C9172 — Inj, Beqvez, Per Tx Dose
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, beqvez, per tx dose (HCPCS C9172) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C9172?code_type=HCPCS
MLA (9th ed.)
“Inj, beqvez, per tx dose (HCPCS C9172) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C9172?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj, beqvez, per tx dose (HCPCS C9172) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C9172?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,064,250–$3,780,000 (25th–75th percentile) across 138 hospitals · 131 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS C9172 — 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 |
|---|---|---|---|---|---|---|---|
| THE WOMEN'S HOSPITAL OutpatientFacility | MHS Ambetter IN | Commercial | $5,498,346.00 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | NonContracted | NonContracted | $5,675,712.00 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | HOPE Trust | Commercial | $5,853,078.00 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Caresource Marketplace (Just4Me) | Commercial | $5,320,980.00 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | ClaimDoc | Commercial | $5,143,614.00 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | HST | Commercial | $5,320,980.00 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Allied National/Zelis - Freedom Plan | Commercial | $8,690,934.00 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Ambetter IN | Commercial | $5,498,346.00 | — | — | 2026-02-13 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Sentara Health Plans | All Commerical Products | $5,492,550.00 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Sentara Health Plans | All Commerical Products | $5,492,550.00 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Non-Options Products | $7,420,000.00 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Non-Options Products | $7,420,000.00 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | United Healthcare | Non-Options Products | $7,420,000.00 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Sentara Health Plans | All Commerical Products | $5,492,550.00 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Sentara Health Plans | All Commerical Products | $5,492,550.00 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Sentara Health Plans | All Commerical Products | $5,492,550.00 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Sentara Health Plans | All Commerical Products | $5,492,550.00 | — | — | 2026-01-02 | MRF ↗ |
| GIBSON GENERAL HOSPITAL OutpatientFacility | Deaconess Onecare | Commercial | $7,804,104.00 | — | — | 2026-02-11 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-14 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-14 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-14 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-14 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $9,926.25 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Centivo | Intermediate | $8,652,000.00 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $9,926.25 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $9,926.25 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Centivo | Broad | $9,012,500.00 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $9,926.25 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $10,124.78 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $10,819.61 | — | — | 2025-07-22 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $11,138.13 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $11,138.13 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $11,472.27 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $11,472.27 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $11,472.27 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $11,472.27 | — | — | 2026-07-31 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $14,814.63 | — | — | 2026-06-15 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Daniel Memorial | Managed Medicaid | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Humana | Managed Medicaid | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Daniel Memorial | Managed Medicaid | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $15,211.52 | — | — | 2025-12-02 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Nassaua County Sheriff's Office | Managed Medicaid | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Daniel Memorial | Managed Medicaid | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $15,211.53 | — | — | 2025-08-01 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Sunshine | Managed Medicaid | $15,211.53 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | CHIP | $15,211.53 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | Managed Medicaid | $15,211.53 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Simply Healthcare | CHIP | $15,211.53 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Aetna | CHIP | $15,211.53 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Simply Healthcare | Managed Medicaid | $15,211.53 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | AmeriHealth | Managed Medicaid_CHIP | $15,211.53 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Humana | Managed Medicaid | $15,211.53 | — | — | 2025-12-02 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $15,211.53 | — | — | 2025-08-01 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | WellCare | Managed Medicaid | $15,211.53 | — | — | 2025-12-02 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Healthy Kids | $15,211.53 | — | — | 2025-08-01 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | WellCare | CHIP | $15,211.53 | — | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Sunshine | CHIP | $15,211.53 | — | — | 2025-12-02 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Healthy Kids | $15,211.53 | — | — | 2026-06-30 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Community Care Plan | Managed Medicaid | $15,211.53 | — | — | 2025-12-02 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $15,391.98 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $15,391.98 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $15,391.98 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $15,685.16 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $15,685.16 | — | — | 2026-06-15 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $15,972.10 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $15,972.10 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $15,972.10 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $15,972.10 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $15,972.10 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $15,972.10 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Medicaid HMO | $15,972.11 | — | — | 2025-08-01 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Glade Sheriffs | Correction Services | $15,972.11 | — | — | 2025-12-02 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Sunshine State | Medicaid HMO | $15,972.11 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State | Medicaid HMO | $15,972.11 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Medicaid HMO | $15,972.11 | — | — | 2025-08-01 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid_Florida Kids_MA-SNP | $15,972.11 | — | — | 2025-12-02 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Medicaid HMO | $15,972.11 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Sunshine State | Medicaid HMO | $15,972.11 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Medicaid HMO | $15,972.11 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State | Medicaid HMO | $15,972.11 | — | — | 2026-06-30 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $16,062.18 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $16,374.07 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $16,374.07 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $16,374.07 | — | — | 2026-06-15 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina | Medicaid HMO | $16,428.45 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina | Healthy Kids | $16,428.45 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Molina | Medicaid HMO | $16,428.45 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Molina | Healthy Kids | $16,428.45 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina | Healthy Kids | $16,428.45 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Molina | Medicaid HMO | $16,428.45 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Molina | Healthy Kids | $16,428.45 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina | Medicaid HMO | $16,428.45 | — | — | 2026-06-30 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $16,530.01 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $16,685.95 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $16,685.95 | — | — | 2026-06-15 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Humana | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Vivida Health | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | United Community Plan | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Florida Community Care | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Florida Community Care | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Vivida Health | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | United Community Plan | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | United Community Plan | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Vivida Health | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Florida Community Care | Managed Medicaid | $16,732.67 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan | Medicaid HMO | $16,732.68 | — | — | 2025-08-01 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Sunshine State Health Plan | Managed Medicaid | $16,732.68 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care | Medicaid HMO | $16,732.68 | — | — | 2025-08-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Sunshine State Health Plan | Managed Medicaid | $16,732.68 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Community Care Plan | Medicaid HMO | $16,732.68 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Florida Community Care | Medicaid HMO | $16,732.68 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Amerihealth Caritas | Medicaid HMO | $16,732.68 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care | Medicaid HMO | $16,732.68 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan | Medicaid HMO | $16,732.68 | — | — | 2026-06-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Sunshine State Health Plan | Managed Medicaid | $16,732.68 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Florida Community Care | Medicaid HMO | $16,732.68 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas | Medicaid HMO | $16,732.68 | — | — | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Amerihealth Caritas | Medicaid HMO | $16,732.68 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas | Medicaid HMO | $16,732.68 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Community Care Plan | Medicaid HMO | $16,732.68 | — | — | 2025-08-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $17,153.79 | — | — | 2026-06-15 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Molina Healthcare of Florida | Managed Medicaid | $18,101.71 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Molina Healthcare of Florida | Managed Medicaid | $18,101.71 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Molina Healthcare of Florida | Managed Medicaid | $18,101.71 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna Better Health | Healthy Kids | $18,253.82 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Simply Healthcare Plans | Florida Healthy Kids | $18,253.82 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna Better Health | Managed Medicaid | $18,253.82 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Simply Healthcare Plans | Florida Healthy Kids | $18,253.82 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna Better Health | Managed Medicaid | $18,253.82 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Simply Healthcare Plans | Florida Healthy Kids | $18,253.82 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna Better Health | Healthy Kids | $18,253.82 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna Better Health | Managed Medicaid | $18,253.82 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna Better Health | Healthy Kids | $18,253.82 | — | — | 2026-02-06 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | Molina | Marketplace-Exchange Plan | $18,253.84 | — | — | 2025-12-02 | MRF ↗ |
| BEAVER COUNTY MEMORIAL HOSPITAL OutpatientFacility | BCBS | MEDICARE ADVANTAGE | $18,367.07 | — | — | 2025-12-30 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $19,406.63 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $20,376.96 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $20,376.96 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $20,765.09 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $20,765.09 | — | — | 2026-06-15 | MRF ↗ |
| BEAVER COUNTY MEMORIAL HOSPITAL OutpatientFacility | BCBS | PREFERRED | $21,135.87 | — | — | 2025-12-30 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $21,347.29 | — | — | 2026-06-15 | MRF ↗ |
| BEAVER COUNTY MEMORIAL HOSPITAL OutpatientFacility | BCBS | BLUE CHOICE | $25,109.41 | — | — | 2025-12-30 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $26,951.36 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Youth Care | Medicaid Youth Care | $26,951.36 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Molina | Medicaid Molina | $26,951.36 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Youth Care | Medicaid Youth Care | $26,951.36 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Illinois | Medicaid Illinois | $26,951.36 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Meridian | Medicaid Meridian | $26,951.36 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Wellcare | Medicaid Wellcare | $26,951.36 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $26,951.36 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $26,951.36 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Health Alliance | Medicaid Health Alliance | $26,951.36 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Meridian | Medicaid Meridian | $26,951.36 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $26,951.36 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Health Alliance | Medicaid Health Alliance | $26,951.36 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Wellcare | Medicaid Wellcare | $26,951.36 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $26,951.36 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $26,951.36 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Molina | Medicaid Molina | $26,951.36 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Illinois | Medicaid Illinois | $26,951.36 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $26,951.36 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $26,951.36 | — | — | 2026-05-24 | MRF ↗ |
| BEAVER COUNTY MEMORIAL HOSPITAL OutpatientFacility | BCBS | ALL PRODUCTS | $28,427.75 | — | — | 2025-12-30 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | GHC OF EAU CLAIRE | MANAGED MEDICAID | $32,181.48 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | MHS | MANAGED MEDICAID | $32,181.48 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | GHC OF SC WI | POS | $32,181.48 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | GHC OF EAU CLAIRE | MANAGED MEDICAID | $32,181.48 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | GHC OF SC WI | POS | $32,181.48 | — | — | 2026-03-20 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | MHS | MANAGED MEDICAID | $32,181.48 | — | — | 2026-03-20 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Molina | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Aetna | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Aetna | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Molina | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Aetna | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Aetna | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Molina | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | 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.