9501 — Platelet Pheres Leukoreduced
Cite this view
HANK Price Transparency. (n.d.). Platelet pheres leukoreduced (OTHER 9501) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/9501?code_type=OTHER
“Platelet pheres leukoreduced (OTHER 9501) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/9501?code_type=OTHER. Accessed .
“Platelet pheres leukoreduced (OTHER 9501) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/9501?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $502–$702 (25th–75th percentile) across 494 hospitals · 474 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 9501 — 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 |
|---|---|---|---|---|---|---|---|
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Unitedhealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Medicare Advantage Op | — | $2.80 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Medicare Op | — | $2.80 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Medicare Advantage Op | — | $2.80 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Php Medicare Advantage Op | — | $2.80 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $2.80 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Medicare Advantage Op | — | $2.80 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicare | — | $3.84 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Marketplace | — | $4.18 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Marketplace | — | $4.77 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Humana Medicare | — | $4.86 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicare | — | $5.00 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Aetna Medicare | — | $5.31 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcbs Op | — | $5.51 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicare | — | $5.94 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Healthy Connection Prime | — | $6.11 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Priority Health Op | — | $6.14 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicaid | — | $6.32 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Medicare | — | $6.57 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Humana Op | — | $7.50 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Aetna Op | — | $7.50 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cofinity Op | — | $7.50 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Select Medicaid | — | $7.86 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Uhc Op | — | $7.90 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Cigna Op | — | $7.92 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Bcn Op | — | $8.00 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicaid | — | $8.24 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicaid | — | $8.70 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| SPARROW IONIA HOSPITAL | Multiplan Op | — | $8.70 | $10.00 | $2.50 | 2026-07-30 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Bluechoice Medicaid | — | $9.05 | $20.90 | $12.54 | 2026-07-17 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $16.36 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Unitedhealthcare Shared Services | — | $19.20 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Medical Resources United Medical Resources | — | $19.20 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Core | — | $19.20 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care All Savers | — | $19.20 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Hmo | — | $19.20 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Navigate | — | $19.20 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Choice | — | $19.20 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Medical Resources Umr-Wausau | — | $19.20 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Golden Rule Insurance | — | $19.20 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Oap/Pos State Of Illinois | — | $22.72 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Qchp State Of Illinois | — | $22.72 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Meritain Health | — | $22.72 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna | — | $22.72 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Choice Ppo | — | $22.72 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Hmo/Pos | — | $22.72 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Phcs Generic | — | $25.88 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Humana Humana Choice Pos | — | $26.40 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Hammond Clinic Attn Hmo | — | $30.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare | — | $30.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Hmo Illinois | — | $30.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Blue Advantage Hmo | — | $30.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Ppo | — | $30.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Blue Cross Blue Shield Il Ppo | — | $31.60 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Cigna Healthspring Mc Replacement | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Illinois Countycare | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Optum Medicare Replacement | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Out Of State Blue Cross In Out Of State | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Federal | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Oak Street | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Illinois Blue Cross Community Family Hlth Plan | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Wellcare Medicare Replacement | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Cenpatico - Mhs Behavioral Health | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Commercial Allied Benefit Systems,Inc | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Medicare Choice Pffs | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Commercial Commercial Generic | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Communicare Advantage Plan | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Illinois Medicaid Illinois | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement United Healthcare Mc Replacement | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Blue Cross Community Mmai | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Mdwise Excel Hhw | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Ppo | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Illinois Aetna Better Health | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Medicaid Package E Only | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Aetna Medicare Replacement | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Anthem Bc Medicare Replacement | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Meridian Mmai | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Illinois Meridian Medicaid Plan | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Caresource Hhw | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Health Services Mhs Care Connect | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Medicare Replacement Ins | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Wellcare By Allwell | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Commercial Third Party Liability | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Advocate Humana | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Anthem Care Connect | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Anthem Healthy Indiana Plan | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Commercial Hospice Other | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Health Services Managed Health Services | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Workers Comp Workers Comp Generic Illinois | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Cigna Cigna Localplus | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid United Healthcare Care Connect | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Health Plan Mmai-Il | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Blue Cross Medicare Adv Il Out Of State | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Bcbs Il Blue Choice | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Aetna Better Health Premier Plan Mmai | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Healthlink Ppo | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Medicare Part A Only | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Cigna Cigna Oa Plus | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Cigna Cigna Ppo | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Medicare Part A & B | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Medicare Plus Hmo | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Anthem Medicaid | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Out Of State Blue Cross Il Out Of State | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Illinois Molina Healthcare Of Illinois | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Workers Comp Workers Comp Generic Indiana | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Caresource Marketplace | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Ambetter | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Health Services Managed Hlth Serv Hip | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Medicaid In Traditional | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Medicaid Hosp Presumptive Elig | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Workers Comp Work Comp Franciscan Alliance Emp | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Commercial Mva Liability Insurance | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Caresource Hip | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Cigna Healthspring Mmai | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care National Assoc Of Letter Carriers | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Medicare Part B | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicare Replacement Humana Gold Plus Mc Replacement | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Magnacare | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Medicaid Mdwise Excel Hip | — | $40.00 | $40.00 | $11.36 | 2026-07-31 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Fidelis | Medicaid HMO | — | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER OutpatientFacility | Bcbs | Osf Employee | — | — | — | 2026-03-31 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Optum Health Care Solutions | Transplant Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Peak Health | Commercial | $56.22 | $74.96 | $74.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Commercial | $63.72 | $74.96 | $74.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Aetna | Commercial | $67.46 | $74.96 | $74.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Cigna | Commercial | $68.21 | $74.96 | $74.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | United Healthcare | Commercial | $70.91 | $74.96 | $74.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Zelis Network | Commercial | $71.21 | $74.96 | $74.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Phcs Multiplan | Commercial | $71.21 | $74.96 | $74.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Firsthealth | Commercial | $71.21 | $74.96 | $74.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Caresource | Wv Marketplace | $71.21 | $74.96 | $74.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Healthsmart | Commercial | $71.21 | $74.96 | $74.96 | 2026-05-06 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $76.74 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $76.74 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $76.74 | — | — | 2026-03-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Bcbs | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | UnitedHealthCare | All Commercial Plans | $108.94 | — | — | 2025-01-01 | MRF ↗ |
| ARCHBOLD MEMORIAL HOSPITAL OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL | — | — | — | $173.67 | $147.62 | 2024-05-27 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| USA HEALTH HCA PROVIDENCE HOSPITAL, LLC OutpatientFacility | United Healthcare | Uhc Choice Plus | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC HEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| NORTH MISSISSIPPI MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | BCBS | Medicaid Managed Care Plan | $189.45 | — | — | 2025-07-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | $192.10 | — | — | 2025-07-01 | MRF ↗ |
| AFFILIATE OF VITRUVIAN HEALTH OutpatientFacility | UnitedHealthcare | All Commercial Plans | — | — | — | 2026-04-01 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage HMO | — | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Arizona Complete Care | Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Molina | Medicaid Managed Care Plan | $227.53 | — | — | 2025-07-01 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $254.75 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $254.75 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $254.75 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs Complete | Medicaid Hmo | $254.75 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Hap Midwest | Medicaid Hmo | $254.75 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Medicaid [3001] | Medicaid Michigan [300106] | $254.75 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Meridian Health Plan Of Michigan Inc/Ambetter | Medicaid Hmo | $254.75 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Priority Health | Medicaid Hmo | $254.75 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $254.75 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $254.75 | — | — | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Bcbs Complete | Medicaid Hmo | $258.36 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Unitedhealthcare Insurance Company | Medicaid Hmo | $258.36 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Priority Health | Medicaid Hmo | $258.36 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Mclaren Health Plan Inc | Medicaid Hmo | $258.36 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Aetna Better Health Of Michigan Inc | Medicaid Hmo | $258.36 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Meridian Health Plan Of Michigan Inc | Medicaid Hmo | $258.36 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Molina Healthcare Of Michigan Inc | Medicaid Hmo | $258.36 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Hap Midwest | Medicaid Hmo | $258.36 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Buckeye Community Health Plan | Medicaid Hmo | $258.36 | — | — | 2026-07-15 | MRF ↗ |
| SOUTHWESTERN MEDICAL CENTER OutpatientFacility | Blue Cross | Blue Cross Out Of State 2 | $269.69 | — | — | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH ORLANDO OutpatientFacility | Aetna | Better Health Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan Medicaid | JAB002 Caid MCO CHIP | $276.14 | — | — | 2026-09-15 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $276.52 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Health Partners Medicaid | JCC001 JCC002 Caid MCO | $276.52 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan Medicaid | JNE001_JNE002_JNE003 Caid MCO CHIP | $282.95 | — | — | 2026-09-15 | MRF ↗ |
| ASPIRUS WAUSAU HOSPITAL OutpatientFacility | Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wisconsin Medicaid Plans | $292.03 | — | — | 2025-07-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Community Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Community Plan Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | HIX | $307.01 | — | — | 2024-10-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Peachstate | Ambetter Exchange | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Absolute Total Care | Medicaid Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | UnitedHealthCare | All Payer Appendix All Commercial Plans | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Select Health | Medicaid Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Molina | Medicaid Managed Care Plan | — | — | — | 2025-08-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $316.46 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $330.63 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Community Family Care Medical Group | Ipa Medi-Cal Medicaid Managed Care Plan | — | — | — | 2026-04-01 | MRF ↗ |
| MOUNTAIN VIEW HOSPITAL Outpatient | Vista Hospice | COMM | $354.25 | — | — | 2024-10-01 | MRF ↗ |
| PIKEVILLE MEDICAL CENTER OutpatientFacility | Aetna | Medicaid Managed Care Plan | $354.29 | — | — | 2025-07-01 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $368.34 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $368.34 | — | — | 2026-03-12 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Hospice Community | FED | $377.86 | — | — | 2024-10-01 | MRF ↗ |
| RIVERSIDE COMMUNITY HOSPITAL Outpatient | Bristol Hospice | MGMCR | $377.86 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | FED | $377.86 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | Hospice Community | MCR | $377.86 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State Ambetter | MCR | $377.86 | — | — | 2024-10-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.