9259 — Pralatrexate Injection
Cite this view
HANK Price Transparency. (n.d.). Pralatrexate injection (OTHER 9259) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9259?code_type=OTHER
“Pralatrexate injection (OTHER 9259) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9259?code_type=OTHER. Accessed .
“Pralatrexate injection (OTHER 9259) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9259?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $376–$412 (25th–75th percentile) across 253 hospitals · 397 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 9259 — 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 | Priority Health - Medicare Advantage | — | $0.33 | $347.14 | $86.78 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $0.33 | $347.14 | $86.78 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $0.33 | $347.14 | $86.78 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $0.33 | $347.14 | $86.78 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Managedmedicaid | $9.06 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Essentialplans1Thru4 | $9.06 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Essentialplans1Thru4 | $9.06 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Managedmedicaid | $9.06 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $11.33 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $11.33 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $11.33 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $11.33 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $11.33 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $11.33 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $11.33 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $11.33 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $11.90 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $11.90 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $13.48 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $13.48 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $15.73 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Humanamilitary | Tricare | $15.73 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Medicareadvantage | $16.56 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Medicareadvantage | $16.56 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $16.56 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Medicareadvantage | $16.56 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Medicareadvantage | $16.56 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Medicareadvantage | $16.56 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Medicareadvantage | $16.56 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Medicareadvantage | $16.56 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Martinspoint | Tricare | $16.56 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aitherstregis | Hmo | $16.56 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Vaccn | — | $16.56 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Medicareadvantage | $16.56 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Vaccn | — | $16.56 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Medicareadvantage | $16.56 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Medicareadvantage | $16.56 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aitherstregis | Hmo | $16.56 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Medicareadvantage | $16.56 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Excellus | Medicareadvantage | $16.56 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Medicareadvantage | $17.56 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Essentialplans1Thru4 | $17.56 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Medicareadvantage | $17.56 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Essentialplans1Thru4 | $17.56 | $102.17 | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcbs Op | — | $19.87 | $347.14 | $86.78 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON | Bcn Op | — | $19.87 | $347.14 | $86.78 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $23.23 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $23.23 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $23.47 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $23.47 | $102.17 | — | 2026-05-13 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Hmo | — | $23.78 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Ingalls Provider Group | — | $23.78 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Blue Advantage Hmo | — | $23.78 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Hmo Illinois | — | $23.78 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Umassfciraybrook | — | $24.84 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Umassfciraybrook | — | $24.84 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $25.49 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $25.49 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Individual | $26.50 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Individual | $26.50 | $102.17 | — | 2026-05-13 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Ppo | — | $27.41 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Bcbs Il Federal | — | $27.41 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Federal | — | $27.41 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Out Of State Blue Cross Il Out Of State | — | $27.41 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Blue Cross Blue Shield Il Ppo | — | $27.41 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $29.11 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $29.25 | $86.80 | $22.48 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $35.50 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Blueaccess | $37.50 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Blueaccess | $37.50 | $102.17 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Commercial | $38.82 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Commercial | $38.82 | $102.17 | — | 2026-05-23 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Localplus | — | $42.39 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Bcbs Il Blue Choice | — | $43.26 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $45.33 | $122.50 | $33.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $47.41 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $48.45 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna | — | $49.30 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Hmo/Pos | — | $49.30 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Choice Ppo | — | $49.30 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Meritain Health | — | $49.30 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Oap/Pos State Of Illinois | — | $49.30 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Qchp State Of Illinois | — | $49.30 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $49.69 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Aetna | Commercial | $49.69 | $102.17 | — | 2026-05-23 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Core | — | $50.34 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Hmo | — | $50.34 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Navigate | — | $50.34 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Unitedhealthcare Shared Services | — | $50.34 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Golden Rule Insurance | — | $50.34 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare | — | $50.34 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care All Savers | — | $50.34 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Medical Resources United Medical Resources | — | $50.34 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Medical Resources Umr-Wausau | — | $50.34 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Ppo | — | $50.34 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Choice | — | $50.34 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $51.94 | $122.50 | $38.71 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Out Of State Blue Cross In Out Of State | — | $52.38 | $122.50 | $36.63 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Ppo | — | $52.38 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Hmo | — | $52.38 | $86.80 | $22.48 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Traditional Indemnity | — | $52.38 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Out Of State Blue Cross In Out Of State | — | $52.38 | $86.80 | $22.48 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Ppo | — | $52.38 | $86.80 | $22.48 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Blue Cross Highmark Generic | — | $52.38 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Bcbs Il Blue Choice | — | $52.38 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Federal | — | $52.38 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Federal | — | $52.38 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Bcbs Us Steel Claims | — | $52.38 | $122.50 | $36.63 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Illinois Bcbs Il Blue Choice | — | $52.38 | $122.50 | $36.63 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Federal | — | $52.38 | $122.50 | $38.71 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Anthem Healthsync | — | $52.38 | $122.50 | $36.63 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Federal | — | $52.38 | $86.80 | $22.48 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Out Of State Blue Cross Il Out Of State | — | $52.38 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Bcbs Us Steel Claims | — | $52.38 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Out Of State Blue Cross In Out Of State | — | $52.38 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Anthem Ppo | — | $52.38 | $122.50 | $33.