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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

$221.81 – $2,380.58

Negotiated median

$297.01

CPT 72193 CT pelvis with contrast · Showing 200 of 839 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
REHABILITATION HOSPITAL OF INDIANA	IN	prime health services	Commercial	inpatient	negotiated	$2,380.58
REHABILITATION HOSPITAL OF INDIANA	IN	quik trip	Employee Coverage	inpatient	negotiated	$2,100.51
REHABILITATION HOSPITAL OF INDIANA	IN	usa managed care organization	Health and Wellness Network HMO	inpatient	negotiated	$2,100.51
REHABILITATION HOSPITAL OF INDIANA	IN	velocity provider ppo network	Group Health and All Other	inpatient	negotiated	$2,100.51
REHABILITATION HOSPITAL OF INDIANA	IN	america's choice provider	Commercial	inpatient	negotiated	$1,960.48
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9466_ANTHEM PATHWAY SWIN 20241001	both	negotiated	$1,950.9
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9466_ANTHEM PATHWAY SWIN 20241001	both	negotiated	$1,950.9
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	both	negotiated	$1,867.71
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	both	negotiated	$1,867.71
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	both	negotiated	$1,813.03
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9467_ANTHEM PATHWAY X SWIN 20241001	both	negotiated	$1,560.72
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9467_ANTHEM PATHWAY X SWIN 20241001	both	negotiated	$1,560.72
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9276_ANTHEM TRADITIONAL VJIN 20250101	both	negotiated	$1,559.55
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	both	negotiated	$1,556.98
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9275_ANTHEM PREFERRED VJIN 20250101	both	negotiated	$1,513.78
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9273_ANTHEM PATHWAY VJIN 20250101	both	negotiated	$1,513.78
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9343_ANTHEM PATHWAY VWIN 20250101	both	negotiated	$1,454.67
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9343_ANTHEM PATHWAY VWIN 20250101	both	negotiated	$1,454.66
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9272_ANTHEM HMO POS VJIN 20250101	both	negotiated	$1,449.8
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9342_ANTHEM HMO POS VWIN 20250101	both	negotiated	$1,408.44
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9271_ANTHEM HEALTHSYNC POS VJIN 20250101	both	negotiated	$1,233.58
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9341_ANTHEM HEALTHSYNC POS VWIN 20250101	both	negotiated	$1,199.35
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9353_ANTHEM SHORT TERM LIMITED DURATION VJIN 20250101	both	negotiated	$1,135.28
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9270_ANTHEM HEALTHSYNC HMO VJIN 20250101	both	negotiated	$1,135.28
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9274_ANTHEM PATHWAY X VJIN 20250101	both	negotiated	$1,135.28
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9340_ANTHEM HEALTHSYNC HMO VWIN 20250101	both	negotiated	$1,091.13
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9344_ANTHEM PATHWAY X VWIN 20250101	both	negotiated	$1,091.13
ASCENSION ST. VINCENT DUNN	IN	Aetna	1664_AETNA SIFL 20250701	outpatient	negotiated	$783
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9469_ANTHEM TRADITIONAL SWIN 20241001	outpatient	negotiated	$712
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9469_ANTHEM TRADITIONAL SWIN 20241001	outpatient	negotiated	$712
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9468_ANTHEM PREFERRED SWIN 20241001	outpatient	negotiated	$712
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9468_ANTHEM PREFERRED SWIN 20241001	outpatient	negotiated	$712
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9465_ANTHEM HMO POS SWIN 20241001	outpatient	negotiated	$691
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9465_ANTHEM HMO POS SWIN 20241001	outpatient	negotiated	$691
ASCENSION ST. VINCENT DUNN	IN	Cigna	1697_CIGNA PPO 20250701	both	negotiated	$670.16
ASCENSION ST. VINCENT DUNN	IN	Cigna	1696_CIGNA HMO 20250701	both	negotiated	$670.16
ASCENSION ST. VINCENT WARRICK	IN	Aetna	3697_AETNA SVIN VFIN VHIN 20210101	outpatient	negotiated	$650
