90378 — Rsv Mab IM 50mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RSV MAB IM 50MG (HCPCS 90378) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90378?code_type=HCPCS
MLA (9th ed.)
“RSV MAB IM 50MG (HCPCS 90378) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90378?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“RSV MAB IM 50MG (HCPCS 90378) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90378?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $764–$5,319 (25th–75th percentile) across 2,023 hospitals · 4,518 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90378 — 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $10,313.76 | $8,766.70 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $9,103.30 | $7,555.74 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | UHC | Medicaid | — | $9,103.30 | $7,555.74 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Managed Health Services | Medicaid | — | $9,103.30 | $7,555.74 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Caresource | Medicaid | — | $9,103.30 | $7,555.74 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Mdwise | Medicaid | — | $9,103.30 | $7,555.74 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $16,385.94 | $10,650.86 | 2025-11-26 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $50,200.00 | $37,650.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | $15,073.00 | $11,304.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $50,200.00 | $37,650.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | $15,073.00 | $11,304.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $9,517.00 | $7,137.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $9,517.00 | $7,137.75 | 2026-09-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | BLUE CROSS [1014] | ANTHEM FRANCISCAN ALLIANCE EMPLOYEES-CID | $0.33 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $15,073.00 | $11,304.75 | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | $50,200.00 | $37,650.00 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL BothFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | $38.00 | $28.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $9,517.00 | $7,137.75 | 2026-09-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | COMMERCIAL [2001] | CIGNA-CID | $0.64 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | CIGNA [1037] | CIGNA-CID | $0.64 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | MANAGED CARE [2000] | CIGNA-CID | $0.64 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | MANAGED CARE [2000] | SIHO - CID & NID & WID LOCATIONS | $0.65 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | COMMERCIAL [2001] | AETNA-CID | $0.69 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | MANAGED CARE [2000] | AETNA-CID | $0.69 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | AETNA [1005] | AETNA-CID | $0.69 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | MEDICAID [1092] | IN MCD-INDIANAPOL CARESOURCE 120% IN MCD | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | BLUE CROSS BLUE SHIELD IL [1030] | ANTHEM BLUE ACCESS PPO-CID-CARMEL ORTHO | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | MEDICARE [1099] | MEDICARE - CIR CARMEL ORTHO | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | UNITED MEDICAL RESOURCES [1301] | UNITED HEALTHCARE-CID | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | $1.00 | $16,282.80 | $12,212.10 | 2026-04-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | SAGAMORE PLUS [212901] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | CIGNA [1037] | CIGNA RR DONNELLY [313065] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | GPA (GROUP AND PENSION ADMINISTRATORS) [317016] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | BLUE CROSS [1014] | ANTHEM HEALTHSYNC POS-CID- CARMEL ORTHO | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | BLUE CROSS ILLINOIS [1210] | ANTHEM BLUE ACCESS PPO-CID-CARMEL ORTHO | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | COMMUNITY HEALTH ALLIANCE [312054] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | MANAGED CARE [2000] | UNITED HEALTHCARE-CID | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Standard | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Allianz Global Assistance | AZGA Services Canada | — | $17,422.60 | $13,066.95 | 2025-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $16,385.94 | $10,650.86 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $16,385.94 | $10,650.86 | 2025-11-26 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | BLUE CROSS ILLINOIS [1210] | ANTHEM BLUE ACCESS PPO-CID-CARMEL ORTHO | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | MEDICAID ILLINOIS [1091] | IN MCD-CIR-INDIANAPOLIS | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | UNIFIED GROUP SERVICES [312089] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | TRUSTMARK INSURANCE CO PPO [214901] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MEDICARE [1099] | MEDICARE - CIR CARMEL ORTHO | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | ANTHEM PATHWAYS ESSENTIALS [322013] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $17,422.60 | $13,066.95 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | BLUE CROSS [1014] | ANTHEM FRANCISCAN ALLIANCE EMPLOYEES-CID | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | BLUE CROSS [1014] | ANTHEM HEALTHSYNC HMO-CID-CARMEL ORTHO | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - Rehab | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | DUNN AND ASSOCIATES [312079] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | UNITED MEDICAL RESOURCES [1301] | UNITED HEALTHCARE-CID | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | ALT TRADITIONAL MEDICAID SECONDARY [109200] | IN MCD-CIR-INDIANAPOLIS | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | UNITED HEALTHCARE [1156] | UNITED HEALTHCARE-CID | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | BUTLER UNIVERSITY