J0225 — Inj, Vutrisiran, 1 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, vutrisiran, 1 mg (CPT J0225) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0225?code_type=CPT
MLA (9th ed.)
“Inj, vutrisiran, 1 mg (CPT J0225) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0225?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Inj, vutrisiran, 1 mg (CPT J0225) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0225?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,104–$124,596 (25th–75th percentile) across 1,374 hospitals · 2,725 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0225 — 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $477,404.00 | $310,312.60 | 2025-11-26 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Empower Healthcare Solutions | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Covenant | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Windsor | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Windsor | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Assured Benefits Administrators | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Assured Benefits Administrators | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $477,404.00 | $310,312.60 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $477,404.00 | $310,312.60 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $477,404.00 | $310,312.60 | 2025-11-26 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Com | $2.85 | $537,229.00 | $483,506.55 | 2026-05-22 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Com | $2.85 | $537,229.00 | $483,506.55 | 2026-05-14 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Ind | $2.85 | $537,229.00 | $483,506.55 | 2026-05-14 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Ind | $2.85 | $537,229.00 | $483,506.55 | 2026-05-22 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $477,404.00 | $310,312.60 | 2025-11-26 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Humana | Medicare Advantage | $5.63 | $10,741.59 | $7,519.11 | 2026-05-09 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | United Healthcare | Medicare Advantage | $5.63 | $10,741.59 | $7,519.11 | 2026-05-09 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Kaiser | Medicare Advantage | $5.63 | $10,741.59 | $7,519.11 | 2026-05-09 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $7.18 | — | — | 2026-03-04 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | Cigna | Cigna Commercial | $8.42 | $12.96 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HEALTH FLINT HILLS, LLC Both | Aetna | Aetna Commercial | $8.42 | $12.96 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | Cigna | Cigna Commercial | $8.42 | $12.96 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | UHC | UHC Commercial | $8.42 | $12.96 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | Aetna | Aetna Commercial | $8.42 | $12.96 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HEALTH FLINT HILLS, LLC Both | Cigna | Cigna Commercial | $8.42 | $12.96 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HEALTH FLINT HILLS, LLC Both | UHC | UHC Commercial | $8.42 | $12.96 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | UHC | UHC Commercial | $8.42 | $12.96 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | Aetna | Aetna Commercial | $8.42 | $12.96 | — | 2025-12-19 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $477,404.00 | $310,312.60 | 2025-11-26 | MRF ↗ |
| STORMONT VAIL HEALTH FLINT HILLS, LLC Both | Multiplan | Multiplan Commercial | $11.40 | $12.96 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | Multiplan | Multiplan Commercial | $11.40 | $12.96 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | Multiplan | Multiplan Commercial | $11.40 | $12.96 | — | 2025-12-19 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | JW Marriott | All Plans | $14.04 | — | — | 2025-12-27 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | CSMC WTC HEALTH PROGRAM | $23.64 | $926,580.76 | $143,380.80 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | MMC WTC HEALTH PROGRAM | $24.46 | $926,580.76 | $143,380.80 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | CMC WTC HEALTH PROGRAM | $24.46 | $926,580.76 | $143,380.80 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WTC HEALTH PROGRAM [5273] | HMC WTC HEALTH PROGRAM | $24.46 | $926,580.76 | $143,380.80 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | OMC WTC HEALTH PROGRAM | $24.46 | $926,580.76 | $143,380.80 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WTC HEALTH PROGRAM [5273] | HMC WTC HEALTH PROGRAM | $24.46 | $926,580.76 | $143,380.80 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | NMC WTC HEALTH PROGRAM | $24.46 | $926,580.76 | $124,678.96 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | OMC WTC HEALTH PROGRAM | $24.46 | $926,580.76 | $143,380.80 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | NMC WTC HEALTH PROGRAM | $24.46 | $926,580.76 | $124,678.96 | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | HMO | — | $477,404.00 | $310,312.60 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | HMO | — | $477,404.00 | $310,312.60 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $477,404.00 | $310,312.60 | 2025-11-26 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $89.87 | — | — | 2026-01-13 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| BAKERSFIELD MEMORIAL HOSPITAL Outpatient | Health Net | Commercial|Exchange | $100.00 | $553,419.00 | $203,104.78 | 2026-02-28 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | VENTURA COUNTY MEDI-CAL MANAGED CARE COMMISSION (dba Gold Coast Health Plan) | Medi-Cal | — | $477,404.00 | $310,312.60 | 2025-11-26 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $159.48 | $823,522.00 | — | 2026-02-19 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL InpatientFacility | CDPHP | Essential Plans 1_2_3_4 | $250.00 | $292,585.18 | $146,292.59 | 2025-12-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medi-Cal | — | $477,404.00 | $310,312.60 | 2025-11-26 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Affinity Health Plan | EP 1&2 | $260.33 | $823,522.00 | — | 2026-02-19 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $292.72 | — | — | 2026-03-18 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $380.71 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $380.71 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $380.71 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | New Business | $380.71 | — | — | 2026-01-14 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $411,645.94 | $185,240.67 | 2026-03-13 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $656.64 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $656.64 | — | — | 2024-10-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CORVEL HEALTHCARE CORPORATION | Worker's Compensation | — | $477,404.00 | $310,312.60 | 2025-11-26 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $795.19 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $795.19 