636 — Drugs Require Specific Id: Drugs Requiring Detail Coding
Cite this view
HANK Price Transparency. (n.d.). Drugs Require Specific ID: Drugs requiring detail coding (OTHER 636) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/636?code_type=OTHER
“Drugs Require Specific ID: Drugs requiring detail coding (OTHER 636) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/636?code_type=OTHER. Accessed .
“Drugs Require Specific ID: Drugs requiring detail coding (OTHER 636) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/636?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15–$594 (25th–75th percentile) across 236 hospitals · 343 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 636 — 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 |
|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN HOSPITAL Outpatient | Mdwise | Hip | $0.03 | — | — | 2026-07-17 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Hmo | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Exchange Hmo | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Options | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Exchange | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| PALO PINTO GENERAL HOSPITAL | Aetna - Medicare | — | $0.03 | $5.04 | $2.52 | 2026-07-31 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Exchange | $0.03 | $1.27 | $0.64 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Ppo | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Ppo | $0.03 | $1.27 | $0.64 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Ppo | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Ppo | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Exchange Hmo | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Ppo | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Hmo | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Hmo | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Hmo | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| PALO PINTO GENERAL HOSPITAL | Aetna Hmo | — | $0.03 | $84.60 | $42.30 | 2026-07-31 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Nonoptions | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Ppo | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| MAGNOLIA REGIONAL HEALTH CENTER | Payer Negotiated Charge: Empower Arkansas (Plan: Medicaid Replacement) | — | $0.03 | $29.00 | $17.40 | 2026-07-18 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Ppo | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Nonoptions | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Exchange Ppo | $0.03 | $1.27 | $0.64 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Ppo | $0.03 | $1.27 | $0.64 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Hmo | $0.03 | $1.27 | $0.64 | 2026-05-13 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medicaid | $0.03 | — | — | 2026-07-17 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Exchange | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Exchange | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Mdwise | Medicaid | $0.03 | — | — | 2026-07-17 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Exchange Hmo | $0.03 | $1.27 | $0.64 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Exchange | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Options | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Ppo | $0.03 | $1.27 | $0.64 | 2026-05-13 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL | Payer Negotiated Charge: Magellan Complete Care Of Virginia (Plan: All) | — | $0.03 | $12.00 | $4.80 | 2026-07-30 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Options | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| PALO PINTO GENERAL HOSPITAL | Amerigroup - Medicare/Mmp | — | $0.03 | $5.04 | $2.52 | 2026-07-31 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Ppo | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Exchange | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Exchange Ppo | $0.03 | $1.27 | $0.64 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Hmo | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Exchange Hmo | $0.03 | $1.27 | $0.64 | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Caresource | Commercial | $0.03 | — | — | 2026-07-17 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Hmo | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH | Payer Negotiated Charge: Blue Cross Blue Shield Of Ia Wellmark | — | $0.03 | $1.70 | $1.53 | 2026-07-30 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Hmo | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Hmo | $0.03 | $1.27 | $0.64 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Ppo | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Hmo | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Hmo | $0.03 | $1.27 | $0.64 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Ppo | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Hmo | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Hmo | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Nonoptions | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Ppo | $0.03 | $1.27 | $0.64 | 2026-05-14 | MRF ↗ |
| MAGNOLIA REGIONAL HEALTH CENTER | Payer Negotiated Charge: Arkansas Total Care (Plan: Medicaid Replacement) | — | $0.03 | $29.00 | $17.40 | 2026-07-18 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Options | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Hmo | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Ppo | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Exchange | $0.03 | $1.27 | $0.64 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Exchange | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Hmo | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Hmo | $0.03 | $1.27 | $0.64 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Ppo | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Exchange | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Exchange Ppo | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Nonoptions | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| PALO PINTO GENERAL HOSPITAL | Humana - Medicare | — | $0.03 | $5.04 | $2.52 | 2026-07-31 | MRF ↗ |
| PALO PINTO GENERAL HOSPITAL | Bcbs | — | $0.03 | $10.00 | $5.00 | 2026-07-31 | MRF ↗ |
| PALO PINTO GENERAL HOSPITAL | Aetna All Other Products | — | $0.03 | $84.60 | $42.30 | 2026-07-31 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Exchange | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Exchange Ppo | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL | Payer Negotiated Charge: Blue Cross Blue Shield Of Va Anthem (Plan: All) | — | $0.03 | $50.00 | $20.00 | 2026-07-30 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Exchange | $0.03 | $1.45 | $0.73 | 2026-05-22 | MRF ↗ |
| PALO PINTO GENERAL HOSPITAL | Firstcare - Medicare Advantage | — | $0.03 | $5.04 | $2.52 | 2026-07-31 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Exchange | $0.03 | $1.45 | $0.73 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Ppo | $0.03 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $0.04 | $2.97 | $1.49 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| LECOM HEALTH CORRY MEMORIAL HOSPITAL | Payer Negotiated Charge: Highmark Senior Health Pa (Plan: All) | — | $0.04 | $68.10 | $40.86 | 2026-07-19 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Humana | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Sentara Health | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Ppo | $0.04 | $1.84 | $0.92 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Hmo | $0.04 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| MAGNOLIA REGIONAL HEALTH CENTER | Payer Negotiated Charge: Empower Arkansas (Plan: Medicaid Replacement) | — | $0.04 | $7.00 | $4.20 | 2026-07-18 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $0.04 | $2.97 | $1.49 | 2026-05-13 | MRF ↗ |