SPORTS MEDICINE [322007] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | BLUE CROSS [1014] | ANTHEM BLUE ACCESS PPO-CID-CARMEL ORTHO | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | UNITED HEALTHCARE-CID | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | BLUE CROSS [1014] | ANTHEM BLUE PREFERRED HMO-CID-CARMEL ORTHO | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | CIGNA-CID | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | MDWISE [1175] | IN MCD-CIR-INDIANAPOLIS | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MEDICARE REPLACEMENT [2003] | MEDICARE - CIR CARMEL ORTHO | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | TRICARE [1177] | TRICARE FOR LIFE WPS [317797] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | GEHA [312080] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | ALLIED BENEFIT SYSTEMS [211401] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | $1.00 | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | BLUE CROSS [1014] | ANTHEM HEALTHSYNC HMO-CID-CARMEL ORTHO | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $5,773.58 | $4,734.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $5,773.58 | $4,734.34 | 2025-11-26 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MDWISE [1175] | IN MCD-CIR-INDIANAPOLIS | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | CIGNA-CID | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | SIHO - CID & NID & WID LOCATIONS | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | CARESOURCE MARKETPLACE [316040] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | CIGNA INDIANA CONNECT [323010] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | ALT TRADITIONAL MEDICAID SECONDARY [109200] | IN MCD-CIR-INDIANAPOLIS | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | UNITED HEALTHCARE-CID | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | BLUE CROSS OUT OF STATE [1211] | BLUE CROSS OUT OF STATE [322023] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $5,773.58 | $4,734.34 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | $9,517.00 | $7,137.75 | 2026-09-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | IU HEALTH PLANS [314022] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | MEDI-SHARE [317015] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | UNITED HEALTHCARE [1156] | UNITED HEALTHCARE-CID | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | ALLIED BENEFIT SYSTEMS,INC [315035] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | UNICARE [1150] | ANTHEM BLUE ACCESS PPO-CID-CARMEL ORTHO | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | — | $17,422.60 | $13,066.95 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | WORKERS COMP [1172] | Workers Comp - CIR - INDIANAPOLIS | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Cal Medi-Connect | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | $9,517.00 | $7,137.75 | 2026-09-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | SNF OTHER [312063] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | MEDICAID [1092] | IN MCD-CIR-INDIANAPOLIS | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - PPO | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED HEALTH SERVICES [1302] | IN MCD IND-CARMEL-CAR ORT 112% OF IN MCD | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | AETNA-CID | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | BLUE CROSS [1014] | ANTHEM BLUE PREFERRED HMO-CID-CARMEL ORTHO | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $27,677.00 | $20,757.75 | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Interplan | Interplan | — | $17,422.60 | $13,066.95 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | CIGNA [1037] | CIGNA-CID | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | — | $17,422.60 | $13,066.95 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Interplan | Interplan | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | — | $17,422.60 | $13,066.95 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | — | $17,422.60 | $13,066.95 | 2025-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $27,677.00 | $20,757.75 | 2026-09-02 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | BLUE CROSS ILLINOIS [1210] | BCBS IL FEDERAL [313026] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $27,677.00 | $20,757.75 | 2026-09-02 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | AMBETTER [315020] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $27,677.00 | $20,757.75 | 2026-09-02 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MEDICAID [1092] | IN MCD-INDIANAPOL CARESOURCE 120% IN MCD | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | UNITED MEDICAL RESOURCES [1158] | UNITED HEALTHCARE-CID | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | UNITED HEALTHCARE [1156] | UNITED HEALTHCARE CHARTER [322010] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | UNITED MEDICAL RESOURCES [1158] | UNITED HEALTHCARE-CID | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | MANAGED HEALTH SERVICES [1302] | IN MCD IND-CARMEL-CAR ORT 112% OF IN MCD | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | AETNA [1005] | AETNA-CID | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | $9,517.00 | $7,137.75 | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $17,422.60 | $13,066.95 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | AUXIANT [211412] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | UNICARE [1150] | ANTHEM BLUE ACCESS PPO-CID-CARMEL ORTHO | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | GOVERNMENT OTHER [2005] | VA COMMUNITY CARE NETWORK [319070] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | PRIORITY HEALTH [321037] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | BLUE CROSS [1014] | ANTHEM HEALTHSYNC POS-CID- CARMEL ORTHO | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | BLUE CROSS BLUE SHIELD IL [1030] | ANTHEM BLUE ACCESS PPO-CID-CARMEL ORTHO | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina