30100020 — Hc Levamisole Blood (whole Blood)
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC LEVAMISOLE BLOOD (WHOLE BLOOD) (CDM 30100020) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/30100020?code_type=CDM
MLA (9th ed.)
“HC LEVAMISOLE BLOOD (WHOLE BLOOD) (CDM 30100020) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/30100020?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC LEVAMISOLE BLOOD (WHOLE BLOOD) (CDM 30100020) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/30100020?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $124–$220 (25th–75th percentile) across 13 hospitals · 70 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 30100020 — 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 |
|---|---|---|---|---|---|---|---|
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | TRICARE | 2571_TRICARE OUTPATIENT 20231001 | $24.72 | $206.00 | $67.98 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | TRICARE | 2813_TRICARE INPATIENT 20241001 | $24.72 | $206.00 | $67.98 | 2026-01-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | ChoiceCare Network | Commercial | $31.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Amerigroup | Medicare Advantage | $31.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Amerigroup | Children's Health Insurance Program | $31.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Superior HealthPlan | Commercial | $31.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Wellpoint | Commercial | $38.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | SMARTHEALTH | 2917_SMARTHEALTH OP 20250101 | $39.14 | $206.00 | $67.98 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | SMARTHEALTH | 2815_SMARTHEALTH INPATIENT 20241001 | $39.14 | $206.00 | $67.98 | 2026-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon Medicare Blue | JNE002_JNE003 Medicare | $49.10 | $305.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | St Agnes | Medicare | $57.95 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | St Agnes | Medicare | $57.95 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $58.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $58.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $58.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $58.50 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $61.00 | $305.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $61.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $61.00 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNE002 JNE003 Commercial Exchange | $61.00 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $61.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $61.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid MCO | $61.15 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid CHIP | $61.15 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid MCO | $61.15 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid CHIP | $61.15 | — | — | 2026-03-18 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS HMO | 2833_JCIL BLUE CROSS BLUE SHIELD HMO 20241001 | $65.92 | $206.00 | $67.98 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $67.71 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $67.71 | — | — | 2026-03-18 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA C5 | 3023_CIGNA C5 20250101 | $70.04 | $206.00 | $67.98 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $83.52 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Aetna | Commercial | $85.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Cigna | Commercial | $85.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Blue Advantage | $89.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $91.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB002 Medicare | $91.50 | $305.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $91.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $91.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | UPMC Medicare Advantage | JNE002_JNE003 Medicare | $91.50 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB001 Medicare | $91.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $91.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Optum Health Transplant | Commercial | $91.50 | — | — | 2026-03-18 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Blue Essentials | $93.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $93.72 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $93.72 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $93.72 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $93.72 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $93.72 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $93.72 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $96.48 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $97.92 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $97.98 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $97.98 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $97.98 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $97.98 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $97.98 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $97.98 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $97.98 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $97.98 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $97.98 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $97.98 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $97.98 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $97.98 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | PPO | $98.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield | Commercial | $98.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $100.80 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $100.80 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $100.80 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $100.80 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $101.96 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $101.96 | $666.00 | — | 2026-09-15 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $102.24 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $102.24 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $103.68 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $109.01 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $109.01 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $109.01 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $109.01 | — | — | 2026-03-18 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Three Rivers Provider Network | Commercial | $111.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $115.20 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $115.20 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $116.64 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | Health Advantage Network | Commercial | $118.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| GRAHAM REGIONAL MEDICAL CENTER Both | HealthSmart Preferred Care | Commercial | $118.00 | $131.00 | $131.00 | 2025-07-03 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $119.52 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Beachstreet | Beachstreet | — | $163.00 | $163.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Multiplan | Multiplan | — | $163.00 | $163.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Beachstreet | Beachstreet | — | $163.00 | $163.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Multiplan | Multiplan | — | $163.00 | $163.00 | 2025-07-02 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | JNE PPO_Indemnity | $123.28 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $123.28 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $123.49 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $123.49 | $305.00 | — | 2026-09-15 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $123.54 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $123.54 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC CHOICE | 3093_JCIL UNITED HEALTHCARE 20250701 | $123.60 | $206.00 | $67.98 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC PPO | 3094_JCIL UNITED HEALTHCARE OPTIONS PPO 20250701 | $123.60 | $206.00 | $67.98 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $124.54 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $124.54 | $666.00 | — | 2026-09-15 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $126.72 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $126.72 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $128.16 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $128.16 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Commercial | $129.01 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Commercial | $129.01 | — | — | 2026-03-18 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $129.60 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $129.60 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Highmark | JCC001_JCC002 ACA | $129.63 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Highmark | JMR001 ACA | $129.63 | $305.