96377 — Applicaton On-body Injector
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). APPLICATON ON-BODY INJECTOR (CPT 96377) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/96377?code_type=CPT
MLA (9th ed.)
“APPLICATON ON-BODY INJECTOR (CPT 96377) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/96377?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“APPLICATON ON-BODY INJECTOR (CPT 96377) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/96377?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $48–$139 (25th–75th percentile) across 2,433 hospitals · 6,504 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 96377 — 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 |
|---|---|---|---|---|---|---|---|
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Peak Health | Commercial | $0.17 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Peak Health | Commercial | $0.17 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.17 | $136.00 | $102.00 | 2026-05-20 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $0.20 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | HEALTHSMART | HEALTHSMART WORKERS COMP | $0.22 | — | — | 2026-09-02 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE EXCHANGE HIX | $0.23 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER BY SUNSHINE HIX | $0.27 | — | — | 2026-09-01 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Peak Health | Commercial | $0.32 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Blue Cross | Commercial | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Humana ChoiceCare Network | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Highmark | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | West Virginia Senior Advantage | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Peak Health | Commercial | $0.32 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Highmark | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Unicare | Managed Medicaid | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Managed Medicaid | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Humana ChoiceCare Network | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | West Virginia Senior Advantage | Medicare Advantage | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Managed Medicaid | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Blue Cross | Commercial | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Unicare | Managed Medicaid | — | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.33 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AMBETTER | AMBETTER EXCHANGE VALUE AND SELECT NONPAR | $0.49 | — | — | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.50 | $277.00 | $46.52 | 2024-12-31 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $0.58 | — | — | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.61 | $166.00 | $157.70 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.61 | $166.00 | $157.70 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.61 | $166.00 | $157.70 | 2026-02-20 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $426.00 | — | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.63 | $166.00 | $157.70 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.65 | $166.00 | $157.70 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.66 | $166.00 | $157.70 | 2026-02-20 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Highmark | Medicare Advantage | $0.74 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Highmark | Medicare Advantage | $0.74 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.75 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | The Health Plan | Medicare Advantage | $0.75 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.75 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $0.75 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $0.75 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | The Health Plan | Medicare Advantage | $0.75 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Humana ChoiceCare Network | Medicare Advantage | $0.78 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.78 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Humana ChoiceCare Network | Medicare Advantage | $0.78 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.78 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | West Virginia Senior Advantage | Medicare Advantage | $0.79 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | West Virginia Senior Advantage | Medicare Advantage | $0.79 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.81 | $166.00 | $157.70 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.81 | $166.00 | $157.70 | 2026-02-20 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Commercial | $0.84 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross | Commercial | $0.84 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Commercial | $0.85 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Commercial | $0.85 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Commercial | $0.86 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Commercial | $0.86 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Cigna | Commercial | $0.88 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Cigna | Commercial | $0.88 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | The Health Plan | Commercial | $0.90 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | The Health Plan | Commercial | $0.90 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.90 | $166.00 | $157.70 | 2026-02-20 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Commercial | $0.91 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | First Health | Commercial | $0.91 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Commercial | $0.91 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | First Health | Commercial | $0.91 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | MultiPlan/PHCS | Commercial | $0.94 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | MultiPlan/PHCS | Commercial | $0.94 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.96 | $180.00 | $180.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.96 | $180.00 | $180.00 | 2026-07-15 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | SelectNet | Commercial | $0.98 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | SelectNet | Commercial | $0.98 | $1.00 | $0.70 | 2025-08-07 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $136.00 | $102.00 | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $991.58 | $644.53 | 2025-11-26 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $141.00 | $70.50 | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $991.58 | $644.53 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | $136.00 | $102.00 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $136.00 | $102.00 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $136.00 | $102.00 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $136.00 | $102.00 | 2026-05-20 | MRF ↗ |
| DOCTORS MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $136.00 | $102.00 | 2026-05-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | OSCAR HEALTH PLAN | OSCAR HEALTH PLAN HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $141.00 | $70.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $141.00 | $70.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $141.00 | $70.50 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $141.00 | $70.50 | 2026-07-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | AETNA | AETNA WORKERS COMPENSATION | $1.30 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $141.00 | $70.50 | 2026-07-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $1.57 | $157.24 | $117.93 | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $1.89 | $157.24 | $117.93 | 2026-07-17 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $1.94 | $365.00 | $365.00 | 2026-07-15 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $2.04 | $157.24 | $117.93 | 2026-08-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $2.17 | $108.50 | — | 2026-03-31 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $2.20 | $157.24 | $117.93 | 2026-08-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.34 | — | — | 2026-03-18 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $141.00 | $70.50 | 2026-07-01 | MRF ↗ |
