9257 — Inj., Emicizumab-kxwh 0.5
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj., emicizumab-kxwh 0.5 (OTHER 9257) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9257?code_type=OTHER
MLA (9th ed.)
“Inj., emicizumab-kxwh 0.5 (OTHER 9257) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9257?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inj., emicizumab-kxwh 0.5 (OTHER 9257) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9257?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $55–$59 (25th–75th percentile) across 238 hospitals · 308 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 9257 — 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 |
|---|---|---|---|---|---|---|---|
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $8.47 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $8.47 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $8.47 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $28.89 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $28.89 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $28.89 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $28.89 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $28.89 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $28.89 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $28.89 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $28.89 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $28.89 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $29.34 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $29.34 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $29.34 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $29.34 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $29.34 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $29.34 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $29.34 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $29.34 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $29.34 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $29.34 | — | — | 2026-05-09 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $34.33 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $35.39 | — | — | 2024-10-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $39.14 | $52.18 | $26.09 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $39.14 | $52.18 | $26.09 | 2026-05-23 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $39.62 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $40.65 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $40.65 | — | — | 2026-03-12 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $41.74 | $52.18 | $26.09 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $41.74 | $52.18 | $26.09 | 2026-05-23 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $42.26 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $42.26 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $42.26 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $42.26 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $42.26 | — | — | 2024-10-01 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $44.35 | $52.18 | $26.09 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $44.35 | $52.18 | $26.09 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $44.35 | $52.18 | $26.09 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $44.35 | $52.18 | $26.09 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $44.35 | $52.18 | $26.09 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $44.35 | $52.18 | $26.09 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $44.35 | $52.18 | $26.09 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $44.35 | $52.18 | $26.09 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $44.35 | $52.18 | $26.09 | 2026-05-23 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $45.17 | — | — | 2026-03-01 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $45.65 | $65.22 | $32.61 | 2026-05-09 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $46.00 | — | — | 2026-01-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $46.06 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $46.06 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $46.06 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $46.06 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $46.06 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $46.06 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $46.48 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $46.48 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $46.48 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $46.48 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $47.54 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $47.54 | — | — | 2024-10-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $47.99 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $47.99 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $47.99 | — | — | 2026-03-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $48.59 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $48.59 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $48.59 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $48.59 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $48.59 | — | — | 2025-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $48.81 | — | — | 2026-01-01 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $48.92 | $65.22 | $32.61 | 2026-05-09 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $49.16 | — | — | 2026-05-06 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicare | All Plans | $49.88 | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $49.88 | — | — | 2026-05-23 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $49.91 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | WellMed | MCR | $49.91 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | WellMed | MCR | $49.91 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | WellMed | MCR | $49.91 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $49.91 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $50.18 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $50.18 | — | — | 2024-10-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $50.18 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $50.18 | — | — | 2025-01-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Wellpoint | MGMCD | $50.18 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $50.18 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Palm Beach PACE | MCR | $50.18 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $50.18 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $50.18 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $50.18 | — | — | 2025-01-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $50.18 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $50.18 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Huron Valley Pace | Medicare Advantage | $50.18 | — | — | 2026-05-06 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Passport Molina Ma | Ma | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | United Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Global Health | Medicare | $50.65 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $50.65 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Indian Health Benefits | Managed Care | $50.65 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $50.65 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $50.65 | — | — | 2026-05-07 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $50.70 | — | — | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medicare | All Plans | $50.70 | — | — | 2026-05-06 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana | MCRHMO | $50.71 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana | MCRHMO | $50.71 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $50.71 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Humana | MCRHMO | $50.71 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Humana | MCRHMO | $50.71 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Humana | MCRHMO | $50.71 | — | — | 2024-10-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Healthspring | Healthspring | $50.84 | — | — | 2026-05-13 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Medicare Advantage | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Medicare Advantage | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | Humana | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Humana | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | UnitedHealthcare AARP | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | Humana | $50.98 | — | — | 2026-02-12 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $51.22 | — | — | 2026-05-13 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Coventry Altius | MCR | $51.76 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | TriWest VA PCCC | FEDERAL | $51.76 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $51.76 | — | — | 2025-01-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Coventry Altius | MCR | $51.76 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $51.76 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $51.76 | — | — | 2025-01-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Coventry Altius | MCR | $51.76 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Coventry Altius | MCR | $51.76 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $51.76 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $51.76 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $51.76 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $51.76 | — | — | 2025-01-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Coventry Altius | MCR | $51.76 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Coventry Altius | MCR | $51.76 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $51.76 | — | — | 2026-05-06 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $51.76 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $51.76 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TriWest VA PCCC | FEDERAL | $51.76 | — | — | 2025-01-01 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Citrus Health | Medicare | $52.02 | — | — | 2026-05-07 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Outpatient | Humana | Medicare | $52.02 | — | — | 2026-05-08 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Freedom Health | Medicare | $52.02 | — | — | 2026-05-07 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Humana | Senioradvantage Medicare | $52.02 | — | — | 2026-05-06 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Careplus | Medicare | $52.02 | — | — | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicare | $52.02 | — | — | 2026-05-07 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $52.02 | — | — | 2026-05-06 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Ohana | Medicare Advantage | $52.02 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | AlohaCare | Quest Non ABD | $52.02 | — | — | 2026-02-12 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicare | $52.02 | — | — | 2026-05-06 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicare | $52.02 | — | — | 2026-05-06 | MRF ↗ |
| NORTHERN NEVADA MEDICAL CENTER Outpatient | United Healthcare | Medicare | $52.02 | — | — | 2026-05-06 | MRF ↗ |
| DOCTORS HOSPITAL OF LAREDO Outpatient | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Caremore Health | Medicare | $52.02 | — | — | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Aetna | Medicare Advantage | $52.02 | — | — | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Humana | Medicare Advantage | $52.02 | — | — | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Clover | Medicare Advantage | $52.02 | — | — | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Select Health | Medicare | $52.02 | — | — | 2026-05-06 | MRF ↗ |
| NORTHERN NEVADA MEDICAL CENTER Outpatient | Aetna | Medicare | $52.02 | — | — | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Medicare | Medicare | $52.02 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Medicare | Medicare | $52.02 | — | — | 2026-05-23 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Humana | Medicare Advantage | $52.02 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Aetna | Medicare Advantage | $52.02 | — | — | 2026-05-14 | MRF ↗ |
| NORTHERN NEVADA MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $52.02 | — | — | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $52.02 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Uhc | Medicare Advantage | $52.02 | — | — | 2026-05-23 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Primecare | Medicare | $52.02 | — | — | 2026-05-13 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicare | $52.02 | — | — | 2026-05-06 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Scan | Medicare | $52.02 | — | — | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Outpatient | Aetna | Medicare | $52.02 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Outpatient | Prominence | Managed Care | $52.02 | — | — | 2026-05-08 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Iehp | Medicare | $52.02 | — | — | 2026-05-13 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Blue Shield | Promise Medicare | $52.02 | — | — | 2026-05-13 | MRF ↗ |
| TEXOMA MEDICAL CENTER Outpatient | Prominence | Medicare | $52.02 | — | — | 2026-05-13 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Outpatient | Prominence | Medicare | $52.02 | — | — | 2026-05-08 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Aetna | Medicare | $52.02 | — | — | 2026-05-06 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Ohana | Medicare Advantage | $52.02 | — | — | 2026-02-12 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Outpatient | Epic Health Plan | Medicare | $52.02 | — | — | 2026-05-13 | MRF ↗ |
| VALLEY HOSPITAL Outpatient | Clover | Medicare Advantage | $52.02 | — | — | 2026-05-14 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Outpatient | HUMANA | MGMCRPPO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | HUMANA | MGMCRPPO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Outpatient | HUMANA | MGMCRPPO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | MCR | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | HUMANA | MGMCRHMO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Outpatient | HUMANA | MGMCRHMO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA UNIVERSITY HOSPITAL Outpatient | HUMANA | MGMCRHMO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Outpatient | HUMANA | MGMCRHMO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | HUMANA | MGMCRHMO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA UNIVERSITY HOSPITAL Outpatient | HUMANA | MGMCRPPO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | BCBS | MCRHMO | $52.29 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | HUMANA | MGMCRPPO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna | MCRPOS | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | BCBS | MCRPPO | $52.29 | — | — | 2025-01-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Outpatient | HUMANA | MGMCRHMO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Outpatient | HUMANA | MGMCRPPO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | Coventry | MedicareAdvantage | $52.29 | — | — | 2025-01-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna | MCRPPO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | HUMANA | MGMCRHMO | $52.29 | — | — | 2024-10-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.