J1413 — Inj Delandistrogene Mox Rokl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj delandistrogene mox rokl (HCPCS J1413) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1413?code_type=HCPCS
MLA (9th ed.)
“Inj delandistrogene mox rokl (HCPCS J1413) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1413?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj delandistrogene mox rokl (HCPCS J1413) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1413?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,161,543–$3,518,457 (25th–75th percentile) across 1,024 hospitals · 1,087 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1413 — 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
$3,161,543
$3,324,572 typical
$3,518,457
The middle 50% of negotiated facility rates for this procedure, measured across 1,024 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,324,572 |
| Likely subtotal | $3,324,572 |
Facility charge (no separate professional fee)
$3,324,572
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: your remaining deductible and out-of-pocket max — enter your own plan terms to tighten this.
- 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 |
|---|---|---|---|---|---|---|---|
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Golden Rule | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Cincinnati Public Library | All Commercial Plans | $6,268,114.29 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Pathway Small Group Exchange | $5,280,135.41 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Anthem | Anthem Blue Connection High Performance Network | $7,281,956.90 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | UnitedHealthCare | St. Louis University Employee | $5,480,939.49 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $5,775,072.33 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $22,822,486.85 | — | — | 2026-04-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | $5,168,566.98 | — | — | 2025-11-26 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Anthem | Anthem Bcbs | $10,120,848.88 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Ppo | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $6,069,126.54 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | UnitedHealthCare | Options PPO | $5,480,939.49 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $7,528,370.07 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $8,191,662.59 | — | — | 2026-04-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Allied National/Zelis - Freedom Plan | Commercial | $7,984,416.92 | — | — | 2026-02-13 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $12,645,866.97 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare Golden Rule | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare Ppo | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | $5,168,566.98 | — | — | 2025-11-26 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Healthnet | Ambetter Hmo | $6,144,546.30 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $7,965,656.97 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Choice Plus | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $5,637,986.40 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Healthnet | Ambetter Ppo | $7,107,745.45 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Centivo | Ppo | $7,462,040.82 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Select Colorado | $8,306,183.25 | — | — | 2025-11-01 | MRF ↗ |
| SSM ST JOSEPH HOSPITAL WEST OutpatientFacility | UnitedHealthCare | All Commercial Plans | $5,480,939.49 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $5,969,632.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $6,798,748.31 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Healthnet | Ambetter Ppo | $7,107,745.45 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $9,020,778.24 | — | — | 2026-04-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Ambetter IN | Commercial | $5,051,365.80 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | MHS Ambetter IN | Commercial | $5,051,365.80 | — | — | 2026-02-13 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Unitedhealthcare | Oxford Liberty Other Commercial Plan | $12,645,866.97 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $21,119,845.83 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Anthem | Anthem Bcbs | $9,919,871.25 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare Choice Plus | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare River Valley | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Covered | $5,168,566.98 | — | — | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | $5,168,566.98 | — | — | 2025-11-26 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Unitedhealthcare | St. Louis University Employee | $5,480,939.49 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Healthnet | Ambetter Ppo | $7,107,745.45 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $6,537,607.86 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $8,884,929.32 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare All Savers | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare River Valley | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Medical Resources | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $8,788,625.86 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Hmo/Pos/Ppo | $15,248,388.27 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $9,761,437.12 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Healthnet | Ambetter Hmo | $6,144,546.30 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $7,546,906.32 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $9,020,778.24 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $5,339,504.77 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $7,097,229.94 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Broad Networks | $8,306,183.25 | — | — | 2025-11-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Pos | $13,908,844.54 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $6,798,748.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Molina | Exchange | $5,372,669.39 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $8,788,625.86 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Healthnet | Ambetter Hmo | $6,144,546.30 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Centivo | All Commercial Plans | $7,462,040.82 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Oscar | Exchange | $5,903,303.41 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $8,884,929.32 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $10,662,032.27 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $8,535,937.29 | — | — | 2026-04-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | HOPE Trust | Commercial | $5,377,260.37 | — | — | 2026-02-13 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $9,565,563.97 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Hmo | $6,144,546.30 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Ppo | $7,107,745.45 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $8,291,156.47 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo/Pos | $12,329,361.45 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $9,100,571.28 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Anthem | Anthem Blue Connection High Performance Network | $7,439,488.88 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem Blue Connection HMO | $8,487,311.89 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Imagine Health | All Commercial Plans | $7,965,656.97 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare - Surest | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Medical Resources | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $7,965,656.97 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $5,969,632.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $9,020,778.24 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $8,191,662.59 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $7,177,000.75 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Unitedhealthcare | Options Ppo | $5,480,939.49 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $9,565,563.97 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $6,798,748.31 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $9,100,571.28 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Healthnet | Ambetter Hmo | $6,144,546.30 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $10,214,713.36 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $5,969,632.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Molina | Exchange | $5,372,669.39 | — | — | 2026-04-01 | MRF ↗ |
