7995211001 — Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION (NDC 7995211001) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/7995211001?code_type=NDC
MLA (9th ed.)
“LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION (NDC 7995211001) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/7995211001?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“LONCASTUXIMAB TESIRINE-LPYL 10 MG INTRAVENOUS SOLUTION (NDC 7995211001) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/7995211001?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $225–$16,075 (25th–75th percentile) across 7 hospitals · 28 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 7995211001 — 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 |
|---|---|---|---|---|---|---|---|
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $161.09 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $161.23 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $163.85 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $163.85 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | CHIP | $168.00 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $169.72 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $190.80 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $190.80 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $190.80 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | MOLINA | MEDICARE ADVANTAGE | $197.72 | $35,762.40 | $16,093.08 | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | CLEAR SPRING | MEDICARE ADVANTAGE | $197.72 | $35,762.40 | $16,093.08 | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | ANTHEM | MEDICARE ADVANTAGE | $206.95 | $35,762.40 | $16,093.08 | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | AETNA | MEDICARE ADVANTAGE | $206.95 | $35,762.40 | $16,093.08 | 2026-01-02 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | ALL PRODUCTS | $208.95 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | ALL PRODUCTS | $208.95 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MARKETPLACE | $208.95 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MARKETPLACE | $208.95 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | ALL PRODUCTS | $208.95 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | CIGNA | MEDICARE ADVANTAGE | $209.02 | $35,762.40 | $16,093.08 | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | SENTARA | MEDICARE ADVANTAGE | $209.43 | $35,762.40 | $16,093.08 | 2026-01-02 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | KEYSTONE FIRST | MANAGED MEDICAID | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | OPTUM HEALTH | MEDICARE ADVANTAGE | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AETNA | MANAGED MEDICAID | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | ALL PRODUCTS | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | MANAGED MEDICAID | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AETNA | MANAGED MEDICAID | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | ALL PRODUCTS | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | CHIP | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MANAGED MEDICAID | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | ALL PRODUCTS | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GEISINGER | MANAGED MEDICAID | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | IBC | MEDICARE ADVANTAGE | $212.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $212.12 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $212.12 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $212.12 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | IBC | PPO | $214.16 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | IBC | HMO | $214.16 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | UNITED | MEDICARE ADVANTAGE DSNP | $215.23 | $35,762.40 | $16,093.08 | 2026-01-02 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | MEDICARE ADVANTAGE | $216.24 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | $216.24 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | $216.24 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | $216.24 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | HUMANA | MEDICARE ADVANTAGE | $217.30 | $35,762.40 | $16,093.08 | 2026-01-02 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MEDICARE ADVANTAGE | $218.36 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $218.36 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $218.36 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $218.36 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CIGNA | HEALTHSPRING | $218.36 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | CIGNA | HEALTHSPRING | $218.36 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | CIGNA | HEALTHSPRING | $218.36 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $220.48 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $220.48 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $220.48 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | MANAGED MEDICAID | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $221.49 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | $222.60 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | $222.60 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AETNA | MEDICARE ADVANTAGE | $222.60 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AETNA | MEDICARE ADVANTAGE | $222.60 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GEISINGER | MEDICARE ADVANTAGE | $222.60 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | $222.60 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AETNA | MEDICARE ADVANTAGE | $222.60 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HUMANA | MEDICARE ADVANTAGE | $223.70 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HUMANA | MEDICARE ADVANTAGE | $223.70 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | DEVOTED HEALTH | MEDICARE ADVANTAGE | $224.72 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UPMC | MEDICARE ADVANTAGE | $224.72 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UPMC | MEDICARE ADVANTAGE | $224.72 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | DEVOTED HEALTH | MEDICARE ADVANTAGE | $224.72 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HUMANA | MEDICARE ADVANTAGE | $224.72 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HUMANA | MEDICARE ADVANTAGE | $224.72 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HUMANA | MEDICARE ADVANTAGE | $224.72 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | DEVOTED HEALTH | MEDICARE ADVANTAGE | $224.72 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UPMC | MEDICARE ADVANTAGE | $224.72 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | $225.92 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | $225.92 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | $225.92 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | MEDICARE ADVANTAGE | $225.92 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GATEWAY | MEDICARE ADVANTAGE | $226.83 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GATEWAY | MEDICARE ADVANTAGE | $226.83 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GATEWAY | MEDICARE ADVANTAGE | $226.83 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | $228.13 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MEDICARE ADVANTAGE | $228.13 