9028 — Inj Inotuzumab Ozogam 0.1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj inotuzumab ozogam 0.1 (OTHER 9028) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9028?code_type=OTHER
MLA (9th ed.)
“Inj inotuzumab ozogam 0.1 (OTHER 9028) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9028?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inj inotuzumab ozogam 0.1 (OTHER 9028) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9028?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,698–$2,958 (25th–75th percentile) across 246 hospitals · 357 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 9028 — 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 |
|---|---|---|---|---|---|---|---|
| EDWARD W SPARROW HOSPITAL | Medicare | — | $8.65 | $26.62 | $6.66 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Cross Blue Shield | — | $11.26 | $26.62 | $6.66 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $15.35 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | United Healthcare | — | $17.30 | $26.62 | $6.66 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Cofinity | — | $19.96 | $26.62 | $6.66 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Aetna | — | $19.96 | $26.62 | $6.66 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Healthsync | — | $20.59 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Cigna | — | $21.08 | $26.62 | $6.66 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) | — | $21.30 | $26.62 | $6.66 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Out Of State Blue Cross In Out Of State | — | $23.01 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Hmo | — | $23.01 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Ppo | — | $23.01 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Federal | — | $23.01 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| O U MEDICAL CENTER | Healthchoice Ppo | — | $23.83 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $25.14 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care United Medical Resources | — | $26.82 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Golden Rule Insurance | — | $26.82 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Ppo | — | $26.82 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Navigate | — | $26.82 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Medical Resources United Medical Resources | — | $26.82 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Unitedhealthcare Shared Services | — | $26.82 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare | — | $26.82 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Choice | — | $26.82 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Medical Resources Umr-Wausau | — | $26.82 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care National Assoc Of Letter Carriers | — | $28.19 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Cigna Cigna Ppo | — | $28.19 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Cigna Cigna Oa Plus | — | $28.19 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna | — | $30.49 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Hmo/Pos | — | $30.49 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Oap/Pos State Of Illinois | — | $30.49 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Choice Ppo | — | $30.49 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Meritain Health | — | $30.49 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Ppo | — | $30.83 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Choice Care | — | $30.83 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Choice Pos | — | $30.83 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Traditional Indemnity | — | $32.10 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care All Savers | — | $38.91 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Medical Resources Umr-Wausau | — | $38.91 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care United Medical Resources | — | $38.91 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Medical Resources United Medical Resources | — | $38.91 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare Choice | — | $38.91 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Medical Resources Umr-Darden | — | $38.91 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare Core | — | $38.91 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Golden Rule Insurance | — | $38.91 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Unitedhealthcare Shared Services | — | $38.91 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care National Assoc Of Letter Carriers | — | $39.23 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Cigna Cigna Oa Plus | — | $39.23 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Cigna Cigna Ppo | — | $41.11 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Humana Humana Choice Pos | — | $42.87 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare | — | $43.26 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare Ppo | — | $43.26 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Franciscan Alliance Emp | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Us Dept Of Labor | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Corvel | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellcare By Allwell | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Medicare Replacement Ins | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Choice Pffs | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Anthem Bc Medicare Replacement | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Workers Comp Generic Indiana | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Aetna Medicare Replacement | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Plus Hmo | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A Only | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A & B | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part B | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Medicaid Package E Only | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid United Healthcare Care Connect | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Caresource Hip | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Health Services Mhs Care Connect | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Mdwise Excel Hip | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Health Services Managed Hlth Serv Hip | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Anthem Medicaid | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Oak Street | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement United Healthcare Mc Replacement | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Gold Plus Mc Replacement | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Communicare Advantage Plan | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Caresource Hhw | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Anthem Healthy Indiana Plan | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Medicaid Hosp Presumptive Elig | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Mdwise Excel Hhw | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Health Services Managed Health Services | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Medicaid In Traditional | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Optum Medicare Replacement | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Iu Health Plans Mc Replacement | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Anthem Care Connect | — | $44.25 | $44.25 | $12.12 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Aetna Aetna | — | $45.85 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Meritain Health | — | $45.85 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Aetna Aetna Oap/Pos State Of Illinois | — | $45.85 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Aetna Aetna Hmo/Pos | — | $45.85 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Aetna Aetna Choice Ppo | — | $45.85 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| O U MEDICAL CENTER | Medica Harmony Sync | — | $50.03 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Bright Health Plan | — | $50.03 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Lutheran Preferred | — | $50.66 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Sagamore Plus | — | $53.58 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Phcs Generic | — | $54.