| JENNIE STUART MEDICAL CENTER OutpatientFacility | Wellcare Ambetter | Medicare Advantage | $5,472,163.27 | — | — | 2026-02-12 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Centivo | Ppo | $7,462,040.82 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $5,775,072.33 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Surest | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $7,097,229.94 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Hmo | $6,144,546.30 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Caresource | Exchange | $5,803,809.53 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Exchange | $13,723,432.35 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Ppo | $7,107,745.45 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $12,069,429.90 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Select Colorado | $8,306,183.25 | — | — | 2025-11-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $5,969,632.66 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $9,100,571.28 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $10,057,858.25 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $9,056,170.50 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $8,191,662.59 | — | — | 2026-04-01 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $5,984,229.42 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $5,984,229.42 | — | — | 2026-05-23 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Broad Networks | $8,306,183.25 | — | — | 2025-11-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $8,291,156.47 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $8,487,311.89 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $7,177,000.75 | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $18,968,061.06 | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Bcbs | Hpn Other Commercial Plan | $12,657,086.80 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $7,097,229.94 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $5,480,939.49 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Healthnet | Ambetter Ppo | $7,107,745.45 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $8,535,937.29 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $7,847,237.01 | — | — | 2026-04-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | Exchange | $5,969,632.66 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Molina | Exchange | $5,372,669.39 | — | — | 2026-04-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Workers Compensation | $6,301,278.92 | — | — | 2026-05-13 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Cincinnati Public Library | All Commercial Plans | $6,268,114.29 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Unitedhealthcare | St. Louis University Employee | $5,480,939.49 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Unitedhealthcare | Options Ppo | $5,480,939.49 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $10,057,858.25 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $8,130,166.55 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Oscar | Exchange | $9,418,753.75 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $8,170,585.89 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $8,535,937.29 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $9,416,801.51 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $8,788,625.86 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $5,100,645.52 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $12,069,429.90 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $9,100,571.28 | — | — | 2026-04-01 | MRF ↗ |
| BRISTOL HOSPITAL OutpatientFacility | Claim Doc | TPA | $6,644,946.59 | — | — | 2025-08-20 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $7,097,229.94 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $6,537,607.86 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $8,170,585.89 | — | — | 2026-04-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | NonContracted | NonContracted | $5,214,313.09 | — | — | 2026-02-13 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Healthcare Partners | All Commercial Plans | $9,020,778.24 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Healthcare Partners | All Commercial Plans | $8,191,662.59 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Unitedhealthcare | St. Louis University Employee | $5,480,939.49 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Centivo | Ppo | $7,462,040.82 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Centivo | Ppo | $7,462,040.82 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Anthem | Anthem Bcbs | $10,239,246.59 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Unitedhealthcare | Options Ppo | $5,480,939.49 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Anthem | Anthem Blue Connection High Performance Network | $7,679,600.77 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare River Valley | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Hpn Other Commercial Plan | $11,219,718.92 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Golden Rule | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Ppo | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem Blue Access PPO | $9,761,437.12 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Choice Plus | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare All Savers | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Surest | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Unitedhealthcare | All Commercial Plans | $5,480,939.49 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare All Savers | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $10,662,032.27 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Medical Resources | $5,485,543.64 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Centivo | All Commercial Plans | $7,462,040.82 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Hmo | $6,144,546.30 | — | — | 2026-04-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Caresource | Exchange | $5,306,340.14 | — | — | 2026-05-13 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $10,214,713.36 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $7,528,370.07 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Healthnet | Ambetter Ppo | $7,107,745.45 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Healthnet | Ambetter Hmo | $6,144,546.30 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $5,480,939.49 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,143,317.60 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $8,913,924.82 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $7,537,336.31 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $8,291,156.47 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $8,535,937.29 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $8,170,585.89 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $7,537,336.31 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $8,170,585.89 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $9,565,563.97 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $7,965,656.97 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $8,913,924.82 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $6,798,748.31 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Oscar | Exchange | $5,969,632.66 | — | — | 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.