A9542 — In111 Ibritumomab, Dx
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). In111 ibritumomab, dx (HCPCS A9542) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9542?code_type=HCPCS
MLA (9th ed.)
“In111 ibritumomab, dx (HCPCS A9542) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9542?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“In111 ibritumomab, dx (HCPCS A9542) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9542?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $886–$8,714 (25th–75th percentile) across 1,304 hospitals · 1,850 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9542 — 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
$886
$3,780 typical
$8,714
The middle 50% of negotiated facility rates for this procedure, measured across 1,304 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,780 |
| Likely subtotal | $3,780 |
Facility charge (no separate professional fee)
$3,780
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 $886–$8,714.
- 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 |
|---|---|---|---|---|---|---|---|
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $97,800.00 | $53,790.00 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $97,800.00 | $83,130.00 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $97,800.00 | $83,130.00 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $97,800.00 | $53,790.00 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $97,800.00 | $53,790.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $97,800.00 | $53,790.00 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $97,800.00 | $83,130.00 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $97,800.00 | $53,790.00 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | UHC | All products | — | $97,800.00 | $68,460.00 | 2025-01-01 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Nv Laborers Health & Welfare Trust Fund | Commercial | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Prominence Healthfirst | Medicare Advantage | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Northern Nv Health Ntwrk | Sierra Health | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Aetna | Commercial | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Pacificare Of Nevada Inc | Commercial | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Prominence Healthfirst | Commercial | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Molina | Medicaid | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Anthem Blue Cross Blue Shield | Medicaid | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Coalition | Coalition | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Molina | Commercial | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Six Degrees Health | Six Degrees Health | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Caresource Medicaid | Caresource Medicaid | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Hometown Health Plan | Commercial | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | Whole Health Other Commercial | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Pacificare Of Nevada Inc | Medicare Advantage | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Cigna | Commercial | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | Whole Health Other Commercial | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| UNION HOSPITAL INC Outpatient | Anthem | Anthem | $0.03 | $5,420.00 | $3,252.00 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Carson City Jail | Commercial | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Silversummit | Commercial Exchange | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| CARSON TAHOE REGIONAL MEDICAL CENTER Outpatient | Silversummit | Medicaid | — | $6,356.13 | $4,449.29 | 2026-07-15 | MRF ↗ |
| ST LUKES HOSPITAL Inpatient | Blue Cross | Blue Preferred | $0.06 | $13,015.84 | $7,809.50 | 2026-07-15 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Hmo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $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 Access Hmo/Ppo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $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 ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Cigna | Commercial | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | EPO/HMO/POS/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | GEHA | HMO/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | GEHA | HMO/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | EPO/HMO/POS/PPO | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Cigna | Commercial | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $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 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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University 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 EXCHANGE | $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 | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $1.36 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $1.36 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $1.36 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $1.36 | $2.00 | $0.56 | 2025-02-14 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.78 | $2,102.10 | — | 2024-12-31 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | CMS Medicare | Medicare PPO | $14.96 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | $14.96 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | Anthem Blue Cross | Medicare Advantage | $14.96 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | Kaiser | Medicare PPO | $14.96 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $14.96 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $15.65 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $97,800.00 | $63,570.00 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $97,800.00 | $63,570.00 | 2025-01-01 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Aetna | Managed Medicare | $23.48 | $156.51 | $62.61 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicare | $23.48 | $156.51 | $62.61 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Humana | Managed Medicare | $23.48 | $156.51 | $62.61 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Managed Medicare | Managed Medicare | $23.48 | $156.51 | $62.61 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Devoted Health | Managed Medicare | $23.48 | $156.51 | $62.61 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Cigna Healthcare | Managed Medicare | $23.48 | $156.51 | $62.61 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Medicare | Managed Medicare | $23.48 | $156.51 | $62.61 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Optum Care Network | Managed Medicare | $23.48 | $156.51 | $62.61 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Kaiser | Managed Medicare | $23.48 | $156.51 | $62.61 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Innovage | Managed Medicare | $23.48 | $156.51 | $62.61 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicare | $25.04 | $156.51 | $62.61 | 2026-02-04 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Anthem Blue Cross | Medicare Advantage | — | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | United Healthcare | All Plans | $29.08 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Anthem Blue Cross | Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PPO | — | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Kaiser | Medicare