0752 — Dactinomycin Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Dactinomycin injection (OTHER 0752) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0752?code_type=OTHER
MLA (9th ed.)
“Dactinomycin injection (OTHER 0752) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0752?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Dactinomycin injection (OTHER 0752) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0752?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $328–$1,137 (25th–75th percentile) across 49 hospitals · 58 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0752 — 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 |
|---|---|---|---|---|---|---|---|
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Wellcare | Medicare Advantage | $55.57 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | $56.68 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Wellcare | Medicare Advantage | $57.23 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Wellcare | Medicare Advantage | $57.79 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Wellcare | Medicare Advantage | $58.35 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $171.72 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $171.72 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $171.72 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $171.72 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $171.72 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $171.72 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $171.72 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $171.72 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $171.72 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $171.72 | — | — | 2026-07-18 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Uhc Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Uhc Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicare | All Plans | $311.45 | — | — | 2026-07-15 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $311.45 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Huron Valley Pace | Medicare Advantage | $311.92 | — | — | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $316.54 | — | — | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Outpatient | Medicare | All Plans | $316.54 | — | — | 2026-07-18 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Medicare Advantage | $318.30 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $318.30 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | Humana | $318.30 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | UnitedHealthcare AARP | $318.30 | — | — | 2026-02-12 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $321.77 | — | — | 2026-07-18 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana | Medicare Advantage | $324.80 | — | — | 2026-02-12 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Veteran Affairs Community Care Program | Government | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP PREMIER INDIVIDUAL [290002] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP COMMERCIAL PPO FULLY INSURED [290006] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP HEALTH CARE [290001], MVP PREMIER GROUP [290003] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CIGNA [5144] | CIGNA HEALTHCARE (POB 182223) [514405] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | HUMANA MEDICARE [1312] | HUMANA MEDICARE [131201] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MARTINS POINT [1205] | US FAMILY PLAN AT MARTIN'S POINT [120501] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS BLUE CHOICE [220107] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS METAL TIERS [220102] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201] | EXCELLUS HIGH PERFORMANCE [220103] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Cdphp | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Tricare | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Prime Health | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Cdphp | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Tricare | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Prime Health | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Cdphp | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Tricare | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Prime Health | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | United Healthcare | Medicare Advantage | $328.34 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Mvp | Medicare Advantage | $328.34 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Cdphp | Medicare Advantage | $328.34 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Tricare | Medicare Advantage | $328.34 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Caritas Vip | $328.34 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Prime Health | Medicare Advantage | $328.34 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Aetna | Medicare Advantage | $328.34 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Bcbs | Medicare Advantage | $328.34 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Emblem | Medicare Advantage | $328.34 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Geisinger | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | United Healthcare | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Cdphp | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Tricare | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Prime Health | Medicare Advantage | $328.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicare Advantage | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Triwest | Government | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicare Advantage | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Paramount Elite-Ohio | Medicare Advantage | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP PREMIER INDIVIDUAL [290002] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP COMMERCIAL PPO FULLY INSURED [290006] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP HEALTH CARE [290001], MVP PREMIER GROUP [290003] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CIGNA [5144] | CIGNA HEALTHCARE (POB 182223) [514405] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE [1312] | HUMANA MEDICARE [131201] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MARTINS POINT [1205] | US FAMILY PLAN AT MARTIN'S POINT [120501] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS [220101], EXCELLUS SIMPLY BLUE [220106], EXCELLUS BLUE CHOICE [220107] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS METAL TIERS [220102] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201] | EXCELLUS HIGH PERFORMANCE [220103] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Paramount Health Care | Medicare Advantage | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Blue Care Network Of Michigan | Medicare Advantage | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Health Management Llc | Medicare Advantage | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Humana Health Plan Inc | Medicare Advantage | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc | Medicare Advantage | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medigold Trinity Health Plan Of Michigan | Medicare Advantage | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Thome Pace | Medicare Advantage | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs [100001] | Bcbs Medicare Plus Blue Ppo [10000107] | $328.34 | — | — | 2026-07-18 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $328.34 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicare Advantage | $331.62 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Alliance