ST. MARY MEDICAL CENTER INC.	IN	Aetna	3697_AETNA SVIN VFIN VHIN 20210101	outpatient	negotiated	$650
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Aetna	3697_AETNA SVIN VFIN VHIN 20210101	outpatient	negotiated	$650
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Aetna	3697_AETNA SVIN VFIN VHIN 20210101	outpatient	negotiated	$650
ASCENSION ST. VINCENT JENNINGS	IN	Aetna	3697_AETNA SVIN VFIN VHIN 20210101	outpatient	negotiated	$650
ASCENSION ST VINCENT SETON SPECIALTY	IN	Aetna	3697_AETNA SVIN VFIN VHIN 20210101	outpatient	negotiated	$650
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	both	negotiated	$602.79
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	both	negotiated	$602.79
REHABILITATION HOSPITAL OF INDIANA	IN	Multiplan	Commercial	inpatient	negotiated	$500
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	outpatient	negotiated	$480.79
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	outpatient	negotiated	$480.79
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	outpatient	negotiated	$480.79
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	outpatient	negotiated	$480.79
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	outpatient	negotiated	$480.79
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101	outpatient	negotiated	$480.79
ASCENSION ST. VINCENT DUNN	IN	occunet	1780_MEDICARE ADVANTAGE OCCUNET INPATIENT 20251001	inpatient	negotiated	$402.05
ASCENSION ST. VINCENT DUNN	IN	UnitedHealthcare	1693_UNITED HEALTH CARE SIFL 20250701	outpatient	negotiated	$393.89
ASCENSION ST. VINCENT DUNN	IN	Aetna	1072_AETNA NEW BUSINESS DISCOUNT OUTPATIENT SIFL 20220829	outpatient	negotiated	$366.31
ASCENSION ST. VINCENT DUNN	IN	Aetna	1784_AETNA NEW BUSINESS DISCOUNT INPATIENT SIFL 20251001	inpatient	negotiated	$366.31
ASCENSION ST. VINCENT DUNN	IN	Cigna	1700_CIGNA HMO NEW BUSINESS 20250701	both	negotiated	$362.25
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	4090_ANTHEM BEHAVIORAL MEDICAID REPLACEMENT OUTPATIENT 20200201	outpatient	negotiated	$357.51
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	4090_ANTHEM BEHAVIORAL MEDICAID REPLACEMENT OUTPATIENT 20200201	outpatient	negotiated	$357.51
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	4090_ANTHEM BEHAVIORAL MEDICAID REPLACEMENT OUTPATIENT 20200201	outpatient	negotiated	$357.51
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	4090_ANTHEM BEHAVIORAL MEDICAID REPLACEMENT OUTPATIENT 20200201	outpatient	negotiated	$357.51
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	4090_ANTHEM BEHAVIORAL MEDICAID REPLACEMENT OUTPATIENT 20200201	outpatient	negotiated	$357.51
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	4090_ANTHEM BEHAVIORAL MEDICAID REPLACEMENT OUTPATIENT 20200201	outpatient	negotiated	$357.51
ASCENSION ST. VINCENT DUNN	IN	Ambetter	1580_SUNSHINE AMBETTER EXCHANGE COMMERCIAL OUTPATIENT 20250101	outpatient	negotiated	$339.51
ASCENSION ST. VINCENT DUNN	IN	Ambetter	1785_SUNSHINE AMBETTER EXCHANGE COMMERCIAL INPATIENT 20251001	inpatient	negotiated	$339.51
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$331.09
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	9397_UNITED HEALTHCARE VWIN 20250101	both	negotiated	$331.09
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$331.09
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	inpatient	negotiated	$331.09
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	outpatient	negotiated	$331.09
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	inpatient	negotiated	$331.09
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	outpatient	negotiated	$331.09
ASCENSION ST. VINCENT DUNN	IN	Molina	1805_MOLINA EXCHANGE INPATIENT 20251001	inpatient	negotiated	$330.58
ASCENSION ST. VINCENT DUNN	IN	Molina	1579_MOLINA EXCHANGE OUTPATIENT 20250101	outpatient	negotiated	$330.58
ASCENSION ST. VINCENT DUNN	IN	occunet	1578_MEDICARE ADVANTAGE OCCUNET OUTPATIENT 20250101	outpatient	negotiated	$330.58
ASCENSION ST. VINCENT DUNN	IN	avmed exchange	1720_AVMED EXCHANGE OUTPATIENT 20250201	outpatient	negotiated	$321.64
ASCENSION ST. VINCENT DUNN	IN	avmed exchange	1793_AVMED EXCHANGE INPATIENT 20251001	inpatient	negotiated	$321.64
ASCENSION ST. VINCENT DUNN	IN	90 degree benefits	1782_90 DEGREE BENEFITS INPATIENT 20251001	inpatient	negotiated	$321.64
