00466 — Class Xiv Combined Chemotherapy And Pharmacotherapy
Cite this view
HANK Price Transparency. (n.d.). CLASS XIV COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY (EAPG 00466) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00466?code_type=EAPG
“CLASS XIV COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY (EAPG 00466) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00466?code_type=EAPG. Accessed .
“CLASS XIV COMBINED CHEMOTHERAPY AND PHARMACOTHERAPY (EAPG 00466) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00466?code_type=EAPG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19,431–$25,123 (25th–75th percentile) across 29 hospitals · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this EAPG 00466 — 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 |
|---|---|---|---|---|---|---|---|
| ASPIRE HEALTH PARTNERS OutpatientFacility | Sunshine Health | Medicaid | $49.36 | — | — | 2026-02-03 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | United Healthcare | Managed Medicaid | $10,949.59 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $10,949.59 | — | — | 2025-05-16 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Ohio | Managed Medicaid | $11,236.07 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Ohio | Managed Medicaid | $11,236.07 | — | — | 2025-07-21 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $11,278.08 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | CareSource | Managed Medicaid | $11,278.08 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $11,387.57 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $11,387.57 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $11,387.57 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $11,387.57 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $11,497.07 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Molina | Managed Medicaid | $11,497.07 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $11,497.07 | — | — | 2025-05-16 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Humana | Managed Medicaid | $11,497.07 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Buckeye | Managed Medicaid | $11,497.07 | — | — | 2025-05-17 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $11,497.07 | — | — | 2025-05-16 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Beacon Health Strategies | Medicaid_Florida Healthy Kids | $15,838.97 | — | — | 2026-03-31 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $17,917.93 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $18,005.34 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $18,180.15 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $18,180.15 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $18,354.96 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $18,354.96 | — | — | 2025-05-15 | MRF ↗ |
| UNIVERSITY HOSPITALS AHUJA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $18,354.96 | — | — | 2025-05-15 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $18,968.24 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $19,060.77 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $19,245.82 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $19,245.82 | — | — | 2025-05-19 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Buckeye | Managed Medicaid | $19,273.17 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $19,289.04 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $19,367.18 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $19,367.18 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | CareSource | Managed Medicaid | $19,367.18 | — | — | 2025-05-16 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $19,430.88 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $19,430.88 | — | — | 2025-05-19 | MRF ↗ |
| UH ST JOHN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $19,430.88 | — | — | 2025-05-19 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $19,478.14 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $19,478.14 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $19,555.21 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $19,555.21 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $19,555.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $19,555.21 | — | — | 2025-05-16 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $19,667.25 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $19,667.25 | — | — | 2025-05-17 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $19,743.24 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $19,743.24 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $19,743.24 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $19,743.24 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Humana | Managed Medicaid | $19,743.24 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center OutpatientFacility | Molina | Managed Medicaid | $19,743.24 | — | — | 2025-05-16 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | United Community Health Plan | Managed Medicaid | $19,748.20 | — | — | 2025-10-03 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $19,856.36 | — | — | 2025-05-17 | MRF ↗ |
| PARMA COMMUNITY GENERAL HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $19,856.36 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $19,923.27 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $19,923.27 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $20,039.57 | — | — | 2025-10-03 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $20,116.70 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $20,116.70 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $20,310.13 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $20,310.13 | — | — | 2025-05-18 | MRF ↗ |
| UNIVERSITY HOSPITALS PORTAGE MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $20,310.13 | — | — | 2025-05-18 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $20,329.71 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Program | $20,329.71 | — | — | 2025-10-03 | MRF ↗ |
| ADENA REGIONAL MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $20,329.71 | — | — | 2025-10-03 | MRF ↗ |
