C9168 — Injection, Mirikizumab-mrkz
Cite this view
HANK Price Transparency. (n.d.). Injection, mirikizumab-mrkz (HCPCS C9168) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C9168?code_type=HCPCS
“Injection, mirikizumab-mrkz (HCPCS C9168) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C9168?code_type=HCPCS. Accessed .
“Injection, mirikizumab-mrkz (HCPCS C9168) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C9168?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,247–$31,699 (25th–75th percentile) across 149 hospitals · 135 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS C9168 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | Health New England | All Products | $16.47 | — | — | 2025-01-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | IFP | $22.45 | — | — | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | IFP | $22.45 | — | — | 2024-10-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Cigna | IFP | $26.10 | — | — | 2024-10-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Pathway Exchange | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Choice Ppo | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | IFP | $26.10 | — | — | 2024-10-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Preferred Hmo/Pos | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Pathway Exchange | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Bcbs | Anthem Blue Access Ppo | $26.10 | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN COCHISE COMMUNITY HOSPITAL, INC. OutpatientFacility | Arizona Health Care Cost Containment System (AHCCCS) | Managed Medicaid | $26.35 | — | — | 2025-03-28 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Unitedhealthcare | All Commercial Plans | $28.00 | — | — | 2026-04-01 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Medicaid | $29.17 | — | — | 2024-11-12 | MRF ↗ |
| SHARON HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | $29.49 | — | — | 2026-04-01 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Empower Healthcare Solutions | Managed Medicaid | $30.63 | — | — | 2024-11-12 | MRF ↗ |
| BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL OutpatientFacility | United HealthCare | MCR Advantage | $31.19 | — | — | 2026-04-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL OutpatientFacility | Health First | TPA | $31.19 | — | — | 2026-04-01 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE OutpatientFacility | BCBS | Medicare Adv HMO | $31.49 | — | — | 2026-04-01 | MRF ↗ |
| BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL AT SHERMA OutpatientFacility | BCBS | Medicare Adv HMO | $31.49 | — | — | 2026-04-01 | MRF ↗ |
| BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL AT SHERMA OutpatientFacility | BCBS | Medicare Adv HMO | $31.49 | — | — | 2026-04-01 | MRF ↗ |
| BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL OutpatientFacility | BCBS | Medicare Adv HMO | $31.49 | — | — | 2026-04-01 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE OutpatientFacility | BCBS | Medicare Adv HMO | $31.49 | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $32.28 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $32.28 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $32.28 | — | — | 2025-09-05 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Horizon NJ Health | Managed Medicaid | $32.61 | — | — | 2026-03-24 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK OutpatientFacility | Sanford Health Plan | Commercial/ND Pers | $32.61 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | Commercial/ND Pers | $32.61 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | SD Exchange True | $32.61 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | SD Exchange Commercial | $32.61 | — | — | 2026-03-04 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Horizon NJ Health | Managed Medicaid | $32.61 | — | — | 2026-03-24 | MRF ↗ |
| SANFORD MEDICAL CENTER FARGO OutpatientFacility | Sanford Health Plan | Group Health/True | $32.61 | — | — | 2026-03-04 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Horizon NJ Health | Managed Medicaid | $32.61 | — | — | 2026-03-24 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK OutpatientFacility | Sanford Health Plan | SD Exchange Commercial | $32.61 | — | — | 2026-03-04 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Sanford Health Plan | All Commercial Plans | $32.61 | — | — | 2026-03-01 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | SD Exchange Commercial | $32.61 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | Commercial/ND Pers | $32.61 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK OutpatientFacility | Sanford Health Plan | SD Exchange True | $32.61 | — | — | 2026-03-04 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon NJ Health | Managed Medicaid | $32.61 | — | — | 2026-03-24 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | Group Health/True | $32.61 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD MEDICAL CENTER BISMARCK OutpatientFacility | Sanford Health Plan | Group Health/True | $32.61 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD USD MEDICAL CENTER OutpatientFacility | Sanford Health Plan | SD Exchange True | $32.61 | — | — | 2026-03-04 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Bi | $32.94 | — | — | 2026-04-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| LEGACY SILVERTON MEDICAL CENTER OutpatientFacility | Bcbs | Regence All Commercial Plans | $32.94 | — | — | 2026-04-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UCARE | Dually Eligible | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | UNITED | MEDICARE ADVANTAGE | $32.94 | $2,302.38 | $1,496.55 | 2025-06-28 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $32.94 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | Health New England | Medicare Advantage | $32.94 | — | — | 2025-01-01 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $32.94 | — | — | 2025-06-28 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $32.94 | — | — | 2026-04-01 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | The Health Plan | MEDICARE ADVANTAGE | $32.94 | $2,302.38 | $1,496.55 | 2025-06-28 | MRF ↗ |
