39009035 — Hc Platelets Pheresis Leukocytes Reduced
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HC PLATELETS PHERESIS LEUKOCYTES REDUCED (CDM 39009035) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/39009035?code_type=CDM
MLA (9th ed.)
“HC PLATELETS PHERESIS LEUKOCYTES REDUCED (CDM 39009035) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/39009035?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“HC PLATELETS PHERESIS LEUKOCYTES REDUCED (CDM 39009035) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/39009035?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $850–$1,787 (25th–75th percentile) across 24 hospitals · 71 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 39009035 — 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 |
|---|---|---|---|---|---|---|---|
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon Medicare Blue | JNE002_JNE003 Medicare | $117.37 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $145.80 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNE002 JNE003 Commercial Exchange | $145.80 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid MCO | $146.16 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid CHIP | $146.16 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid CHIP | $146.16 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid MCO | $146.16 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB002 Medicare | $218.70 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JAB001 Medicare | $218.70 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | UPMC Medicare Advantage | JNE002_JNE003 Medicare | $218.70 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $219.70 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $219.70 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $268.35 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $268.35 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNJ001_JNJ002_JNJ003 Commercial Exchange | $287.00 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | JNE PPO_Indemnity | $294.66 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $294.66 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $295.17 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $295.17 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 ACA | $330.46 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 ACA | $331.11 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $331.18 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $331.18 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid MCO | $336.87 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid CHIP | $336.87 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $361.00 | $1,880.00 | $1,071.60 | 2026-01-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Aetna Better Health | JAB002 CHIP | $364.50 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Optum Health Transplant | Commercial | $364.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Innovage | JNE002_JNE003 Medicare | $364.50 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Aetna Better Health | JAB001 CHIP | $364.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Innovage | JAB001 Medicare | $364.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna Better Health | JNE001_JNE002_JNE003 CHIP | $364.50 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Innovage | JAB002 Medicare | $364.50 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS Casualty | JNE001 WC | $374.71 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | United Healthcare | JAB001_JAB002 Commercial | $387.83 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | United Healthcare | JNE001_JNE002_JNE003 Commercial | $387.83 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | United Healthcare | Commercial | $387.83 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Highmark | JAB002 Commercial | $388.78 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Highmark | JNE002_JNE003 Commercial | $389.58 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Highmark | JAB001 Commercial | $400.73 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | St Agnes | Medicare | $415.34 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | St Agnes | Medicare | $415.34 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $419.27 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $419.27 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JCC001_JCC002 Commercial Exchange | $437.20 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $437.20 | $2,186.00 | $601.18 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $437.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | First Health Network | JAB001_JAB002 Commercial | $455.63 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | First Health Network | JNE001_JNE002_JNE003 Commercial | $455.63 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna | JNE001_JNE002_JNE003 PEBTF | $473.12 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $485.29 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $485.29 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $496.08 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Aetna | JNE001_JNE002_JNE003 Commercial | $512.49 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $521.52 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Private Healthcare Services | JAB001 JAB002 PPO EPO POS | $546.75 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Private Healthcare Services | JAB001 JAB002 PPO EPO POS | $546.75 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Multiplan | JAB001 Commercial | $546.75 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Multiplan | JAB Commercial | $546.75 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL BothFacility | Provider Network of America | PPO_WC | $583.20 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Devon | Commercial | $583.20 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Intergroup | Commercial PA | $583.20 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Provider Network of America | PPO_WC | $583.20 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL BothFacility | Devon | Commercial | $583.