOICE [5018502]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	community health choice [50185]	STAR-COMMUNITY HEALTH CHOICE [5018501]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	community health choice [50192]	CHIPS - COMMUNITY HEALTH CHOICE [5019201]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	cook childrens health plan [50177]	CHIPS - COOKS CHILDRENS [5017702]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	cook childrens health plan [50177]	STAR - COOK CHILDRENS [5017701]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	cook childrens health plan [50177]	STAR KIDS - COOK CHILDRENS [5017703]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	cook childrens health plan [50177]	STAR KIDS - COOK CHILDRENS [96]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	dell childrens health plan [50227]	CHIP - DELL CHILDRENS HEALTH PLAN [5022701]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	dell childrens health plan [50227]	STAR - DELL CHILDRENS HEALTH PLAN [5022702]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	driscoll health plan non-verified [2000000002]	DRISCOLL HEALTH PLAN NON-VERIFIED [2000001000]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	evercare of texas [50171]	CHIPS - EVERCARE OF TX [5017102]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	evercare of texas [50171]	STAR - EVERCARE OF TEXAS [5017101]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	firstcare lubbock [50191]	CHIP - FIRST CARE LUBBOCK [5019102]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	firstcare lubbock [50191]	STAR - FIRSTCARE LUBBOCK [5019101]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	generic coverage mcd mgd care [50244]	GENERIC COVERAGE MEDICAID MANAGED CARE [5024401]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	BANNER UNIVERSITY FAMILY CARE - OOS [5016614]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	CHIPS-CHRISTUS HEALTH [5021001]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	CHIPS-CHRISTUS HEALTH [56]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	COUNTY CARE HP - OOS [5016615]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	CSHCN [5016301]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	HEALTHY BLUE MEDICAID [5031301]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	MOLINA HC OF WASHINGTON OUT OF STATE MC [5016613]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID - SOONER CARE [5032119]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID - SUNSHINE HEALTH [5032118]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-AMERIHEALTH CARITAS LACARE [5032107]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-BUCKEYE COMM HP OF OHIO [5032114]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-CARESOURCE OF INDIANA [5032106]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-CARESOURCE OF OHIO [5032115]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-FIDELIS CARE OF NEW YORK [5032112]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-HOME STATE HP OF MISSOURI [5032108]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-HORIZON HEALTH OF NJ [5032111]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-HP OF SAN JOAQUIN CA [5032103]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-INLAND EMPIRE HP OF CA [5032104]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-KEYSTONE FIRST OF PA [5032116]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-MAGNOLIA HP OF MISSISSIPPI [5032109]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-METROPLUS HP OF NEW YORK [5032113]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-MOLINA HC OF NEW MEXICO [5032122]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-MOLINA HC OF WASHINGTON [5032117]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-UHC COMM OF MISSISSIPPI [5032110]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS MEDICAID-UHC COMM PLAN OF FLORIDA [5032105]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS UHC COMM OF NEW MEXICO [5032120]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OOS UHC OF HAWAII [5032121]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OUT OF STATE MEDICAID - NHI [5016612]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OUT OF STATE MEDICAID [5016603]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OUT OF STATE MEDICAID [5032102]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OUT OF STATE MEDICAID ARIZONA [5016606]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OUT OF STATE MEDICAID FLORIDA [5016611]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OUT OF STATE MEDICAID ILLINOIS [5016608]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OUT OF STATE MEDICAID KENTUCKY [5016609]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OUT OF STATE MEDICAID OKLAHOMA [5016607]	outpatient	negotiated	$38.76
RIO GRANDE HOSPITAL	CO	Medicaid	OUT OF STATE MEDICAID TN [5016610]	outpatient	negotiated	$38.76
ANIMAS SURGICAL HOSPITAL	CO	[de-identified max]	—	—	max	$503.03
EAST MORGAN COUNTY HOSPITAL	CO	[De-identified Max]	—	outpatient	max	$485.76
EAST MORGAN COUNTY HOSPITAL	CO	[De-identified Max]	—	inpatient	max	$485.76
EAST MORGAN COUNTY HOSPITAL	CO	[De-identified Max]	—	both	max	$485.76
PAM SPECIALTY HOSPITAL OF DENVER	CO	[De-identified Max]	—	inpatient	max	$465.71
VAIL VALLEY MEDICAL CENTER	CO	[De-identified Max]	—	both	max	$398.05
MT. SAN RAFAEL HOSPITAL	CO	[De-identified Max]	—	outpatient	max	$224
RIO GRANDE HOSPITAL	CO	[De-identified Max]	—	outpatient	max	$165.82
MT. SAN RAFAEL HOSPITAL	CO	[De-identified Max]	—	outpatient	max	$135
VAIL VALLEY MEDICAL CENTER	CO	[De-identified Max]	—	both	max	$127.3
RIO GRANDE HOSPITAL	CO	[De-identified Max]	—	outpatient	max	$38.76

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).