A9543 — Y90 Ibritumomab, Rx
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Y90 ibritumomab, rx (HCPCS A9543) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9543?code_type=HCPCS
MLA (9th ed.)
“Y90 ibritumomab, rx (HCPCS A9543) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9543?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Y90 ibritumomab, rx (HCPCS A9543) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9543?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $50,522–$98,325 (25th–75th percentile) across 1,599 hospitals · 3,000 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9543 — 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
$50,522
$63,616 typical
$98,325
The middle 50% of negotiated facility rates for this procedure, measured across 1,599 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $63,616 |
| Likely subtotal | $63,616 |
Facility charge (no separate professional fee)
$63,616
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 $50,522–$98,325.
- 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 | — | $55,035.00 | $30,269.25 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $55,035.00 | $30,269.25 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $55,035.00 | $46,779.75 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $55,035.00 | $46,779.75 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $55,035.00 | $30,269.25 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $55,035.00 | $46,779.75 | 2025-01-01 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Aetna | Commercial | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | First Health Coventry | All Commercial Plans | $0.03 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | Anthem BCBS Healthplus | All NYS Essential 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 ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | MagnaCare | All Commercial Plans | $0.03 | — | $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 ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Consumer Health Network | All Commercial Plans | $0.03 | $0.04 | $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 ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | MagnaCare | All Commercial Plans | $0.03 | $0.04 | $0.04 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | Anthem BCBS Healthplus | All NYS Essential Plans | $0.03 | $0.04 | $0.04 | 2026-03-31 | MRF ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | HealthFirst | All Essential Plans | $0.04 | $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 ↗ |
| HUDSON VALLEY HOSPITAL CENTER Both | United Healthcare | All NYS Essential Plans | $0.04 | $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 | Beechstreet | 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 ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | United Healthcare | All NYS Essential Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| NEW YORK-PRESBYTERIAN/QUEENS Both | HealthFirst | All Essential Plans | $0.04 | — | $0.04 | 2026-03-31 | MRF ↗ |
| REX HOSPITAL Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.22 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Wellcare | Managed Medicaid | $0.22 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.22 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $0.22 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Alliance | Managed Medicaid | $0.22 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | $0.22 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Trillium | Managed Medicaid | $0.23 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Partners | Managed Medicaid | $0.23 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Vaya Health | Managed Medicaid | $0.23 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Blue Home | $0.30 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Medcost | Ultra | $0.52 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Contigo | — | $0.59 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| REX HOSPITAL Outpatient | First Carolina Care | — | $0.61 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $79,248.00 | — | 2026-07-01 | MRF ↗ |
| REX HOSPITAL Outpatient | Medcost | — | $0.62 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Medcost | Ppo | $0.62 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Cigna | Choice | $0.66 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Aetna | State Health Plan | $0.72 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Aetna | Choice Pos | $0.72 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Option Ppo | $0.76 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Surest | — | $0.82 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | United Healthcare | — | $0.82 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Umr | — | $0.82 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | 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 TRUST PPO | $1.00 | — | — | 2026-09-02 | 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 | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | 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 | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| REX HOSPITAL Outpatient | Liberty | Medicare Advantage | $1.01 | $1.01 | $0.61 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $160,102.84 | $62,440.11 | 2026-07-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $55,035.00 | $35,772.75 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $55,035.00 | $35,772.75 | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $30.20 | $503.25 | $196.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $30.20 | $503.25 | $196.00 | 2026-07-15 | 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 | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | High Deductible Plans | — | — | — | 2026-07-18 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 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 | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-14 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | 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 Charter/Navigate | — | — | — | 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 | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL 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 ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-14 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $41,862.00 | $41,862.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Msi/Medical Services For Indigents | Msi/Medical Services Initiative Program | $52.50 | $41,862.00 | $41,862.00 | 2026-07-15 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $52.84 | — | — | 2026-01-13 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uhc | Quest | $60.00 | $186,838.57 | $72,867.00 | 2026-07-15 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | UHC | All Products | $62.00 | $55,035.00 | $30,269.25 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | Aetna | Aetna Whole Health | $80.00 | $55,035.00 | $30,269.25 | 2025-01-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Brighton Health Plan | All Products | $82.15 | $129,984.00 | $65,476.58 | 2024-12-31 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $55,035.00 | $46,779.75 | 2025-01-01 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $95.27 | $66,766.00 | $6,676.60 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $95.27 | $66,766.00 | $6,676.60 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $95.27 | $66,766.00 | $6,676.60 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $95.27 | $66,766.00 | $6,676.60 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $95.27 | $66,766.00 | $6,676.60 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $95.27 | $66,766.00 | $6,676.60 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $95.27 | $66,766.00 | $6,676.60 | 2026-08-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $100.98 | $56,100.00 | $56,100.00 | 2024-12-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| ST PETER'S HOSPITAL BothFacility | Empire | Medicare Advantage | $107.00 | $55,035.00 | $46,779.75 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $55,035.00 | $30,269.25 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | United Behavioral Health | All Products | $124.10 | $55,035.00 | $30,269.25 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | BSNENY | Medicare Advantage | $157.00 | $55,035.00 | $46,779.75 | 2025-01-01 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | VISTA | COVENTRY MEDICAID | $167.89 | $79,083.00 | $51,403.95 | 2026-03-30 | MRF ↗ |
| CHELSEA HOSPITAL OutpatientFacility | Magellan Behavioral Health | Summit_Pinnacle | $181.00 | $55,035.00 | $35,772.75 | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | UHC | All Products | $187.00 | $55,035.00 | $35,772.75 | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL ST ANN'S OutpatientFacility | UHC | All Products | $187.00 | $55,035.00 | $35,772.75 | 2025-01-01 | MRF ↗ |
| MOUNT CARMEL EAST & WEST OutpatientFacility | UHC | All Products | $187.00 | $55,035.00 | $35,772.75 | 2025-01-01 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | Quest | $196.27 | $503.25 | $196.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $196.27 | $503.25 | $196.27 | 2026-07-31 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Independence Blue Cross | Traditional | $211.00 | $55,035.00 | $37,974.15 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Independence Blue Cross | Traditional | $211.00 | $73,380.00 | $41,606.46 | 2025-01-01 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Independence Blue Cross | HMO_PPO | $211.00 | $55,035.00 | $37,974.15 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Independence Blue Cross | HMO_PPO | $211.00 | $73,380.00 | $47,917.14 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | UHC | All products | $223.00 | $55,035.00 | $30,269.25 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | UHC | All products | $223.00 | $55,035.00 | $30,269.25 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL OutpatientFacility | Independence Blue cross | HMO_PPO | $223.00 | $55,035.00 | $22,014.00 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Independence Blue Cross | Traditional | $223.00 | $73,380.00 | $46,376.16 | 2025-01-01 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Independence Blue Cross | HMO_PPO | $233.00 | $73,380.00 | $46,376.16 | 2025-01-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $233.97 | $129,984.00 | $65,476.58 | 2024-12-31 | MRF ↗ |
| KULA HOSPITAL Outpatient | Alohacare | Quest | $251.63 | $503.25 | $196.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $251.63 | $503.25 | $196.27 | 2026-07-31 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Quest | $256.66 | $503.25 | $196.00 | 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.