Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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A9579 — Gadoteridol 279.3 Mg/ml Intravenous Solution

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $60

Usually $10–$167 (25th–75th percentile) across 2,370 hospitals · 5,391 payers.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9579 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$10 $60 typical $167

The middle 50% of negotiated facility rates for this procedure, measured across 2,370 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $60
Likely subtotal $60
Facility charge (no separate professional fee) $60

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 $10–$167.

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
SCHUYLER HOSPITAL OutpatientFacility Excellus BCBS Managed Medicaid _CHP_SP — $15.00 — 2025-05-02 MRF ↗
SCHUYLER HOSPITAL OutpatientFacility Fidelis Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP — $15.00 — 2025-05-02 MRF ↗
SCHUYLER HOSPITAL OutpatientFacility FIDELIS Managed Medicaid_Aliessa and QHP — $15.00 — 2025-05-02 MRF ↗
SCHUYLER HOSPITAL OutpatientFacility Fidelis Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP — $15.00 — 2025-05-02 MRF ↗
MAGEE GENERAL HOSPITAL Both Galaxy Health Network Default — $102.00 $35.39 2025-09-09 MRF ↗
SCHUYLER HOSPITAL OutpatientFacility FIDELIS Managed Medicaid_Aliessa and QHP — $15.00 — 2025-05-02 MRF ↗
MAGEE GENERAL HOSPITAL Both United Healthcare Default — $102.00 $35.39 2025-09-09 MRF ↗
MAGEE GENERAL HOSPITAL Both Aetna Default — $102.00 $35.39 2025-09-09 MRF ↗
SCHUYLER HOSPITAL OutpatientFacility FIDELIS Health Benefit Exchange — $15.00 — 2025-05-02 MRF ↗
SCHUYLER HOSPITAL OutpatientFacility FIDELIS Health Benefit Exchange — $15.00 — 2025-05-02 MRF ↗
COMMUNITY MEDICAL CENTER OutpatientFacility Aetna Better Health — — — 2026-03-04 MRF ↗
SCHUYLER HOSPITAL OutpatientFacility Excellus BCBS Managed Medicaid _CHP_SP — $15.00 — 2025-05-02 MRF ↗
UNION HOSPITAL INC Outpatient United Healthcare United Healthcare Umr - Wausau $0.03 $0.05 $0.03 2026-07-15 MRF ↗
NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility Aetna MCR Advantage $0.03 $0.05 $0.01 2026-03-30 MRF ↗
UNION HOSPITAL INC Outpatient Helping Hands Amish Helping Hands Amish $0.03 $0.05 $0.03 2026-07-15 MRF ↗
NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility — — — $0.05 $0.01 2026-03-30 MRF ↗
UNION HOSPITAL INC Outpatient Humana Humana Choice Care Plus $0.03 $0.05 $0.03 2026-07-15 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 ↗
UNION HOSPITAL INC Outpatient Health Alliance Health Alliance - Midwest $0.03 $0.05 $0.03 2026-07-15 MRF ↗
NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility UHC Commercial $0.03 $0.05 $0.01 2026-03-30 MRF ↗
UNION HOSPITAL INC Outpatient Siho Siho Employee $0.03 $0.05 $0.03 2026-07-15 MRF ↗
NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility CHO Commercial $0.03 $0.05 $0.01 2026-03-30 MRF ↗
UNION HOSPITAL INC Outpatient Siho Siho Acr $0.03 $0.05 $0.03 2026-07-15 MRF ↗
NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility CHO Commercial $0.03 $0.05 $0.01 2026-03-30 MRF ↗
UNION HOSPITAL INC Outpatient United Healthcare United Healthcare $0.03 $0.05 $0.03 2026-07-15 MRF ↗
UNION HOSPITAL INC Outpatient Aetna Aetna Sony $0.03 $0.05 $0.03 2026-07-15 MRF ↗
NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility — — — $0.05 $0.01 2026-03-30 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $0.03 $18.45 — 2024-12-31 MRF ↗
UNION HOSPITAL INC Outpatient Sagamore Sagamore Select Drg $0.04 $0.05 $0.03 2026-07-15 MRF ↗
UNION HOSPITAL INC Outpatient Encore Encore $0.04 $0.05 $0.03 2026-07-15 MRF ↗
UNION HOSPITAL INC Outpatient Phcs Phcs $0.04 $0.05 $0.03 2026-07-15 MRF ↗
NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility Aetna Commercial $0.04 $0.05 $0.01 2026-03-30 MRF ↗
UNION HOSPITAL INC Outpatient Allied National Funding Allied National Funding/Freedom Plan $0.04 $0.05 $0.03 2026-07-15 MRF ↗
UNION HOSPITAL INC Outpatient Multiplan Multiplan $0.04 $0.05 $0.03 2026-07-15 MRF ↗
NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility UHC Commercial $0.04 $0.05 $0.01 2026-03-30 MRF ↗
UNION HOSPITAL INC Outpatient Aetna Aetna $0.04 $0.05 $0.03 2026-07-15 MRF ↗
UNION HOSPITAL INC Outpatient Siho Siho $0.04 $0.05 $0.03 2026-07-15 MRF ↗
NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility Aetna Commercial $0.04 $0.05 $0.01 2026-03-30 MRF ↗
UNION HOSPITAL INC Outpatient United Arab Emirates United Arab Emirates $0.04 $0.05 $0.03 2026-07-15 MRF ↗
UNION HOSPITAL INC Outpatient Corvel Corcare Corvel Corcare $0.04 $0.05 $0.03 2026-07-15 MRF ↗
UNION HOSPITAL INC Outpatient Coventry Coventry Care National Network $0.04 $0.05 $0.03 2026-07-15 MRF ↗
UNION HOSPITAL INC Outpatient Humana Humana Choice Care $0.04 $0.05 $0.03 2026-07-15 MRF ↗
UNION HOSPITAL INC Outpatient First Health Network First Health Network $0.04 $0.05 $0.03 2026-07-15 MRF ↗
NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility Aetna 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 OutpatientFacility UHC Commercial $0.04 $0.05 $0.01 2026-03-30 MRF ↗
UNION HOSPITAL INC Outpatient Sagamore Sagamore Health Network $0.04 $0.05 $0.03 2026-07-15 MRF ↗
UNION HOSPITAL INC Outpatient Galaxy Health Galaxy Health Network $0.04 $0.05 $0.03 2026-07-15 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 Harvard Commercial $0.04 $0.05 $0.01 2026-03-30 MRF ↗
UNION HOSPITAL INC Outpatient Healthlink Healthlink $0.04 $0.05 $0.03 2026-07-15 MRF ↗
NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility Cigna Commercial $0.04 $0.05 $0.01 2026-03-30 MRF ↗
UNION HOSPITAL INC Outpatient Coventry Coventry Care National $0.04 $0.05 $0.03 2026-07-15 MRF ↗
UNION HOSPITAL INC Outpatient Sagamore Sagamore $0.04 $0.05 $0.03 2026-07-15 MRF ↗
NORTHERN LIGHT A R GOULD HOSPITAL InpatientFacility Aetna Commercial $0.04 $0.05 $0.01 2026-03-30 MRF ↗
UNION HOSPITAL INC Outpatient United Healthcare United Healthcare Baseline $0.04 $0.05 $0.03 2026-07-15 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $0.05 $12.71 $12.07 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $0.05 $12.71 $12.07 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $0.05 $12.71 $12.07 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $0.05 $12.71 $12.07 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.05 $12.71 $12.07 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.05 $12.71 $12.07 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $0.05 $12.71 $12.07 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.05 $12.71 $12.07 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $0.05 $12.71 $12.07 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $0.05 $12.71 $12.07 2026-02-20 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.05 $12.71 $12.07 2026-02-20 MRF ↗
RARITAN BAY MEDICAL CENTER OutpatientFacility Clover Managed Medicare $0.05 $28.55 — 2024-12-31 MRF ↗
DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $0.05 $12.71 $12.07 2026-02-20 MRF ↗
