C9303 — Inj Zolbetuximab, 1 Mg
Cite this view
HANK Price Transparency. (n.d.). Inj zolbetuximab, 1 mg (HCPCS C9303) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/C9303?code_type=HCPCS
“Inj zolbetuximab, 1 mg (HCPCS C9303) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/C9303?code_type=HCPCS. Accessed .
“Inj zolbetuximab, 1 mg (HCPCS C9303) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/C9303?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18–$78 (25th–75th percentile) across 303 hospitals · 280 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS C9303 — 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 |
|---|---|---|---|---|---|---|---|
| UNC HOSPITALS Outpatient | Contigo | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Value | $0.12 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ultra | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ppo | $0.14 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Nalc Health Benefit Plan | Hmo/Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Tricare | Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Choice | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Exchange | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Preferred Plus Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Trillium | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alliance | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Health Network | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Vaya Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Carolina Complete Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Partners | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $0.32 | $63.67 | $63.67 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $0.41 | $63.67 | $63.67 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $0.45 | $63.67 | $63.67 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $0.49 | $63.67 | $63.67 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $0.49 | $63.67 | $63.67 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $0.49 | $63.67 | $63.67 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $0.53 | $63.67 | $63.67 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $0.54 | $63.67 | $63.67 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $0.55 | $63.67 | $63.67 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $0.55 | $63.67 | $63.67 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $0.62 | $63.67 | $63.67 | 2026-06-05 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $6.59 | $1,715.20 | $1,715.20 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | UNITED | UNITED MEDICARE | $6.59 | $1,715.20 | $1,715.20 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $6.59 | $1,715.20 | $1,715.20 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | TUFTS | TUFTS MEDICARE | $6.59 | $1,715.20 | $1,715.20 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | ANTHEM | ANTHEM MEDICARE | $6.59 | $1,715.20 | $1,715.20 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | WELLCARE | WELLCARE MEDICARE | $6.72 | $1,715.20 | $1,715.20 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | AETNA | AETNA MEDICARE | $6.76 | $1,715.20 | $1,715.20 | 2026-04-01 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | CHIP/Medicaid | $6.84 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | CHIP/Medicaid | $6.84 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $8.70 | $32.11 | $25.69 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $8.70 | $32.11 | $25.69 | 2026-01-28 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | $8.72 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | $8.72 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | CHIP/Medicaid | $9.18 | $51.00 | $30.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | CHIP/Medicaid | $9.18 | $51.00 | $30.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | UPMC Work Partners | Workers Comp | $9.29 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | UPMC Work Partners | Workers Comp | $9.29 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | Medicare | $9.50 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Medicare | $9.50 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Aetna | Medicare | $9.50 | $38.00 | $22.80 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Medicare | $9.50 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Medicare | $9.50 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Medicare | $9.50 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | Aetna | Medicare | $9.50 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Amerigroup | Amerigroup Medicaid | $10.00 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Centene | Peach State Medicaid | $10.00 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $10.00 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $10.08 | — | — | 2026-04-01 | MRF ↗ |
| UPMC Lock Haven OutpatientFacility | Aetna | Medicare | $10.26 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | CareSource | CareSource | $10.30 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| UPMC Lock Haven OutpatientFacility | UPMC Work Partners | Workers Comp | $10.31 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Blue Cross and Blue Shield | POS | $10.50 | $32.11 | $25.69 | 2026-01-28 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Neighborhood Network | $10.60 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Neighborhood Network | $10.60 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Amerigroup | Amerigroup Medicaid | $10.78 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $10.78 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Centene | Peach State Medicaid | $10.78 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | UPMC Work Partners | Workers Comp | $10.97 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | CareSource | CareSource | $11.11 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $11.24 | $32.11 | $25.69 | 2026-01-28 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Amerigroup | Amerigroup Medicaid | $11.30 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Centene | Peach State Medicaid | $11.30 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional Gwinnett County Govt | Institutional Gwinnett County Govt | $11.30 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $11.30 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| UPMC Lock Haven OutpatientFacility | Multiplan | Worker's Compensation | $11.38 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Institutional 115 Percent_Georgia Medicaid | Institutional 115 Percent_Georgia Medicaid | $11.50 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Home Depot Employer Group | $11.57 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Home Depot Employer Group | $11.57 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | Neighborhood Network | $11.63 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | Neighborhood Network | $11.63 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | CareSource | CareSource | $11.64 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | $11.70 | $51.00 | $30.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | $11.70 | $51.00 | $30.