Medi-Cal | — | $16,282.80 | $12,212.10 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Outpatient | COMMERCIAL [2001] | UNITED HEALTHCARE-CID | $1.00 | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | ENCORE PPO [204601] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $5,773.58 | $4,734.34 | 2025-11-26 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | IU HEALTH ENCORE [316009] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | UNITED MINE WORKERS ASSOC [208463] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | — | $17,422.60 | $13,066.95 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MEDICAID ILLINOIS [1091] | IN MCD-CIR-INDIANAPOLIS | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MEDICAID [1092] | IN MCD-CIR-INDIANAPOLIS | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | COMMERCIAL [2001] | COMMERCIAL GENERIC [217101] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | MANAGED CARE [2000] | AETNA-CID | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | TRICARE [1177] | TRICARE EAST [317019] | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL Inpatient | BLUE CROSS [1014] | ANTHEM BLUE ACCESS PPO-CID-CARMEL ORTHO | — | $1.00 | $0.26 | 2025-07-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | California Health and Wellness | California Health and Wellness | $1.03 | $16,282.80 | $12,212.10 | 2026-04-01 | MRF ↗ |
| O'connor Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $1.32 | $2,638.00 | $1,846.60 | 2026-09-01 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $1.32 | $2,638.00 | $1,846.60 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | BLUE CROSS MEDI-CAL MC [320] | BLUE CROSS MCMC [320001] | $1.32 | $2,638.00 | $1,846.60 | 2026-09-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $1.84 | $12,892.20 | $9,024.54 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $1.84 | $12,892.20 | $9,024.54 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $1.84 | $12,892.20 | $9,024.54 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $1.84 | $12,892.20 | $9,024.54 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $1.84 | $12,892.20 | $9,024.54 | 2025-01-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $2.46 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $2.46 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $2.46 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $2.46 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $2.46 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $2.46 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $2.46 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $2.46 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $2.67 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $2.67 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Blue Cross | Blue Cross - MCS | $2.93 | $17,422.60 | $13,066.95 | 2026-04-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $3.15 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $3.15 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3.30 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3.30 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $3.32 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $3.32 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $4.17 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $4.17 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $4.59 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $4.59 | $17.00 | — | 2025-08-30 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $9,597.91 | $3,743.18 | 2026-07-31 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | CARE WISCONSIN | MEDICARE ADVANTAGE | $8.90 | $29.65 | $22.24 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | ANTHEM BLUE CROSS | MEDICARE ADVANTAGE | $8.90 | $29.65 | $22.24 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $9.19 | $29.65 | $22.24 | 2026-03-27 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Uhc | Mcd Advantage | $10.00 | — | — | 2026-07-19 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Keystone First | Medicaid | $10.00 | $17,227.20 | $14,298.58 | 2026-02-26 | 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 ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Geisinger | Mcd Advantage | $10.00 | — | — | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Upmc For You Medicaid | Upmc For You Medicaid | $10.00 | $8,193.00 | $4,096.50 | 2026-07-15 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Keystone First | Medicaid | $10.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Medicaid Managed Generic | Medicaid Managed Generic | $10.00 | $9,234.85 | $9,234.85 | 2026-07-15 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Keystone First | Medicaid | $10.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Pennsylvania Health & Wellness | Medicaid | $10.00 | $8,193.00 | $4,096.50 | 2026-07-18 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $10.00 | $8,193.00 | $4,096.50 | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $10.00 | $8,193.00 | $4,096.50 | 2026-07-15 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Upmc | Medicaid | $10.00 | — | — | 2026-07-15 | MRF ↗ |
| WEIRTON MEDICAL CENTER, INC Outpatient | Pennsylvania Health & Wellness | Medicaid | $10.00 | $8,193.00 | $4,096.50 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Medicaid | Medicaid | $10.00 | $9,234.85 | $9,234.85 | 2026-07-15 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $10.00 | $8,193.00 | $4,096.50 | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Pa Medicaid | Pa Medicaid | $10.00 | $9,476.85 | $2,558.75 | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Pa Medicaid Non Par | Pa Medicaid Non Par | $10.00 | $9,476.85 | $2,558.75 | 2026-07-15 | MRF ↗ |
| PRINCETON COMMUNITY HOSPITAL ASSN INC Outpatient | Pennsylvania Health & Wellness | Medicaid | $10.00 | $8,193.00 | $4,096.50 | 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.