9431 — Inj, Dostarlimab-gxly, 10
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, dostarlimab-gxly, 10 (OTHER 9431) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9431?code_type=OTHER
MLA (9th ed.)
“Inj, dostarlimab-gxly, 10 (OTHER 9431) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9431?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inj, dostarlimab-gxly, 10 (OTHER 9431) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9431?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $244–$260 (25th–75th percentile) across 251 hospitals · 325 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 9431 — 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 |
|---|---|---|---|---|---|---|---|
| YALE-NEW HAVEN HOSPITAL Both | Champus | All Plans | $1.33 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oscar | All Plans | $1.58 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Optum | All Plans | $1.68 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Tufts | All Plans | $1.90 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oxford | All Plans | $2.06 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magnacare | All Plans | $2.08 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Champus | All Plans | $2.13 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magellan | All Plans | $2.15 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | UHC | All Plans | $2.19 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Create Alliance | All Plans | $2.21 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Anthem | All Plans | $2.21 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | CtCare | All Plans | $2.27 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Aetna | All Plans | $2.32 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Harvard Pilgrim | All Plans | $2.37 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Cigna | All Plans | $2.37 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Multiplan | All Plans | $2.60 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Harvard Pilgrim | All Plans | $2.63 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Oxford | All Plans | $2.78 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Aetna | All Plans | $2.81 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Cigna | All Plans | $2.81 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | UHC | All Plans | $2.92 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Anthem | All Plans | $2.93 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | AMPS | All Plans | $3.04 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Claimdoc | All Plans | $3.04 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Create | All Plans | $3.20 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Multiplan | All Plans | $3.20 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | MagnaCare | All Plans | $3.32 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Great West | All Plans | $3.35 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | First Choice | All Plans | $3.43 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | AMPS | All Plans | $3.89 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | ClaimDoc | All Plans | $3.89 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | HIP | All Plans | $4.24 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Great West | All Plans | $4.30 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Optum | All Plans | $4.58 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Magellan | All Plans | $4.69 | $5.81 | $2.96 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | First Health | All Plans | $4.94 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | TRPN | All Plans | $5.23 | $5.81 | $3.43 | 2025-01-10 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Humana | Medicare Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $37.12 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $37.12 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $37.12 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $127.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $127.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $127.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $127.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $127.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $127.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $127.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $127.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $127.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $127.46 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $129.31 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $129.31 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $129.31 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $129.31 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $129.31 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $129.31 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $129.31 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $129.31 | — | — | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $129.31 | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $153.66 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $158.39 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $177.30 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $178.15 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $178.15 | — | — | 2026-03-12 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $189.12 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $189.12 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $189.12 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $189.12 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $189.12 | — | — | 2024-10-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $197.95 | — | — | 2026-03-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $199.84 | — | — | 2026-01-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $206.14 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare | MGMCD | $206.14 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina Healthcare | MGMCD | $206.14 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Molina Healthcare | MGMCD | $206.14 | — | — | 2024-10-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Molina Healthcare | MGMCD | $206.14 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Molina Healthcare | MGMCD | $206.14 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $208.03 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $208.03 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $208.03 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $208.03 | — | — | 2024-10-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $210.30 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $210.30 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $210.32 | — | — | 2026-03-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $212.03 | — | — | 2026-01-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Haven | MCR | $212.76 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Haven | MCR | $212.76 | — | — | 2024-10-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $217.49 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $217.49 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $217.49 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $217.49 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $217.49 | — | — | 2025-01-01 | 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 | Passport Molina Ma | Ma | — | — | — | 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 ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | WellMed | MCR | $223.40 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $223.40 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | WellMed | MCR | $223.40 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | WellMed | MCR | $223.40 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | WellMed | MCR | $223.40 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | Palm Beach PACE | MCR | $224.58 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $224.58 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $224.58 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $224.58 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $224.58 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $224.58 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | Palm Beach PACE | MCR | $224.58 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $224.58 | — | — | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Wellpoint | MGMCD | $224.58 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $224.58 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $224.58 | — | — | 2025-01-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $224.58 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Huron Valley Pace | Medicare Advantage | $224.58 | — | — | 2026-05-06 | MRF ↗ |
