A4642 — In111 Satumomab
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). IN111 SATUMOMAB (HCPCS A4642) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A4642?code_type=HCPCS
MLA (9th ed.)
“IN111 SATUMOMAB (HCPCS A4642) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A4642?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“IN111 SATUMOMAB (HCPCS A4642) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A4642?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $908–$2,757 (25th–75th percentile) across 851 hospitals · 1,368 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS A4642 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$908
$1,623 typical
$2,757
The middle 50% of negotiated facility rates for this procedure, measured across 851 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,623 |
| Likely subtotal | $1,623 |
Facility charge (no separate professional fee)
$1,623
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,176.00 | $646.80 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $1,176.00 | $823.20 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $705.60 | $388.08 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $705.60 | $599.76 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $1,881.60 | $1,317.12 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,176.00 | $646.80 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $705.60 | $599.76 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $1,176.00 | $823.20 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $705.60 | $599.76 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $705.60 | $388.08 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $1,881.60 | $1,317.12 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $705.60 | $388.08 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $1,881.60 | $1,317.12 | 2025-01-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS-EP_0000 | FIDELIS ESSENTIAL PLAN 1-2 IP AND OP NO RATE CODE | $0.04 | $5,054.70 | $16.07 | 2025-01-19 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | WELLPOINT [6009] | HB WELLPOINT APPLE HEALTH | $1.17 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | HERITAGE PRIME | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | HERITAGE SIGNATURE | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | PREMERA MEDICARE SUPPLEMENT | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | NASCO | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | BCBS OF OREGON | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | OUT OF STATE | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | INDIVIDUAL SIGNATURE | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | PREMERA VISION ONLY | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | LIFEWISE ALPINE | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | PREMERA HMO | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | DIMENSIONS | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | BCBS OF IOWA | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | HIGHMARK BCBS-COAL TAR PITCH | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | LIFEWISE OF WA | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | HIGHMARK | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | LIFEWISE OF OR | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | BCBS OF IDAHO | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | REGENCE UMP | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | PERSONALCARE PARTNER SYSTEMS | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | LIFEWISE PRIMARY | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | FEDERAL BCBS | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | BCBS OF N CAROLINA | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | HERITAGE | $2.18 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Health Alliance NW Small Group | HEALTH ALLIANCE NORTHWEST | $2.40 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | AMBETTER FROM COORDINATED CARE [1034] | HB AMBETTER | $2.40 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Health Alliance NW Small Group | PUBLIC | $2.40 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Health Alliance NW Small Group | HEALTH ALLIANCE NORTHWEST POS | $2.40 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PREMERA [7000] | HB PREMERA EXCHANGE | $2.44 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | HEALTHCOMP | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | GREATWEST HEALTHCARE | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | EBA&M | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | CIGNA | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | LOYAL AMERICAN MEDICARE SUPPLEMENT | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | CIGNA APWU | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | CIGNA PROVIDENCE HEALTH PLAN | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | CIGNA NALC | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | CIGNA STARBRIDGE | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | ALLIED BENEFIT SYSTEMS | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | WASHINGTON TEAMSTERS (WTWT) | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | CIGNA HEALTHPARTNERS | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | CIGNA HEALTH AND LIFE INSURANCE COMPANY | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | CIGNA GENERIC | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Cigna | CIGNA CAS | $2.48 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PREMERA [7000] | HB PREMERA HERITAGE PRIME | $2.52 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Health Alliance NW Large Group | PUBLIC | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | United Healthcare | UHC GEHA | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | United Healthcare | UMR | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | United Healthcare | UNITED HEALTHCARE GENERIC | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Health Alliance NW Large Group | HEALTH ALLIANCE NORTHWEST | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | United Healthcare | UHC AARP | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | United Healthcare | UHC DEFINITY HEALTH | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | United Healthcare | NAVIGATE | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Health Alliance NW Employee | CONFLUENCE PRIME | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Health Alliance NW Employee | CONFLUENCE HEALTH CDHP PLAN | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Health Alliance NW Large Group | HEALTH ALLIANCE NORTHWEST POS | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | United Healthcare | UNITED HEALTHCARE | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | United Healthcare | SUREST | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | United Healthcare | UHC PACIFICARE OF WA | $2.55 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | STARMARK | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ZENITH ADMIN WA COUNTIES INS POOL | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | SOMI | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | BENESIGHT | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ALLEGIANCE BENEFIT PLAN | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | KITSAP PHYSICIAN SERVICE | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | KAISER PERMANENTE | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | BENEFIT MD | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | MANAGED CARE ADMIN | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | NW SHEET METAL WORKERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | NORTHWEST ADMINISTRATORS WA TEAMSTERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ASRM RSL SPECIALTY | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | BENEFIT MANAGEMENT INC | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ZENITH ADMINISTRATORS PAINTERS TRUST | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | MODA HEALTH | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | MERCER ADMIN | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ASSURANT HEALTH | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | NATIONAL RURAL ELECTRIC COOP | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | UNITED EMPLOYEES BENEFIT TRUST | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | LOOMIS BENEFITS WEST | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ALASKA