J0875 — Injection Dalbavancin
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Injection dalbavancin (OTHER J0875) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0875?code_type=OTHER
MLA (9th ed.)
“Injection dalbavancin (OTHER J0875) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0875?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Injection dalbavancin (OTHER J0875) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0875?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16–$27 (25th–75th percentile) across 201 hospitals · 472 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER J0875 — 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 |
|---|---|---|---|---|---|---|---|
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $4.49 | $39.63 | $12.13 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $4.84 | $39.63 | $12.13 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $4.84 | $39.63 | $12.13 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $4.85 | $39.63 | $10.94 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $4.85 | $39.63 | $10.94 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $4.99 | $39.63 | $12.13 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $5.46 | $39.63 | $10.94 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $5.46 | $39.63 | $10.94 | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $5.83 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $5.83 | — | — | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $5.83 | — | — | 2026-05-06 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $6.24 | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $6.62 | $39.63 | $10.94 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $6.62 | $39.63 | $10.94 | 2026-05-08 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $7.29 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $7.29 | — | — | 2026-05-24 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $7.29 | — | — | 2026-05-08 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Local 1199 | Medicare | $7.80 | $231.23 | $30.06 | 2026-05-06 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $8.37 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $8.37 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $8.37 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $8.37 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $8.37 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $8.37 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $8.37 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $8.37 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $8.37 | — | — | 2026-05-13 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $8.44 | $39.63 | $10.94 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $8.44 | $39.63 | $10.94 | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $9.37 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $9.37 | — | — | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Emblem Ghi | Commercial | $10.09 | — | — | 2026-05-08 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Molina Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Multiplan | Multiplan | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource | Caresource | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna Rental | First Health | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna Rental | First Health | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Pa | Medicaid | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Humana | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Partners Pennsylvania Medicaid | Health Partners Pennsylvania Medicaid | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye | Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Peak Health | Peak Health | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Student Health | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Molina Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Cigna | Cigna | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Multiplan | Multiplan | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | University Of Pennsylvania Health Plan | University Of Pennsylvania Health Plan | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Pa | Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Partners Pennsylvania Medicaid | Health Partners Pennsylvania Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Maryland Physician Care | Maryland Physician Care | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Student | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource | Caresource | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Aetna | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Humana | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $10.13 | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Multiplan | Multiplan | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv | Mgd Mcaid | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Peak Health | Peak Health | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Aetna | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $10.13 | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Aetna | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Cigna | Cigna | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | University Of Pennsylvania Health Plan | University Of Pennsylvania Health Plan | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye | Medicaid | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $10.13 | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $10.13 | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource | Caresource | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna Rental | First Health | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna Rental | First Health | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Student Health | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Humana | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Maryland Physician Care | Maryland Physician Care | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna Rental | First Health | — | $41.00 | $20.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-24 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Molina Oh | Managed Medicaid | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $41.00 | $20.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $10.13 | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Cigna | Cigna | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $41.00 | $20.50 | 2026-05-13 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Multiplan | Phcs - Beech Street | $10.15 | $231.23 | $30.06 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Magellan | Medicare | $10.15 | $231.23 | $30.06 | 2026-05-06 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $47.75 | $33.43 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $10.43 | $47.75 | $33.43 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $47.75 | $33.43 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $47.75 | $33.43 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $47.75 | $33.43 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $10.43 | $47.75 | $33.43 | 2026-05-13 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Oscar Health Exchange | Medicare | $10.61 | $231.23 | $30.06 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $10.93 | — | — | 2026-05-27 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Coventry | Medicare | $11.55 | $231.23 | $30.06 | 2026-05-06 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Careoregon | Ohp/Medicaid | $12.16 | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Careoregon | Medicare Advantage | $12.16 | $5,243.03 | $3,407.97 | 2026-05-22 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $12.18 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $12.18 | — | — | 2026-05-24 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Bcbs Traditional | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Amerihealth Caritas Health Plan | Amerihealth | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | American Progressive | Managed Medicare 100% | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Senior Life | Managed Medicare 100% | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Geisinger | Managed Medicare 100% | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Tricare | Tricare | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Gateway | Gateway Medicare Advantage | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Uhc | Managed Medicare 100% | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Geisinger | Geisinger | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Aetna | Aetna | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Cigna | Managed Medicare 100% | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Cigna | Cigna | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Centene | Centene | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Uhc | Uhc All Payer | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Uhc | Uhc Onenet | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Devoted Health | Devoted | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Upmc Health Plan | Upmc For Life | — | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $12.35 | $73.57 | $29.43 | 2026-05-23 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Cigna | All Plans | — | $5,936.25 | $4,452.19 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Coventry | Workers Comp | — | $5,936.25 | $4,452.19 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Home State | Medicaid | — | $5,936.25 | $4,452.19 | 2026-05-14 | 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.