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 $204–$20,665 (25th–75th percentile) across 1,466 hospitals · 2,728 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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
$204
$2,132 typical
$20,665
The middle 50% of negotiated facility rates for this procedure, measured across 1,466 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,132 |
| Likely subtotal | $2,132 |
Facility charge (no separate professional fee)
$2,132
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 $204–$20,665.
- 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 |
|---|---|---|---|---|---|---|---|
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $62,199.00 | $44,161.29 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $62,199.00 | $44,161.29 | 2026-07-15 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.18 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.32 | $321.15 | $192.69 | 2025-12-30 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED HMO [485235] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MUTUAL HEALTH SERVICES MMO [485260] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED SEL POS [485215] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED PPO [485210] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | UPMC MMO [485245] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED CLASSIC [485205] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO STATE OF OH [485255] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA CHOICE FUND-ANY CHOICE FUND [370220] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA HEALTH FUND [310250] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA OPEN ACCESS MANAGED CHOICE [310201] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA HEALTHREACH PREFERRED [310203] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA TRADITIONAL CHOICE INDEMNIT [310245] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | HEALTHPARTNERS CIGNA [370240] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA HMO/NTWK/OACCESS/OA+/POS [370225] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA OPEN ACCESS ELECT CHOICE [310200] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | MERITAIN AETNA [310325] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA HMO QPOS/SELECT [310215] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | MVP CIGNA [370425] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | SRC/AETNA AFF HEALTH CH/PPO INDEM [310270] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA HEALTH NETWORK OPTION [310290] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA BEHAVIORAL HEALTH [370200] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA OSU STUDENT HEALTH INSRNCE [310206] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA OPEN CHOICE PPO [310210] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | SEORMC [545] | SEORMC MEDBEN [545100] | $0.43 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE ADVANTAGE OHC [553225] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE CHOICE [553315] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OSU [553] | OSU OUT OF AREA OHC [553310] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE CONNECT OHC [553245] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OSU [553] | OSU BASIC PPO OHC [553305] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OSU [553] | OSU BASIC OUT OF AREA OHC [553300] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHLINK [443] | HEALTH LINK OPEN ACCESS [443205] | $0.49 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHLINK [443] | HEALTH LINK PPO [443200] | $0.49 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | INHEALTH MUTUAL [494] | INHEALTH MUTUAL PPO [494200] | $0.49 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | NIPPON AETNA [310330] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | HEALTHSCOPE AETNA [310320] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | TRUSTMARK/CORESOURCE AETNA [310340] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA SIGNATURE PPO*/TPA [310202] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | TRUSTMARK/CORESOURCE AETNA [310310] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | TRUSTMARK AETNA [310335] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | SEORMC MEDBEN [535350] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | GENERAL AMERICAN LIFE OHCP [535220] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHIO HEALTH CHOICE PLAN (OHCP) [535200] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHIO PPO CONNECT [535225] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | AULTCARE PPO CONNECT [535355] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHCP MEDBEN [535205] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | FRONTPATH HEALTH COALITION OHCP [535215] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA PPO/EPO/FUNDAMENTAL CARE [370210] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA TPA* [370230] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | TRUSTMARK/CORESOURCE OHCP [535345] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | GREATWEST [550] | GREAT WEST HEALTHCARE PPO [550205] | $0.54 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | GREATWEST [550] | GREAT WEST CONSUMER ADVANTAGE* [550210] | $0.54 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | GREATWEST [550] | CIGNA SELECT/GREAT WEST HEALTH [550200] | $0.54 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | COVENTRY [406] | COVENTRY HEALTH NETWORK* [406200] | $0.55 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | PARAMOUNT [555] | PARAMOUNT HEALTHCARE HMO [555200] | $0.55 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | IHG [492] | INTERPLAN HEALTH GROUP (IHG)* [492200] | $0.55 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | EMERALD [395] | EMERALD HEALTH NETWORK (PPO)* [395205] | $0.55 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | COFINITY [407] | COFINITY* [407200] | $0.55 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | PARAMOUNT [555] | PARAMOUNT HEALTHCARE PPO [555205] | $0.55 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | PARAMOUNT [555] | PARAMOUNT MEIJER STEPS2HEALTH [555210] | $0.55 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AHPO [305] | AHPO (ACCNTBL HEALTH PLAN OF OH) [305200] | $0.55 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | FLORA [411] | FLORA HEALTH NETWORK* [411200] | $0.55 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | FIRST HEALTH [408] | FIRST HEALTH* [408200] | $0.55 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHSMART [493] | HEALTHSMART OSU STUDENT (IN FRANKLIN CO) [493210] | $0.55 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHSMART [493] | AULTCARE-HEALTHSMART [493215] | $0.55 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO PREFERRED NETWORK [546] | ZELIS NETWORK SOLUTIONS STRATOSE* [546200] | $0.57 