J1411 — Inj, Hemgenix, Per Tx Dose
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, hemgenix, per tx dose (HCPCS J1411) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1411?code_type=HCPCS
MLA (9th ed.)
“Inj, hemgenix, per tx dose (HCPCS J1411) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1411?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj, hemgenix, per tx dose (HCPCS J1411) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1411?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,642,107–$3,927,000 (25th–75th percentile) across 854 hospitals · 838 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J1411 — 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 |
|---|---|---|---|---|---|---|---|
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Buckeye | Ambetter Exchange | $5,352,602.50 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Cigna | Cigna | $8,186,220.00 | $12,600,000.00 | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo/Pos | $13,700,436.41 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $9,907,130.07 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $10,114,573.00 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Molina | Molina - Exchange | $5,891,479.57 | $12,600,000.00 | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Oscar | All Commercial Plans | $5,537,175.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $23,468,458.27 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Centivo | All Commercial Plans | $8,291,850.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $11,352,854.76 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare Ppo | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $6,264,953.33 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Imagine Health | All Commercial Plans | $8,853,204.54 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Anthem | Anthem - Traditional | $12,259,800.00 | $12,600,000.00 | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $9,907,130.07 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Buckeye | Ambetter Exchange | $5,352,602.50 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Healthnet | Ambetter Hmo | $6,829,182.50 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Pathway Small Group Exchange | $5,867,307.86 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $7,554,796.67 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $6,417,283.78 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $8,377,159.63 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Oscar | Exchange | $6,633,480.00 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $10,771,532.21 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $10,631,376.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $11,352,854.76 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem Blue Connection HMO | $9,432,983.17 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $10,114,573.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $9,080,967.00 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $6,817,743.33 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Hmo | $6,829,182.50 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Unitedhealthcare | Options Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $8,377,159.63 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Cincinnati Public Library | All Commercial Plans | $6,965,154.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Healthnet | Ambetter Ppo | $7,899,703.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Caresource | Exchange | $6,449,216.67 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Hpn Other Commercial Plan | $12,467,397.13 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Healthnet | Ambetter Ppo | $7,899,703.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $25,360,439.87 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $6,633,480.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $10,023,925.33 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $11,847,693.46 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $9,080,967.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $8,853,204.54 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Oscar | Exchange | $10,613,568.00 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Anthem | Anthem Blue Connection High Performance Network | $8,266,790.19 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare All Savers | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare River Valley | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare Choice Plus | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Contracted Commercial | Caresource Marketplace | $5,527,900.00 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Hmo/Pos/Ppo | $16,944,070.84 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Healthnet | Ambetter Hmo | $6,829,182.50 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $8,853,204.54 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Oscar | All Commercial Plans | $5,537,175.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $7,976,674.84 | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL - SAVANNAH OutpatientFacility | Bcbs | Anthem Hmo/Pos | $8,815,106.87 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $10,631,376.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $9,487,026.50 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Blue Access/Blue Preferred Hmo/Ppo | $12,991,635.67 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Pathway Exchange | $5,789,317.97 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Aetna | Exchange | $5,527,900.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL - SAVANNAH OutpatientFacility | Bcbs | Anthem Ppo | $10,016,568.58 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Cigna | All Commercial Plans | $12,744,729.73 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Broad Networks | $9,213,166.68 | — | — | 2025-11-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Medical Mutual | Supermed Hmo/Pos/Ppo | $8,253,904.39 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Unitedhealthcare | Options Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $8,719,881.57 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Exchange | $15,249,533.64 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Medical Mutual | Medflex Other Commercial Plan | $7,458,616.79 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Healthcare Partners | All Commercial Plans | $10,023,925.33 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Medical Mutual | Supermed Hmo/Pos/Ppo | $16,369,147.83 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Ppo | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Medical Mutual | Supermed Hmo/Pos/Ppo | $5,746,377.81 | — | — | 2026-04-01 | MRF ↗ |
