90283 — Human Ig IV
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HUMAN IG IV (HCPCS 90283) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90283?code_type=HCPCS
MLA (9th ed.)
“HUMAN IG IV (HCPCS 90283) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90283?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“HUMAN IG IV (HCPCS 90283) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90283?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $64–$155 (25th–75th percentile) across 1,120 hospitals · 630 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90283 — 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 |
|---|---|---|---|---|---|---|---|
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Community Care | Medicare Advantage | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-10-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Regence Blue Shield of Idaho | All Commercial Plans | $0.61 | — | — | 2026-03-27 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SAN RAMON REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DESERT REGIONAL MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS EXCHANGE HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SAINT FRANCIS BARTLETT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CARE TENNCARE | $1.55 | — | — | 2026-09-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $4.34 | $180.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $4.77 | $180.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $5.11 | $180.00 | — | 2026-08-17 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $5.69 | $180.00 | — | 2026-08-17 | MRF ↗ |
| PHYSICIANS CENTRE,THE Outpatient | Blue Cross Blue Shield Of Tx | Blue Advantage Hmo | $7.47 | $9,371.30 | $9,371.30 | 2026-07-15 | MRF ↗ |
| PHYSICIANS CENTRE,THE Outpatient | Blue Cross Blue Shield Of Tx | Blue Essentials Hmo | $8.02 | $9,371.30 | $9,371.30 | 2026-07-15 | MRF ↗ |
| CONWAY MEDICAL CENTER Outpatient | Aetna | Commercial | $8.48 | — | — | 2026-11-03 | MRF ↗ |
| PHYSICIANS CENTRE,THE Outpatient | Blue Cross Blue Shield Of Tx | Ppo/Traditional | $9.38 | $9,371.30 | $9,371.30 | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Highmark | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Social Mission | — | — | — | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Upmc | Medicaid | $10.00 | — | — | 2026-07-15 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Traditional Medicaid | Traditional Medicaid | $10.00 | — | — | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Highmark | Chip | — | — | — | 2026-07-15 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $10.00 | — | — | 2026-03-27 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Amerihealth | Medicaid | $10.00 | — | — | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Ghp | Medicaid | $10.00 | — | — | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Highmark | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Uhc | Mcd Advantage | $10.00 | — | — | 2026-07-19 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Blue Cross | Highmark - All Community Blue | — | — | — | 2026-07-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Medicaid | Traditional Medicaid | $10.00 | — | — | 2026-07-19 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcd Advantage | $10.00 | — | — | 2026-07-15 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $10.18 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $10.19 | — | — | 2025-08-01 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-10-28 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-10-28 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-10-28 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-10-28 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-10-28 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-10-28 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $10.53 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $10.53 | — | — | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $10.72 | — | — | 2025-08-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | CHIP | $10.79 | — | — | 2026-07-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Geisinger | Mcd Advantage | $10.90 | — | — | 2026-07-19 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GEISINGER | MANAGED MEDICAID | $11.00 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $11.00 | — | — | 2025-08-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Amerihealth | Mcd Advantage | $11.00 | — | — | 2026-07-19 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $11.00 | — | — | 2025-08-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Jefferson Health Plan | Mcd Advantage | $11.00 | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Upmc | Medicaid | $11.30 | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Gateway | Mcd Advantage | $11.30 | — | — | 2026-07-19 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AETNA | MANAGED MEDICAID | $11.40 | — | — | 2026-07-01 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $11.50 | — | — | 2026-10-28 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $11.50 | — | — | 2026-10-28 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $11.50 | — | — | 2026-10-28 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $11.50 | — | — | 2026-10-28 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | CHIP | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $11.50 | — | — | 2026-10-28 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Aetna | Mcd Advantage | $11.50 | — | — | 2026-07-19 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | CHIP | $11.50 | — | — | 2025-08-01 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $11.50 | — | — | 2026-10-28 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $11.80 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | CHIP | $11.80 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | MANAGED MEDICAID | $11.90 | — | — | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | MANAGED MEDICAID | $11.90 | — | — | 2025-08-01 | MRF ↗ |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO OutpatientFacility | Blue Cross Blue Shield | Commercial | $11.96 | — | — | 2025-12-03 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $12.00 | — | — | 2026-10-28 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $12.00 | — | — | 2026-10-28 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $12.00 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid MCO | $12.30 | — | — | 2026-03-18 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $12.30 | — | — | 2025-08-01 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Keystone First | JAB001 Caid CHIP | $12.30 | — | — | 2026-03-18 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | $12.50 | — | — | 2026-07-01 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Health Partners | Managed Medicaid | $12.50 | — | — | 2024-12-31 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MANAGED MEDICAID | $12.50 | — | — | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | $12.50 | — | — | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $12.70 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $12.70 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $12.70 | — | — | 2025-08-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $51.67 | $36.17 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $12.92 | $51.67 | $36.17 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $51.67 | $36.17 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $51.67 | $36.17 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $51.67 | $36.17 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $51.67 | $36.17 | 2025-10-28 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | PA Health and Wellness CHC | JCC001_JCC002 CHC | $13.00 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | PA Health and Wellness CHC | JAB002 CHC | $13.00 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | PA Health and Wellness CHC | JNE001_JNE002_JNE003 CHC | $13.00 | — | — | 2026-09-15 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AETNA | MANAGED MEDICAID | $13.00 | — | — | 2025-08-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | PA Health_Wellness CHC | JNJ001_JNJ002_JNJ003 CHC | $13.00 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | PA Health and Wellness CHC | JNJ001_JNJ002_JNJ003 CHC | $13.00 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | PA Health_Wellness CHC | JAB001 CHC | $13.00 | — | — | 2026-03-18 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | UPMC For You | Managed Medicaid | $13.00 | — | — | 2024-12-31 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | PA Health_Wellness CHC | JCC001 JCC002 CHC | $13.00 | — | — | 2026-03-18 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | PA Health and Wellness CHC | JMR001 CHC | $13.00 | — | — | 2026-09-15 | MRF ↗ |
| PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO OutpatientFacility | Blue Cross Blue Shield | HMO | $13.18 | — | — | 2025-12-03 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $13.20 | — | — | 2026-10-28 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $13.20 | — | — | 2026-10-28 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $13.20 | — | — | 2026-10-28 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $13.20 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $13.20 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $13.20 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $13.20 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $13.20 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $13.20 | — | — | 2026-04-14 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Aetna Better Health | JMR001 CHIP | $13.47 | — | — | 2026-09-15 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $13.50 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $13.50 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $13.50 | — | — | 2026-07-01 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Keystone First Community Health Choices | Dual Plan Managed Medicaid | $13.50 | — | — | 2024-12-31 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $13.50 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $13.50 | — | — | 2026-07-01 | MRF ↗ |
| ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS OutpatientFacility | Keystone First | Managed Medicaid | $13.50 | — | — | 2024-12-31 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $13.50 | — | — | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $13.50 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $13.50 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $13.50 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $13.50 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $13.50 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $13.50 | — | — | 2025-08-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Geisinger Medicaid | JAB002 Caid | $13.53 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Geisinger Medicaid | JCC001 JCC002 Caid MCO | $13.53 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Geisinger Medicaid | JAB001 Caid | $13.53 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Geisinger Medicaid | JNE001_JNE002_JNE003 Caid | $13.53 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Geisinger Medicaid | JMR001 Caid | $13.53 | — | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Geisinger Medicaid | JCC001 JCC002 Caid MCO | $13.53 | — | — | 2026-03-18 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | Medicare Advantage | $13.59 | — | — | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Health Select | PPO | $13.59 | — | — | 2025-02-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | POS/PPO | $13.59 | — | — | 2026-08-17 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | HMO | $13.59 | — | — | 2025-02-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $13.59 | — | — | 2026-08-17 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Essential | $13.59 | — | — | 2026-08-17 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Indemnity/Traditional | $13.59 | — | — | 2026-08-17 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Health Select | PPO | $13.59 | — | — | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | Medicare Advantage | $13.59 | — | — | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $13.59 | — | — | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | HMO | $13.59 | — | — | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $13.59 | — | — | 2025-02-14 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $13.60 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $13.60 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $13.60 | — | — | 2026-07-01 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $13.80 | — | — | 2026-10-28 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $13.80 | — | — | 2026-10-28 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $13.80 | — | — | 2026-10-28 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $13.80 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $13.80 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $13.80 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Highmark Wholecare | Highmark Wholecare Medicaid HC | $13.80 | — | — | 2026-04-14 | 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.