J0897 — Denosumab 60 Mg/ml Subcutaneous Syringe
Cite this view
HANK Price Transparency. (n.d.). DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE (CPT J0897) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0897?code_type=CPT
“DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE (CPT J0897) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0897?code_type=CPT. Accessed .
“DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE (CPT J0897) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0897?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $48–$5,220 (25th–75th percentile) across 2,633 hospitals · 8,778 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0897 — 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 |
|---|---|---|---|---|---|---|---|
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $6,073.27 | — | 2025-05-02 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $3,796.24 | $1,898.12 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,792.08 | $4,073.27 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $6,073.27 | — | 2025-05-02 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $3,796.24 | $1,898.12 | 2024-12-15 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $6,073.27 | — | 2025-05-02 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $4,792.08 | $2,635.64 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,792.08 | $4,073.27 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $6,073.27 | — | 2025-05-02 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $7,986.80 | $4,392.74 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $7,986.80 | $4,392.74 | 2025-01-01 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.09 | $8,655.56 | $5,626.11 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.09 | $8,655.56 | $5,626.11 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.09 | $8,655.56 | $5,626.11 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.09 | $8,655.56 | $5,626.11 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.09 | $8,655.56 | $5,626.11 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.09 | $8,655.56 | $5,626.11 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.09 | $8,655.56 | $5,626.11 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.09 | $8,655.56 | $5,626.11 | 2026-03-30 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $26,207.40 | $17,034.81 | 2025-11-26 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-EPO | Community Insurance Company | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-POS | Community Insurance Company | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-PPO | Community Insurance Company | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-HMO | Community Insurance Company | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-PPO | Community Insurance Company | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-POS | Community Insurance Company | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-HMO | Community Insurance Company | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-Indemnity | Community Insurance Company | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Medicare-HMO | Community Insurance Company | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Medicare-HMO | Community Insurance Company | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-Indemnity | Community Insurance Company | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-EPO | Community Insurance Company | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.26 | $24.65 | $24.65 | 2026-04-24 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | MyBlue | $0.27 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | BLUE SELECT | $0.29 | $1.70 | — | 2025-07-30 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC TRAVELERS | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | GALLAGHER BASSETT | WC GALLAGHER BASSETT SRVC | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC MAVERICK TUBE | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC MUNICIPAL LEAGUE | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC NUCOR YAMATO STEEL | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC SRT | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC LEXICON | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC WAUSAU | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC REA WAGNER | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC SYSTEX | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC EVONIK CYRO LLC | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC CREATIVE FOODS | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC OSC CITY EMPLOYEES | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC AR SCHOOL BOARD ASSO | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC TEMPS PLUS | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC MARINE TERMINALS | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC MILWAUKEE TOOL | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC MISS CO HOSP SYSTEM | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC ASP | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC WALMART | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC SYSTEMS CONTRACTING | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC CNA GENERIC | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC SMC REGIONAL MEDI | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC DAWSON WELDING | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC UPS | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC ZURICH CLAIMS | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC GALLAGHER BASSETT | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC MS COUNTY SHERIFF DEPT | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC BLY SCHOOLS | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC STAFFMARK CORP | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC MCAEOC EMPLOYEES | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC DOLLAR GENERAL | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC RAZORBACK CONCRETE | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC USPS AR DISTRICT | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC NUCOR HICKMAN | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC DENSO | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WC VISKASE | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | WORKMAN'S COMP | WORKERS COMP | $0.30 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE BothFacility | Aetna Better Health | Healthy Kids | $0.31 | $1.70 | — | 2025-07-30 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Blue Cross Ri | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | San Diego Pace | San Diego Pace | $0.31 | $21,211.32 | $15,908.49 | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | Simply Blue | $0.32 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | HMO | $0.33 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Solis Health Plan | Medicare | $0.34 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Solis Health Plan | Medicare | $0.34 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Solis Health Plan | Medicare | $0.34 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Solis Health Plan | Medicare | $0.34 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Solis Health Plan | Medicare | $0.34 | $1.70 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Solis Health Plan | Medicare | $0.34 | $1.70 | — | 2025-07-30 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $26,207.40 | $17,034.81 | 2025-11-26 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $0.40 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $0.40 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | NetworkBlue/BlueOptions | $0.40 | $1.70 | — | 2025-07-30 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-Indemnity | Aetna | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-HMO | Aetna | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-POS | Aetna | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | MEDICAID MISSOURI | MISSOURI MEDICAID | $0.41 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | COMMERICAL INSURANCE | HOME STATE HEALTH | $0.41 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-HMO | Aetna | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | COMMERICAL INSURANCE | UHC MO/MEDICAID | $0.41 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-POS | Aetna | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-Indemnity | Aetna | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| South Missississpi County Regional Medical Center Both | COMMERICAL INSURANCE | HEALTHY BLUE MISSOURI | $0.41 | $1.52 | $1.01 | 2026-04-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $0.43 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $0.43 | $1.70 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $0.43 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $0.43 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $0.43 | $1.70 | — | 2025-07-30 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-HMO | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO INC - Medicaid | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-PPO | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-PPO | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-HMO | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-PPO | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UMR - Commercial-PPO | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO INC - Medicaid | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Blue Cross PPC | Blue Choice | $0.45 | $1.70 | — | 2025-07-30 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-PPO | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UMR - Commercial-PPO | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO | United Healthcare | — | $44,401.00 | $24,420.55 | 2026-01-01 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | BLUE CROSS | Blue Select-Ped | $0.46 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | BLUE CROSS | BLUE SELECT | $0.46 | $1.70 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | BLUE SELECT | $0.46 | $1.70 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | Blue Select-Ped | $0.46 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Blue Select-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | BLUE SELECT | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | MyBlue | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | BLUE CROSS | MyBlue-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | BLUE CROSS | MyBlue | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | BLUE CROSS | Simply Blue | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Blue Select-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Simply Blue | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | MyBlue-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | MyBlue | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | MyBlue-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Blue Select-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | BLUE SELECT | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | BLUE SELECT | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | Simply Blue | $0.47 | $1.70 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | HMO | $0.49 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | BLUE CROSS | HMO-Ped | $0.49 | $1.70 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | HMO-Ped | $0.49 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | HMO-Ped | $0.49 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | BLUE CROSS | HMO | $0.49 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | HMO | $0.49 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | HMO | $0.49 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | HMO-Ped | $0.49 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | HMO | $0.49 | $1.70 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | HMO-Ped | $0.49 | $1.70 | — | 2025-07-30 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRCDPHP | MEDICARE ADVANTAGE CDPHP | $0.50 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.24 | $0.87 | 2025-10-28 | 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.