25682-0028-01 — Ultomiris
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ultomiris (OTHER 25682-0028-01) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25682-0028-01?code_type=OTHER
MLA (9th ed.)
“Ultomiris (OTHER 25682-0028-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25682-0028-01?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Ultomiris (OTHER 25682-0028-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25682-0028-01?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $236–$781 (25th–75th percentile) across 21 hospitals · 160 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 25682-0028-01 — 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 |
|---|---|---|---|---|---|---|---|
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Cigna | Cigna | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource | Caresource | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Multiplan | Multiplan | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Aetna | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Maryland Physician Care | Maryland Physician Care | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Humana | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource | Caresource | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Molina Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Student | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Peak Health | Peak Health | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Student | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv | Mgd Mcaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna Rental | First Health | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna Rental | First Health | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Peak Health | Peak Health | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Geisinger Pennsylvania | Mgd Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Cigna | Cigna | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna Rental | First Health | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Cigna | Cigna | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Aetna | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Pa | Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Healthcare | United Healthcare | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Maryland Physician Care | Maryland Physician Care | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Partners Pennsylvania Medicaid | Health Partners Pennsylvania Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Aetna | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | University Of Pennsylvania Health Plan | University Of Pennsylvania Health Plan | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Aetna | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Multiplan | Multiplan | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Pa | Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $146.12 | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Molina Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna Rental | First Health | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Geisinger Pennsylvania | Mgd Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye | Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Humana | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | University Of Pennsylvania Health Plan | University Of Pennsylvania Health Plan | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $146.12 | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $146.12 | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Molina Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Student Health | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Humana | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Multiplan | Multiplan | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Healthcare | United Healthcare | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv | Mgd Mcaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Geisinger Pa Medicaid | Geisinger Pa Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | United Healthcare | United Healthcare | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | United Healthcare | United Healthcare | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Humana | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Student Health | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Molina Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Partners Pennsylvania Medicaid | Health Partners Pennsylvania Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Geisinger Pa Medicaid | Geisinger Pa Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $146.12 | $211,331.94 | $105,665.97 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Cigna | Cigna | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Multiplan | Multiplan | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye | Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource Oh | Managed Medicaid | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $211,331.94 | $105,665.97 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Corvel | All Plans | — | $280,650.00 | $210,487.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Tricare Health Net | Tricare Health Net | — | $280,650.00 | $210,487.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Oha Workers Comp | Oha Workers Comp | — | $280,650.00 | $210,487.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Home State | Medicaid | — | $280,650.00 | $210,487.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Cigna | All Plans | — | $280,650.00 | $210,487.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | United Healthcare | Medicaid | — | $280,650.00 | $210,487.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Tri West | Tri West | — | $280,650.00 | $210,487.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Coventry | Workers Comp | — | $280,650.00 | $210,487.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Blue Cross Blue Shield | Preferred, Ppo, Trad, Net | $179.84 | $280,650.00 | $210,487.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Aetna | All Plans | — | $280,650.00 | $210,487.50 | 2026-05-14 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | First Health | Commercial | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Cigna | Commercial | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | United Healthcare | Commercial | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Kaiser Permanente | Commercial | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Trad/Par | Commercial | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Anthem Public Option | Commercial | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Multiplan | Commercial | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Mngd. Medica | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Medicare Adv | $191.08 | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Commercial | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo/Hmo | Commercial | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Simplified Benefits Administrators | Commercial | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Coventry | Commercial | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | — | $140,927.98 | $78,919.67 | 2026-05-23 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Hmo | $218.11 | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Ppo | $218.11 | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | State Products | $218.11 | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Self Funded | $218.11 | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Essential Aliessa | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Univera | Medicaid | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Medicare Adv | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Medicare Advantage | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicaid | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicare Advantage | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Health Benefit Exchange | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Amerigroup | Commercial | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Medicare | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Humana | Commercial | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Indemnity | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Hmo/Ppo/Pos | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | — | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | University Of Utah Health Plans | Healthy U Medicaid | $223.68 | $175,215.25 | $157,693.73 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Aarp Optum | Medicare Advantage | $223.68 | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Humana | Choicecare Ppo | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Aarp Optum | Medicare Advantage | $223.68 | $175,215.25 | $157,693.73 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Public Employee Health Program | Commercial | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Humana | Choicecare Medicare Advantage | $223.68 | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Deseret | Commercial | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | University Of Utah Health Plans | Healthy U Medicaid | $223.68 | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | United Healthcare | Commercial | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | United Healthcare | Tricare | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Select Health | Medicare Advantage | $223.68 | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Select Health | Chip | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Aetna | Commercial | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Select Health | Select Care, Choice, Med, Value | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Select Health | Medicare Advantage | $223.68 | $175,215.25 | $157,693.73 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Triwest | Veterans Community Care Network | $223.68 | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Regence Blue Cross Blue Shield | Medicare | $223.68 | $175,215.25 | $157,693.73 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $223.68 | $175,215.25 | $157,693.73 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Regence Blue Cross Blue Shield | Medicare | $223.68 | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | University Of Utah Health Plans | Healthy Premier | — | $175,215.25 | $157,693.73 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $223.68 | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Triwest | Veterans Community Care Network | $223.68 | $175,215.25 | $157,693.73 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Educators Mutual Insurance | Commercial | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | University Of Utah Health Plans | Healthy U Chip | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Cigna | Commercial | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Molina | Commercial | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | University Of Utah Health Plans | Healthy Premier | — | $17,519.60 | $15,767.64 | 2026-05-14 | MRF ↗ |
| UINTAH BASIN MEDICAL CENTER Outpatient | Humana | Choicecare Medicare Advantage | $223.68 | $175,215.25 | $157,693.73 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Commercial | $223.99 | $56,355.20 | $39,448.64 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | $224.80 | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Upmc For Life Medicare Advantage | All Plans | $224.80 | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Upmc For Life Medicare Advantage | All Plans | $224.80 | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Anthem Pathway | Anthem Pathway | $224.80 | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Anthem Pathway | Anthem Pathway | $224.80 | $211,331.94 | $105,665.97 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $211,331.93 | $105,665.97 | 2026-05-13 | MRF ↗ |
| CAMDEN CLARK MEDICAL CENTER Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $211,331.93 | $105,665.97 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Advanced Health Systems | Commercial | — | $140,831.64 | $42,249.49 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Aetna | Medicare Advantage | $224.80 | $140,831.64 | $42,249.49 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Aetna | Commercial | — | $140,831.64 | $42,249.49 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Unitedhealthcare | Va | $224.80 | $140,831.64 | $42,249.49 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Humana | Medicare Advantage | $224.80 | $140,831.64 | $42,249.49 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Cigna | Medicare Advantage | $224.80 | $140,831.64 | $42,249.49 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Cigna | Commercial | — | $140,831.64 | $42,249.49 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | White River Health System | All Plans | — | $180,431.64 | $162,388.48 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | White River Health System | All Plans | — | $270,599.96 | $243,539.96 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | Vantos Health System | All Plans | — | $180,431.64 | $162,388.48 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | Vantos Health System | All Plans | — | $270,599.96 | $243,539.96 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | Summitt | Medicaid | — | $270,599.96 | $243,539.96 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | Ppo Plus (Stratose) | All Plans | — | $270,599.96 | $243,539.96 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | Mercy Managed Care | All Plans | — | $180,431.64 | $162,388.48 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | Ppo Plus (Stratose) | All Plans | — | $180,431.64 | $162,388.48 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | Mercy Managed Care | All Plans | — | $270,599.96 | $243,539.96 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | Health Partners Pho | All Plans | — | $270,599.96 | $243,539.96 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | Health Partners Pho | All Plans | — | $180,431.64 | $162,388.48 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Windsor Health Plan | Pho | — | $140,831.64 | $42,249.49 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | First Community Bank Corp Benefit | All Plans | — | $270,599.96 | $243,539.96 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Outpatient | First Community Bank Corp Benefit | All Plans | — | $180,431.64 | $162,388.48 | 2026-05-13 | 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.