Health And Life Medicare Advantage | Medicare Advantage | $333.26 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Health Alliance Plan | Medicare Advantage | $333.26 | — | — | 2026-07-18 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Devoted Health | Commercial | $334.55 | — | — | 2026-02-12 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Community Plan Inc | Snp | $334.90 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicare Advantage | $334.90 | — | — | 2026-07-18 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Mvp | Medicare Advantage | $334.90 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicare Advantage | $334.90 | — | — | 2026-07-18 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Mvp | Medicare Advantage | $334.90 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Mvp | Medicare Advantage | $334.90 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Mvp | Medicare Advantage | $334.90 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $338.19 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Humana | Medicare Advantage | $338.19 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Amerihealth | Caritas Vip | $338.19 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Aetna | Medicare Advantage | $338.19 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Amerihealth | Caritas Vip | $338.19 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Aetna | Medicare Advantage | $338.19 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Amerihealth | Caritas Vip | $338.19 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Aetna | Medicare Advantage | $338.19 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Amerihealth | Caritas Vip | $338.19 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Humana | Medicare Advantage | $339.83 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Humana | Medicare Advantage | $339.83 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Humana | Medicare Advantage | $339.83 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $339.83 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Upmc | Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Upmc | Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Emblem | Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Emblem | Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Icircle | Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Geisinger | Medicare Advantage | $344.75 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Icircle | Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Emblem | Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Zing Health | Medicare Advantage | $344.75 | — | — | 2026-07-18 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Emblem | Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Icircle | Medicare Advantage | $344.75 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Upmc | Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Icircle | Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Upmc | Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $344.75 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | Highmark Wholecare Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Icircle | Medicare Advantage | $344.75 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | Medicare Advantage | $351.31 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Heritage Provider Network, Inc. | Medicare Advantage | $351.31 | — | — | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Aetna Health of California Inc., a California corporation and Aetna Health Management, LLC. | Medicare Advantage | $351.31 | — | — | 2025-11-26 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Non ABD | $357.28 | — | — | 2026-02-12 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Geisinger | Medicare Advantage | $361.17 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Geisinger | Medicare Advantage | $361.17 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Geisinger | Medicare Advantage | $361.17 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana Health Plan | Quest Non ABD | $389.76 | — | — | 2026-02-12 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Uniform Exchange | $397.51 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Uniform Exchange | $397.51 | — | — | 2026-04-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | $437.08 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | $437.08 | — | — | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO, City of LA, Vivity | $437.08 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Heritage Provider Network, Inc. | Medi-Cal | $474.27 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | $492.27 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | $492.27 | — | — | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO, Non-City of LA, Vivity | $492.27 | — | — | 2025-11-26 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Pa Health And Wellness | — | $525.34 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Pa Health And Wellness | — | $525.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Pa Health And Wellness | — | $525.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Pa Health And Wellness | — | $525.34 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | $543.09 | — | — | 2025-11-26 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Regence Realvalue Other Commercial Plan | $554.53 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Regence Realvalue Other Commercial Plan | $554.53 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Employee Benefit Logistic | Ppo | $558.17 | — | — | 2026-07-18 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Regence All Commercial Plans | $596.27 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Regence All Commercial Plans | $596.27 | — | — | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | $611.72 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | $756.03 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | $756.03 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Covered | $756.03 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | $756.03 | — | — | 2025-11-26 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Bcbs | First Priority | $806.86 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Highmark | $813.59 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Medicare Advantage | $813.59 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Bcbs | Highmark Ppo | $813.59 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC Outpatient | Geisinger | — | $820.85 | $328.34 | $164.17 | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | EPO | $847.24 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | $847.24 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | $847.24 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | $847.24 | — | — | 2025-11-26 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | United Healthcare | Medicaid Managed Care Plan | $888.63 | — | — | 2025-01-01 | MRF ↗ |
| ROBERT PACKER HOSPITAL Outpatient | Upmc | — | $902.93 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| Guthrie Towanda Memorial Hospital Outpatient | Upmc | — | $902.93 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Upmc | — | $902.93 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| GUTHRIE CORTLAND REGIONAL MEDICAL CENTER Outpatient | Upmc | — | $902.93 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Bcbs | Highmark Ppo | $934.19 | $328.34 | $262.67 | 2026-07-15 | MRF ↗ |
| CORNING HOSPITAL Outpatient | Bcbs | Medicare Advantage | $934.19 | $328.34 | $262.67 | 2026-07-15 | 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.