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 $756–$5,059 (25th–75th percentile) across 1,667 hospitals · 4,131 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 |
|---|---|---|---|---|---|---|---|
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $9,103.30 | $7,555.74 | 2025-01-01 | MRF ↗ |
| 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 | Mdwise | 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 | Caresource | 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 ↗ |
| 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $5,773.58 | $4,734.34 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $5,773.58 | $4,734.34 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | $1.00 | $16,282.80 | $12,212.10 | 2026-04-01 | 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $16,385.94 | $10,650.86 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $5,773.58 | $4,734.34 | 2025-11-26 | 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 ↗ |
| 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 ↗ |
| 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 SELECT [10026309] | $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 GIC NAVIGATOR POS [10026312] | $1.84 | $12,892.20 | $9,024.54 | 2025-01-01 | 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 | 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 | HORIZON | HORIZON NJ HEALTH | $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 | FIDELIS CARE | 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $2.54 | $6.00 | $4.80 | 2025-12-16 | 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $3.00 | $6.00 | $4.80 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $3.00 | $6.00 | $4.80 | 2025-12-16 | 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $3.30 | $6.00 | $4.80 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $3.30 | $6.00 | $4.80 | 2025-12-16 | 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CAREFIRST | HMO | $3.90 | $6.00 | $4.80 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CAREFIRST | PPO | $3.90 | $6.00 | $4.80 | 2025-12-16 | 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $4.66 | $11.00 | $8.80 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $5.50 | $11.00 | $8.80 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $5.50 | $11.00 | $8.80 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $6.05 | $11.00 | $8.80 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $6.05 | $11.00 | $8.80 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CAREFIRST | PPO | $7.15 | $11.00 | $8.80 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CAREFIRST | HMO | $7.15 | $11.00 | $8.80 | 2025-12-16 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | ANTHEM BLUE CROSS | MEDICARE ADVANTAGE | $8.90 | $29.65 | $22.24 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | CARE WISCONSIN | 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 ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Keystone First | Medicaid | $10.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $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 ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Keystone First | Medicaid | $10.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Keystone First | Medicaid | $10.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Keystone First | Medicaid | $10.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | AmeriHealth | All Products | $10.00 | — | — | 2026-03-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Keystone First | Medicaid | $10.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Medicaid | Medicaid | $10.00 | $19,572.10 | $12,134.70 | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Keystone First | Medicaid | $10.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Keystone First | Medicaid | $10.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Geisinger Health Plan | F8109_Geisinger Health Plan - Medicaid Chip | $10.00 | — | — | 2026-04-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $10.20 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $10.20 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $10.20 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $10.20 | $17.00 | — | 2025-08-30 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $10.30 | $36,957.64 | $22,913.74 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $10.30 | $19,572.10 | $12,134.70 | 2026-04-01 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | 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 Medicare (NY) | $10.50 | — | — | 2026-04-14 | 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 D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | $6,372.31 | $1,147.02 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | $12,032.72 | $3,128.51 | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | $6,372.31 | $1,147.02 | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | $12,032.72 | $3,248.83 | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | $12,032.72 | $3,128.51 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | $12,032.72 | $3,248.83 | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | $12,032.72 | $2,647.20 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | $12,032.72 | $2,647.20 | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas D-SNP Medicare | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Amerihealth | Amerihealth Caritas Medicare (NY) | $10.50 | — | — | 2026-04-14 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $10.73 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $10.73 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $10.73 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $10.73 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $10.73 | $17.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $10.73 | $17.00 | — | 2025-08-30 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | UPMC Health Plan | Managed Medicaid | $11.00 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | UPMC Health Plan | CHIP | $11.00 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | UPMC Health Plan | Managed Medicaid | $11.00 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Geisinger | Medicaid/CHIP | $11.00 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | Geisinger | Medicaid/CHIP | $11.00 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | Geisinger | Medicaid/CHIP | $11.00 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $11.00 | $6,571.58 | — | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $11.00 | $6,571.58 | — | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | UPMC Health Plan | Managed Medicaid | $11.00 | $6,571.58 | — | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $11.00 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | UPMC Health Plan | CHIP | $11.00 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | UPMC