A9507 — In111 Capromab
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). In111 capromab (HCPCS A9507) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9507?code_type=HCPCS
MLA (9th ed.)
“In111 capromab (HCPCS A9507) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9507?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“In111 capromab (HCPCS A9507) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9507?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,107–$7,343 (25th–75th percentile) across 1,293 hospitals · 2,587 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9507 — 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
$2,107
$4,576 typical
$7,343
The middle 50% of negotiated facility rates for this procedure, measured across 1,293 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $4,576 |
| Likely subtotal | $4,576 |
Facility charge (no separate professional fee)
$4,576
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $2,107–$7,343.
- 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 |
|---|---|---|---|---|---|---|---|
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID [20240] | HB WASH MO MEDICAID | — | $7,913.00 | $5,143.45 | 2026-03-12 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $8,326.25 | $4,579.44 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $4,995.75 | $2,747.66 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,995.75 | $4,246.39 | 2025-01-01 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | BCBS MEDICAID CONTRACTED [320046] | HB WASH MISSOURI CARE HEALTH PLAN/HEALTHY BLUE | — | $7,913.00 | $5,143.45 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID PENDING [20241] | HB WASH MISSOURI CARE HEALTH PLAN/HEALTHY BLUE | — | $7,913.00 | $5,143.45 | 2026-03-12 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $8,326.25 | $4,579.44 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $4,995.75 | $2,747.66 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,995.75 | $4,246.39 | 2025-01-01 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MEDICAID PENDING [20241] | HB JEFN & WASH HOME STATE HEALTH PLAN MANAGED MEDICAID | — | $7,913.00 | $5,143.45 | 2026-03-12 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,995.75 | $4,246.39 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $4,995.75 | $2,747.66 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $13,322.00 | $9,325.40 | 2025-01-01 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | HOME STATE MEDICAID CONTRACTED [320189] | HB JEFN & WASH HOME STATE HEALTH PLAN MANAGED MEDICAID | — | $7,913.00 | $5,143.45 | 2026-03-12 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | Blue HPN | $0.03 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | MagnaCare | All Commercial Plans | $0.03 | $0.04 | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Claritev dba MultiPlan | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | Blue HPN-L | $0.03 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_HMO | $0.03 | $8,492.00 | $6,369.00 | 2026-02-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Outpatient | Anthem Bcbs | Anthem In Ppo | $0.03 | $21,298.00 | $5,111.52 | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_HMO-L | $0.03 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_HMO | $0.03 | $8,492.00 | $6,369.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | Blue HPN | $0.03 | $8,492.00 | $6,369.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | Blue HPN-L | $0.03 | $8,492.00 | $6,369.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | Blue HPN | $0.03 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | Whole Health Other Commercial | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | Blue HPN | $0.03 | $8,492.00 | $6,369.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_HMO-L | $0.03 | $8,492.00 | $6,369.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_HMO | $0.03 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_HMO | $0.03 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Aetna | Commercial | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | MagnaCare | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | EmblemHealth | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | First Health | All Commercial Plans | $0.03 | $0.04 | $0.04 | 2026-03-31 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| LUTHERAN HOSPITAL Outpatient | Anthem Bcbs | Anthem In Ppo | $0.03 | $18,955.00 | $5,686.50 | 2026-07-17 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | Whole Health Other Commercial | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_HMO-L | $0.03 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_HMO-L | $0.03 | $8,492.00 | $6,369.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | Blue HPN-L | $0.03 | $8,492.00 | $6,369.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | Blue HPN-L | $0.03 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_HMO | $0.03 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Consumer Health Network | All Commercial Plans | $0.03 | $0.04 | $0.04 | 2026-03-31 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_HMO-L | $0.03 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | First Health Coventry | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Claritev dba MultiPlan | All Commercial Plans | $0.03 | $0.04 | $0.04 | 2026-03-31 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | Blue HPN | $0.03 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | Blue HPN-L | $0.03 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Beechstreet | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | First Health | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Devon | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Consumer Health Network | All Commercial Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_PPO-L | $0.05 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_PPO-L | $0.05 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_PPO | $0.05 | $8,492.00 | $6,369.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | BCBS | BCBS_PPO | $0.05 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | BCBS | BCBS_PPO-L | $0.05 | $8,492.00 | $6,369.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_PPO-L | $0.05 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | BCBS | BCBS_PPO | $0.05 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_PPO | $0.05 | $8,492.00 | $6,369.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | BCBS | BCBS_PPO-L | $0.05 | $8,492.00 | $6,369.00 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | BCBS | BCBS_PPO | $0.05 | $8,492.00 | $6,369.00 | 2026-02-14 | MRF ↗ |