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED PPO ACCESS/TPA [485230] | $0.57 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL OF OH TRADITIONAL [485200] | $0.57 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.61 | $62,199.00 | $44,161.29 | 2026-11-03 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $874.08 | — | 2026-07-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC POS/EPO [625220] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC STUDENT RESOURCES [625255] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC HMO/CHOICE PLUS/SEL/SEL PLUS [625205] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC OXFORD [625260] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC OSU STUDENT RESOURCES [625290] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC NAVIGATE [625280] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC CHOICE [625225] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC OHIO UNIVERSITY STUDENT RESOURCES [625300] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC/GOLDEN RULE [625270] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC/RIVER VALLEY CHOICE PLUS [625265] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | HEALTHSCOPE UHC WHIRLPOOL [625340] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC UMR OPTIONS [625335] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC UMR CHOICE PLUS [625250] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC OPTIONS PPO [625210] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC TPA/SHARED SERVICES* [625275] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC/HERITAGE PLUS [625295] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | UHC [625] | UHC GEHA [625285] | $0.65 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Cigna | Cigna - HMO | $0.84 | $44,647.20 | $33,485.40 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Standard | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - Medicare | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Commercial | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - PPO | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - MCS | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Indian Health Council | Indian Health Council | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | County Medical Services | County of San Diego | — | $44,647.20 | $33,485.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | $1.10 | $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 | 2025-07-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $37,534.88 | $24,397.67 | 2026-06-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $3.42 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Serenity Pace | Medicare Managed Care | $3.42 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | UnitedHealthCare | All Commercial Plans | $4.31 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $4.44 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Wellpoint | All Commercial | $4.44 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Aetna | All Commercial Plans | $4.45 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $4.78 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Multiplan | All Commercial Plans | $4.78 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $5.23 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $5.26 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $5.26 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | BCBS | HMO Commercial | $5.61 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | BCBS | Indemnity Commercial | $5.67 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | BCBS | PPO Commercial | $5.67 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $5.71 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $5.81 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | First Health | PPO | $5.81 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $5.86 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $5.86 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE MEDICAL CENTER Both | Coventry | Health Care Workers Comp | $6.70 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $6.70 | $683.38 | $683.38 | 2026-06-05 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $13.93 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | United | Medicaid|Community Plan | $13.93 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Both | Promise Health | Commerical | $14.76 | $62,199.00 | $44,161.29 | 2026-08-13 | MRF ↗ |
| CHI HEALTH IMMANUEL Outpatient | Centene | Medicaid|NE Total Care | $14.93 | $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 | 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 LAKESIDE Outpatient | Centene | Medicaid|NE Total Care | $15.92 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | United | Medicaid|Community Plan | $16.92 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| CHI HEALTH - MERCY CORNING Outpatient | Centene | Medicaid|NE Total Care | $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 ↗ |
| CHI HEALTH BERGAN MERCY Outpatient | Centene | Medicaid|NE Total Care | $16.92 | $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 | Centene | Medicaid|NE Total Care | $16.92 | $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 MIDLANDS Outpatient | Centene | Medicaid|NE Total Care | $17.91 | $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 | United | Medicaid|Community Plan | $17.91 | $99.50 | $41.79 | 2026-02-28 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $18.55 | $23,004.33 | $21,854.11 | 2026-07-15 | MRF ↗ |
| CHI HEALTH SCHUYLER Outpatient | Amerigroup | Medicaid|All Plans | $21.32 | $99.50 | $84.58 | 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 ↗ |
| CHI HEALTH SCHUYLER Outpatient | IAMolina | Medicaid|All Plans | $21.74 | $99.50 | $84.58 | 2026-02-28 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $23.92 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $23.92 | — | — | 2024-10-01 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $27.48 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 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 | United Healthcare | Community Plan | — | — | — | 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 MIDLANDS 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 MERCY COUNCIL BLUFFS 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 ↗ |
| CHI HEALTH LAKESIDE Outpatient | ELAP | Commercial|All Plans | $27.86 | $99.50 | $41.79 | 2026-02-28 | 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 ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $28.59 | — | — | 2026-01-12 | 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 - MERCY CORNING Outpatient | ELAP | Commercial|All Plans | $32.84 | $99.50 | $41.79 | 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 | Medica | 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 ↗ |
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.