0812 — Carmustine Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Carmustine injection (OTHER 0812) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0812?code_type=OTHER
MLA (9th ed.)
“Carmustine injection (OTHER 0812) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0812?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Carmustine injection (OTHER 0812) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0812?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,084–$122,461 (25th–75th percentile) across 36 hospitals · 71 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 0812 — 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 |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| UofL Health - Medical Center Southwest Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - South Hospital Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Medical Center East Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Medical Center Northeast Outpatient | Uhc | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Uhc | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Uhc | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial Hmo | — | — | — | 2026-05-22 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | United Healthcare | Commercial Hmo | — | — | — | 2026-05-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | United Healthcare | Commercial Hmo | — | — | — | 2026-05-18 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Commercial Hmo | — | — | — | 2026-05-13 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | United Healthcare | Commercial Hmo | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-17 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $124.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $124.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $124.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $124.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $124.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $124.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $124.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $124.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $124.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $124.71 | — | — | 2026-05-09 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | SD Exchange True | $210.31 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | SD Exchange True | $216.04 | — | — | 2026-03-04 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Huron Valley Pace | Medicare Advantage | $226.53 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $233.69 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Humana Health Plan Inc | Medicare Advantage | $238.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Paramount Health Care | Medicare Advantage | $238.46 | — | — | 2026-05-09 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Blue Care Network Of Michigan | Medicare Advantage | $238.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Health Management Llc | Medicare Advantage | $238.46 | — | — | 2026-05-09 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CIGNA [5144] | CIGNA HEALTHCARE (POB 182223) [514405] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201] | EXCELLUS HIGH PERFORMANCE [220103] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Thome Pace | Medicare Advantage | $238.46 | — | — | 2026-05-09 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP PREMIER INDIVIDUAL [290002] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP COMMERCIAL PPO FULLY INSURED [290006] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CIGNA [5144] | CIGNA HEALTHCARE (POB 182223) [514405] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs [100001] | Bcbs Medicare Plus Blue Ppo [10000107] | $238.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicare Advantage | $238.46 | — | — | 2026-05-09 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MARTINS POINT [1205] | US FAMILY PLAN AT MARTIN'S POINT [120501] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | AETNA MEDICARE [1300] | AETNA MEDICARE [130001] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP MEDICARE [1307] | MVP MEDICARE [130701] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Paramount Elite-Ohio | Medicare Advantage | $238.46 | — | — | 2026-05-09 | 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] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MARTINS POINT [1205] | US FAMILY PLAN AT MARTIN'S POINT [120501] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP HEALTH CARE [290001], MVP PREMIER GROUP [290003] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $238.46 | — | — | 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] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medigold Trinity Health Plan Of Michigan | Medicare Advantage | $238.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc | Medicare Advantage | $238.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Veteran Affairs Community Care Program | Government | $238.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicare Advantage | $238.46 | — | — | 2026-05-09 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MEDICARE BLUE CHOICE [1306] | MEDICARE BLUE CHOICE [130601] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP HEALTH CARE [290001], MVP PREMIER GROUP [290003] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | MVP [2900] | MVP PREMIER INDIVIDUAL [290002] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | HUMANA MEDICARE [1312] | HUMANA MEDICARE [131201] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | CDPHP MEDICARE [1320] | CDPHP MEDICARE [132001] | $238.46 | — | — | 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] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE [1309] | UNITED HEALTHCARE MEDICARE [130901] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE [1312] | HUMANA MEDICARE [131201] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE [1311] | FIDELIS MEDICARE [131101] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | MVP [2900] | MVP COMMERCIAL PPO FULLY INSURED [290006] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201] | EXCELLUS HIGH PERFORMANCE [220103] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Triwest | Government | $238.46 | — | — | 2026-05-09 | MRF ↗ |
| STRONG MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE [1301] | HIGHMARK BCBS MEDICARE [130101] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| HIGHLAND HOSPITAL Outpatient | EXCELLUS BLUE CROSS BLUE SHIELD [2201], OUT AREA BLUE CROSS BLUE SHIELD, UNIVERA | EXCELLUS METAL TIERS [220102] | $238.46 | — | — | 2026-04-01 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | Group Health/True | $239.82 | — | — | 2026-03-04 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicare Advantage | $240.84 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Health Alliance Plan | Medicare Advantage | $242.03 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Alliance Health And Life Medicare Advantage | Medicare Advantage | $242.03 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicare Advantage | $243.23 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicare Advantage | $243.23 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Community Plan Inc | Snp | $243.23 | — | — | 2026-05-09 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicare | All Plans | $244.83 | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $244.83 | — | — | 2026-05-23 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | Group Health/True | $246.34 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | SD Exchange Commercial | $247.43 | — | — | 2026-03-04 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medicare | All Plans | $248.82 | — | — | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $248.82 | — | — | 2026-05-06 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Medicare Advantage | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Humana | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | Humana | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | Humana | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Medicare Advantage | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | UnitedHealthcare AARP | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $250.21 | — | — | 2026-02-12 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Zing Health | Medicare Advantage | $250.38 | — | — | 2026-05-09 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | SD Exchange Commercial | $254.17 | — | — | 2026-03-04 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana | Medicare Advantage | $255.32 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Ohana | Medicare Advantage | $255.32 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | AlohaCare | Quest Non ABD | $255.32 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Ohana | Medicare Advantage | $260.43 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Devoted Health | Commercial | $262.98 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Devoted Health | Commercial | $262.98 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Devoted Health | Commercial | $262.98 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Non ABD | $280.85 | — | — | 2026-02-12 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | Commercial/ND Pers | $282.13 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | Commercial/ND Pers | $289.80 | — | — | 2026-03-04 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Ohana Health Plan | Quest Non ABD | $306.38 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Ohana Health Plan | Quest Non ABD | $306.38 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana Health Plan | Quest Non ABD | $306.38 | — | — | 2026-02-12 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | $317.43 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | $317.43 | — | — | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Blue Cross of California dba Anthem Blue Cross | HMO, City of LA, Vivity | $317.43 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | $357.51 | — | — | 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 | $357.51 | — | — | 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 | $357.51 | — | — | 2025-11-26 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Uniform Exchange | $378.18 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Uniform Exchange | $378.18 | — | — | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | $394.42 | — | — | 2025-11-26 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Employee Benefit Logistic | Ppo | $405.38 | — | — | 2026-05-09 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | Medicare Advantage | $412.00 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Heritage Provider Network, Inc. | Medicare Advantage | $412.00 | — | — | 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 | $412.00 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | $444.26 | — | — | 2025-11-26 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Regence Realvalue Other Commercial Plan | $527.56 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Regence Realvalue Other Commercial Plan | $527.56 | — | — | 2026-04-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | $549.07 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | $549.07 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | $549.07 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Covered | $549.07 | — | — | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Heritage Provider Network, Inc. | Medi-Cal | $556.20 | — | — | 2025-11-26 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Regence All Commercial Plans | $567.27 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE REGIONAL MEDICAL CENTER EVERETT OutpatientFacility | Blue Shield | Regence All Commercial Plans | $567.27 | — | — | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | $615.31 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | $615.31 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | EPO | $615.31 | — | — | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | $615.31 | — | — | 2025-11-26 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | $707.00 | — | — | 2026-05-22 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Blue Home | $736.79 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | $941.20 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $941.20 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Alliance | Managed Medicaid | $941.20 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Wellcare | Managed Medicaid | $941.20 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $941.20 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Healthy Blue North Carolina | Managed Medicaid | $941.20 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Trillium | Managed Medicaid | $950.51 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Partners | Managed Medicaid | $969.55 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Vaya Health | Managed Medicaid | $969.55 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Medicare Advantage | $985.21 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $986.48 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Aetna | Medicare Advantage | $1,001.46 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Humana | Medicare Advantage Gold Plus | $1,058.00 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Liberty | Medicare Advantage | $1,100.32 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Cigna | Medicare Advantage | $1,100.32 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Alignment | Medicare Advantage | $1,100.32 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Bcbs | Medicare Advantage | $1,377.89 | $9,095.00 | $5,457.00 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Option Ppo | $1,688.57 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Medcost | Ultra | $2,158.32 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Alignment | Smart Hmo | $2,195.14 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Health Team Advantage | Medicare Advantage | $2,195.14 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | First Medicare Direct | Medicare Advantage | $2,238.73 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Wellcare | Medicare Advantage | $2,238.73 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Contigo | — | $2,242.96 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Blue Home | $2,304.71 | $13,237.88 | $7,942.73 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Liberty | Medicare Advantage | $2,364.70 | $9,095.00 | $5,457.00 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Aetna | Medicare Advantage | $2,364.70 | $9,095.00 | $5,457.00 | 2026-05-06 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Outpatient | Blue Cross | Blue Access Small Group | $2,449.00 | — | — | 2026-05-08 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | United Healthcare | Managed Medicaid | $2,489.30 | $9,095.00 | $5,457.00 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $2,489.30 | $9,095.00 | $5,457.00 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Healthy Blue North Carolina | Managed Medicaid | $2,489.30 | $9,095.00 | $5,457.00 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Alliance | Managed Medicaid | $2,489.30 | $9,095.00 | $5,457.00 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Carolina Complete Health | Managed Medicaid | $2,489.30 | $9,095.00 | $5,457.00 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Wellcare | Managed Medicaid | $2,489.30 | $9,095.00 | $5,457.00 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Trillium | Managed Medicaid | $2,513.86 | $9,095.00 | $5,457.00 | 2026-05-06 | MRF ↗ |
| REX HOSPITAL Outpatient | First Carolina Care | — | $2,539.20 | $4,232.00 | $2,539.20 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Vaya Health | Managed Medicaid | $2,563.88 | $9,095.00 | $5,457.00 | 2026-05-06 | MRF ↗ |
| UNC HEALTH CARE WAYNE Outpatient | Partners | Managed Medicaid | $2,563.88 | $9,095.00 | $5,457.00 | 2026-05-06 | 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.