| ST LUKES HOSPITAL Inpatient | Blue Cross | Blue Preferred | $0.06 | $12,312.06 | $7,387.24 | 2026-07-15 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Hmo/Ppo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Hmo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Traditional | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $8,886.00 | — | 2026-07-01 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $0.88 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.90 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $0.92 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $31,048.00 | $23,286.00 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $31,048.00 | $23,286.00 | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $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 ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $22,039.00 | $16,529.25 | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $22,039.00 | $16,529.25 | 2026-09-01 | 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 BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH 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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.04 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.06 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.10 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.12 | — | — | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $1.01 | $0.65 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | COVENTRY- ALL PLANS | COVENTRY- ALL PLANS | $2.40 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $2.60 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $2.69 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | UHC HMO | UHC HMO | $2.73 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | GEM CARE- ALL PLANS | GEM CARE- ALL PLANS | $2.80 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | COUNTY OF KERN NETWORK - ALL PLANS | COUNTY OF KERN NETWORK - ALL PLANS | $2.80 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $2.88 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | UHC JLL | UHC JLL | $2.88 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | FOUNDATION FOR MEDICAL CARE OF KERN COUNTY - ALL P | FOUNDATION FOR MEDICAL CARE OF KERN COUNTY - ALL P | $3.00 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | CIGNA- ALL PLANS | CIGNA- ALL PLANS | $3.20 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $3.24 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | ANTHEM - ALL OTHER PLANS | ANTHEM - ALL OTHER PLANS | $3.33 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | UNIVERSAL CARE MCAL | UNIVERSAL CARE MCAL | $4.00 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | DIGNTY HLTH MCAL OP ONLY | DIGNTY HLTH MCAL OP ONLY | $4.00 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | HEALTHNET MEDI-CAL | HEALTHNET MEDI-CAL | $4.00 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | KERN HEALTH SYSTEM MCAL | KERN HEALTH SYSTEM MCAL | $4.00 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| ADVENTIST HEALTH DELANO Outpatient | MEDI-CAL | MEDI-CAL | $4.00 | $4.00 | $0.80 | 2026-01-27 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $617.55 | $240.84 | 2026-07-31 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $11.88 | — | — | 2026-02-19 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | BCBS | MCRHMO | $16.16 | $299.25 | $299.25 | 2026-03-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $17.26 | $7,894.00 | $3,947.00 | 2026-04-02 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $8,326.25 | $5,412.06 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $8,326.25 | $5,412.06 | 2025-01-01 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | Aetna | MCR | $20.65 | $299.25 | $299.25 | 2026-03-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicaid - Brook | $24.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Exchange - Brook | $24.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 3-4 - Brook | $24.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Essential Plan 3-4 | $24.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Essential Plan 1-2 | $24.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Exchange | $24.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Medicaid Advantage | $24.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Medicare Advantage | $24.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicare Adv - Brook | $24.47 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 1-2 - Brook | $24.47 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $24.70 | — | — | 2025-07-22 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | Freedom Health | MGMCR | $25.74 | $299.25 | $299.25 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | Optimum | MGMCR | $25.74 | $299.25 | $299.25 | 2026-03-01 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Both | SSS | SSS COMERCIAL | $26.46 | $14.26 | — | 2026-08-05 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $37.05 | $617.55 | $241.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $37.05 | $617.55 | $241.00 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $38.46 | $21,368.00 | — | 2024-12-31 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | AvMed | HIX | $38.90 | $299.25 | $299.25 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | Simply Healthcare Plans | MGMCR | $38.90 | $299.25 | $299.25 | 2026-03-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | High Deductible Plans | — | — | — | 2026-07-18 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Both | FONDO DEL SEG DEL ESTADO | FONDO DEL SEG DEL ESTADO | $40.00 | $14.26 | — | 2026-08-05 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Both | UTM | UTM | $40.00 | $14.26 | — | 2026-08-05 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | Commercial | — | — | — | 2026-07-18 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Both | MEDICAL CARD SYSTEM | MCS COMERCIAL | $40.00 | $14.26 | — | 2026-08-05 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Both | TRICARE | TRICARE COMERCIAL | $40.00 | $14.26 | — | 2026-08-05 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Both | ACAA | ACAA | $40.00 | $14.26 | — | 2026-08-05 | MRF ↗ |
| PRESBYTERIAN COMMUNITY HOSPITAL Both | MAPFRE | MAPFRE | $40.00 | $14.26 | — | 2026-08-05 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | Simply Healthcare | HIX | $40.40 | $299.25 | $299.25 | 2026-03-01 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $47.55 | $1,972.85 | — | 2026-08-17 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | Oscar | HIX | $47.88 | $299.25 | $299.25 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WOODMONT HOSPITAL Outpatient | Freedom Health | MGMCD | $47.88 | $299.25 | $299.25 | 2026-03-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-14 | 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.