| COASTAL COMMUNITIES HOSPITAL Outpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | $2.66 | $205.00 | $205.00 | 2026-07-20 | MRF ↗ |
| COASTAL COMMUNITIES HOSPITAL Outpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | $2.66 | $205.00 | $205.00 | 2026-10-12 | MRF ↗ |
| COASTAL COMMUNITIES HOSPITAL Outpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | $2.66 | $205.00 | $205.00 | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $2.97 | $141.52 | $106.14 | 2026-08-01 | MRF ↗ |
| BLUFFTON HOSPITAL BothFacility | MEDICAL MUTUAL - Medicare Part A | Medicare Advantage | $3.04 | $82.00 | $82.00 | 2025-11-05 | MRF ↗ |
| BLANCHARD VALLEY HOSPITAL BothFacility | MEDICAL MUTUAL - Medicare Part A | Medicare Advantage | $3.04 | $82.00 | $82.00 | 2025-11-05 | MRF ↗ |
| BLUFFTON HOSPITAL BothFacility | MEDICAL MUTUAL - Medicare Part A | Medicare Advantage | $3.04 | $82.00 | $82.00 | 2025-11-05 | MRF ↗ |
| BLANCHARD VALLEY HOSPITAL BothFacility | MEDICAL MUTUAL - Medicare Part A | Medicare Advantage | $3.04 | $82.00 | $82.00 | 2025-11-05 | MRF ↗ |
| CHAPMAN GLOBAL MEDICAL CENTER Outpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | $3.23 | $205.00 | $205.00 | 2026-07-15 | MRF ↗ |
| CHAPMAN GLOBAL MEDICAL CENTER Outpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | $3.23 | $205.00 | $205.00 | 2026-07-20 | MRF ↗ |
| CHAPMAN GLOBAL MEDICAL CENTER Outpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | $3.23 | $205.00 | $205.00 | 2026-09-21 | MRF ↗ |
| CHAPMAN GLOBAL MEDICAL CENTER Outpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | $3.23 | $205.00 | $205.00 | 2026-07-15 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC SELF | 6788_UNITED HEALTHCARE SELF FUNDED OUTPATIENT NRIN 20230101 | $3.41 | $774.00 | $464.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | UHC | 9393_UNITED HEALTHCARE VKIN 20250101 | $3.41 | $601.00 | $360.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Outpatient | UHC NEW | 6787_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT NRIN 20230101 | $3.41 | $774.00 | $464.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | UHC | 9390_UNITED HEALTHCARE VAIN 20250101 | $3.41 | $656.00 | $393.60 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Inpatient | UHC BEHAVIORAL HEALTH | 8231_UNITED HEALTH CARE BEHAVIORAL HEALTH 20230401 | $3.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WARRICK Outpatient | UHC | 8493_UNITED HEALTHCARE SWIN 20240701 | $3.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT WILLIAMSPORT Both | UHC | 9397_UNITED HEALTHCARE VWIN 20250101 | $3.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6793_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ECIN 20230101 | $3.41 | $774.00 | $464.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.41 | $619.00 | $371.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Outpatient | UHC NEW | 6790_UNITED HEALTHCARE NEW BUSINESS OUTPATIENT ASIN 20230101 | $3.41 | $774.00 | $464.40 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CLAY Both | UHC | 9384_UNITED HEALTHCARE CLIN 20250101 | $3.41 | — | — | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT RANDOLPH Both | UHC | 9395_UNITED HEALTHCARE VRIN 20250101 | $3.41 | $619.00 | $371.40 | 2026-01-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $3.44 | $330.75 | $330.75 | 2026-04-24 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $3.49 | $384.00 | $81.90 | 2026-03-04 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - NGLTAC | $3.72 | $239.00 | $155.35 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - NGLTAC | $3.72 | $239.00 | $155.35 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - NGLTAC | $3.72 | $239.00 | $155.35 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | FIRST CHOICE BENEFITS MGMT [3074] | PHU HB 100% OF MEDICAID - NGLTAC | $3.72 | $239.00 | $155.35 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | CELTIC LIFE MEDICARE SUPPLEMENT [3045] | PHU HB 100% OF MEDICAID - NGLTAC | $3.72 | $239.00 | $155.35 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - NGLTAC | $3.72 | $239.00 | $155.35 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - NGLTAC | $3.72 | $239.00 | $155.35 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - NGLTAC | $3.83 | $239.00 | $155.35 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - NGLTAC | $3.83 | $239.00 | $155.35 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - NGLTAC | $3.87 | $239.00 | $155.35 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - NGLTAC | $3.91 | $239.00 | $155.35 | 2026-03-01 | MRF ↗ |
| Prisma Health North Greenville Ltach Both | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - NGLTAC | $3.98 | $239.00 | $155.35 | 2026-03-01 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Medicare Advantage | Hmo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Upmc Medicare Advantage | Hmo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | BLUE CHOICE MEDICAID [1403] | AH HB XR BLUE CHOICE MEDICAID | $4.00 | $125.00 | $62.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | BLUE CHOICE MEDICAID [1403] | AH HB XR BLUE CHOICE MEDICAID | $4.00 | $125.00 | $62.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MISCELLANEOUS MEDICAID ADVANTAGE [3] | AH HB XR SC MEDICAID IP/OP | $4.00 | $125.00 | $62.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MISCELLANEOUS MEDICAID ADVANTAGE [3] | AH HB XR SC MEDICAID IP/OP | $4.00 | $125.00 | $62.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | BLUE CHOICE MEDICAID [403] | AH HB XR BLUE CHOICE MEDICAID | $4.00 | $125.00 | $62.50 | 2026-03-06 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICAID | $4.00 | — | — | 2026-09-01 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | BLUE CHOICE MEDICAID [403] | AH HB XR BLUE CHOICE MEDICAID | $4.00 | $125.00 | $62.50 | 2026-03-06 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | $4.00 | — | — | 2026-03-12 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Commercial | Ppo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE - MEDICAID | $4.00 | — | — | 2026-09-01 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Wellcare Medicaid | Hmo | $4.00 | $344.00 | $217.00 | 2026-09-21 | MRF ↗ |
| NEWBERRY COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | $4.00 | — | — | 2025-09-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $4.00 | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $4.00 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $4.00 | — | — | 2026-03-12 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Allwell Medicare Advantage | Hmo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Select Health Of Sc Qhp | Hmo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | MOLINA | MOLINA MANAGED MEDICAID PROGRAM | $4.00 | — | — | 2026-09-01 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Medicare Advantage | Hmo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Medicare Advantage | Hmo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $4.00 | — | — | 2026-03-12 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicare Advantage | Hmo | — | $344.00 | $217.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Molina Healthcare Of Sc Qhp | Hmo | — | $344.00 | $217.00 | 2026-07-15 | 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.