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | Evercare | Medicare Advantage | $32.94 | — | — | 2025-01-01 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL OutpatientFacility | COMMUNITY CARE | Medicare Advantage | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UCARE | Non-Dually Eligible | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| BELLIN HEALTH OCONTO HOSPITAL OutpatientFacility | United Health Care | Medicare Advantage | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL OutpatientFacility | AETNA | Medicare | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | UNITED | MEDICARE ADVANTAGE | $32.94 | $2,302.38 | $1,496.55 | 2025-06-28 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $32.94 | — | — | 2026-04-01 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Senior Whole Health | MLTC | $32.94 | — | — | 2025-09-05 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Health Partners | Medicare Advantage | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| ST JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | Regence All Commercial Plans | $32.94 | — | — | 2025-01-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UCARE | Non-Dually Eligible | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | United Healthcare Community Plan | Government | $32.94 | — | — | 2025-06-28 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL OutpatientFacility | United Health Care | Medicare Advantage | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| OLEAN GENERAL HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $32.94 | — | — | 2026-04-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| ST JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | Regence All Commercial Plans | $32.94 | — | — | 2025-01-01 | MRF ↗ |
| CLEVELAND CLINIC OutpatientFacility | UNITED | MEDICARE ADVANTAGE | $32.94 | $2,302.38 | $1,496.55 | 2025-06-28 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $32.94 | — | — | 2026-04-01 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL OutpatientFacility | HUMANA | Medicare Advantage | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Senior Whole Health | MAP | $32.94 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $32.94 | — | — | 2026-04-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UCARE | Dually Eligible | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $32.94 | — | — | 2026-04-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $32.94 | — | $7,718.31 | 2025-08-06 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL OutpatientFacility | My Choice | Medicare Advantage | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| BELLIN HEALTH OCONTO HOSPITAL OutpatientFacility | United Health Care | Medicare Advantage | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE ADVANTAGE | $32.94 | — | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MEDICARE ADVANTAGE | $32.94 | — | — | 2025-08-30 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | The Health Plan | MEDICARE ADVANTAGE | $32.94 | $2,302.38 | $1,496.55 | 2025-06-28 | MRF ↗ |
| LEGACY SILVERTON MEDICAL CENTER OutpatientFacility | Bcbs | Regence All Commercial Plans | $32.94 | — | — | 2026-04-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE ADVANTAGE | $32.94 | — | — | 2025-08-30 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Health Partners | Medicare Advantage | $32.94 | — | — | 2025-06-27 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MEDICARE ADVANTAGE | $32.94 | — | — | 2025-08-30 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | The Health Plan | MEDICARE ADVANTAGE | $32.94 | $2,302.38 | $1,496.55 | 2025-06-28 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | $32.94 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL AT GULFPORT OutpatientFacility | CIGNA | MARKETPLACE | $33.43 | — | — | 2026-02-18 | MRF ↗ |
| Memorial Hospital at Stone County OutpatientFacility | CIGNA | MARKETPLACE | $33.43 | — | — | 2026-02-18 | MRF ↗ |
| Memorial Hospital Biloxi OutpatientFacility | CIGNA | MARKETPLACE | $33.43 | — | — | 2026-02-18 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Tufts Health Plan | Hmo/Ppo | $34.32 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Tufts Health Plan | Hmo/Ppo | $34.32 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Tufts Health Plan | Hmo/Ppo | $34.32 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Tufts Health Plan | Hmo/Ppo | $34.32 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Tufts Health Plan | Hmo/Ppo | $34.32 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Tufts Health Plan | Hmo/Ppo | $34.32 | — | — | 2026-04-01 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $34.53 | — | — | 2026-04-01 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UCARE | MSHO/Minnesota Special Needs | $34.59 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UCARE | MSHO/Minnesota Special Needs | $34.59 | — | — | 2025-06-27 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | NAPHCARE | Managed Medicaid Peds | $35.47 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | UHC | COMMUNITY CARE PEDS | $35.47 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | UAHP | FAMILY CARE | $35.47 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | NAPHCARE | Managed Medicaid | $35.47 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | CENPATICO | Managed Medicaid | $35.47 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | UHC | COMMUNITY CARE | $35.47 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | UAHP | FAMILY CARE PEDS | $35.47 | — | — | 2024-10-01 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Wellcare | MEDICARE ADVANTAGE | $35.58 | — | — | 2025-09-05 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | ALL PRODUCTS | $36.23 | — | — | 2025-06-28 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | MEDICARE ADVANTAGE | $37.22 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | EXCHANGE | $37.22 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | MAP | $37.22 | — | — | 2025-09-05 | MRF ↗ |
