A9577 — Gadobenate Dimeglumine 529 Mg/ml(0.1 Mmol/0.2 Ml) Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION (HCPCS A9577) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9577?code_type=HCPCS
MLA (9th ed.)
“GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION (HCPCS A9577) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9577?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“GADOBENATE DIMEGLUMINE 529 MG/ML(0.1 MMOL/0.2 ML) INTRAVENOUS SOLUTION (HCPCS A9577) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9577?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8–$142 (25th–75th percentile) across 2,107 hospitals · 4,335 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9577 — 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
$8
$42 typical
$142
The middle 50% of negotiated facility rates for this procedure, measured across 2,107 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $42 |
| Likely subtotal | $42 |
Facility charge (no separate professional fee)
$42
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 $8–$142.
- 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 |
|---|---|---|---|---|---|---|---|
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $428.00 | $299.60 | 2025-01-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Cigna | Medicare Advantage | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | CMS | Medicare | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Clear Springs | Medicare Advantage | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Anthem | Medicare Advantage | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Rocky Mountain Health Plan | Medicare Advantage | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility | CHO | Commercial | $0.03 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.03 | $7.30 | $6.93 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.03 | $7.30 | $6.93 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.03 | $7.30 | $6.93 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.03 | $7.30 | $6.93 | 2026-02-20 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Aetna | MCR Advantage | $0.03 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility | UHC | Commercial | $0.03 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.03 | $7.30 | $6.93 | 2026-02-20 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility | CHO | Commercial | $0.03 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility | — | — | — | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.03 | $7.30 | $6.93 | 2026-02-20 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility | — | — | — | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility | UHC | Commercial | $0.03 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Aetna | MCR Advantage | $0.03 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Aetna | Commercial | $0.04 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Anthem Federal | Commercial | $0.04 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.04 | $11.00 | $10.45 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.04 | $11.00 | $10.45 | 2026-02-20 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Harvard | Commercial | $0.04 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Harvard | Commercial | $0.04 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility | Cigna | Commercial | $0.04 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| ESTES PARK MEDICAL CENTER OutpatientFacility | Anthem Federal | Commercial | $0.04 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility | Cigna | Commercial | $0.04 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | UHC | Commercial | $0.04 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility | Aetna | Commercial | $0.04 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.04 | $11.00 | $10.45 | 2026-02-20 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Anthem | Commercial | $0.04 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | UHC | Commercial | $0.04 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.04 | $11.00 | $10.45 | 2026-02-20 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Aetna | Commercial | $0.04 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.04 | $11.00 | $10.45 | 2026-02-20 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility | Aetna | Commercial | $0.04 | $0.05 | $0.01 | 2026-03-30 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.04 | $11.00 | $10.45 | 2026-02-20 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Aetna | Commercial | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $0.05 | $10.41 | $10.41 | 2026-06-05 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Coventry/First Health | Managed Care | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Mutual of Omaha | Managed Care | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Cofinity | Managed Care | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Kaiser | Commercial | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Cigna | Commercial | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Multiplan | Commercial | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Great West | Commercial | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Humana | Managed Care | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER OutpatientFacility | Kaiser | Commercial | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Rocky Mountain Health Plan | Commercial | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Beech Street | Managed Care | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | Private Healthcare Systems | Commercial | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ESTES PARK MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $0.05 | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| COMMUNITY MEDICAL CENTER OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-04 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $0.07 | $10.41 | $10.41 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $0.07 | $10.41 | $10.41 | 2026-06-05 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT RAHWAY OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-04 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $0.08 | $10.41 | $10.41 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $0.08 | $10.41 | $10.41 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $0.08 | $10.41 | $10.41 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $0.09 | $10.41 | $10.41 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $0.09 | $10.41 | $10.41 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $0.09 | $10.41 | $10.41 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $0.09 | $10.41 | $10.41 | 2026-06-05 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Aetna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.10 | $18.00 | $18.00 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $0.10 | $10.41 | $10.41 | 2026-06-05 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.10 | $18.00 | $18.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.10 | $18.00 | $18.00 | 2026-07-15 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL BothFacility | HCSC-BCBS OF IL-STD A & B - Medicare Part A | Medicare Advantage | $0.11 | $7.50 | $7.50 | 2026-01-08 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL BothFacility | UMR - Medicare Part A | Medicare Advantage | $0.11 | $7.50 | $7.50 | 2026-01-08 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | $0.11 | $7.50 | $7.50 | 2026-01-08 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL BothFacility | HEALTHSMART BENEFIT SOLUTIONS - Medicare Part A | Medicare Advantage | $0.11 | $7.50 | $7.50 | 2026-01-08 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL BothFacility | MOLINA HEALTHCARE OF ILLINOIS - Commercial-HMO | Molina Healthcare | $0.11 | $7.50 | $7.50 | 2026-01-08 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL BothFacility | AETNA - Commercial-POS | Aetna | $0.11 | $7.50 | $7.50 | 2026-01-08 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO | Medicare Advantage | $0.11 | $7.50 | $7.50 | 2026-01-08 | MRF ↗ |
| SPARTA COMMUNITY HOSPITAL BothFacility | UNITEDHEALTHCARE SERVICES INC AND ITS AFFILIATES - Medicare-HMO | Medicare Advantage | $0.11 | $7.50 | $7.50 | 2026-01-08 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.12 | $23.00 | $23.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.12 | $23.00 | $23.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.12 | $23.00 | $23.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.13 | $25.00 | $25.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.13 | $25.00 | $25.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.13 | $25.00 | $25.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.15 | $28.00 | $28.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.15 | $28.00 | $28.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.15 | $28.00 | $28.00 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $98.00 | $73.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $98.00 | $73.50 | 2026-09-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Oxford | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Pnoa | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | First Mco | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Hst | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Pnoa | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Chn | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Oxford | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $0.16 | $0.64 | $0.45 | 2025-10-28 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Brighton | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Wellcare | Medicare | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Occunet | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Occunet | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Qualcare | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Oxford | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Galaxy | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Longevity Health | Medicare | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Workers Comp | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Naphcare | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Contigo Health | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Chn | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Better Health | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Medicare | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Brighton | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | First Health | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | First Mco | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Hst | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Prime Health | Ppo | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Oxford | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Contigo Health | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Longevity Health | Medicare | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.16 | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Naphcare | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Oxford | Commercial | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $796.18 | $79.62 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $796.18 | $79.62 | 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.