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Intergroup | Commercial | $583.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Humana | Commercial | $583.20 | $729.00 | $577.39 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Provider Network of America | PPO_WC | $583.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | First Health Network | JAB001_JAB002 Commercial | $583.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Multiplan | JNE001_JNE002_JNE003 Commercial | $583.20 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Humana | Commercial | $583.20 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST BothFacility | Devon | Commercial | $583.20 | $729.00 | $591.62 | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Humana Commercial | Commercial | $583.20 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ ACA | $618.92 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ ACA | $618.92 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Emblem | GHI Access Network | $637.80 | $1,063.00 | $690.95 | 2026-09-28 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | New Jersey Amerigroup | Medicaid | $645.75 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | New Jersey Amerigroup | Medicaid | $645.75 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare | $655.80 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | Optum Health Transplant | Commercial | $655.80 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | UPMC Medicare Advantage | JCC001_JCC002 Medicare Advantage | $655.80 | — | — | 2026-03-18 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $661.44 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $661.44 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Innovage | JNJ001_JNJ002_JNJ003 Medicare | $717.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Innovage | JNJ001_JNJ002_JNJ003 Medicare | $717.50 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Magnacare | JIB | $722.84 | $1,063.00 | $690.95 | 2026-09-28 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ Commercial | $728.12 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Highmark | JNJ Commercial | $728.12 | — | — | 2026-03-18 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $737.76 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Aetna | JNJ001_JNJ002_JNJ003 Commercial | $747.63 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | WEA PPP | 204_WEA PPP 20160101 | $750.48 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | ALLIANCE | 1066_ALLIANCE 20220101 | $750.48 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Commercial | $760.55 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Commercial | $760.55 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Workers Compensation | $760.55 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Magnacare | Standard | $765.36 | $1,063.00 | $690.95 | 2026-09-28 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $781.28 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $781.28 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $781.28 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $781.28 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Both | Magnacare | JIB | $786.62 | $1,063.00 | $690.95 | 2026-04-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $789.60 | $1,880.00 | $1,071.60 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | AmeriHealth Commercial | JNJ001_JNJ002_JNJ003 Preferred_Local Value | $803.60 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jeff NJ AmeriHealth_IBC | Commercial | $803.60 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jeff NJ AmeriHealth_IBC | Admin_Indemnity | $803.60 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | AmeriHealth Commercial | JNJ001_JNJ002_JNJ003 Admin_Indemnity | $803.60 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Workers Compensation | $833.74 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Qualcare JNJ | Workers Compensation | $833.74 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Both | Magnacare | Standard | $834.46 | $1,063.00 | $690.95 | 2026-04-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Kennedy Aetna Commercial | Commercial | $849.52 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Multiplan | Multiplan | $850.40 | $1,063.00 | $690.95 | 2026-04-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $852.24 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jeff NJ United Healthcare | Commercial Oxford Metro Exchange | $871.04 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare NJ | Oxford Metro Exchange | $871.04 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS Casualty | Workers Compensation | $871.33 | — | — | 2026-03-18 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $877.68 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| MONTEFIORE NEW ROCHELLE HOSPITAL Outpatient | Multiplan | Multiplan | $882.29 | $1,063.00 | $690.95 | 2026-09-28 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $890.40 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | AETNA | 567_AETNA 20190701 | $890.40 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS Casualty | JNJ001 WC | $914.96 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | First Health Network | JNJ001_JNJ002_JNJ003 Commercial | $921.27 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Commercial | $924.68 | — | — | 2026-03-18 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | TRILOGY | 1070_TRILOGY 20220101 | $928.56 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Highmark | JCC001_JCC002 ACA | $929.05 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Highmark | JMR001 ACA | $929.05 | $2,186.00 | $601.18 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Highmark | JCC001_JCC002 ACA | $929.05 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Emblem | GHI Access Network | $963.00 | $1,605.00 | $558.88 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | Emblem | GHI Access Network | $963.00 | $1,605.00 | $558.88 | 2025-06-27 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $966.72 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JNJ001_JNJ002_JNJ003 