| MAGNOLIA REGIONAL HEALTH CENTER | Payer Negotiated Charge: Arkansas Total Care (Plan: Medicaid Replacement) | — | $0.04 | $7.00 | $4.20 | 2026-07-18 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Ppo | $0.04 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Ppo | $0.04 | $1.84 | $0.92 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Exchange | $0.04 | $1.84 | $0.92 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Ppo | $0.04 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Exchange | $0.04 | $1.84 | $0.92 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $0.04 | $2.97 | $1.49 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $0.04 | $2.97 | $1.49 | 2026-05-22 | MRF ↗ |
| MAGNOLIA REGIONAL HEALTH CENTER | Payer Negotiated Charge: Blue Cross Blue Shield Of Ar (Plan: Ppo) | — | $0.04 | $25.00 | $15.00 | 2026-07-18 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Exchange | $0.04 | $1.84 | $0.92 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Exchange | $0.04 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Hmo | $0.04 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Hmo | $0.04 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Hmo | $0.04 | $1.84 | $0.92 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Ppo | $0.04 | $1.84 | $0.92 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Ppo | $0.04 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Humana | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Hmo | $0.04 | $1.84 | $0.92 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $0.04 | $2.97 | $1.49 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Aetna | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Sentara Health | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Kaiser | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Exchange | $0.04 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $0.04 | $2.97 | $1.49 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Kaiser | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Aetna | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Hmo | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $0.04 | $2.97 | $1.49 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Hmo | $0.04 | $1.84 | $0.92 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Aetna | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Exchange | $0.04 | $1.84 | $0.92 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Ppo | $0.04 | $1.84 | $0.92 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Kaiser | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Humana | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Hmo | $0.04 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $0.04 | $2.97 | $1.49 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Ppo | $0.04 | $2.97 | $1.49 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Sentara Health | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Ppo | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL | Payer Negotiated Charge: Magellan Complete Care Of Virginia (Plan: All) | — | $0.04 | $60.00 | $24.00 | 2026-07-30 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Anthem | Exchange Hmo | $0.04 | $2.97 | $1.49 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Aetna | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Humana | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Exchange | $0.04 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Exchange | $0.04 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Kaiser | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Cigna | Ppo | $0.04 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Sentara Health | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Cigna | Hmo | $0.04 | $1.84 | $0.92 | 2026-05-22 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL | Payer Negotiated Charge: Blue Cross Blue Shield Of Va Anthem (Plan: All) | — | $0.04 | $53.00 | $21.20 | 2026-07-30 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Hmo | $0.04 | $2.97 | $1.49 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Anthem | Exchange Hmo | $0.04 | $2.97 | $1.49 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Medicare Advantage | $0.04 | $2.10 | $1.05 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Nonoptions | $0.05 | $1.27 | $0.64 | 2026-05-14 | MRF ↗ |
| LECOM HEALTH CORRY MEMORIAL HOSPITAL | Payer Negotiated Charge: Gateway Health Plan - Medicare Assured Pa (Plan: All) | — | $0.05 | $2.84 | $1.70 | 2026-07-19 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Options | $0.05 | $1.27 | $0.64 | 2026-05-14 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH | Payer Negotiated Charge: United Healthcare | — | $0.05 | $1.70 | $1.53 | 2026-07-30 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Exchange Ppo | $0.05 | $1.14 | $0.57 | 2026-05-13 | MRF ↗ |
| LECOM HEALTH CORRY MEMORIAL HOSPITAL | Payer Negotiated Charge: Medicare A Pa Jl (Plan: All) | — | $0.05 | $68.10 | $40.86 | 2026-07-19 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Ppo | $0.05 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Hmo | $0.05 | $1.14 | $0.57 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Hmo | $0.05 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Nonoptions | $0.05 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Nonoptions | $0.05 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Exchange | $0.05 | $1.27 | $0.64 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Exchange Hmo | $0.05 | $1.14 | $0.57 | 2026-05-13 | MRF ↗ |
| MITCHELL COUNTY REGIONAL HEALTH | Payer Negotiated Charge: Medicare A | — | $0.05 | $0.60 | $0.54 | 2026-07-30 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Hmo | $0.05 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Ppo | $0.05 | $1.14 | $0.57 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Hmo | $0.05 | $1.14 | $0.57 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Ppo | $0.05 | $1.14 | $0.57 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Ppo | $0.05 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Hmo | $0.05 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Hmo | $0.05 | $1.14 | $0.57 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Options | $0.05 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Nonoptions | $0.05 | $1.27 | $0.64 | 2026-05-13 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | Carefirst | Exchange Ppo | $0.05 | $1.14 | $0.57 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Exchange | $0.05 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Exchange Hmo | $0.05 | $1.14 | $0.57 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Ppo | $0.05 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Exchange | $0.05 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Nonoptions | $0.05 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Ppo | $0.05 | $1.14 | $0.57 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Exchange | $0.05 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | Carefirst | Exchange Ppo | $0.05 | $1.14 | $0.57 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Options | $0.05 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Nonoptions | $0.05 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Options | $0.05 | $1.27 | $0.64 | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Options | $0.05 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Exchange | $0.05 | $1.27 | $0.64 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Nonoptions | $0.05 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Exchange | $0.05 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Both | United | Options | $0.05 | $2.24 | $1.12 | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Exchange | $0.05 | $2.24 | $1.12 | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Both | United | Nonoptions | $0.05 | $1.27 | $0.64 | 2026-05-22 | 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.