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Highmark | JCC001_JCC002 ACA | $129.63 | — | — | 2026-03-18 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CIGNA | 1004_CIGNA 20230701 | $132.48 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNJ001_JNJ002_JNJ003 Commercial Exchange | $133.20 | $666.00 | — | 2026-09-15 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $136.80 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 ACA | $138.26 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 ACA | $138.53 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $138.56 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $138.56 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | United Healthcare | Commercial | $140.91 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Commercial | $140.91 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid MCO | $140.94 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid CHIP | $140.94 | $305.00 | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Other Comm | $141.52 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Other Comm | $141.52 | — | — | 2026-03-18 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA ONE HEALTH | 2758_PHIL CIGNA ONE HEALTH 20240101 | $142.14 | $206.00 | $67.98 | 2026-01-01 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Highmark | JAB001 ACA | $142.53 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $142.71 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $142.71 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $144.00 | $144.00 | $82.08 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $144.84 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $144.84 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HUMANA HMO | 2837_JCIL HUMANA HMO 20241001 | $146.26 | $206.00 | $67.98 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 937_NETWORK HEALTH PLAN CAWI 20230101 | $146.97 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 908_NETWORK HEALTH PLAN ACA CAWI 20220101 | $146.97 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 937_NETWORK HEALTH PLAN CAWI 20230101 | $146.97 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 908_NETWORK HEALTH PLAN ACA CAWI 20220101 | $146.97 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA | 837_NEHA ASCENSION ONLY CAWI 20220101 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 268_SEHN CAWI 20160101 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 268_SEHN CAWI 20160101 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA | 837_NEHA ASCENSION ONLY CAWI 20220101 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $149.10 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Aetna Better Health | JAB002 CHIP | $152.50 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Innovage | JAB001 Medicare | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Innovage | JCC001_JCC002 Medicare | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Complex Medical Services | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | QualCare JCC | Commercial | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna Better Health | JNE001_JNE002_JNE003 CHIP | $152.50 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Innovage | JAB002 Medicare | $152.50 | $305.00 | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Optum Health Transplant | Commercial | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | Complex Medical Services | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Aetna Better Health | JCC001_JCC002 CHIP | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Optum Health Transplant | Commercial | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna Better Health | JCC001_JCC002 CHIP | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Optum Health Transplant | Commercial | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Innovage | JCC001_JCC002 Medicare | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | QualCare JCC | Commercial | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | QualCare JCC | Workers Compensation | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Innovage | JMR001 Medicare | $152.50 | $305.00 | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Highmark | JMR001 Commercial | $152.50 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Innovage | JNE002_JNE003 Medicare | $152.50 | $305.00 | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | QualCare JCC | Workers Compensation | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Aetna Better Health | JAB001 CHIP | $152.50 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $153.36 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 960_ANTHEM PATHWAYS CAWI 20230101 | $153.36 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 960_ANTHEM PATHWAYS CAWI 20230101 | $153.36 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $153.36 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HUMANA PPO | 2838_JCIL HUMANA PPO 20241001 | $154.50 | $206.00 | $67.98 | 2026-01-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Other Comm | $154.63 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | United Healthcare | Other Comm | $154.63 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS Casualty | JNE001 WC | $156.77 | $305.00 | — | 2026-09-15 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Humana | Humana Gold | — | $163.00 | $163.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Humana | Humana Gold | — | $163.00 | $163.00 | 2025-07-02 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Highmark | JCC001_JCC002 Commercial | $160.31 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Highmark | JCC001_JCC002 Commercial | $160.31 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | United Healthcare | JAB001_JAB002 Commercial | $162.26 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | United Healthcare | Commercial | $162.26 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | United Healthcare | JNE001_JNE002_JNE003 Commercial | $162.26 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 Commercial | $162.66 | $305.00 | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 Commercial | $162.99 | $305.00 | — | 2026-09-15 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Bravo Healthspring | Bravo Healthspring | — | $163.00 | $163.00 | 2025-07-02 | MRF ↗ |
| Mid-jefferson Extended Care Hospital Inpatient | Bravo Healthspring | Bravo Healthspring | — | $163.00 | $163.00 | 2025-07-02 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HEALTHLINK PPO | 963_JCIL HEALTHLINK PPO 20160101 | $164.80 | $206.00 | $67.98 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 902_ANTHEM BLUE CONNECTION CAWI 20230101 | $166.14 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 902_ANTHEM BLUE CONNECTION CAWI 20230101 | $166.14 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Highmark | JAB001 Commercial | $167.66 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Cigna Lifesource | JCC Commercial | $167.75 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna Lifesource | JCC Commercial | $167.75 | — | — | 2026-03-18 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $170.40 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $170.40 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $170.40 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $170.40 | $213.00 | $121.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $172.53 | $213.00 | $121.41 | 2026-01-01 | 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.