| GENESIS MEDICAL CENTER, ALEDO OutpatientFacility | Aetna | Medicare Advantage | $37.88 | — | — | 2026-03-31 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $37.91 | $64.25 | $64.25 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellmark | Commercial | — | $64.25 | $64.25 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $37.91 | $64.25 | $64.25 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $37.91 | $64.25 | $64.25 | 2025-05-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | PPO | $38.11 | — | — | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Cigna | HMO | $38.11 | — | — | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | PPO | $38.11 | — | — | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Cigna | HMO | $38.11 | — | — | 2024-10-01 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Blue Shield | HMO_POS | $38.37 | — | — | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Blue Shield | Indemnity | $38.37 | — | — | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Blue Shield | HMO_POS | $38.37 | — | — | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Blue Shield | PPO | $38.37 | — | — | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Blue Shield | Indemnity | $38.37 | — | — | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Blue Shield | PPO | $38.37 | — | — | 2025-12-31 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | MERCY CARE | COMPLETE CARE PEDS | $38.92 | — | — | 2024-10-01 | MRF ↗ |
| YUMA REGIONAL MEDICAL CENTER OutpatientFacility | MERCY CARE | COMPLETE CARE | $38.92 | — | — | 2024-10-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Cigna | All Commercial Plans | $39.15 | — | — | 2026-04-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Cigna | HMO | $40.19 | — | — | 2024-10-01 | MRF ↗ |
| JOHN RANDOLPH MEDICAL CENTER Outpatient | Cigna | PPO | $40.19 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SUMMIT MEDICAL CENTER Outpatient | BCBS | NetworkP | $40.28 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR STONECREST MEDICAL CENTER Outpatient | BCBS | NetworkP | $40.28 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | BCBS | NetworkP | $40.28 | — | — | 2024-10-01 | MRF ↗ |
| PARKRIDGE MEDICAL CENTER Outpatient | BCBS | NetworkP | $40.28 | — | — | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | BCBS | NetworkP | $40.28 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | BCBS | NetworkP | $40.28 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HENDERSONVILLE MEDICAL CENTER Outpatient | BCBS | NetworkP | $40.28 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR NORTHCREST MEDICAL CENTER Outpatient | BCBS | NetworkP | $40.28 | — | — | 2024-10-01 | MRF ↗ |
| TRISTAR HORIZON MEDICAL CENTER Outpatient | BCBS | NetworkP | $40.28 | — | — | 2024-10-01 | MRF ↗ |
| LEGACY GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Legacy Lhp All Commercial Plans | $42.01 | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL - SAVANNAH OutpatientFacility | Cigna | Exchange | $42.28 | — | — | 2026-04-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Blue Cross Medicare Blue | Medicare Advantage | $43.05 | $64.25 | $64.25 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Medicare Advantage | $43.05 | $64.25 | $64.25 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Humana Choice | Medicare Advantage | $43.05 | $64.25 | $64.25 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Health Partners | Medicare Advantage | $43.05 | $64.25 | $64.25 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $43.05 | $64.25 | $64.25 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | United Healthcare Medicare Solutions | Medicare Advantage | $43.05 | $64.25 | $64.25 | 2025-05-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | PPO | $44.11 | — | — | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | HMO | $44.11 | — | — | 2024-10-01 | MRF ↗ |
| FRESNO SURGICAL HOSPITAL OutpatientFacility | CalViva | Medi-Cal | $46.35 | — | — | 2026-04-08 | MRF ↗ |
| FRESNO SURGICAL HOSPITAL OutpatientFacility | CalViva | Medi-Cal | $46.35 | — | — | 2026-04-08 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | $46.72 | — | — | 2025-11-26 | MRF ↗ |
| ST JOSEPH'S HOSPITAL - SAVANNAH OutpatientFacility | Cigna | Hmo/Ppo | $46.98 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY SALMON CREEK MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY EMANUEL MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Bcbs | Regence - Blue Hpn All Commercial Plans | $47.19 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MERIDIAN PARK MEDICAL CENTER OutpatientFacility | Bcbs | Regence All Commercial Plans | $49.41 | — | — | 2026-04-01 | MRF ↗ |
| LEGACY MOUNT HOOD MEDICAL CENTER OutpatientFacility | Bcbs | Regence All Commercial Plans | $49.41 | — | — | 2026-04-01 | 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.