J0491 — Anifrolumab-fnia 300 Mg/2 Ml (150 Mg/ml) Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION (HCPCS J0491) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0491?code_type=HCPCS
MLA (9th ed.)
“ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION (HCPCS J0491) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0491?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ANIFROLUMAB-FNIA 300 MG/2 ML (150 MG/ML) INTRAVENOUS SOLUTION (HCPCS J0491) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0491?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19–$10,401 (25th–75th percentile) across 1,580 hospitals · 4,952 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0491 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$19
$55 typical
$10,401
The middle 50% of negotiated facility rates for this procedure, measured across 1,580 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $55 |
| Likely subtotal | $55 |
Facility charge (no separate professional fee)
$55
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $15,231.18 | $8,377.15 | 2025-01-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | EMBLEM HEALTH MEDICAID [1044] | EMBLEM HEALTH HIP MEDICAID [104400] | — | $11,626.00 | $9,256.71 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | HEALTHFIRST MEDICAID [1059] | HEALTHFIRST MEDICAID MANAGED CARE [105900] | — | $11,626.00 | $9,256.71 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | FIDELIS MEDICAID [1049] | FIDELIS MEDICAID [104900] | — | $11,626.00 | $9,256.71 | 2026-04-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1.00 | — | — | 2026-03-18 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | $1.00 | $23,002.70 | $17,252.02 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | San Diego Pace | San Diego Pace | $1.15 | $23,002.70 | $17,252.02 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $26,303.29 | $26,303.29 | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $2.00 | $9,003.80 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $2.00 | $9,003.80 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $2.00 | $9,003.80 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $2.00 | $9,003.80 | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $2.26 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $2.26 | — | — | 2024-10-01 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $2.94 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $2.94 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $3.11 | — | — | 2026-03-31 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Nebraska Total Care | Managed Medicaid | $3.28 | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $3.54 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $3.54 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $3.61 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $3.61 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $3.64 | $91.00 | $91.00 | 2026-05-15 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Cigna | Commercial | $3.83 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Cigna | Commercial | $3.83 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $3.89 | $91.00 | $91.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $3.93 | $91.00 | $91.00 | 2026-05-15 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Security Health Plan | HMO/POS/SAS | $3.96 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Security Health Plan | HMO/POS/SAS | $3.96 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Quartz | HMO | $3.98 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $3.98 | $23,463.00 | $3,519.45 | 2025-12-23 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Quartz | HMO | $3.98 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $3.98 | $23,463.00 | $3,519.45 | 2025-12-23 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Mercy Care | HMO/POS | $4.24 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Mercy Care | HMO/POS | $4.24 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $4.37 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $4.37 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $4.52 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $4.52 | $83.00 | $83.00 | 2026-04-30 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | HMO/POS | $4.60 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | $4.60 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | $4.60 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | HMO/POS | $4.60 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Health Partners Open Network | Commercial | $4.66 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Health Partners Open Network | Commercial | $4.66 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $4.91 | $91.00 | $91.00 | 2026-05-15 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Health Partners Open Network | Commercial | $4.99 | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $5.19 | $11.79 | $7.66 | 2024-12-30 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|CHILD HEALTH PLUS|UNIVERA MYHEALTH PLUS|EXCELLUS ESSENTIAL 1&2|EXCELLUS ESSENTIAL 3&4|UNIVERA MYHEALTH|UNIVERA ESSENTIAL 1&2|HEALTHY NY|UNIVERA ESSENTIAL 1&2 | $5.19 | $56.65 | $36.82 | 2024-12-30 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | United Healthcare | Commercial | $5.27 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | United Healthcare | Commercial | $5.27 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $5.29 | $11.79 | $7.66 | 2024-12-30 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $5.68 | $2,538.00 | $1,522.80 | 2026-03-06 | MRF ↗ |
| ROCHESTER GENERAL HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $5.96 | $55.83 | $36.29 | 2024-12-30 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $6.04 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $6.04 | — | — | 2026-03-01 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Tricare | TRICARE | — | $58.00 | $34.80 | 2026-03-06 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Medica Exchange Inspire | Commercial | $6.52 | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $6.52 | $18.10 | $11.40 | 2026-01-27 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Aetna of PA | Medicare | $6.52 | $58.00 | $34.80 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | US Family Health Plan | Tricare Prime | — | $58.00 | $34.80 | 2026-03-06 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $6.78 | — | — | 2026-02-13 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $6.90 | $2,538.00 | $1,522.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | $56.00 | $33.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $59.75 | $47.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $6.97 | $56.00 | $33.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | $56.00 | $33.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.97 | $59.75 | $47.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | $56.00 | $33.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | $56.00 | $33.