PPO | — | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | CMS Medicare | Medicare PPO | — | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | Anthem Blue Cross | Indemnity/PPO/Blue Priority/Pathway/Blue Priority HMO/HMO/PPO | $29.56 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Lucent Health Solutions | Grand County Government Employee Benefit Plan | $29.56 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Denver Medical Health Plan | Elevate Only | $29.56 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | EBMS Peak Health Alliance | Summit County Government Employee Benefit Plan | $29.56 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Cigna | All Plans | $31.30 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Humana | All Plans | $31.30 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER InpatientFacility | Kaiser | Colorado Commercial PPO | $33.04 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| MIDDLE PARK MEDICAL CENTER OutpatientFacility | Aetna | HMO/PPO/POS | $33.04 | $34.78 | $27.83 | 2026-04-27 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $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 ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Aetna Rental Network | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Anthem Blue Cross Blue Shield | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | United Colorado Doctor's Plan | Commercial PPO/POS/HMO/EPO | $39.13 | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Humana | Commercial HMOx | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Humana | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Aetna | Commercial Whole Health | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Aetna | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Archdiocese of Denver | Direct to Employer | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Aetna Rental Network | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Anthem Blue Cross Blue Shield | Commercial Blue Priority | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Medicare | Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Anthem Blue Cross Blue Shield | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Denver Health | Managed Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Cigna Healthcare | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Cigna Healthcare | Commercial Local Plus | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Denver Public Schools | Direct to Employer | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Tru Pace | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Optum Care Network | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Northeast Health Partners | Managed Behavioral Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Optum Care Network | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | United Colorado Doctor's Plan | Commercial PPO/POS/HMO/EPO | $39.13 | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | United Colorado Doctor's Plan | Commercial PPO/POS/HMO/EPO | $39.13 | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Denver Public Schools | Direct to Employer | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Denver Health | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Denver Health | Managed Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Colorado Community Health Alliance | Managed Behavioral Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Denver Health | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY NORTH HEALTH CAMPUS InpatientFacility | Centivo | Direct to Employer | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Health Colorado Behavioral Health | Managed Behavioral Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Town of Breckenridge | Direct to Employer | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Colorado Community Health Alliance | Managed Behavioral Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Rocky Mountain Pace | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Tru Pace | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Humana | Commercial HMOx | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Humana | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Archdiocese of Denver | Direct to Employer | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Medicare | Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | United Healthcare | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Innovage | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Aetna | Commercial Whole Health | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Kaiser | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Aetna | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Kaiser | Managed Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Colorado Access | Managed Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Innovage | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | United Healthcare | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Humana | Commercial HMOx | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Medicare | Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Cigna Healthcare | Commercial Local Plus | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Archdiocese of Denver | Direct to Employer | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Kaiser | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Humana | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Devoted Health | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Centura Employee Plan | Commercial PPO/POS/HMO/EPO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Devoted Health | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Humana | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Kaiser | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Aetna | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Humana | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Humana | Commercial HMOx | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Devoted Health | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Rocky Mountain Health Plan | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Rocky Mountain Health Plan | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Centivo | Direct to Employer | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Cigna Healthcare | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Naphcare | Managed Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Cigna Healthcare | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Aetna | Commercial Whole Health | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-ST ANTHONY HOSPITAL InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Kaiser | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Kansas Health | Managed Medicare | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Rocky Mountain Health Plan | Managed Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Anthem Blue Cross Blue Shield | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Colorado Access | Managed Behavioral Medicaid | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Kaiser | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES InpatientFacility | Aetna Rental Network | Commercial PPO/POS/HMO | — | $156.51 | $62.60 | 2024-12-02 | MRF ↗ |
| ST FRANCIS HOSPITAL - INTERQUEST InpatientFacility | Colorado Access | Managed Behavioral Medicaid | — | $156.51 | $62.60 | 2024-12-02 | 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.