Managed | $981.11 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JNJ001_JNJ002_JNJ003 PPO | $981.11 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JNJ001_JNJ002_JNJ003 Indemnity | $981.11 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | JCC001_JCC002 Commercial | $996.82 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Centivo | Centivo Network | $1,009.25 | $1,835.00 | $1,192.75 | 2026-04-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Commercial | $1,009.93 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Other Comm | $1,014.30 | — | — | 2026-03-18 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ANTHEM BLUE CONNECTION | 999_ANTHEM BLUE CONNECTION MEWI SEWI 20230401 | $1,015.20 | $1,880.00 | $1,071.60 | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $1,030.32 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | PARADIGM NETWORK | 580_PARADIGM NETWORK 20161001 | $1,043.04 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $1,071.60 | $1,880.00 | $1,071.60 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | United Healthcare | JCC001_JCC002 Commercial | $1,088.63 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | QualCare JCC | Workers Compensation | $1,093.00 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Innovage | JCC001_JCC002 Medicare | $1,093.00 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Highmark | JMR001 Commercial | $1,093.00 | $2,186.00 | $601.18 | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Innovage | JMR001 Medicare | $1,093.00 | $2,186.00 | $601.18 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Aetna Better Health | JCC001_JCC002 CHIP | $1,093.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Innovage | JCC001_JCC002 Medicare | $1,093.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Optum Health Transplant | Commercial | $1,093.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | QualCare JCC | Workers Compensation | $1,093.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | QualCare JCC | Commercial | $1,093.00 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL InpatientFacility | United Healthcare | Complex Medical Services | $1,093.00 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Aetna Better Health | JCC001_JCC002 CHIP | $1,093.00 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare | JCC001_JCC002 Complex Medical Services | $1,093.00 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | QualCare JCC | Commercial | $1,093.00 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | WEA POS | 539_WEA POS 20090101 | $1,093.92 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | ARISE | 1119_ARISE PREMIER SHWI 20221001 | $1,093.92 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Kennedy Horizon BCBS of NJ | PPO | $1,100.79 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Kennedy Horizon BCBS of NJ | Commercial HMO | $1,100.79 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Kennedy Horizon BCBS of NJ | Indemnity | $1,100.79 | — | — | 2026-03-18 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | Emblem | GHI Access Network | $1,101.00 | $1,835.00 | $1,192.75 | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Both | Emblem | GHI Access Network | $1,107.60 | $1,846.00 | — | 2026-04-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Other Comm | $1,108.30 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Aetna | JCC001_JCC002 PEBTF | $1,117.05 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $1,124.26 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon BCBS of NJ | JCC001_ JCC002 Indemnity | $1,124.26 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Horizon BCBS of NJ | JCC001_JCC002 PPO | $1,124.26 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ANTHEM HMO POS | 1000_ANTHEM HMO POS MEWI SEWI 20230401 | $1,128.00 | $1,880.00 | $1,071.60 | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | WEA | 419_WEA 20090116 | $1,132.08 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Humana | Commercial | $1,148.00 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL BothFacility | Devon | Commercial | $1,148.00 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Humana Commercial | Commercial | $1,148.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL BothFacility | Provider Network of America | PPO_WC | $1,148.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL BothFacility | Devon | Commercial | $1,148.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL BothFacility | Provider Network of America | PPO_WC | $1,148.00 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Highmark | JCC001_JCC002 Commercial | $1,148.96 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Highmark | JCC001_JCC002 Commercial | $1,148.96 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,156.99 | $2,183.00 | $1,156.99 | 2026-01-01 | MRF ↗ |
| Ascension Sacred Heart Rehabilitation Hospital Outpatient | WPS | 1118_WISCONSIN PHYSICIAN SERVICES SHWI 20221001 | $1,195.68 | $1,272.00 | $674.16 | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Cigna Lifesource | JCC001_JCC002 Commercial | $1,202.30 | $2,186.00 | $591.62 | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna Lifesource | JCC Commercial | $1,202.30 | — | — | 2026-03-18 | MRF ↗ |
| NYACK HOSPITAL Both | Magnacare | JIB | $1,203.75 | $1,605.00 | $558.88 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Both | Magnacare | JIB | $1,203.75 | $1,605.00 | $558.88 | 2025-06-27 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Evernorth_Cigna Behavioral Health | JNJ Commercial | $1,219.75 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Evernorth_Cigna Behavioral Health | JNJ001_JNJ002_JNJ003 Commercial | $1,219.75 | $1,435.00 | $647.89 | 2026-09-15 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $1,248.00 | $3,200.00 | $1,696.00 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $1,248.00 | $3,200.00 | $1,696.00 | 2026-01-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JCC001_JCC002 PPO | $1,261.54 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JCC001_ JCC002 Indemnity | $1,261.54 | — | — | 2026-03-18 | 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.