J1323 — Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION (HCPCS J1323) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1323?code_type=HCPCS
MLA (9th ed.)
“ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION (HCPCS J1323) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1323?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ELRANATAMAB-BCMM 40 MG/ML SUBCUTANEOUS SOLUTION (HCPCS J1323) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1323?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $206–$20,547 (25th–75th percentile) across 1,253 hospitals · 2,515 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J1323 — 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
$206
$1,077 typical
$20,547
The middle 50% of negotiated facility rates for this procedure, measured across 1,253 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,077 |
| Likely subtotal | $1,077 |
Facility charge (no separate professional fee)
$1,077
- 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 |
|---|---|---|---|---|---|---|---|
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.32 | $321.15 | $192.69 | 2025-12-30 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Cigna | Cigna - HMO | $0.84 | $44,647.20 | $33,485.40 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | $1.10 | $44,647.20 | $33,485.40 | 2026-04-01 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $13.93 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Centene | Medicaid|NE Total Care | $14.93 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Centene | Medicaid|NE Total Care | $14.93 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | United | Medicaid|Community Plan | $15.92 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Centene | Medicaid|NE Total Care | $15.92 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | United | Medicaid|Community Plan | $16.92 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | United | Medicaid|Community Plan | $16.92 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Centene | Medicaid|NE Total Care | $16.92 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Centene | Medicaid|NE Total Care | $16.92 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | United | Medicaid|Community Plan | $17.91 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Centene | Medicaid|NE Total Care | $17.91 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $21.32 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $21.74 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $23.92 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $23.92 | — | — | 2024-10-01 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $27.48 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | PIP | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | First Health | Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Fidelis Care | NJ Family Care | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | — | — | — | 2026-03-04 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | ELAP | Commercial|All Plans | $27.86 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | ELAP | Commercial|All Plans | $27.86 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | ELAP | Commercial|All Plans | $27.86 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | New Business | $28.59 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $28.59 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $28.59 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $28.59 | — | — | 2026-01-14 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $31.87 | — | — | 2026-03-31 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | ELAP | Commercial|All Plans | $32.84 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | ELAP | Commercial|All Plans | $32.84 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $34.83 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $34.83 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | PACE | Medicare|All Plans | $34.83 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $34.83 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicare|All Plans | $34.83 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Humana | Medicare|All Plans | $34.83 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $34.83 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Medica | Medicare|All Plans | $34.83 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $35.53 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Centene | Medicare|All Plans | $35.53 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $36.57 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $36.57 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Great Plains | Medicare|All Plans | $36.57 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicare|All Plans | $36.57 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | ELAP | Commercial|All Plans | $37.81 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $40.77 | $38,534.00 | $5,780.10 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $40.77 | $38,534.00 | $5,780.10 | 2025-12-23 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicaid|Community Plan | $42.79 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $42.79 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $42.79 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | United | Medicaid|Community Plan | $42.79 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $42.79 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $42.79 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | BCBS - NE | Medicare|All Plans | $42.79 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $42.79 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Medica | Medicare|All Plans | $42.79 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $42.79 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $42.79 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Humana | Medicare|All Plans | $42.79 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | PACE | Medicare|All Plans | $42.79 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicare|All Plans | $42.79 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicaid|All Plans | $43.65 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $43.65 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Total Care | Medicaid|All Plans | $43.65 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Amerigroup | Medicaid|All Plans | $43.65 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicare|All Plans | $43.65 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | Total Care | Medicaid|All Plans | $43.65 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|IA Total Care | $43.65 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicaid|All Plans | $43.65 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|IA Total Care | $43.65 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicaid|All Plans | $43.65 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | IAMolina | Medicaid|All Plans | $44.50 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | IAMolina | Medicaid|All Plans | $44.50 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | IAMolina | Medicaid|All Plans | $44.50 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | IAMolina | Medicaid|All Plans | $44.50 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $44.93 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $44.93 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Amerigroup | Medicare|All Plans | $44.93 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Great Plains | Medicare|All Plans | $44.93 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | United | Medicaid|Community Plan | $45.77 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Medica | Commercial|CHI Health | $49.75 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Medica | Commercial|All Other Plans | $49.75 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Medica | Commercial|All Other Plans | $49.75 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Medica | Commercial|CHI Health | $49.75 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Medica | Commercial|All Other Plans | $49.75 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Medica | Commercial|All Other Plans | $49.75 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Medica | Commercial|CHI Health | $49.75 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Medica | Commercial|CHI Health | $49.75 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Medica | Commercial|All Other Plans | $49.75 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Medica | Commercial|CHI Health | $49.75 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | BCBS - NE | Medicare|All Plans | $50.75 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Great Plains | Medicare|All Plans | $50.75 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Medica | Medicare|All Plans | $50.75 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Humana | Medicare|All Plans | $50.75 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | PACE | Medicare|All Plans | $50.75 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | United | Medicare|All Plans | $50.75 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $50.92 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $50.92 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $50.92 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Medica | Commercial|Open Access | $51.74 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Medica | Commercial|Open Access | $51.74 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Medica | Commercial|Open Access | $51.74 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Medica | Commercial|Open Access | $51.74 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Medica | Commercial|Open Access | $51.74 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Centene | Medicare|All Plans | $51.76 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $52.30 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicare|All Plans | $53.29 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $53.68 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $55.05 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|HMO | $56.72 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|PPO | $56.72 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Centene | Medicaid|NE Total Care | $56.72 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|PPO | $56.72 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | United | Medicaid|Community Plan | $56.72 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Inpatient | Wellmark | Commercial|HMO | $56.72 | $99.50 | $48.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Inpatient | QuikTrip | Commercial|All Plans | $59.70 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|HMO | $59.70 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Inpatient | QuikTrip | Commercial|All Plans | $59.70 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Inpatient | QuikTrip | Commercial|All Plans | $59.70 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|PPO | $59.70 | $99.50 | $47.76 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Inpatient | QuikTrip | Commercial|All Plans | $59.70 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Inpatient | QuikTrip | Commercial|All Plans | $59.70 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Inpatient | QuikTrip | Commercial|All Plans | $59.70 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|HMO | $59.70 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Inpatient | Wellmark | Commercial|PPO | $59.70 | $99.50 | $47.76 | 2025-09-30 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | PPO | $59.71 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $59.71 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $59.71 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $59.71 | — | — | 2026-01-12 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $60.40 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $60.40 | — | — | 2026-03-01 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Humana | Medicare|All Plans | $60.70 | $99.50 | $83.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | PACE | Medicare|All Plans | $60.70 | $99.50 | $83.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Medica | Medicare|All Plans | $60.70 | $99.50 | $83.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | BCBS - NE | Medicare|All Plans | $60.70 | $99.50 | $83.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | United | Medicare|All Plans | $60.70 | $99.50 | $83.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Centene | Medicare|All Plans | $61.91 | $99.50 | $83.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Todays Options | Medicare|All Plans | $61.91 | $99.50 | $83.58 | 2026-02-28 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | $63.62 | $44,647.20 | $33,485.40 | 2026-04-01 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Amerigroup | Medicare|All Plans | $63.73 | $99.50 | $83.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Great Plains | Medicare|All Plans | $63.73 | $99.50 | $83.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | Centene | Medicaid|NE Total Care | $64.68 | $99.50 | $83.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | United | Medicaid|Community Plan | $64.68 | $99.50 | $83.58 | 2026-02-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $66.06 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $66.06 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $66.71 | $185.31 | $116.75 | 2026-01-27 | MRF ↗ |
| CHI HEALTH PLAINVIEW HOSPITAL Outpatient | IAMolina | Medicaid|All Plans | $67.27 | $99.50 | $83.58 | 2026-02-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $67.44 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $67.44 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $67.44 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $67.44 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $68.81 | $13,762.90 | $13,074.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $68.82 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $70.12 | — | — | 2026-02-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $70.19 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Inpatient | PHCS | Commercial|All Plans | $70.65 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Inpatient | PHCS | Commercial|All Plans | $70.65 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Inpatient | PHCS | Commercial|All Plans | $70.65 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Inpatient | PHCS | Commercial|All Plans | $70.65 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Inpatient | PHCS | Commercial|All Plans | $70.65 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Inpatient | PHCS | Commercial|All Plans | $70.65 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $71.57 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $72.25 | $772.00 | $463.20 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Tricare | East Region | — | $772.00 | $463.20 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | US Family Health Plan | Tricare Prime | — | $772.00 | $463.20 | 2026-03-06 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Commercial|All Plans | $73.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | United | Commercial|All Plans | $73.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | United | Commercial|All Plans | $73.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | United | Commercial|All Plans | $73.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | United | Commercial|All Plans | $73.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | United | Commercial|All Plans | $73.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $74.32 | $13,763.10 | $13,074.94 | 2026-02-20 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Midlands Choice | Commercial|Standard | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | PHCS | Commercial|All Plans | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| Lasting Hope Recovery Center Outpatient | Midlands Choice | Commercial|Premier | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Midlands Choice | Commercial|Premier | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Midlands Choice | Commercial|Standard | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Midlands Choice | Commercial|Premier | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | PHCS | Commercial|All Plans | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | Midlands Choice | Commercial|Standard | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Midlands Choice | Commercial|Premier | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Midlands Choice | Commercial|Standard | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | Midlands Choice | Commercial|Standard | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | Midlands Choice | Commercial|Premier | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MIDLANDS Outpatient | PHCS | Commercial|All Plans | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH LAKESIDE Outpatient | PHCS | Commercial|All Plans | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Midlands Choice | Commercial|Standard | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH MERCY COUNCIL BLUFFS Outpatient | PHCS | Commercial|All Plans | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | PHCS | Commercial|All Plans | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Midlands Choice | Commercial|Premier | $74.63 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | ALL PRODUCTS | $76.91 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $76.91 | — | — | 2025-07-01 | MRF ↗ |
| CHI HEALTH MISSOURI VALLEY Outpatient | AMPS | Commercial|All Plans | $77.32 | $99.50 | $48.76 | 2026-02-28 | 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.