ASCENSION ST. VINCENT DUNN	IN	90 degree benefits	1577_90 DEGREE BENEFITS OUTPATIENT 20250101	outpatient	negotiated	$321.64
ASCENSION ST. VINCENT DUNN	IN	employer direct healthcare	1743_EMPLOYER DIRECT HEALTHCARE OUTPATIENT 20250101	outpatient	negotiated	$312.71
ASCENSION ST. VINCENT DUNN	IN	employer direct healthcare	1742_EMPLOYER DIRECT HEALTHCARE INPATIENT 20251001	inpatient	negotiated	$312.71
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9402_ANTHEM HEALTHSYNC POS SWIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9400_ANTHEM HEALTHSYNC HMO SWIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$297.01
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$297.01
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$297.01
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$297.01
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$297.01
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$297.01
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$297.01
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$297.01
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$297.01
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$297.01
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$297.01
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$297.01
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9402_ANTHEM HEALTHSYNC POS SWIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$297.01
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$297.01
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$297.01
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9400_ANTHEM HEALTHSYNC HMO SWIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$297.01
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST VINCENT SETON SPECIALTY	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$297.01
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$294.76
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$294.76
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$294.76
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$294.76
ASCENSION ST. VINCENT JENNINGS	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$294.76
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$294.76
ASCENSION ST VINCENT SETON SPECIALTY	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$294.76
ASCENSION ST VINCENT SETON SPECIALTY	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$294.76
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$294.76
ASCENSION ST. VINCENT JENNINGS	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$294.76
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$294.76
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$294.76
ASCENSION ST. VINCENT DUNN	IN	Oscar Health	1806_OSCAR HEALTH PLAN INPATIENT 20251001	inpatient	negotiated	$285.9
ASCENSION ST. VINCENT DUNN	IN	Oscar Health	1611_OSCAR HEALTH PLAN OUTPATIENT 20250401	outpatient	negotiated	$285.9
ASCENSION ST. VINCENT DUNN	IN	Aetna	1790_AETNA QUALIFIED HEALTH PLANS (QHP) INPATIENT SIFL 20251001	inpatient	negotiated	$276.97
ASCENSION ST. VINCENT DUNN	IN	Aetna	1792_AETNA WHOLE HEALTH INPATIENT SIFL 20251001	inpatient	negotiated	$276.97
ASCENSION ST. VINCENT DUNN	IN	Aetna	1576_AETNA WHOLE HEALTH OUTPATIENT SIFL 20250101	outpatient	negotiated	$276.97
ASCENSION ST. VINCENT DUNN	IN	Aetna	1574_AETNA QUALIFIED HEALTH PLANS (QHP) OUTPATIENT SIFL 20250101	outpatient	negotiated	$276.97
ASCENSION ST. VINCENT DUNN	IN	smarthealth	1600_SMARTHEALTH OUTPATIENT 20250101	outpatient	negotiated	$250.17
ASCENSION ST. VINCENT DUNN	IN	smarthealth	1778_SMARTHEALTH INPATIENT 20251001	inpatient	negotiated	$250.17
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$241.72
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	inpatient	negotiated	$241.72
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	9397_UNITED HEALTHCARE VWIN 20250101	both	negotiated	$241.72
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	outpatient	negotiated	$241.72
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	inpatient	negotiated	$241.72
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401	inpatient	negotiated	$241.72