Health Plan | Managed Medicaid | $11.00 | $6,571.58 | — | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | Managed Medicaid | $11.00 | $6,571.58 | — | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | UPMC Health Plan | CHIP | $11.00 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | Managed Medicaid | $11.00 | $6,571.58 | — | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | UPMC Health Plan | Managed Medicaid | $11.00 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | UPMC Health Plan | Managed Medicaid | $11.00 | $6,571.58 | — | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $11.15 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $11.15 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $11.15 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | AmeriHealth Caritas | Community HealthChoices (CHC) | $11.28 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | AmeriHealth Caritas | Medicaid | $11.28 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | AmeriHealth Caritas | Medicaid | $11.28 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | AmeriHealth Caritas | Community HealthChoices (CHC) | $11.28 | $11,567.00 | $6,940.20 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $11.50 | $2,915.00 | $2,040.50 | 2026-03-06 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $11.50 | $6,372.31 | $1,147.02 | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $11.50 | $6,372.31 | $1,147.02 | 2026-04-14 | MRF ↗ |
| UPMC MERCY OutpatientFacility | United Healthcare Community Plan for Families | PA Medicaid | $11.50 | $6,571.58 | — | 2026-03-06 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid HC | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $11.50 | $36,957.64 | $22,913.74 | 2025-07-01 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $11.50 | $2,750.00 | $825.00 | 2025-08-06 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for Kids | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | United Healthcare Community Plan for Families | Unison Kids | $11.50 | $6,571.58 | — | 2026-03-06 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | University of Pittsburgh Medical Center | University of Pittsburgh Medical Center for You Medicaid CHC | $11.50 | — | — | 2026-04-14 | MRF ↗ |
| UPMC MERCY OutpatientFacility | United Healthcare Community Plan for Families | PA Medicaid | $11.50 | $6,571.58 | — | 2026-03-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $11.50 | $2,750.00 | $825.00 | 2025-08-06 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $11.50 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $11.50 | $2,915.00 | $2,040.50 | 2026-03-06 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $11.50 | $19,572.10 | $12,134.70 | 2026-04-01 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $11.60 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $11.75 | $19,572.10 | $12,134.70 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $11.75 | $36,957.64 | $22,913.74 | 2026-04-01 | MRF ↗ |
| UPMC GREENE OutpatientFacility | AmeriHealth Caritas | Medicaid | $11.79 | $2,915.00 | $2,040.50 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | AmeriHealth Caritas | Medicaid | $11.79 | $2,915.00 | $2,040.50 | 2026-03-06 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Geisinger | Medicaid/CHIP | $11.80 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Geisinger | Medicaid/CHIP | $11.80 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Geisinger | Medicaid/CHIP | $11.80 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Geisinger | Medicaid/CHIP | $11.80 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | Geisinger | Medicaid/CHIP | $11.80 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | Geisinger | Medicaid/CHIP | $11.80 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | Geisinger | Medicaid/CHIP | $11.80 | $45,266.18 | $40,739.56 | 2026-02-27 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Geisinger | Medicaid/CHIP | $11.80 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Geisinger | Medicaid/CHIP | $11.80 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Geisinger | Medicaid/CHIP | $11.80 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Geisinger | Medicaid/CHIP | $11.80 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Geisinger | Medicaid/CHIP | $11.80 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | AmeriHealth Caritas | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $12.00 | $12,032.72 | $3,248.83 | 2026-04-14 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | Highmark Wholecare | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $12.00 | — | — | 2026-04-14 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | Aetna | Medicaid | $12.00 | $6,571.58 | — | 2026-03-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna | CHIP/Medicaid | $12.00 | $2,750.00 | $825.00 | 2025-08-06 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Health Partners | Health Partners - Managed Medicaid | $12.00 | $36,957.64 | $22,913.74 | 2025-07-01 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | UPMC Health Plan | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | UPMC Health Plan | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | UPMC Health Plan | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | UPMC Health Plan | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | UPMC Health Plan | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Aetna | Medicaid | $12.00 | $10,900.00 | $6,540.00 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | CHIP/Medicaid | $12.00 | $2,750.00 | $825.00 | 2025-08-06 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | AmeriHealth Caritas | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | UPMC Health Plan | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | CHIP/Medicaid | $12.00 | $2,915.00 | $2,040.50 | 2026-03-06 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Highmark Wholecare | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | UPMC Health Plan | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | UPMC Health Plan | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Highmark Wholecare | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-27 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | UPMC Health Plan | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | AmeriHealth Caritas | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | AmeriHealth Caritas | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Highmark Wholecare | Medicaid | $12.00 | $17,227.20 | $14,298.58 | 2026-02-26 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | CHIP/Medicaid | $12.00 | $2,915.00 | $2,040.50 | 2026-03-06 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Aetna | Aetna Better Health CHIP | $12.00 | — | — | 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.