| University Of Toledo Medical Center OutpatientFacility | None | — | — | — | — | 2026-03-31 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $21,661.61 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $21,873.98 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $21,873.98 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $22,086.34 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $22,086.34 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $22,298.71 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS SAMARITAN MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $22,298.71 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $22,771.68 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Buckeye | Managed Medicaid | $22,771.68 | — | — | 2025-05-17 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $22,866.36 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $22,866.36 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $22,866.36 | — | — | 2025-05-19 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | CareSource | Managed Medicaid | $22,866.36 | — | — | 2025-05-19 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $22,882.76 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | CareSource | Managed Medicaid | $22,882.76 | — | — | 2025-05-17 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $23,088.36 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $23,088.36 | — | — | 2025-05-19 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $23,088.36 | — | — | 2025-05-19 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $23,088.36 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $23,104.92 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $23,104.92 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Aetna (Ohio Rise) | Managed Medicaid | $23,104.92 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $23,104.92 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $23,310.37 | — | — | 2025-05-19 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $23,310.37 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $23,310.37 | — | — | 2025-05-16 | MRF ↗ |
| UH CLEVELAND MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $23,310.37 | — | — | 2025-05-16 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $23,310.37 | — | — | 2025-05-19 | MRF ↗ |
| RAINBOW BABIES AND CHILDRENS HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $23,310.37 | — | — | 2025-05-19 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | United Healthcare | Managed Medicaid | $23,327.08 | — | — | 2025-05-17 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $23,327.08 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $23,327.08 | — | — | 2025-05-16 | MRF ↗ |
| UNIVERSITY HOSPITALS CONNEAUT MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $23,327.08 | — | — | 2025-05-16 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Molina | Managed Medicaid | $23,327.08 | — | — | 2025-05-17 | MRF ↗ |
| UHHS MEMORIAL HOSPITAL OF GENEVA OutpatientFacility | Humana | Managed Medicaid | $23,327.08 | — | — | 2025-05-17 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $24,881.38 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $24,881.38 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $25,122.95 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $25,122.95 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $25,364.51 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $25,364.51 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $25,364.51 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $25,364.51 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Buckeye | Managed Medicaid | $25,364.51 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | CareSource | Managed Medicaid | $25,364.51 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | $25,847.65 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | $25,847.65 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $26,572.35 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $26,572.35 | — | — | 2025-08-08 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $28,112.20 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | United Community Plan | Managed Medicaid | $28,518.65 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $28,518.65 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Plan | $28,518.65 | — | — | 2025-10-03 | MRF ↗ |
| ADENA PIKE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $28,518.65 | — | — | 2025-10-03 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $29,179.74 | — | — | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $29,602.10 | — | — | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Plan | $29,602.10 | — | — | 2025-10-08 | MRF ↗ |
| GREENFIELD AREA MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $29,602.10 | — | — | 2025-10-08 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Molina | Dual Medicaid | $31,106.69 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Care Source | Managed Medicaid | $32,661.47 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Medicaid Dual Plan | $32,661.47 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $32,661.47 | — | — | 2025-10-03 | MRF ↗ |
| ADENA FAYETTE MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Managed Medicaid | $32,661.47 | — | — | 2025-10-03 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Oscar Cleveland | Commercial | $33,819.35 | — | — | 2025-08-08 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Oscar Cleveland | Commercial | $33,819.35 | — | — | 2025-08-08 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $38,380.13 | — | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $38,380.13 | — | — | 2026-04-20 | MRF ↗ |
| FLOYD CHEROKEE MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Alabama | Commercial | $42,962.84 | — | — | 2025-11-19 | MRF ↗ |
| ST VINCENT'S ST CLAIR OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $43,305.60 | — | — | 2026-04-20 | MRF ↗ |
| ST. VINCENT'S EAST OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $48,956.95 | — | — | 2026-04-20 | MRF ↗ |
| UNIVERSITY OF ALABAMA HOSPITAL OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $53,939.73 | — | — | 2026-02-19 | MRF ↗ |
| ST VINCENTS BLOUNT OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $54,839.20 | — | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S CHILTON OutpatientFacility | BlueCross BlueShield of Alabama | Commercial | $61,777.05 | — | — | 2026-04-20 | MRF ↗ |