CAPE FEAR VALLEY MEDICAL CENTER Outpatient Blue Medicare Partner Health Plan Medicare $0.06 $1.01 $0.61 2026-08-01 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Hmo — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna Medicare — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Hst Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Hst Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Ppo — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Hst Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Contigo Health Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Hst Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient United Community Medicaid — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Aetna Workers Comp — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Aetna Better Health — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Brighton Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Aetna First Health — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Prime Health Ppo — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Amerihealth Casualty — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna Better Health — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Brighton Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Naphcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Casualty — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Contigo Health Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Occunet Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna Better Health — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Qualcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Naphcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Contigo Health Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Wellcare Medicare — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Hmo — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Longevity Health Medicare — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient United Healthcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna Medicare — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Pnoa Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Occunet Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Praxis Health Workers Comp — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Casualty State Of Nj — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Chn Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Brighton Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Occunet Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Horizon Nj Health Medicaid $0.08 $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Horizon Bcbs Idemnity — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Galaxy Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Fidelis Medicaid — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Horizon Bcbs Idemnity — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Qualcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Casualty State Of Nj — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Galaxy Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Praxis Health Workers Comp — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Hmo — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient First Mco Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Qualcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Idemnity — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Casualty — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Longevity Health Medicare — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Geisinger Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Horizon Bcbs Hmo — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Ppo — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna Medicare — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Chn Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Galaxy Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Brighton Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Chn Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Horizon Bcbs Casualty — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Aetna First Health — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Aetna Workers Comp — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Aetna Medicare — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Naphcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Longevity Health Medicare — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna First Health — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Oxford Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Oxford Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna Medicare — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient First Mco Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Idemnity — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Casualty — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Pnoa Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Occunet Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Qualcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna Workers Comp — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Brighton Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Casualty — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient United Community Medicaid — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Hmo — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Galaxy Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Idemnity — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Horizon Nj Health Medicaid $0.08 $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient — — — $676.12 $67.61 2026-04-01 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Idemnity — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Hst Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Casualty State Of Nj — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Pnoa Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Horizon Bcbs Casualty State Of Nj — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Brighton Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Galaxy Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Amerihealth Casualty — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Aetna Better Health — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna Better Health — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Praxis Health Workers Comp — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Oxford Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Galaxy Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Phcs Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Praxis Health Workers Comp — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Naphcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Contigo Health Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Hst Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Qualcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Horizon Bcbs Ppo — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Horizon Bcbs Ppo — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA WILLINGBORO HOSPITAL Outpatient Pnoa Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Oxford Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Naphcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna Better Health — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Pnoa Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Pnoa Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Occunet Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Qualcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna First Health — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna Workers Comp — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Longevity Health Medicare — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Casualty State Of Nj — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Horizon Bcbs Ppo — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Aetna Workers Comp — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient First Mco Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient First Mco Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient First Mco Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Multiplan Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Naphcare Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Occunet Commercial — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Longevity Health Medicare — $676.12 $67.61 2026-07-15 MRF ↗
WEST JERSEY HOSPITAL Outpatient Chn Commercial — $676.12 $67.61 2026-07-15 MRF ↗
VIRTUA MOUNT HOLLY HOSPITAL Outpatient Chn Commercial — $676.12 $67.61 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.