J1414 — Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose (CPT J1414) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1414?code_type=CPT
MLA (9th ed.)
“Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose (CPT J1414) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1414?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Injection, fidanacogene elaparvovec-dzkt, per therapeutic dose (CPT J1414) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1414?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,605,000–$3,965,500 (25th–75th percentile) across 500 hospitals · 477 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J1414 — 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 |
|---|---|---|---|---|---|---|---|
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | United Health Care | All Commercial Products | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Unitedhealthcare | Options Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Broad Networks | $9,275,000.00 | — | — | 2025-11-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare All Savers | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Unitedhealthcare | St. Louis University Employee | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Unitedhealthcare | St. Louis University Employee | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Select Colorado | $9,275,000.00 | — | — | 2025-11-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Medical Resources | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare All Savers | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare - Surest | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Surest | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Unitedhealthcare | Options Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare River Valley | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Medical Resources | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Surest | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare River Valley | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare River Valley | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Unitedhealthcare | Options Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare | $6,121,500.00 | — | — | 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 | Uhc | United Healthcare Choice Plus | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Uhc | United Healthcare Golden Rule | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | United Health Care | Commercial HMO | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,976,500.00 | — | — | 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 ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Broad Networks | $9,275,000.00 | — | — | 2025-11-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Golden Rule | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Choice Plus | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Golden Rule | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Unitedhealthcare | Options Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Select Colorado | $9,275,000.00 | — | — | 2025-11-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Unitedhealthcare | St. Louis University Employee | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare All Savers | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Uhc | United Healthcare Choice Plus | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Uhc | United Medical Resources | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - ST LOUIS OutpatientFacility | Unitedhealthcare | Options Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $7,976,500.00 | — | — | 2026-04-01 | MRF ↗ |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH OutpatientFacility | Physicians Health Plan | Hmo | $5,628,000.00 | — | — | 2026-04-01 | MRF ↗ |
| UCHEALTH GREELEY HOSPITAL OutpatientFacility | United Healthcare | Select Colorado | $23,187,500.00 | — | — | 2025-11-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | United Healthcare | Navigate Colorado Option | $17,956,400.00 | — | — | 2025-11-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | United Healthcare | Select Colorado | $17,956,400.00 | — | — | 2025-11-01 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Medical Mutual | Commercial | $8,050,700.00 | — | — | 2025-08-08 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Unitedhealthcare | Hmo/Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| GRANT MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Options Other Commercial Plan | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW HUNTINGTON HOSPITAL OutpatientFacility | Physicians Health Plan | Hmo | $5,628,000.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Unitedhealthcare | Colorado Doctors Epo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW HUNTINGTON HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| Centura Health-porter Adventist Hospital OutpatientFacility | Unitedhealthcare | Navigate/Core/Charter/Nexusaco Other Commercial Plan | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Unitedhealthcare | Hmo/Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| Centura Health-porter Adventist Hospital OutpatientFacility | Unitedhealthcare | Hmo/Ppo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| GRANT MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| Centura Health-porter Adventist Hospital OutpatientFacility | Unitedhealthcare | Colorado Doctors Epo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Physicians Health Plan | Hmo | $5,628,000.00 | — | — | 2026-04-01 | MRF ↗ |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| Centura Health-porter Adventist Hospital OutpatientFacility | Unitedhealthcare | Select Colorado Other Commercial Plan | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW LAGRANGE HOSPITAL OutpatientFacility | Physicians Health Plan | Hmo | $5,628,000.00 | — | — | 2026-04-01 | MRF ↗ |