| VALLEY HOSPITAL MEDICAL CENTER Outpatient | Sierra Health Plan Of Nevada | Medicare | $226.86 | — | — | 2026-05-06 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Humana | MCRHMO | $226.95 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Humana | MCRHMO | $226.95 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Humana | MCRHMO | $226.95 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana | MCRHMO | $226.95 | — | — | 2024-10-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Humana | MCRHMO | $226.95 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Humana | MCRHMO | $226.95 | — | — | 2024-10-01 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Medicare | All Plans | $230.19 | — | — | 2026-05-23 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $230.19 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Huron Valley Pace | Medicare Advantage | $231.53 | — | — | 2026-05-09 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Thome Pace | Medicare Advantage | $231.53 | — | — | 2026-05-13 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | Humana | MGMCRHMO | $231.67 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $231.67 | — | — | 2025-01-01 | MRF ↗ |
| LAKEVIEW HOSPITAL Outpatient | Coventry Altius | MCR | $231.67 | — | — | 2024-10-01 | MRF ↗ |
| ST MARK'S HOSPITAL Outpatient | Coventry Altius | MCR | $231.67 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL STONE OAK Outpatient | TriWest VA PCCC | FEDERAL | $231.67 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $231.67 | — | — | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Coventry Altius | MCR | $231.67 | — | — | 2024-10-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Coventry Altius | MCR | $231.67 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TriWest VA PCCC | FEDERAL | $231.67 | — | — | 2025-01-01 | MRF ↗ |
| HILL COUNTRY MEMORIAL HOSPITAL Outpatient | Humana | MGMCRHMO | $231.67 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | Humana | MGMCRHMO | $231.67 | — | — | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $231.67 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $231.67 | — | — | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Coventry Altius | MCR | $231.67 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Amerihealth Michigan Inc | Medicare Advantage | $231.67 | — | — | 2026-05-06 | MRF ↗ |
| METHODIST HOSPITAL ATASCOSA Outpatient | TriWest VA PCCC | FEDERAL | $231.67 | — | — | 2025-01-01 | MRF ↗ |
| TIMPANOGOS REGIONAL HOSPITAL Outpatient | Coventry Altius | MCR | $231.67 | — | — | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Humana | MGMCRHMO | $231.67 | — | — | 2025-01-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Healthspring | Healthspring | $232.55 | — | — | 2026-05-13 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Indian Health Benefits | Managed Care | $233.26 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare | $233.26 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare | $233.26 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Global Health | Medicare | $233.26 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare | $233.26 | — | — | 2026-05-07 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | WellMed | MCR | $233.83 | — | — | 2026-03-01 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Uhc Medicare | All Plans | $233.95 | — | — | 2026-05-06 | MRF ↗ |
| MERRICK MEDICAL CENTER Outpatient | Medicare | All Plans | $233.95 | — | — | 2026-05-06 | MRF ↗ |
| OVERLAND PARK REG MED CTR Outpatient | BCBS | MCRHMO | $234.04 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | HUMANA | MGMCRHMO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | HUMANA | MGMCRPPO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | HUMANA | MGMCRHMO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | HUMANA | MGMCRHMO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | HUMANA | MGMCRHMO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| OVERLAND PARK REG MED CTR Outpatient | BCBS | MCRPPO | $234.04 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA JFK HOSPITAL Outpatient | HUMANA | MGMCRPPO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | TriWest Healthcare Alliance | FED | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | HUMANA | MGMCRPPO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | MCR | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Outpatient | HUMANA | MGMCRPPO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA PALMS WEST HOSPITAL Outpatient | HUMANA | MGMCRPPO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | HUMANA | MGMCRPPO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA UNIVERSITY HOSPITAL Outpatient | HUMANA | MGMCRHMO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | HUMANA | MGMCRHMO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | HUMANA | MGMCRPPO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTH FLORIDA HOSPITAL Outpatient | HUMANA | MGMCRHMO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA UNIVERSITY HOSPITAL Outpatient | HUMANA | MGMCRPPO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| UNIVERSITY HOSPITAL AND MEDICAL CENTER Outpatient | HUMANA | MGMCRHMO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| OVERLAND PARK REG MED CTR Outpatient | Coventry | MedicareAdvantage | $234.04 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Outpatient | HUMANA | MGMCRPPO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | BCBS | MCRPPO | $234.04 | — | — | 2025-01-01 | MRF ↗ |
| HCA FLORIDA MERCY HOSPITAL Outpatient | HUMANA | MGMCRHMO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna | MCRPOS | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | Coventry | MedicareAdvantage | $234.04 | — | — | 2025-01-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Outpatient | HUMANA | MGMCRPPO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| WESTSIDE REGIONAL MEDICAL CENTER Outpatient | HUMANA | MGMCRHMO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| MENORAH MEDICAL CENTER Outpatient | BCBS | MCRHMO | $234.04 | — | — | 2025-01-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna | MCRHMO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Aetna | MCRPPO | $234.04 | — | — | 2024-10-01 | MRF ↗ |
| FORREST GENERAL HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $234.30 | — | — | 2026-05-13 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $235.07 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $235.07 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $235.07 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $235.07 | — | — | 2026-03-01 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | AlohaCare | Medicare Advantage | $235.26 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $235.26 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | Humana | $235.26 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | Medicare Advantage | $235.26 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $235.26 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | Hawaii Medical Service Association (HMSA) | Medicare Advantage | $235.26 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | Humana | $235.26 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | AlohaCare | Medicare Advantage | $235.26 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | MDX Hawaii | UnitedHealthcare AARP | $235.26 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | MDX Hawaii | UnitedHealthcare AARP | $235.26 | — | — | 2026-02-12 | 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.