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | NBR ASO/FI | $11.78 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | NBR ASO/FI | $11.78 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC Lock Haven InpatientFacility | Multiplan | Worker's Compensation | $12.12 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Institutional 115 Percent_Georgia Medicaid | Institutional 115 Percent_Georgia Medicaid | $12.40 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | UPMC Work Partners | Workers Comp | $12.46 | $51.00 | $30.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | UPMC Work Partners | Workers Comp | $12.46 | $51.00 | $30.60 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | United Healthcare | Compass Exchange | $12.54 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $12.59 | $32.11 | $25.69 | 2026-01-28 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | Home Depot Employer Group | $12.65 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | Home Depot Employer Group | $12.65 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $12.65 | $32.11 | $25.69 | 2026-01-28 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Amerigroup | Amerigroup Medicare Advantage | $12.73 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Aetna | Medicare | $12.75 | $51.00 | $30.60 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Medicare | $12.75 | $51.00 | $30.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Medicare | $12.75 | $51.00 | $30.60 | 2026-03-06 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $12.85 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| UPMC HORIZON InpatientFacility | United Healthcare | Compass Exchange | $12.92 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Cigna | New Business ASO | $12.92 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Cigna | New Business ASO | $12.92 | $38.00 | $22.80 | 2026-03-07 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | NBR ASO/FI | $12.92 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Cigna | New Business ASO | $12.92 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | NBR ASO/FI | $12.92 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Anthem Blue Cross Blue Shield | Traditional | $12.96 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional 115 Percent_Georgia Medicaid | Institutional 115 Percent_Georgia Medicaid | $13.00 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Wellmark UPH Self-Funded | Commercial | $13.20 | $32.11 | $25.69 | 2026-01-28 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Work Partners | Workers Comp | $13.20 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Work Partners | Workers Comp | $13.20 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Blue Cross and Blue Shield | PPO | $13.20 | $32.11 | $25.69 | 2026-01-28 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Amerigroup | Amerigroup Medicare Advantage | $13.28 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | CHIP | $13.30 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Health Plan | CHIP | $13.30 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UPMC Health Plan | CHIP | $13.30 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Bravo | Medicare | $13.30 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | CHIP | $13.30 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | CHIP | $13.30 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Health Plan | CHIP | $13.30 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Bravo | Medicare | $13.30 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Health Plan | CHIP | $13.30 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $13.41 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Amerigroup | Amerigroup Medicare Advantage | $13.46 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $13.59 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Neighborhood Network | $13.68 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Work Partners | Workers Comp | $13.68 | $38.00 | $22.80 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Neighborhood Network | $13.68 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | New Business ASO | $13.68 | $38.00 | $22.80 | 2026-03-07 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | UPMC Work Partners | Workers Comp | $13.72 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | EMBS | PPO | $14.01 | — | — | 2025-07-23 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $14.05 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $14.05 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | Neighborhood Network | $14.06 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Work Partners | Workers Comp | $14.13 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | UPMC Work Partners | Workers Comp | $14.13 | $38.00 | $22.80 | 2026-03-06 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Insure | Commercial | $14.16 | $32.11 | $25.69 | 2026-01-28 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | UHC | UHC HMO/POS/PPO-G | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | UHC | UHC HMO/POS/PPO | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | UHC | UHC HMO/POS/PPO-G | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | UHC | UHC GA Individual Exchange | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | UHC | UHC HMO/POS/PPO-T | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | UHC | UHC Heritage Select | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | UHC | UHC HMO/POS/PPO-T | $14.32 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | UHC | UHC GA Individual Exchange | $14.32 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | UHC | UHC Heritage Select | $14.32 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | UHC | UHC GA Individual Exchange | $14.32 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | UHC | UHC HMO/POS/PPO-G | $14.32 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | UHC | UHC HMO/POS/PPO | $14.32 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | UHC | UHC HMO/POS/PPO-T | $14.32 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | UHC | UHC HMO/POS/PPO-G | $14.32 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | UHC | UHC Heritage Select | $14.32 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | UHC | UHC HMO/POS/PPO | $14.32 | $89.50 | $67.13 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | UHC | UHC HMO/POS/PPO-T | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | UHC | UHC HMO/POS/PPO | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | UHC | UHC Heritage Select | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | UHC | UHC HMO/POS/PPO-G | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | UHC | UHC GA Individual Exchange | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | UHC | UHC HMO/POS/PPO-T | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | UHC | UHC HMO/POS/PPO | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | UHC | UHC Heritage Select | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | UHC | UHC GA Individual Exchange | $14.32 | $89.50 | $67.13 | 2026-02-14 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | EBR FI | $14.44 | $38.00 | $22.80 | 2026-03-06 | 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.