9284 — Ipilimumab Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ipilimumab injection (OTHER 9284) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9284?code_type=OTHER
MLA (9th ed.)
“Ipilimumab injection (OTHER 9284) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9284?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Ipilimumab injection (OTHER 9284) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9284?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $184–$198 (25th–75th percentile) across 287 hospitals · 374 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 9284 — 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 |
|---|---|---|---|---|---|---|---|
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $0.12 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Healthsync | — | $0.14 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Hmo | — | $0.16 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Out Of State Blue Cross In Out Of State | — | $0.16 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Ppo | — | $0.16 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Federal | — | $0.16 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care All Savers | — | $0.17 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Medical Resources United Medical Resources | — | $0.17 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Golden Rule Insurance | — | $0.17 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Choice | — | $0.17 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Medical Resources Umr-Wausau | — | $0.17 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Core | — | $0.17 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Unitedhealthcare Shared Services | — | $0.17 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Ppo | — | $0.19 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare | — | $0.19 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Student Resources | — | $0.19 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care National Assoc Of Letter Carriers | — | $0.24 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Sagamore Plus | — | $0.24 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Cigna Cigna Oa Plus | — | $0.24 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Cigna Cigna Ppo | — | $0.24 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Phcs Generic | — | $0.28 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Allied Benefit Systems | — | $0.32 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Encore Health Network | — | $0.32 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Encore Ppo | — | $0.32 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Iu Health Encore | — | $0.32 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Hospice Other | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Caresource Marketplace | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Siho | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Quality Correctional Care | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Reserve National Life Ins Co | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part A & B | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellcare By Allwell | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Ambetter | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Iu Health Plans Mc Replacement | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Meritain Health | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Php | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Third Party Liability | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Anthem Medicaid | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Aetna Medicare Replacement | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Anthem Care Connect | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Health Services Managed Hlth Serv Hip | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Aetna Aetna Choice Ppo | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Medicaid In Traditional | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Gpa (Group And Pension Administrators) | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Indiana Criminal Justice | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Aetna Aetna Hmo/Pos | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Mdwise Excel Hhw | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Unified Group Services | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care In Packers High Ded | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Optum Medicare Replacement | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Gold Plus Mc Replacement | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part B | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Medicaid Package E Only | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Mva Liability Insurance | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Choice Pffs | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Aetna Aetna | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Mdwise Excel Hip | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Anthem Healthy Indiana Plan | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Medicaid Hosp Presumptive Elig | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Ascension Complete Medicare Replacement | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part A Only | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Health Services Managed Health Services | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Administrative Concepts Inc | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Anthem Bc Medicare Replacement | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Plus Hmo | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Health Services Mhs Care Connect | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Workers Comp Generic Indiana | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Caresource Hip | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Franciscan Alliance Emp | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Amerisure Mutual Ins | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Caresource Hhw | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Allied Benefit Systems,Inc | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Medicare Replacement Ins | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Wabash National | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellcare Medicare Replacement | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Anthem Pathways Essentials | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Iu Health Plans | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Generic Commercial Low Coverage | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Commercial Generic | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement United Healthcare Mc Replacement | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid United Healthcare Care Connect | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Medi-Share | — | $0.35 | $0.35 | $0.09 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $1.96 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $1.96 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $1.96 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $1.96 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $1.96 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $1.96 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare | — | $2.27 | $7.00 | $1.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Cross Blue Shield | — | $2.96 | $7.00 | $1.75 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcbs Op | — | $3.86 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Health Op | — | $4.30 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | United Healthcare | — | $4.55 | $7.00 | $1.75 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Op | — | $5.25 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cofinity Op | — | $5.25 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Aetna | — | $5.25 | $7.00 | $1.75 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Aetna Op | — | $5.25 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Cofinity | — | $5.25 | $7.00 | $1.75 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Uhc Op | — | $5.53 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Cigna | — | $5.54 | $7.00 | $1.75 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cigna Op | — | $5.54 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) | — | $5.60 | $7.00 | $1.75 | 2026-07-31 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Op | — | $5.60 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Multiplan Op | — | $6.09 | $7.00 | $1.75 | 2026-07-30 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $28.04 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $28.04 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $28.04 | — | — | 2026-03-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $73.13 | $7.00 | $1.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $73.13 | $7.00 | $1.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $73.13 | $7.00 | $1.75 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $73.13 | $7.00 | $1.75 | 2026-07-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $95.96 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $95.96 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $95.96 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $95.96 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $95.96 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $95.96 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $95.96 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $95.96 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $95.96 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $95.96 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $96.75 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $96.75 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $96.75 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $96.75 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $96.75 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $96.75 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $96.75 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $96.75 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $96.75 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $114.97 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $118.51 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $123.82 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $132.66 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $134.58 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $134.58 | — | — | 2026-03-12 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $141.51 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $141.51 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $141.51 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $141.51 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $141.51 | — | — | 2024-10-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $149.53 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $149.53 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $149.53 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $149.53 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $149.53 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | John Hancock | COMM | $149.53 | — | — | 2026-03-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $150.45 | — | — | 2026-01-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $154.24 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $154.24 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $154.24 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $154.24 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $154.24 | — | — | 2024-10-01 | MRF ↗ |
| READING HOSPITAL Outpatient | Humana Military | Tricare | $155.25 | — | — | 2026-07-15 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $155.66 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $155.66 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $155.66 | — | — | 2024-10-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $158.86 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $158.86 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $158.88 | — | — | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $159.20 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $159.20 | — | — | 2024-10-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $159.63 | — | — | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $162.73 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $162.73 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $162.73 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $162.73 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $162.73 | — | — | 2025-01-01 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Uhc Ma | All Plans | — | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Uhc Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Wellcare Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| OWENSBORO HEALTH MUHLENBERG COMMUNITY HOSPITAL Outpatient | Humana Ma | All Plans | — | — | — | 2026-05-23 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $167.16 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $167.16 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | WellMed | MCR | $167.16 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | WellMed | MCR | $167.16 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | WellMed | MCR | $167.16 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $168.04 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $168.04 | — | — | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Huron Valley Pace | Medicare Advantage | $168.04 | — | — | 2026-07-15 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $168.04 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $168.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Palm Beach PACE | MCR | $168.04 | — | — | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Wellpoint | MGMCD | $168.04 | — | — | 2024-10-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $168.04 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $168.04 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $168.04 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $168.04 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $168.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $168.22 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $168.22 | — | — | 2026-03-12 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $168.22 | — | — | 2026-03-01 | 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.