J1246 — Dinutuximab 17.5 Mg/5ml IV Soln
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DINUTUXIMAB 17.5 MG/5ML IV SOLN (HCPCS J1246) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1246?code_type=HCPCS
MLA (9th ed.)
“DINUTUXIMAB 17.5 MG/5ML IV SOLN (HCPCS J1246) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1246?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DINUTUXIMAB 17.5 MG/5ML IV SOLN (HCPCS J1246) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1246?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $257–$25,318 (25th–75th percentile) across 267 hospitals · 516 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1246 — 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
$257
$3,857 typical
$25,318
The middle 50% of negotiated facility rates for this procedure, measured across 267 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,857 |
| Likely subtotal | $3,857 |
Facility charge (no separate professional fee)
$3,857
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $257–$25,318.
- 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 |
|---|---|---|---|---|---|---|---|
| UNC HOSPITALS Outpatient | Contigo | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ultra | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ppo | $0.14 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Preferred Plus Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Nalc Health Benefit Plan | Hmo/Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Tricare | Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Exchange | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Trillium | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Carolina Complete Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Vaya Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Partners | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alliance | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Health Network | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Choice | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Value | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $20,095.64 | $13,062.17 | 2026-06-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $5.74 | — | — | 2026-03-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $16.79 | $4,537.21 | $4,310.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $16.79 | $4,537.21 | $4,310.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $16.79 | $4,537.21 | $4,310.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $17.24 | $4,537.21 | $4,310.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $17.70 | $4,537.21 | $4,310.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $18.15 | $4,537.21 | $4,310.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $22.23 | $4,537.21 | $4,310.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $22.23 | $4,537.21 | $4,310.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $22.69 | $4,537.21 | $4,310.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $23.59 | $4,537.21 | $4,310.35 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $24.50 | $4,537.21 | $4,310.35 | 2026-02-20 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $42.06 | $600.88 | $600.88 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $42.06 | $600.88 | $600.88 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | CHIP | $42.06 | $600.88 | $600.88 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARKids | $42.06 | $600.88 | $600.88 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARHealth | $42.06 | $600.88 | $600.88 | 2026-03-01 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Aetna | Rental Network | — | — | — | 2026-07-19 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Medicare | Medicare | $55.86 | $328.59 | $230.01 | 2026-04-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $61.28 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $61.28 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | CHIP | $62.83 | — | — | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $62.83 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $62.89 | — | — | 2025-08-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Optum Health | MCD | $66.10 | $600.88 | $600.88 | 2026-03-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $66.20 | — | — | 2025-08-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | BCBS | MCR | $67.56 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | BCBS | MGMCD | $68.87 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | BHMGMCD | $69.89 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | MGMCD | $69.89 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Vaya Health | MedicaidDirect | $70.94 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | WellCare | MGMCD | $70.94 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Vaya Health | MedicaidTailoredPlan | $70.94 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | AmeriHealth | MGMCD | $71.62 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Partners Health Management | MGMCD | $72.34 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Aetna | Whole Health Hmo | $73.39 | — | — | 2026-04-01 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Aetna | MEDICARE ADVANTAGE | $74.62 | — | — | 2025-09-05 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [HEALTHFIRST] | [MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP)] | $75.58 | $188.96 | $188.96 | 2024-09-15 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | BCBS | MGMCD | $77.53 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [Aetna] | [MTA MA Retirees] | $78.41 | $188.96 | $188.96 | 2024-09-15 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | MGMCD | $78.71 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | BHMGMCD | $78.71 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Aetna | Whole Health Hmo | $79.16 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Aetna | Whole Health Hmo | $79.16 | — | — | 2026-04-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | WellCare | MGMCD | $79.85 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Vaya Health | MedicaidTailoredPlan | $79.85 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Vaya Health | MedicaidDirect | $79.85 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | AmeriHealth | MGMCD | $80.61 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | IFP | $81.12 | $600.88 | $600.88 | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Partners Health Management | MGMCD | $81.42 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.86 | $401.85 | $170.79 | 2026-02-06 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Optum | Behavioral Medicare | — | $401.85 | $170.79 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.86 | $401.85 | $170.79 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.86 | $401.85 | $161.15 | 2026-02-05 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.86 | $401.85 | $170.79 | 2026-01-28 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.86 | $401.85 | $161.15 | 2026-01-29 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Itasca Medical Care | Medicare Advantage/MSHO | — | $401.85 | $161.15 | 2026-01-29 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.86 | $401.85 | $161.15 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.86 | $401.85 | $161.15 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.86 | $401.85 | $161.15 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.86 | $401.85 | $161.15 | 2026-02-05 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.97 | $402.39 | $171.02 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.97 | $402.39 | $171.02 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.97 | $402.39 | $161.36 | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.97 | $402.39 | $161.36 | 2026-01-29 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.97 | $402.39 | $161.36 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.97 | $402.39 | $161.36 | 2026-02-05 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.97 | $402.39 | $171.02 | 2026-01-28 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.97 | $402.39 | $161.36 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | PMAP | $81.97 | $402.39 | $161.36 | 2026-02-06 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Aetna | Whole Health Hmo | $82.88 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Aetna | Whole Health Hmo | $82.88 | — | — | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $83.99 | $401.85 | $170.79 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $83.99 | $401.85 | $161.15 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $83.99 | $401.85 | $161.15 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $83.99 | $401.85 | $161.15 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $84.10 | $402.39 | $171.02 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $84.10 | $402.39 | $161.36 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $84.10 | $402.39 | $161.36 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $84.10 | $402.39 | $161.36 | 2026-02-06 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | QHP | $84.12 | $600.88 | $600.88 | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | BCBS | MCR | $84.46 | $422.28 | $422.28 | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | MCR | $85.20 | $568.00 | $568.00 | 2024-10-01 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | PMAP | $85.51 | $401.85 | $161.15 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | PMAP | $85.51 | $401.85 | $170.79 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | PMAP | $85.51 | $401.85 | $161.15 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | PMAP | $85.51 | $401.85 | $161.15 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | PMAP | $85.63 | $402.39 | $171.02 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | PMAP | $85.63 | $402.39 | $161.36 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | PMAP | $85.63 | $402.39 | $161.36 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | PMAP | $85.63 | $402.39 | $161.36 | 2026-02-06 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State (Ambetter) | HIX | $86.34 | $568.00 | $568.00 | 2024-10-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | AETNA 2700 | AETNA 270002 | $86.51 | — | — | 2026-01-01 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $86.51 | — | — | 2025-06-04 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | Aetna | HMO/PPO (MMG) | $86.51 | — | — | 2025-10-24 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $86.51 | — | — | 2025-06-04 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | Medicare Cost | $87.20 | $401.85 | $161.15 | 2026-02-06 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | Aetna Savings Plus | Exchange | $87.31 | — | — | 2026-07-13 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | Medicare Cost | $87.32 | $402.39 | $161.36 | 2026-02-06 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Aetna 6/1/ | Aetna 6/1/ | $87.59 | — | — | 2026-08-30 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $87.59 | — | — | 2025-06-28 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | United Healthcare | Medicare Advantage | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | United Healthcare | Core | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Health Partners | Medicare Cost | $88.01 | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Itasca Medical Care | Medicare Advantage/MSHO | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Medica | Medicare Advantage Non-SNP | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Primewest | Managed Medicaid | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Primewest | MSHO | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Security Health Plan | Medicare Advantage | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | South Country Health Alliance | PMAP | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Health Partners | Medicare Advantage | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | South Country Health Alliance | Medicare Advantage | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | UCare | Medicare Advantage/MSHO | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Hennepin Health | PMAP | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | United Healthcare | Commercial | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Blue Cross of Minnesota | PMAP | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Blue Cross of Minnesota | Aware Federal | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Blue Cross of Minnesota | Medicare Advantage | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Itasca Medical Care | Managed Medicaid | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Optum | Behavioral Commercial/Medicare/Medicaid | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | WellCare | Medicare Advantage | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Sanford Health Plan | Medicare Advantage | — | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Health Partners | Medicare Cost | $88.12 | $402.39 | $166.19 | 2025-02-10 | MRF ↗ |
| Pam Specialty Hospital Of San Antonio Medical Cen InpatientFacility | Aetna | All Plans | $88.67 | — | — | 2025-09-11 | MRF ↗ |
| Pam Specialty Hospital Of San Antonio Medical Cen InpatientFacility | Aetna | All Plans | $88.67 | — | — | 2025-09-11 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | PMAP | $88.77 | $401.85 | $161.15 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | PMAP | $88.89 | $402.39 | $161.36 | 2026-02-06 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Health Partners | PMAP | $89.57 | $401.85 | $165.96 | 2025-02-10 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Health Partners | PMAP | $89.69 | $402.39 | $166.19 | 2025-02-10 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Aetna | Gatekeeper Hmo | $89.76 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Aetna | Non-Gatekeeper Ppo | $89.76 | — | — | 2026-04-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $89.76 | — | — | 2026-07-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Capital Blue Cross | F8103_Capital Blue Cross | $89.76 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $89.76 | — | — | 2026-04-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | ALL PRODUCTS | $89.76 | — | — | 2025-08-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Capital Blue Cross | F8103_Capital Blue Cross | $89.76 | — | — | 2026-04-01 | MRF ↗ |
| OSS ORTHOPAEDIC HOSPITAL OutpatientFacility | Amerihealth | F8102_Amerihealth | $89.76 | — | — | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $90.03 | $441.99 | $187.85 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $90.03 | $441.99 | $177.24 | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $90.03 | $441.99 | $177.24 | 2026-01-29 | 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.