09422 — Idecabtagene Vicleucel Ca
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Idecabtagene vicleucel ca (OTHER 09422) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/09422?code_type=OTHER
MLA (9th ed.)
“Idecabtagene vicleucel ca (OTHER 09422) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/09422?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Idecabtagene vicleucel ca (OTHER 09422) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/09422?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $510,790–$558,082 (25th–75th percentile) across 139 hospitals · 18 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 09422 — 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 |
|---|---|---|---|---|---|---|---|
| SUMMIT MEDICAL CENTER Both | MEDICAID | MEDICAID | $279,438.18 | — | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | KID CARE CHIP WDH | KID CARE CHIP WDH | $279,438.18 | — | — | 2026-01-21 | MRF ↗ |
| SUMMIT MEDICAL CENTER Both | WYOMING CANCER PROGRAM | MEDICAID BCC/COLORECTAL | $279,438.18 | — | — | 2026-01-21 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Humana Military | TRCR | $394,940.70 | — | — | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Humana Military | TRCR | $394,940.70 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Humana Military | TRCR | $418,561.35 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Health Net | TRICR | $447,599.46 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Health Net | TRICR | $447,599.46 | — | — | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Health Net | TRICR | $447,599.46 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Health Net | TRICR | $447,599.46 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Health Net | TRICR | $447,599.46 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Health Net | TRICR | $473,928.84 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Health Net | TRICR | $473,928.84 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Health Net | TRICR | $473,928.84 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Health Net | TRICR | $473,928.84 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | TriAtlantic | TRICR | $474,369.53 | — | — | 2026-03-07 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | TriAtlantic | TRICR | $474,369.53 | — | — | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | TriAtlantic | TRICR | $474,369.53 | — | — | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | TriAtlantic | TRICR | $474,369.53 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | TriAtlantic | TRICR | $474,369.53 | — | — | 2026-03-07 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Health Net | TRICR | $500,258.22 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Blue Shield | TRICARE | $500,258.22 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Health Net | TRICR | $502,273.62 | — | — | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Health Net | TRICR | $502,273.62 | — | — | 2026-03-07 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Health Net | TRICR | $502,273.62 | — | — | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Health Net | TRICR | $502,273.62 | — | — | 2026-03-07 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Outpatient | Humana | TRICR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Outpatient | Humana | TRICR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OAK HILL HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA OSCEOLA HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BAYONET POINT HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA LAWNWOOD HOSPITAL Outpatient | Humana | TRICR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PUTNAM HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | HUMANA | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2025-01-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Humana Military | TRCR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BLAKE HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA BRANDON HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ST PETERSBURG HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Humana Military | TRCR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH SHORE HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Humana Military | TRCR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Humana | TRICR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA TWIN CITIES HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Humana Military | TRCR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Humana | TRICR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA LAKE CITY HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| UCF LAKE NONA HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ENGLEWOOD HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Humana Military | TRCR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA POINCIANA HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Humana Military | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CAPITAL HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Humana | TRICR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Humana | TRICR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Humana Military | TRCR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Humana | TRICR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| ST LUCIE MEDICAL CENTER Outpatient | Humana | TRICR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | Humana | TRICR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| TERRE HAUTE REGIONAL HOSPITAL Outpatient | HUMANA | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Outpatient | Humana | TRICR | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FAWCETT HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Humana | TRICARE | $510,789.97 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Humana | Tricare | $516,055.85 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | Humana | TRICR | $521,321.72 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Humana | TRICARE | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | TriWest Health Alliance | TRICARE | $526,587.60 | — | — | 2025-01-01 | MRF ↗ |
