A9603 — Inj, Pafolacianine, 0.1 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INJ, PAFOLACIANINE, 0.1 MG (HCPCS A9603) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/A9603?code_type=HCPCS
MLA (9th ed.)
“INJ, PAFOLACIANINE, 0.1 MG (HCPCS A9603) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/A9603?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INJ, PAFOLACIANINE, 0.1 MG (HCPCS A9603) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/A9603?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $196–$9,562 (25th–75th percentile) across 683 hospitals · 1,126 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS A9603 — 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
$196
$542 typical
$9,562
The middle 50% of negotiated facility rates for this procedure, measured across 683 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $542 |
| Likely subtotal | $542 |
Facility charge (no separate professional fee)
$542
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 $196–$9,562.
- 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 |
|---|---|---|---|---|---|---|---|
| LOGAN HEALTH - WHITEFISH OutpatientFacility | Bcbs | Hmo/Pos | $0.56 | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH - WHITEFISH OutpatientFacility | Bcbs | Ppo | $0.56 | — | — | 2026-04-01 | MRF ↗ |
| LOGAN HEALTH - WHITEFISH OutpatientFacility | Bcbs | Traditional | $0.56 | — | — | 2026-04-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | MTA MA Retirees | $7.30 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | Aetna | MTA MA Retirees | $7.30 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | MTA MA Retirees | $7.30 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | MTA MA Retirees | $7.30 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | MTA MA Retirees | $7.30 | $19.71 | — | 2025-12-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $7.57 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $7.57 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $7.57 | $57,013.75 | $5,701.38 | 2026-07-18 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $7.57 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $7.57 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $7.57 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-18 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $7.57 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $7.57 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.85 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-18 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.85 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.85 | $57,013.75 | $5,701.38 | 2026-07-18 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.85 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.85 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.85 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.85 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.85 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $7.88 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $7.88 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $7.88 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $7.88 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $7.88 | $19.71 | — | 2025-12-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.32 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.32 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.32 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.32 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.32 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.32 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.32 | $57,013.75 | $5,701.38 | 2026-07-18 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.32 | $57,013.75 | $5,701.38 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.32 | $57,013.75 | $5,701.38 | 2026-07-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HORIZON | All Plans | $10.84 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | HORIZON | All Plans | $10.84 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | HEALTHFIRST | COMM | $11.83 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | COMM | $11.83 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | COMM | $11.83 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | COMM | $11.83 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | COMM | $11.83 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MAGNACARE | JIB/MCARE/MCAID/FIDA | $12.61 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MAGNACARE | JIB/MCARE/MCAID/FIDA | $12.61 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MAGNACARE | JIB/MCARE/MCAID/FIDA | $12.61 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MAGNACARE | JIB/MCARE/MCAID/FIDA | $12.61 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | MAGNACARE | JIB/MCARE/MCAID/FIDA | $12.61 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | METROPLUS | GOLD AND GOLD PLUS | $12.81 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | METROPLUS | GOLD AND GOLD PLUS | $12.81 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | METROPLUS | GOLD AND GOLD PLUS | $12.81 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | METROPLUS | GOLD AND GOLD PLUS | $12.81 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | METROPLUS | GOLD AND GOLD PLUS | $12.81 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | URN | COMM | $13.99 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | URN | COMM | $13.99 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | URN | COMM | $13.99 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | URN | COMM | $13.99 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | URN | COMM | $13.99 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | GHI | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | UHC | Commercial | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | GHI | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | OXFORD | FREEDOM | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | UHC | Commercial | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | OXFORD | FREEDOM | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | OXFORD | LIBERTY MCC | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | CBP | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | OXFORD | LIBERTY MCC | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | OXFORD | FREEDOM | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | CBP | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | SELECT CARE/MILLENNIUM NETWORK | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | OXFORD | LIBERTY MCC | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | EMBLEM | GHI | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | EMBLEM | CBP | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | HIP | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | GHI | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | SELECT CARE/MILLENNIUM NETWORK | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | UHC | Commercial | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | UHC | Commercial | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | CBP | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | EMBLEM | HIP | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | OXFORD | FREEDOM | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | HIP | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | OXFORD | LIBERTY MCC | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | EMBLEM | SELECT CARE/MILLENNIUM NETWORK | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | GHI | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | HIP | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | HIP | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | OXFORD | LIBERTY MCC | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | OXFORD | FREEDOM | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | SELECT CARE/MILLENNIUM NETWORK | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | SELECT CARE/MILLENNIUM NETWORK | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | CBP | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | UHC | Commercial | $14.78 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | Whole Health/APCN+, Premier Care Network, and NY Preferred | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | Gatekeeper & Non-Gatekeeper | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | Gatekeeper & Non-Gatekeeper | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | Whole Health/APCN+, Premier Care Network, and NY Preferred | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | 6 Degrees Health | COMM | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | Gatekeeper & Non-Gatekeeper | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | Whole Health/APCN+, Premier Care Network, and NY Preferred | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | 6 Degrees Health | COMM | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | Aetna | Gatekeeper & Non-Gatekeeper | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | Aetna | Whole Health/APCN+, Premier Care Network, and NY Preferred | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | 6 Degrees Health | COMM | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | Whole Health/APCN+, Premier Care Network, and NY Preferred | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | Gatekeeper & Non-Gatekeeper | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | 6 Degrees Health | COMM | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | 6 Degrees Health | COMM | $15.37 | $19.71 | — | 2025-12-01 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $15.39 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $15.39 | — | — | 2026-07-31 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MAGNACARE | COMM | $15.77 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MAGNACARE | COMM | $15.77 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MAGNACARE | COMM | $15.77 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | MAGNACARE | COMM | $15.77 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MAGNACARE | COMM | $15.77 | $19.71 | — | 2025-12-01 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $15.86 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $15.86 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $15.86 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $15.86 | — | — | 2026-07-31 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MULTIPLAN | COMM | $17.74 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MULTIPLAN | COMM | $17.74 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MULTIPLAN | COMM | $17.74 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | MULTIPLAN | COMM | $17.74 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MULTIPLAN | COMM | $17.74 | $19.71 | — | 2025-12-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $19.15 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $19.15 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $19.15 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $19.15 | — | — | 2026-09-21 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $19.80 | — | — | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $20.47 | $9,562.50 | $6,215.63 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $21.27 | $9,562.50 | $6,215.63 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $21.27 | $9,562.50 | $6,215.63 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $21.27 | $9,562.50 | $6,215.63 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $21.47 | — | — | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $21.68 | $9,562.50 | $6,215.63 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $21.68 | $9,562.50 | $6,215.63 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $21.88 | — | — | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $21.88 | — | — | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $21.88 | — | — | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $22.20 | $9,562.50 | $6,215.63 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $22.30 | — | — | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $22.30 | — | — | 2025-06-28 | 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.