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $6.97 | $56.00 | $33.60 | 2026-03-06 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna All Programs | Commercial | $6.98 | $53.69 | $37.59 | 2026-04-07 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | UNITED HEALTHCARE [101] | UHC COMMUNITY PLAN|UHC COMMUNITY MEDICAID DENTAL|UHC ESSENTIAL 1&2|UHC CHPS|UHC ESSENTIAL 3&4 | $7.04 | $11.79 | $7.66 | 2024-12-30 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $7.04 | $69.75 | $41.85 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | US Family Health Plan | Tricare Prime | — | $69.75 | $41.85 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Tricare | East Region | — | $69.75 | $41.85 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $69.75 | $41.85 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $7.04 | $18,654.00 | $11,192.40 | 2026-03-07 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | US Family Health Plan | Tricare Prime | — | $57.50 | $46.00 | 2026-03-06 | 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 | $7.04 | $69.75 | $41.85 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $7.04 | $18,654.00 | $11,192.40 | 2026-03-07 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Tricare | East Region | — | $57.50 | $46.00 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | US Family Health Plan | Tricare Prime | — | $57.50 | $46.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $69.75 | $41.85 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Tricare | East Region | — | $57.50 | $46.00 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $7.04 | $57.50 | $46.00 | 2026-03-06 | 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 | $7.04 | $69.75 | $41.85 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $7.04 | $57.50 | $46.00 | 2026-03-06 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | AFFINITY BY MOLINA MEDICAID [1006] | AFFINITY BY MOLINA MEDICAID [100600] | — | $11,626.00 | $9,256.71 | 2026-04-01 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Medica Exchange Insure | Commercial | $7.30 | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $7.34 | $2,614.68 | $2,614.68 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $7.34 | $2,614.68 | $2,614.68 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $7.34 | $2,614.68 | $2,614.68 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | ANTHEM | ANTHEM MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | UNITED | UNITED MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $7.34 | $2,614.68 | $2,614.68 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | TUFTS | TUFTS MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $7.34 | $2,614.68 | $2,614.68 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $7.34 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | My Choice | Managed Medicaid | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Commercial | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Health Partners Open Network | Commercial | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - Eau Claire | Managed Medicaid | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC | HMO | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Managed Medicaid | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Prevea 360 | Medicare Advantage | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Managed Medicaid | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | HMO/POS | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | IlliniCare | Medicare Advantage | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Humana | Medicare Advantage | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | MeridianCare | Medicare Advantage | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Medicare Advantage | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - South Central WI | Managed Medicaid | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Blue Priority/Pathway | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $7.37 | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Medicare Advantage | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | PPO | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Prevea 360 | Medicare Advantage | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | MeridianCare | Medicare Advantage | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - Eau Claire | Managed Medicaid | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - South Central WI | Managed Medicaid | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | IlliniCare | Medicare Advantage | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Blue Priority/Pathway | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | PPO | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | My Choice | Managed Medicaid | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Health Partners Open Network | Commercial | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC | HMO | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | HMO/POS | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $7.37 | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Managed Medicaid | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Medicare Advantage | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Commercial | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Managed Medicaid | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Humana | Medicare Advantage | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Medicare Advantage | — | $32.04 | $25.64 | 2026-01-28 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | ALL PRODUCTS | $7.43 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $7.43 | — | — | 2025-07-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $7.48 | $2,614.68 | $2,614.68 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | WELLCARE | WELLCARE MEDICARE | $7.48 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $7.48 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $7.48 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | AETNA | AETNA MEDICARE | $7.52 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $7.52 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $7.52 | $2,802.94 | $2,802.94 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $7.52 | $2,614.68 | $2,614.68 | 2026-04-01 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | Medicare Advantage | $7.66 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | Medicare Advantage | $7.66 | $12.77 | $10.22 | 2026-01-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $7.82 | $50.78 | $33.01 | 2026-03-01 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | HMO | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Molina | Medicare Advantage | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | PPO | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Nebraska Total Care | Managed Medicaid | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Iowa Total Care | Managed Medicaid | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Amerivantage | Medicare Advantage | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Amerigroup | Managed Medicaid | — | $12.63 | $10.11 | 2026-01-28 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.