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| O U MEDICAL CENTER | Longevity Health Plan | — | $58.29 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Commercial Administrative Concepts Inc | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicaid Michigan Medicaid Michigan City | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Workers Comp Workers Comp Generic Indiana | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Humana Medicare Plus Hmo | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Meridian Mmai | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Benefit Administrative Systems | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Workers Comp Work Comp Franciscan Alliance Emp | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Out Of State Blue Cross In Out Of State | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Health Services Mhs Care Connect | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicaid Medicaid Package E Only | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Ambetter | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Commercial Indiana Criminal Justice | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Commercial Generic Commercial Low Coverage | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Commercial Commercial Generic | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Commercial Allied Benefit Systems,Inc | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Wellcare Medicare Replacement | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Medicare Replacement Ins | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement United Healthcare Mc Replacement | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Porter County - Umr | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Humana Gold Plus Mc Replacement | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicaid Anthem Healthy Indiana Plan | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Caresource Marketplace | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Federal | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicaid Anthem Medicaid | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Health Partners | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Commercial Medi-Share | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Key Benefit Admin | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Medicare Part A & B | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicaid Caresource Hip | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Medicare Part B | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Medicare Part A Only | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Healthsync | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Aetna Medicare Replacement | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Ppo | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicaid Caresource Hhw | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Cigna Cigna Localplus | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Commercial Mva Liability Insurance | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicaid Medicaid Hosp Presumptive Elig | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Asr Health Benefits | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Bcbs Us Steel Claims | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Commercial Third Party Liability | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Priority Health | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicaid Anthem Care Connect | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Commercial State Farm Auto | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Out Of State Blue Cross Il Out Of State | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Wellcare By Allwell | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Humana Medicare Choice Pffs | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Health Services Managed Health Services | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicare Replacement Anthem Bc Medicare Replacement | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Blue Cross Highmark Generic | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Health Services Managed Hlth Serv Hip | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Allied Benefit Systems | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicaid Mdwise Excel Hhw | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicaid United Healthcare Care Connect | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicaid Medicaid In Traditional | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Magnacare | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Medicaid Mdwise Excel Hip | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Group Administrators | — | $64.95 | $64.95 | $16.95 | 2026-08-01 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $66.94 | $26.62 | $6.66 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $66.94 | $26.62 | $6.66 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $66.94 | $26.62 | $6.66 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $66.94 | $26.62 | $6.66 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna All Other Ppo | — | $82.91 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Norman Regional | — | $83.39 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways Chicksaw Nation | — | $83.39 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Hmo | — | $89.96 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D1 | — | $95.30 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Globalhealth Hmo | — | $95.30 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthcare Highways D2 | — | $119.13 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Open Access | — | $125.80 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Coventry Ppo | — | $126.27 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthsmart Accel | — | $138.19 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Cigna Ppo Payor Solutions Strategic Alliances | — | $138.66 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ec Mc Pos | — | $140.57 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Communitycare Hmo | — | $154.86 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | First Health Ppo | — | $159.63 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Humana Choicecare Ppo | — | $166.78 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Healthsmart Ppo | — | $166.78 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Aetna Ppo | — | $173.92 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Preferred Community Choice | — | $190.60 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| O U MEDICAL CENTER | Quiktrip | — | $195.37 | $238.25 | $23.83 | 2026-07-31 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $422.52 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $422.52 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $422.52 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $1,411.08 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $1,411.08 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $1,411.08 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $1,411.08 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $1,411.08 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $1,411.08 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $1,411.08 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $1,411.08 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $1,411.08 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $1,411.08 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $1,432.51 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $1,432.51 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $1,432.51 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $1,432.51 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $1,432.51 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $1,432.51 | — | — | 2026-07-15 | 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.