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CIGNA | HEALTHSPRING | $228.13 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | $228.13 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MEDICARE ADVANTAGE | $228.13 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | EMBLEM | MEDICARE ADVANTAGE | $228.96 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | EMBLEM | MEDICARE ADVANTAGE | $228.96 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | EMBLEM | MEDICARE ADVANTAGE | $228.96 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $230.13 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $230.35 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $230.35 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $230.35 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MEDICARE ADVANTAGE | $232.56 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | DEVOTED HEALTH | MEDICARE ADVANTAGE | $232.56 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HUMANA | MEDICARE ADVANTAGE | $232.56 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $232.56 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | $232.56 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AETNA | MEDICARE ADVANTAGE | $232.56 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $232.56 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | $232.56 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | $232.56 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $232.56 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MEDICARE ADVANTAGE | $232.56 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UPMC | MANAGED MEDICAID | $233.19 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | $233.20 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | $233.20 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UPMC | MANAGED MEDICAID | $233.20 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UPMC | MANAGED MEDICAID | $233.20 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | $233.20 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MEDICARE ADVANTAGE | $234.78 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MEDICARE ADVANTAGE | $234.78 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UPMC | MEDICARE ADVANTAGE | $234.78 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | EMBLEM | MEDICARE ADVANTAGE | $239.21 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | EMBLEM | MEDICARE ADVANTAGE | $239.21 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | EMBLEM | MEDICARE ADVANTAGE | $239.21 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $240.00 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GATEWAY | MEDICARE ADVANTAGE | $241.42 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GATEWAY | MEDICARE ADVANTAGE | $241.42 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GATEWAY | MEDICARE ADVANTAGE | $241.42 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UPMC | MANAGED MEDICAID | $243.64 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | $243.64 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | $243.64 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | $243.64 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $243.64 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | $243.64 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | CHIP | $243.80 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $243.80 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $243.80 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | CHIP | $243.80 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $260.76 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $261.36 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | CHIP | $261.36 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UPMC | SNP | $267.65 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UPMC | SNP | $267.65 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UPMC | SNP | $267.65 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | ANTHEM | HMO | $268.76 | $35,762.40 | $16,093.08 | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | ANTHEM | PPO_INDEMNITY | $268.76 | $35,762.40 | $16,093.08 | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | ANTHEM | EXCHANGE | $268.76 | $35,762.40 | $16,093.08 | 2026-01-02 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $273.28 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $277.70 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $277.70 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | SNP | $279.63 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | SNP | $279.63 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UPMC | SNP | $279.63 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $287.66 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | $393.18 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | CHIP | $396.10 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | $410.98 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | CHIP | $416.35 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | ALL PRODUCTS | $478.12 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GEISINGER | ALL PRODUCTS | $480.58 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MARKETPLACE | $493.30 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | $496.23 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK BLUE SHIELD | FIRST PRIORITY HEALTH | $513.74 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK BLUE SHIELD | CHIP | $528.43 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | $537.89 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | $548.32 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK BLUE SHIELD | CHIP | $586.43 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | $596.89 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | MESHOPPEN STONE | ALL PRODUCTS | $620.17 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | MESHOPPEN STONE | ALL PRODUCTS | $620.17 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | MESHOPPEN STONE | ALL PRODUCTS | $620.17 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | CHIP | $626.82 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | CHIP | $626.82 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | ALL PRODUCTS | $626.82 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | $626.82 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | ALL PRODUCTS | $626.82 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | $626.82 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | $626.82 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | $626.82 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | $641.10 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | $642.25 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMBETTER | ALL PRODUCTS | $643.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AMBETTER | ALL PRODUCTS | $643.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMBETTER | ALL PRODUCTS | $643.00 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | FIRST PRIORITY HEALTH | $651.88 | $28,630.40 | $14,315.20 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMBETTER | ALL PRODUCTS | $671.78 | $29,893.77 | $14,946.89 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AMBETTER | ALL PRODUCTS | $671.78 | $29,893.77 | $14,946.89 | 2026-07-01 | 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.