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Out Of State Blue Cross In Out Of State | — | $52.38 | $122.50 | $33.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Anthem Ppo | — | $52.38 | $122.50 | $36.63 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Healthsync | — | $52.38 | $86.80 | $22.48 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Ppo | — | $52.38 | $122.50 | $38.71 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Healthsync | — | $52.38 | $122.50 | $38.71 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Federal | — | $52.38 | $217.40 | $77.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Hmo | — | $52.38 | $217.40 | $77.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Healthsync | — | $52.38 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Healthsync | — | $52.38 | $217.40 | $77.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Out Of State Blue Cross Il Out Of State | — | $52.38 | $122.50 | $33.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Hmo | — | $52.38 | $122.50 | $38.71 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Out Of State Blue Cross In Out Of State | — | $52.38 | $217.40 | $77.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Out Of State Blue Cross Il Out Of State | — | $52.38 | $122.50 | $36.63 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Hmo | — | $52.38 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Ppo | — | $52.38 | $217.40 | $77.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Anthem Federal | — | $52.38 | $122.50 | $33.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Healthsync | — | $52.38 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Anthem Federal | — | $52.38 | $122.50 | $36.63 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Highmark | — | $52.38 | $122.50 | $38.71 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Acordia National | — | $52.38 | $122.50 | $38.71 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Highmark | — | $52.38 | $217.40 | $77.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Out Of State Blue Cross In Out Of State | — | $52.38 | $122.50 | $38.71 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Out Of State Blue Cross In Out Of State | — | $52.38 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Ppo | — | $52.38 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Ppo | — | $52.38 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Federal | — | $52.38 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Anthem Healthsync | — | $52.38 | $122.50 | $33.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Out Of State Blue Cross In Out Of State | — | $52.38 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Out Of State Blue Cross Il Out Of State | — | $52.38 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $52.55 | $122.50 | $36.63 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Cigna Cigna Ppo | — | $53.44 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Cigna Cigna Oa Plus | — | $53.44 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care National Assoc Of Letter Carriers | — | $53.44 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Unitedhealthcare Shared Services | — | $55.13 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care All Savers | — | $55.13 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare Bind/Surest Insurance | — | $55.13 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Golden Rule Insurance | — | $55.13 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Hmo | — | $55.13 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Medical Resources United Medical Resources | — | $55.13 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Choice | — | $55.13 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Core | — | $55.13 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Medical Resources Umr-Wausau | — | $55.13 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Navigate | — | $55.13 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Ppo | — | $55.62 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare | — | $55.62 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Phcs Generic | — | $56.16 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $56.20 | $102.17 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $56.20 | $102.17 | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Humana Medicare Advantage Op | — | $56.78 | $149.43 | $37.36 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Php Medicare Advantage Op | — | $56.78 | $149.43 | $37.36 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Medicare Op | — | $56.78 | $149.43 | $37.36 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Priority Medicare Advantage Op | — | $56.78 | $149.43 | $37.36 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Bcn Medicare Advantage Op | — | $56.78 | $149.43 | $37.36 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON | Blue Cross Medicare Plus Blue Op | — | $56.78 | $149.43 | $37.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Humana Humana Choice Pos | — | $56.86 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Humana Humana Choice Pos | — | $57.29 | $86.80 | $24.65 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Choice Pos | — | $58.46 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Choice Care | — | $58.46 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Ppo | — | $58.46 | $83.90 | $22.99 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare Core | — | $58.80 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare Ppo | — | $58.80 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Medical Resources United Medical Resources | — | $58.80 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care All Savers | — | $58.80 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Medical Resources Umr-Wausau | — | $58.80 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Medical Resources Umr-Darden | — | $58.80 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare | — | $58.80 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Unitedhealthcare Shared Services | — | $58.80 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care United Medical Resources | — | $58.80 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare Choice | — | $58.80 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Golden Rule Insurance | — | $58.80 | $122.50 | $31.97 | 2026-08-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $58.91 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $58.91 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $58.91 | — | — | 2026-03-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Cigna Cigna Ppo | — | $59.63 | $86.80 | $22.48 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Sagamore Plus | — | $59.63 | $86.80 | $22.48 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Cigna Cigna Oa Plus | — | $59.63 | $86.80 | $22.48 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care National Assoc Of Letter Carriers | — | $59.63 | $86.80 | $22.48 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Illinois St Anthony Healthnetwork Hmo | — | $61.25 | $122.50 | $33.08 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Oa Plus | — | $63.65 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Ppo | — | $63.65 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Hmo | — | $63.65 | $123.60 | $37.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care National Assoc Of Letter Carriers | — | $63.65 | $123.60 | $37.93 | 2026-08-01 | 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.