| BRATTLEBORO MEMORIAL HOSPITAL OutpatientFacility | Anthem | Group Pathway Exchange | $5,159,373.33 | — | — | 2025-12-29 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Healthnet | Ambetter Hmo | $6,829,182.50 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Medical Mutual | Aca Exchange | $9,606,966.80 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $8,365,555.33 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $9,765,956.67 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare All Savers | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $9,102,608.67 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Anthem | Anthem Marketplace-Exchange Plans | $5,122,520.67 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $9,872,969.46 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Golden Rule | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Molina | Exchange | $5,970,132.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $9,487,026.50 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $10,114,573.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Select Colorado | $9,213,166.68 | — | — | 2025-11-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Oscar | All Commercial Plans | $5,537,175.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Unitedhealthcare | St. Louis University Employee | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Anthem | Anthem Bcbs | $11,023,001.13 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $8,386,152.89 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Anthem | Marketplace-Exchange Plans | $5,401,495.35 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Healthnet | Ambetter Hmo | $6,829,182.50 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare - Surest | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $7,886,470.67 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare Golden Rule | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Medical Resources | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $9,080,967.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $9,487,026.50 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $6,744,038.00 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $5,159,373.33 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| GARNET HEALTH MEDICAL CENTER CATSKILLS OutpatientFacility | Geisinger Health Plan | All Commercial Plans | $9,228,625.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Buckeye | Ambetter Exchange | $5,352,602.50 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem Blue Access PPO | $10,849,073.68 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Contracted Commercial | Caresource Marketplace | $5,527,900.00 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Choice Plus | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Unitedhealthcare | Options Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Centivo | Ppo | $8,291,850.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Unitedhealthcare | St. Louis University Employee | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Alliance Coal | All Commercial Plans | $9,228,625.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Healthnet | Ambetter Hmo | $6,829,182.50 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare All Savers | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Surest | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Wellcare | Ambetter Exchange | $6,312,379.50 | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Bcbs | Anthem Shop Pathway Exchange | $5,058,557.25 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Choice Plus | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL - SAVANNAH OutpatientFacility | Bcbs | Anthem Pathway Exchange | $5,152,169.20 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $9,102,608.67 | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL - SAVANNAH OutpatientFacility | Caresource | Exchange | $7,186,270.00 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Golden Rule | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Summacare | Excludes Community Choice All Commercial Plans | $8,623,524.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $10,023,925.33 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Broad Networks | $9,213,166.68 | — | — | 2025-11-01 | MRF ↗ |
| MONADNOCK COMMUNITY HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Elevate Other Commercial Plan | $6,649,125.00 | — | — | 2026-04-01 | MRF ↗ |
| MONADNOCK COMMUNITY HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | All Commercial Plans | $8,568,000.00 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Ppo | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Select Colorado | $9,213,166.68 | — | — | 2025-11-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $5,450,901.80 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Unitedhealthcare | St. Louis University Employee | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Contracted Commercial | Caresource Marketplace | $5,527,900.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Molina | Exchange | $5,970,132.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $10,463,987.99 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Medical Mutual | Aca Exchange | $5,150,135.76 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Medical Resources | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Healthcare Partners | All Commercial Plans | $9,102,608.67 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $5,667,857.97 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Centivo | Ppo | $8,291,850.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $9,765,956.67 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $7,886,470.67 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare River Valley | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $10,063,253.36 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $13,411,599.41 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Hmo | $6,829,182.50 | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Pos | $15,455,564.41 | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $21,077,386.31 | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Bcbs | Hpn Other Commercial Plan | $14,064,606.14 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Surest | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Centivo | Ppo | $8,291,850.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $11,176,332.84 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $7,264,616.35 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $9,213,166.67 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $6,633,480.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $7,886,470.67 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $7,554,796.67 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Anthem | Anthem Blue Connection High Performance Network | $8,533,603.49 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Cincinnati Public Library | All Commercial Plans | $6,965,154.00 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Oscar | Exchange | $10,466,157.33 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Medical Mutual | Medflex Other Commercial Plan | $13,913,954.58 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Ppo | $7,899,703.00 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $5,159,373.33 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Unitedhealthcare | All Commercial Plans | $13,910,823.52 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $9,034,274.02 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Anthem | Anthem Marketplace-Exchange Plans | $5,310,837.79 | — | — | 2026-04-01 | MRF ↗ |
| SUMMA HEALTH SYSTEM OutpatientFacility | Unitedhealthcare | Exchange | $6,264,953.33 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Anthem | Anthem Blue Connection High Performance Network | $8,091,740.02 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Oscar | Exchange | $6,559,774.67 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Anthem | Anthem Bcbs | $11,246,328.29 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Medical Resources | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare River Valley | $6,080,690.01 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Anthem | Anthem Bcbs | $11,377,892.31 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Unitedhealthcare | St. Louis University Employee | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Healthnet | Ambetter Ppo | $7,899,703.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Unitedhealthcare | Options Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $5,933,279.33 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Healthnet | Ambetter Ppo | $7,899,703.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,923,323.34 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Healthnet | Ambetter Hmo | $6,829,182.50 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $9,213,166.67 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | MMO | MMO - Commercial | $6,872,040.00 | $12,600,000.00 | — | 2026-04-01 | 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.