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	8493_UNITED HEALTHCARE SWIN 20240701	outpatient	negotiated	$241.72
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$240.89
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$240.89
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$240.89
ASCENSION ST. VINCENT JENNINGS	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$240.89
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$240.89
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$240.89
ASCENSION ST. VINCENT WILLIAMSPORT	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$240.89
ASCENSION ST VINCENT SETON SPECIALTY	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$240.89
ASCENSION ST VINCENT SETON SPECIALTY	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$240.89
ST. MARY MEDICAL CENTER INC.	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$240.89
ASCENSION ST. VINCENT JENNINGS	IN	UnitedHealthcare	6575_UNITED HEALTH CARE SELF FUNDED NON-CONTRACTED VEIN 20221002	both	negotiated	$240.89
ASCENSION ST. VINCENT WARRICK	IN	UnitedHealthcare	9470_UNITED HEALTHCARE VEIN 20250101	both	negotiated	$240.89
ASCENSION ST. VINCENT WARRICK	IN	smarthealth ppo	2911_SMARTHEALTH PPO 20170101	outpatient	negotiated	$232.77
ASCENSION ST. VINCENT WARRICK	IN	smarthealth ppo/hdhp 20161001	1440_SMARTHEALTH PPO/HDHP 20161001	outpatient	negotiated	$232.77
ASCENSION ST. VINCENT JENNINGS	IN	smarthealth ppo/hdhp 20161001	1440_SMARTHEALTH PPO/HDHP 20161001	outpatient	negotiated	$232.77
ASCENSION ST. VINCENT WILLIAMSPORT	IN	smarthealth ppo	2911_SMARTHEALTH PPO 20170101	outpatient	negotiated	$232.77
ASCENSION ST. VINCENT JENNINGS	IN	smarthealth ppo	2911_SMARTHEALTH PPO 20170101	outpatient	negotiated	$232.77
ASCENSION ST. VINCENT WILLIAMSPORT	IN	smarthealth ppo/hdhp 20161001	1440_SMARTHEALTH PPO/HDHP 20161001	outpatient	negotiated	$232.77
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	smarthealth ppo	2911_SMARTHEALTH PPO 20170101	outpatient	negotiated	$232.77
ST VINCENT SETON SPECIALTY HOSP-LAF	IN	smarthealth ppo/hdhp 20161001	1440_SMARTHEALTH PPO/HDHP 20161001	outpatient	negotiated	$232.77
ASCENSION ST VINCENT SETON SPECIALTY	IN	smarthealth ppo/hdhp 20161001	1440_SMARTHEALTH PPO/HDHP 20161001	outpatient	negotiated	$232.77
ST. MARY MEDICAL CENTER INC.	IN	smarthealth ppo/hdhp 20161001	1440_SMARTHEALTH PPO/HDHP 20161001	outpatient	negotiated	$232.77
ST. MARY MEDICAL CENTER INC.	IN	smarthealth ppo	2911_SMARTHEALTH PPO 20170101	outpatient	negotiated	$232.77
ASCENSION ST VINCENT SETON SPECIALTY	IN	smarthealth ppo	2911_SMARTHEALTH PPO 20170101	outpatient	negotiated	$232.77
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9405_ANTHEM PATHWAY X VEIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9404_ANTHEM PATHWAY VEIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9402_ANTHEM HEALTHSYNC POS SWIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9403_ANTHEM HMO POS VEIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 2	9415_PAKOTA VALLEY TIER 2 VEIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 2	9414_PAKOTA VALLEY TIER 2 SWIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9406_ANTHEM PREFERRED VEIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9400_ANTHEM HEALTHSYNC HMO SWIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 1	9410_PAKOTA VALLEY TIER 1 VEIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 1	9411_PAKOTA VALLEY TIER 1 SWIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9401_ANTHEM HEALTHSYNC POS VEIN 20250101	outpatient	negotiated	$221.81
ST. MARY MEDICAL CENTER INC.	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WARRICK	IN	patoka valley tier 1	9412_PAKOTA VALLEY TIER 1 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT JENNINGS	IN	encore exclusive	9409_ENCORE EXCUSIVE VEIN 20250101	outpatient	negotiated	$221.81
ST. MARY MEDICAL CENTER INC.	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT JENNINGS	IN	patoka valley tier 2	9413_PAKOTA VALLEY TIER 2 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT WILLIAMSPORT	IN	Anthem BCBS	9408_ANTHEM TRADITIONAL VEIN 20250101	outpatient	negotiated	$221.81
ASCENSION ST. VINCENT JENNINGS	IN	Anthem BCBS	9399_ANTHEM HEALTHSYNC HMO VEIN 20250101	outpatient	negotiated	$221.81

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).