J1569 — Gammagard Liquid Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Gammagard liquid injection (OTHER J1569) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1569?code_type=OTHER
MLA (9th ed.)
“Gammagard liquid injection (OTHER J1569) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1569?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Gammagard liquid injection (OTHER J1569) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1569?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $47–$103 (25th–75th percentile) across 223 hospitals · 577 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER J1569 — 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 |
|---|---|---|---|---|---|---|---|
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $9,297.94 | $929.79 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $9,297.94 | $929.79 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $9,297.94 | $929.79 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $9,297.94 | $929.79 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $9,297.94 | $929.79 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $9,297.94 | $929.79 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $9,297.94 | $929.79 | 2026-05-27 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $9,297.94 | $929.79 | 2026-05-09 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-05-06 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Choice Fund Plans | $12.31 | $190.59 | $46.05 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna (Individual/Employer Provided) | $12.31 | $190.59 | $46.05 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Global Health Benefits Plans | $12.31 | $190.59 | $46.05 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Global Health Benefits Plans | $12.31 | $190.59 | $46.05 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Localplus | $12.31 | $190.59 | $46.05 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Network (Open Access, Open Access Plus, Pos Open Access, Pos) | $12.31 | $190.59 | $46.05 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Network (Open Access, Open Access Plus, Pos Open Access, Pos) | $12.31 | $190.59 | $46.05 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Ppo/Epo | $12.31 | $190.59 | $46.05 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Choice Fund Plans | $12.31 | $190.59 | $46.05 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Ppo/Epo | $12.31 | $190.59 | $46.05 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna (Individual/Employer Provided) | $12.31 | $190.59 | $46.05 | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Cigna | Cigna Localplus | $12.31 | $190.59 | $46.05 | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $15.74 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $15.74 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $15.74 | — | — | 2026-05-06 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $18.92 | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $7,385.58 | $4,800.63 | 2026-05-22 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $19.67 | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $19.67 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $19.67 | — | — | 2026-05-24 | MRF ↗ |
| BOWDLE HOSPITAL - CAH Outpatient | Medica Insurance | Ind | $21.77 | $4,315.00 | $4,315.56 | 2026-05-14 | MRF ↗ |
| AVERA ST BENEDICT HEALTH CENTER - CAH Outpatient | Medica Insurance | Com | $21.77 | $2,713.00 | $2,632.04 | 2026-05-09 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Medica Insurance | Com | $21.77 | $2,713.00 | $2,632.04 | 2026-05-08 | MRF ↗ |
| AVERA SACRED HEART HOSPITAL Outpatient | Medica Insurance | Ind | $21.77 | $14,132.00 | $13,708.84 | 2026-05-09 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Medica Insurance | Ind | $21.77 | $2,713.00 | $2,632.04 | 2026-05-08 | MRF ↗ |
| AVERA SACRED HEART HOSPITAL Outpatient | Medica Insurance | Com | $21.77 | $14,132.00 | $13,708.84 | 2026-05-09 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Com | $21.77 | $544.00 | $528.16 | 2026-05-22 | MRF ↗ |
| AVERA DE SMET MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Com | $21.77 | $9,803.00 | $9,509.65 | 2026-05-13 | MRF ↗ |
| AVERA ST BENEDICT HEALTH CENTER - CAH Outpatient | Medica Insurance | Ind | $21.77 | $2,713.00 | $2,632.04 | 2026-05-09 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Ind | $21.77 | $544.00 | $528.16 | 2026-05-22 | MRF ↗ |
| AVERA DE SMET MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Ind | $21.77 | $9,803.00 | $9,509.65 | 2026-05-13 | MRF ↗ |
| AVERA DE SMET MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Com | $21.77 | $9,803.00 | $9,509.65 | 2026-05-21 | MRF ↗ |
| AVERA DE SMET MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Ind | $21.77 | $9,803.00 | $9,509.65 | 2026-05-21 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Com | $21.77 | $544.00 | $528.16 | 2026-05-18 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Ind | $21.77 | $544.00 | $528.16 | 2026-05-18 | MRF ↗ |
| BOWDLE HOSPITAL - CAH Outpatient | Medica Insurance | Com | $21.77 | $4,315.00 | $4,315.56 | 2026-05-14 | MRF ↗ |
| AVERA GREGORY HOSPITAL Outpatient | Medica Insurance | Com | $21.77 | $14,132.00 | $13,708.84 | 2026-05-06 | MRF ↗ |
| AVERA GREGORY HOSPITAL Outpatient | Medica Insurance | Ind | $21.77 | $14,132.00 | $13,708.84 | 2026-05-06 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $24.29 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $24.29 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $24.29 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $24.29 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $24.29 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $24.29 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $24.29 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $24.29 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $24.29 | — | — | 2026-05-13 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Local 1199 | Medicare | $24.84 | $667.58 | $86.79 | 2026-05-06 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Lincs | 29030808 | $25.01 | $408.53 | $204.27 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Traditional | 29030835 | $25.01 | $408.53 | $204.27 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Preferred | 29030781 | $25.01 | $408.53 | $204.27 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Advantage | 29030860 | $25.01 | $408.53 | $204.27 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Uhc Shared Services | 29042477 | — | $408.53 | $204.27 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Choice | 29030731 | $25.01 | $408.53 | $204.27 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl United Healthcare | 29045755 | — | $408.53 | $204.27 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Miscellaneous United Healthcare | 28186640 | — | $408.53 | $204.27 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Bcbs Cn | 29030748 | $25.01 | $408.53 | $204.27 | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $26.74 | $235.99 | $72.21 | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $27.19 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $27.19 | — | — | 2026-05-24 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Emblem Ghi | Commercial | $28.27 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $28.81 | $235.99 | $72.21 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $28.81 | $235.99 | $72.21 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $28.89 | $235.99 | $65.13 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $28.89 | $235.99 | $65.13 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $29.71 | $235.99 | $72.21 | 2026-05-08 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Multiplan | Multiplan | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Student | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Molina Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource | Caresource | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna Rental | First Health | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $30.74 | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna Rental | First Health | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Caresource | Caresource | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Better Health | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Cigna | Cigna | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Humana | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Caresource | Caresource | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Student Health | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Aetna | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $30.74 | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Cigna | Cigna | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Multiplan | Multiplan | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Cigna | Cigna | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye | Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Aetna | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | The Health Plan Wv | Mgd Mcaid | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | University Of Pennsylvania Health Plan | University Of Pennsylvania Health Plan | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Multiplan | Multiplan | — | $253.00 | $126.50 | 2026-05-23 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna | Aetna | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Aetna Rental | First Health | — | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Aetna | Better Health Mgd Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Maryland Physician Care | Maryland Physician Care | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Pa | Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Wellpoint West Virginia | Mgd Mcaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Partners Pennsylvania Medicaid | Health Partners Pennsylvania Medicaid | — | $253.00 | $126.50 | 2026-05-14 | MRF ↗ |
| WHEELING HOSPITAL, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $30.74 | $253.00 | $126.50 | 2026-05-13 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $253.00 | $126.50 | 2026-05-14 | 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.