9312 — Inj., Ravulizumab-cwvz 10
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj., ravulizumab-cwvz 10 (OTHER 9312) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9312?code_type=OTHER
MLA (9th ed.)
“Inj., ravulizumab-cwvz 10 (OTHER 9312) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9312?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inj., ravulizumab-cwvz 10 (OTHER 9312) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9312?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $225–$238 (25th–75th percentile) across 260 hospitals · 331 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 9312 — 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 |
|---|---|---|---|---|---|---|---|
| ELMHURST MEMORIAL HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| SWEDISH HOSPITAL OutpatientFacility | Bcbs | Hmo | — | — | — | 2026-04-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $23.19 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $23.46 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Humana Medicare Facility | Humana Medicare Facility | $24.20 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $27.59 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $28.56 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Siho Commercial Facility | Siho Commercial Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Medicare Advantage Facility | Aetna Medicare Advantage Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Eskenazi Health | Anthem Facility Exchange | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $30.13 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| HOUSTON METHODIST HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care - Ppo | — | — | — | 2026-04-01 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Traditional Medicare Facility | Traditional Medicare Facility | $30.61 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Medicare Facility | Mhs Medicare Facility | $31.11 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $31.11 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Commercial | $31.11 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $32.43 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $33.72 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $33.72 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $33.72 | — | — | 2026-03-01 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $45.38 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mhs Exchange Facility | Mhs Exchange Facility | $51.33 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $51.42 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $51.42 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $51.42 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $54.45 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $60.50 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $60.50 | $60.50 | $60.50 | 2026-05-27 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $117.73 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $117.73 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $117.73 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $117.73 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $117.73 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $117.73 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $117.73 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $117.73 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $117.73 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $117.73 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $119.14 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $119.14 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $119.14 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $119.14 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $119.14 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $119.14 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $119.14 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $119.14 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $119.14 | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $143.49 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $147.90 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $161.86 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $161.86 | — | — | 2026-03-12 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $165.56 | — | — | 2024-10-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $173.62 | $231.50 | $115.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $173.62 | $231.50 | $115.75 | 2026-05-23 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $176.60 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $176.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $176.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $176.60 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $176.60 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $179.84 | — | — | 2026-03-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $184.59 | — | — | 2026-01-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $185.20 | $231.50 | $115.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $185.20 | $231.50 | $115.75 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $189.06 | $270.08 | $135.04 | 2026-05-09 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $191.06 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $191.06 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $191.08 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $192.50 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $192.50 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $192.50 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $192.50 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $192.50 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $192.50 | — | — | 2024-10-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Healthspring | Healthspring | $193.14 | — | — | 2026-05-13 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $194.26 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $194.26 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $194.26 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $194.26 | — | — | 2024-10-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $194.59 | — | — | 2026-05-13 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $195.84 | — | — | 2026-01-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $196.78 | $231.50 | $115.75 | 2026-05-23 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $196.78 | $231.50 | $115.75 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $196.78 | $231.50 | $115.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $196.78 | $231.50 | $115.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $196.78 | $231.50 | $115.75 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $196.78 | $231.50 | $115.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $196.78 | $231.50 | $115.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $196.78 | $231.50 | $115.75 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $196.78 | $231.50 | $115.75 | 2026-05-14 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $198.68 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $198.68 | — | — | 2024-10-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Uhc Medicare Advantage Ppo | Uhc Medicare Advantage Ppo | $198.93 | — | — | 2026-05-13 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Wellcare 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 | United Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Passport Molina Ma | Ma | — | — | — | 2026-05-08 | MRF ↗ |
| OWENSBORO HEALTH TWIN LAKES MEDICAL CENTER Outpatient | Anthem Ma | All Plans | — | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $202.56 | $270.08 | $135.04 | 2026-05-09 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Wellcare | Wellcare | $202.80 | — | — | 2026-05-13 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Humana Medicare Advantage All | Humana Medicare Advantage All | $202.80 | — | — | 2026-05-13 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $203.09 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $203.09 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $203.09 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $203.09 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $203.09 | — | — | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Huron Valley Pace | Medicare Advantage | $206.92 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Medicare | Medicare | $206.94 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellmed | Medicare Advantage | $206.94 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Molina | Qhp | $206.94 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellcare Amwell | Medicare Advantage | $206.94 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Amerigroup Tx | Medicare Advantage | $206.94 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Aetna | Medicare Advantage | $206.94 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellcare | Medicare Advantage | $206.94 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | El Paso Health Dual | Medicare Advantage | $206.94 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Amerigroup Tx | Medicare Advantage | $206.94 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Aetna | Medicare Advantage | $206.94 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | El Paso Health Dual | Medicare Advantage | $206.94 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellmed | Medicare Advantage | $206.94 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Molina | Qhp | $206.94 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellcare Amwell | Medicare Advantage | $206.94 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellcare | Medicare Advantage | $206.94 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Medicare | Medicare | $206.94 | — | — | 2026-05-14 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $208.46 | — | — | 2026-05-06 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | WellMed | MCR | $208.61 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | WellMed | MCR | $208.61 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $208.61 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $208.61 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | WellMed | MCR | $208.61 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $209.71 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $209.71 | — | — | 2025-01-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $209.71 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Palm Beach PACE | MCR | $209.71 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $209.71 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $209.71 | — | — | 2025-01-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $209.71 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $209.71 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $209.71 | — | — | 2025-01-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Wellpoint | MGMCD | $209.71 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $209.71 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $209.71 | — | — | 2024-10-01 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicare | All Plans | $211.52 | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $211.52 | — | — | 2026-05-23 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Humana | MCRHMO | $211.92 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $211.92 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana | MCRHMO | $211.92 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Humana | MCRHMO | $211.92 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana | MCRHMO | $211.92 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Humana | MCRHMO | $211.92 | — | — | 2024-10-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | WellMed | MCR | $212.44 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $213.46 | — | — | 2026-05-06 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $213.56 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $213.56 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $213.56 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $213.56 | — | — | 2026-03-01 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Thome Pace | Medicare Advantage | $213.85 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Huron Valley Pace | Medicare Advantage | $213.85 | — | — | 2026-05-09 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medicare | All Plans | $214.98 | — | — | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $214.98 | — | — | 2026-05-06 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Humana | MCRHMO | $215.81 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Humana | MCRHMO | $215.81 | — | — | 2026-03-01 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | Humana | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Humana | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | Humana | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Medicare Advantage | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Medicare Advantage | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | UnitedHealthcare AARP | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $216.18 | — | — | 2026-02-12 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | TriWest VA PCCC | FEDERAL | $216.34 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $216.34 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $216.34 | — | — | 2025-01-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Coventry Altius | MCR | $216.34 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Coventry Altius | MCR | $216.34 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Coventry Altius | MCR | $216.34 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $216.34 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $216.34 | — | — | 2025-01-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Coventry Altius | MCR | $216.34 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $216.34 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $216.34 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $216.34 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Coventry Altius | MCR | $216.34 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Coventry Altius | MCR | $216.34 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $216.34 | — | — | 2025-01-01 | 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.