| OVERLAND PARK REG MED CTR Outpatient | TriWest Health Alliance | TRICARE | $526,587.60 | — | — | 2025-01-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Blue Shield | TRICARE | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Health Net | Tricare | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Regence TriWest | Tricare | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| OVERLAND PARK REG MED CTR Outpatient | BCBS | TRICARE | $526,587.60 | — | — | 2025-01-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Regence TriWest | Tricare | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Health Net | Tricare | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $526,587.60 | — | — | 2025-01-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | BCBS | TRICARE | $526,587.60 | — | — | 2025-01-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Regence | Tricare | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA SOUTH TAMPA HOSPITAL Outpatient | Value Options | TRICARE | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Value Options | TRICARE | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Regence TriWest | Tricare | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | TriWest Health Alliance | TRICARE | $526,587.60 | — | — | 2025-01-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $526,587.60 | — | — | 2025-01-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Regence TriWest | Tricare | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Health Net | Tricare | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Value Options | TRICARE | $526,587.60 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $526,587.60 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Humana | TRICARE | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TriWest Health Alliance | TRICARE | $526,587.60 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest Health Alliance | TRICARE | $526,587.60 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Value Options | TRICARE | $526,587.60 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Blue Shield | TRICARE | $530,177.71 | — | — | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Health Net | TRICR | $530,177.71 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Humana Military | TRICR | $540,598.36 | — | — | 2025-11-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Humana | TRICARE | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Humana | TRICARE | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Humana Military | TRICR | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| Wise Health System Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| FRANKFORT REGIONAL MEDICAL CENTER Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| Lake City Medical Center Suwannee Campus Outpatient | Humana | TRICARE | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Humana Military | TRCR | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Humana | TRICARE | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | Humana | TRICARE | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DENTON Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LAS COLINAS Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| HENRICO DOCTORS' HOSPITAL Outpatient | Humana Military | TRCR | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| Memorial Satilla Health Outpatient | Humana | TRICARE | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| North Florida Regional Medical Center Starke Campu Outpatient | Humana | TRICARE | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| CJW MEDICAL CENTER Outpatient | Humana Military | TRCR | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Humana Military | TRICR | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY FORT WORTH Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CENTER OF MCKINNEY Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Humana | TRICARE | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | Humana Military | CHAMPUS/TRICARE | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Humana Military | TRCR | $541,339.35 | — | — | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Humana Military | TRCR | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Humana Military | TRCR | $541,339.35 | — | — | 2026-03-07 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | Humana | TRICR | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL Outpatient | Humana | TRICARE | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Humana | TRICARE | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Humana | TRICARE | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| COLLETON MEDICAL CENTER Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARGYLE HOSPITAL Outpatient | Humana | Tricare | $541,339.35 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Martin's Point Health | TRICR | $546,171.54 | — | — | 2025-11-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Sierra Military Health | TRICR | $557,317.90 | — | — | 2025-11-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | CareSource | Tricare | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Christus (USFHP) | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Christus (USFHP) | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | BCBS | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | CareSource | Tricare | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Christus (USFHP) | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Christus (USFHP) | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| Wesley Rehabilitation Hospital, An Affiliate Of En Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Christus (USFHP) | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| LEE'S SUMMIT MEDICAL CENTER Outpatient | BCBS | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LEHIGH REGIONAL MEDICAL CENTER Outpatient | CareSource | Tricare | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY GREEN OAKS HOSPITAL Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ALLIANCE Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Health Net | Tricare | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Health Net | Tricare | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Christus (USFHP) | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Christus (USFHP) | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Health Net | Tricare | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Health Net | Tricare | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| Trinity Regional Hospital Sachse Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Johns Hopkins | UniformedServicesFamilyHealthPlan | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Christus (USFHP) | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Regence | Tricare | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| FRISBIE MEMORIAL HOSPITAL Outpatient | Martin's Point Health | TRICR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Martin's Point Health | TRICR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | TriWest Health Alliance | TRCR | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| DOMINION HOSPITAL Outpatient | Managed Health Network | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | BCBS | TRICARE | $558,081.80 | — | — | 2026-03-01 | MRF ↗ |
| Research Medical Center Outpatient | TriWest Health Alliance | TRICARE | $558,081.80 | — | — | 2026-03-01 | 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.