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $795.19 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | PPO | $795.19 | — | — | 2026-01-14 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $857.22 | — | — | 2026-03-31 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $1,096.45 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $1,096.45 | — | — | 2025-12-23 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | BLUE CROSS NON-MCS- ALL OTHER PLANS | BLUE CROSS NON-MCS- ALL OTHER PLANS | $1,102.00 | $393,858.30 | $106,341.74 | 2026-01-31 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | United Healthcare | All Products | $1,227.94 | — | $5,925.17 | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | Oxford | All Products | $1,227.94 | — | $5,925.17 | 2025-11-26 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $1,672.04 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $1,672.04 | — | — | 2026-03-01 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $1,716.51 | $238,702.00 | $143,221.20 | 2026-03-06 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $1,794.19 | $4,983.86 | $3,139.83 | 2026-01-27 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Tricare | TRICARE | — | $15,623.00 | $9,373.80 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Aetna of PA | Medicare | $1,805.31 | $15,623.00 | $9,373.80 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | US Family Health Plan | Tricare Prime | — | $15,623.00 | $9,373.80 | 2026-03-06 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $1,891.79 | $9,273.50 | $7,418.80 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $1,891.79 | $9,273.50 | $7,418.80 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $1,891.79 | $9,273.50 | $7,418.80 | 2026-01-28 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $1,930.99 | — | — | 2026-02-13 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Lincs | $1,970.29 | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Traditional | $1,970.29 | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Traditional | $1,970.29 | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Preferred | $1,970.29 | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Choice | $1,970.29 | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Advantage | $1,970.29 | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Lincs | $1,970.29 | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Preferred | $1,970.29 | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Advantage | $1,970.29 | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Choice | $1,970.29 | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | $14,130.99 | 2026-03-31 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $2,003.82 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $2,003.82 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $2,003.82 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $2,003.82 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $2,003.82 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $2,003.82 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | TUFTS | TUFTS MEDICARE | $2,003.82 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $2,003.82 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | ANTHEM | ANTHEM MEDICARE | $2,003.82 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | UNITED | UNITED MEDICARE | $2,003.82 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $2,043.90 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | WELLCARE | WELLCARE MEDICARE | $2,043.90 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | AETNA | AETNA MEDICARE | $2,053.92 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $2,053.92 | $255,888.54 | $255,888.54 | 2026-04-01 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $2,084.74 | $238,702.00 | $143,221.20 | 2026-03-06 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Advantage | $2,107.43 | — | — | 2025-10-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Bluelincs | $2,107.43 | — | — | 2025-10-31 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | ALL PRODUCTS | $2,118.18 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $2,118.18 | — | — | 2025-07-01 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | US Family Health Plan | Tricare Prime | — | $22,081.00 | $13,248.60 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $2,126.09 | $22,081.00 | $13,248.60 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Tricare | East Region | — | $22,081.00 | $13,248.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,126.09 | $23,407.00 | $14,044.20 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,126.09 | $22,081.00 | $13,248.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $23,407.00 | $14,044.20 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $22,081.00 | $13,248.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Tricare | East Region | — | $23,407.00 | $14,044.20 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,126.09 | $22,081.00 | $13,248.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $22,081.00 | $13,248.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $23,407.00 | $14,044.20 | 2026-03-07 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | US Family Health Plan | Tricare Prime | — | $15,623.00 | $9,373.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,126.09 | $23,407.00 | $14,044.20 | 2026-03-07 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Tricare | East Region | — | $15,623.00 | $9,373.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Tricare | East Region | — | $23,407.00 | $14,044.20 | 2026-03-07 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $2,126.09 | $15,623.00 | $9,373.80 | 2026-03-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC CIGNA HMO [164003] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UHC HARMONY HMO [164026] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC BLUE SHIELD HMO [164015] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UHC VEBA GENERIC HMO [164032] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC BLUE SHIELD GENERIC PAYOR [164016] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF ANTHEM/XIMED HMO [164022] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HUMANA GENERIC PAYOR [164014] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UHC VEBA HMO [164033] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC SCAN HMO [164035] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC ANTHEM BLUE CROSS GENERIC PAYOR [164009] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HNET BLUE&GOLD ACO [164017] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF ANTHEM/SDSM HMO [164024] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF BLUE SHIELD SR/SDSM [164037] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC BRAND NEW DAY GENERIC PAYOR [164031] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC CIGNA GENERIC PAYOR [164007] | UC MANAGED CARE | $2,336.30 | $19,469.15 | $10,708.03 | 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.