ELECTRICAL HEALTH | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | PROVIDENCE HEALTH PLAN | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | LOCAL 290 PLUMBERS & STEAMFITTERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | NW ADMINISTRATORS RETIREES WELFARE TRUST | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | FIRST CHOICE HEALTH ADMIN | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | NW ADMINISTRATORS PRINTING SPECIALTIES | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | NORTHWEST ADMINISTRATORS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | WESTERN MUTUAL INSURANCE | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | PAI | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | HEALTH NET OF OREGON | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | EMPLOYEE BENEFIT MANAGEMENT SVCS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ZENITH ADMINISTRATORS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | LIFESTYLE HEALTH PLANS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | WELFARE & PENSION ADMIN SVCS OP ENGINEER | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | SEATTLE AREA FIRE FIGHTERS HEALTHCAR TRUST | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | GUARDIAN | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | PACIFIC UNDERWRITERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | MERITAIN HEALTH AKA CBSA | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | CHRISTIAN BROS EMPLOYEE BENEFIT TRUST | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | WESTERN GROCERS EMPLOYEE BENEFITS TRUST | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ZENITH ADMIN WASHINGTON BAKERS TRUST | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | HEALTHCOMP | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | IE ELECTRICAL WORKERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ZENITH ADM OPERATING ENGINEERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | YAKIMA NATION/TRIBAL INSURANCE | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ZENITH ADMIN SOUND HEALTH WELLNESS TRUST | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ZENITH ADMIN SEATTLE AREA PLUMBERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | COASTAL ADMINISTRATIVE SERVICE | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | IDAHO PIPE TRADES | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | WA-ID OPERATING ENGINEERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | HEALTHSMART BENEFIT SOLUTIONS, INC | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | WELFARE & PENS ADMIN SVCS CEMENT MASONS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | SISCO | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | WELFARE & PENSION ADMIN SVCS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | PLANNED ADMINISTRATORS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | PAINTERS TRUST | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | WELF & PENS NW PLUMBING & PIPEFITTING | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ADMIN SVS PUGET SOUND ELECTRICAL WORKERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | WA ID CARPENTERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | LEOFF HEALTH & WELFARE | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | PRINCIPAL LIFE INSURANCE | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | CITY OF RICHLAND HEALTH | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | TRUSTEED PLANS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | WA STATE HEALTH INSURANCE POOL | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | CARPENTERS CTWW | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | UNITED FOOD & COMM WORKERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | MAKSIN MANAGEMENT | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | WC EARHART CO THE LOCAL 598 HEALTH TRUST | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | WELFARE & PENSION ADMIN SVCS HERE | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | COMMUNITY HEALTHESSENTIALS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | PHILLIPS ADMIN | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | NW ADMINISTRATORS MASONRY SECURITY | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | DESERET MUTUAL | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | JOHN ALDEN | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | INTERNTL LONGSHORE&WAREHOUSE | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | UNICARE | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ADMIN SVCS OPERATING ENGINEERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | ASSURANT HEALTH JOHN ALDEN | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | First Choice | IE TEAMSTERS | $2.63 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $2.65 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $2.65 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $2.65 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $2.65 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $2.65 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $2.65 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $2.65 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $2.65 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $2.65 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $2.65 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $2.65 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $2.65 | — | — | 2026-03-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | REGENCE TO PREMERA ALTERNATE [7001] | HB PREMERA | $2.68 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | REGENCE [1006] | HB PREMERA | $2.68 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PREMERA [7000] | HB PREMERA | $2.68 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PREMERA EMPLOYEE [9300] | HB PREMERA | $2.68 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PREMERA TO REGENCE ALTERNATE PAYOR [1038] | HB PREMERA | $2.68 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | UNITED HEALTH CARE [1008] | HB UHC | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | KAISER PERMANENTE [1003] | HB FIRST HEALTH | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | REGENCE [1006] | HB ASURIS | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | AETNA [1000] | HB AETNA | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MEGA LIFE [8005] | HB FIRST CHOICE | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MID WEST NATL LIFE [8006] | HB FIRST CHOICE | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Direct To Employer | BAS | $2.70 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Direct To Employer | LOOMIS | $2.70 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MUTUAL OF OMAHA [8007] | HB FIRST CHOICE | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PACIFIC SOURCE ADMINISTRATORS [8010] | HB FIRST CHOICE | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | PACIFIC SOURCE [8008] | HB FIRST CHOICE | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | GEHA [1037] | HB AETNA | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | AMERIBEN [8000] | HB FIRST CHOICE | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | CIGNA [1001] | HB CIGNA | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | COVENTRY [1002] | HB FIRST HEALTH | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | FIRST CHOICE GENERIC [8999] | HB FIRST CHOICE | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | FIRST CHOICE [8009] | HB FIRST CHOICE | $2.70 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MULTIPLAN-PHCS [1033] | HB MULTIPLAN | $2.88 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MVA FARMERS [1026] | HB MULTIPLAN | $2.88 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MVA PROGRESSIVE [1027] | HB MULTIPLAN | $2.88 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Both | MVA STATE FARM [1028] | HB MULTIPLAN | $2.88 | $3.00 | $2.70 | 2026-04-21 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Ambetter | AMBETTER FROM COORDINATED CARE | $3.00 | $4.50 | $4.05 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | INDIVIDUAL SIGNATURE | $3.00 | $3.00 | $2.70 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | LIFEWISE ALPINE | $3.00 | $4.50 | $4.05 | 2024-07-01 | MRF ↗ |
| CONFLUENCE HEALTH HOSPITAL Outpatient | Premera Exchange | LIFEWISE OF OR | $3.00 | $4.50 | $4.05 | 2024-07-01 | 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.