| GRANT MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Options Other Commercial Plan | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Physicians Health Plan | Hmo | $5,628,000.00 | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Unitedhealthcare | Options Other Commercial Plan | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| ASHTABULA COUNTY MEDICAL CENTER OutpatientFacility | Medical Mutual | Commercial | $8,050,700.00 | — | — | 2025-08-08 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Unitedhealthcare | Navigate/Core/Charter/Nexusaco Other Commercial Plan | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW WHITLEY HOSPITAL OutpatientFacility | Physicians Health Plan | Hmo | $5,628,000.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Physicians Health Plan | Hmo | $5,628,000.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW WHITLEY HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Unitedhealthcare | Navigate/Core/Charter/Nexusaco Other Commercial Plan | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| Ohio Orthopedic Surgery Institute Llc OutpatientFacility | Unitedhealthcare | Options Other Commercial Plan | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| GRANT MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW HUNTINGTON HOSPITAL OutpatientFacility | Physicians Health Plan | Hmo | $5,628,000.00 | — | — | 2026-04-01 | MRF ↗ |
| Ohio Orthopedic Surgery Institute Llc OutpatientFacility | Unitedhealthcare | All Commercial Plans | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL OutpatientFacility | Unitedhealthcare | Options Other Commercial Plan | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW WABASH HOSPITAL, INC OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Parker OutpatientFacility | Unitedhealthcare | Select Colorado Other Commercial Plan | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Physicians Health Plan | Hmo | $5,628,000.00 | — | — | 2026-04-01 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | United Healthcare | Navigate Colorado Option | $17,956,400.00 | — | — | 2025-11-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Unitedhealthcare | Options Other Commercial Plan | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW NOBLE HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW NOBLE HOSPITAL OutpatientFacility | Physicians Health Plan | Hmo | $5,628,000.00 | — | — | 2026-04-01 | MRF ↗ |
| DOCTORS HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | United Healthcare | Select Colorado | $17,956,400.00 | — | — | 2025-11-01 | MRF ↗ |
| UCHEALTH GREELEY HOSPITAL OutpatientFacility | United Healthcare | Broad Networks | $23,187,500.00 | — | — | 2025-11-01 | MRF ↗ |
| PARKVIEW LAGRANGE HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | United Healthcare | Broad Networks | $17,956,400.00 | — | — | 2025-11-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Unitedhealthcare | Colorado Doctors Epo | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| DUBLIN METHODIST HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| AdventHealth Porter OutpatientFacility | Unitedhealthcare | Select Colorado Other Commercial Plan | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW WABASH HOSPITAL, INC OutpatientFacility | Physicians Health Plan | Hmo | $5,628,000.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Unitedhealthcare | Options Other Commercial Plan | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | United Healthcare | Broad Networks | $17,956,400.00 | — | — | 2025-11-01 | MRF ↗ |
| DOCTORS HOSPITAL OutpatientFacility | Unitedhealthcare | Options Other Commercial Plan | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW HUNTINGTON HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,121,500.00 | — | — | 2026-04-01 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $10,054,100.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Hmo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Hmo/Ppo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Traditional | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellcare | Ambetter Health Commercial | $8,566,526.53 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Emblem Health | Commercial | $9,040,053.12 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $220.97 | — | — | 2026-03-04 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | Core | $6,121,500.00 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | Compass | $6,121,500.00 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | Metro | $6,121,500.00 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | Nexus ACO | $6,121,500.00 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | UMR | All Payer Appendix | $6,121,500.00 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Affinity Health Plan | EP 1&2 | $260.33 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | All Payer Appendix | $6,121,500.00 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | United Healthcare | Charter | $6,121,500.00 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Health First | Leaf | $7,682,964.80 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | SUREST | All Payer Appendix | $6,121,500.00 | — | — | 2026-02-19 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Health First | Small Group | $9,878,097.60 | — | — | 2026-02-19 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $9,926.25 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $9,926.25 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $9,926.25 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $9,926.25 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $10,124.78 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $10,819.61 | — | — | 2025-07-22 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Daniel Memorial | Managed Medicaid | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Daniel Memorial | Managed Medicaid | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Daniel Memorial | Managed Medicaid | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Nassaua County Sheriff's Office | Managed Medicaid | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Humana | Managed Medicaid | $15,211.52 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $15,211.53 | — | — | 2025-08-01 | 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.