A9581 — Gadoxetate 0.25 Mmol/ml (181.43 Mg/ml) Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION (HCPCS A9581) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9581?code_type=HCPCS
MLA (9th ed.)
“GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION (HCPCS A9581) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9581?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“GADOXETATE 0.25 MMOL/ML (181.43 MG/ML) INTRAVENOUS SOLUTION (HCPCS A9581) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9581?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $25–$373 (25th–75th percentile) across 2,101 hospitals · 4,717 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9581 — 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
$25
$75 typical
$373
The middle 50% of negotiated facility rates for this procedure, measured across 2,101 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $75 |
| Likely subtotal | $75 |
Facility charge (no separate professional fee)
$75
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 $25–$373.
- 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 |
|---|---|---|---|---|---|---|---|
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $953.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $953.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $953.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $953.00 | — | 2025-05-02 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $404.58 | $343.89 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $1,078.88 | $755.22 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $953.00 | — | 2025-05-02 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $404.58 | $222.52 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $404.58 | $343.89 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $953.00 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $953.00 | — | 2025-05-02 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $404.58 | $222.52 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $953.00 | — | 2025-05-02 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Medicare Partner Health Plan | Medicare | $0.06 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $0.06 | $28.00 | $14.00 | 2026-04-02 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Galaxy | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Naphcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Qualcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Three Rivers | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Oxford | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Naphcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.08 | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | United Community | Medicaid | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Longevity Health | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Better Health | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Amerihealth | Casualty | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Prime Health | Ppo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.08 | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | First Health | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Oxford | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Better Health | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Phcs | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Longevity Health | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Hst | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Aetna | Workers Comp | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Wellcare | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Workers Comp | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Amerihealth | Casualty | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Galaxy | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Three Rivers | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Prime Health | Ppo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Contigo Health | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Chn | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Pnoa | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | First Mco | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Qualcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Occunet | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Brighton | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Aetna | First Health | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Community | Medicaid | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Community | Medicaid | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Community | Medicaid | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Community | Medicaid | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Fidelis | Medicaid | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Oxford | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Wellpoint | Medicaid | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Multiplan | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Phcs | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | First Mco | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | United Community | Medicaid | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Oxford | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Healthcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Hst | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Chn | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Healthcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Brighton | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Oxford | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Pnoa | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | First Health | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Qualcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Prime Health | Ppo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.08 | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Occunet | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | United Healthcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Contigo Health | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Wellpoint | Medicaid | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Geisinger | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.08 | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | — | — | — | $1,904.39 | $190.44 | 2026-04-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Healthcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.08 | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | United Healthcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | First Mco | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Galaxy | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Geisinger | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Chn | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Naphcare | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Multiplan | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Better Health | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.08 | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Oxford | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Amerihealth | Casualty | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Contigo Health | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Longevity Health | Medicare | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Praxis Health | Workers Comp | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Hst | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Pnoa | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Casualty State Of Nj | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Phcs | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Aetna | Workers Comp | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Three Rivers | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Occunet | Commercial | — | $1,904.39 | $190.44 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Brighton | Commercial | — | $1,904.39 | $190.44 | 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.