J3055 — Inj Talquetamab-tgvs 0.25 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj talquetamab-tgvs 0.25 mg (HCPCS J3055) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3055?code_type=HCPCS
MLA (9th ed.)
“Inj talquetamab-tgvs 0.25 mg (HCPCS J3055) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3055?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj talquetamab-tgvs 0.25 mg (HCPCS J3055) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3055?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $92–$11,584 (25th–75th percentile) across 1,539 hospitals · 3,278 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3055 — 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
$92
$1,124 typical
$11,584
The middle 50% of negotiated facility rates for this procedure, measured across 1,539 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,124 |
| Likely subtotal | $1,124 |
Facility charge (no separate professional fee)
$1,124
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $92–$11,584.
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $2,331.00 | $1,981.35 | 2025-01-01 | MRF ↗ |
| UNC HOSPITALS Outpatient | Contigo | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ultra | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ppo | $0.14 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1,341.00 | $952.11 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $16,578.00 | $11,770.38 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $16,578.00 | $11,770.38 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1,341.00 | $952.11 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1,341.00 | $952.11 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $16,578.00 | $11,770.38 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Preferred Plus Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Exchange | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Nalc Health Benefit Plan | Hmo/Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Trillium | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Health Network | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Vaya Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Tricare | Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Choice | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Carolina Complete Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Partners | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alliance | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $249.50 | — | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $1.00 | $199.61 | $199.61 | 2026-06-05 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $1.30 | $199.61 | $199.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $1.40 | $199.61 | $199.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $1.53 | $199.61 | $199.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $1.54 | $199.61 | $199.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $1.54 | $199.61 | $199.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $1.67 | $199.61 | $199.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $1.70 | $199.61 | $199.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $1.71 | $199.61 | $199.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $1.71 | $199.61 | $199.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $1.96 | $199.61 | $199.61 | 2026-06-05 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $2,772.72 | $1,802.27 | 2026-06-15 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Aetna Health Inc. Ppo/Pos | All Plans | $3.74 | $38,704.96 | $8,902.14 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.87 | $1,315.72 | $1,249.93 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.87 | $1,315.72 | $1,249.93 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $4.87 | $1,315.72 | $1,249.93 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.00 | $1,315.72 | $1,249.93 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.13 | $1,315.72 | $1,249.93 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $5.26 | $1,315.72 | $1,249.93 | 2026-02-20 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $5.68 | $116.55 | $69.93 | 2025-12-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $6.45 | $1,315.72 | $1,249.93 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $6.45 | $1,315.72 | $1,249.93 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.58 | $1,315.72 | $1,249.93 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.84 | $1,315.72 | $1,249.93 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $7.10 | $1,315.72 | $1,249.93 | 2026-02-20 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $7.37 | $2,365.69 | $2,247.41 | 2026-07-15 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $8.93 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $8.93 | — | — | 2024-10-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $10.80 | $216.00 | $216.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $10.80 | $216.00 | $216.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $10.80 | $216.00 | $216.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $10.80 | $216.00 | $216.00 | 2026-03-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $12.45 | — | — | 2026-03-31 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $14.51 | $125.33 | $75.20 | 2025-12-30 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $15.93 | $4,429.00 | $664.35 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $15.93 | $4,429.00 | $664.35 | 2025-12-23 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $3,885.00 | $2,525.25 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $3,885.00 | $2,525.25 | 2025-01-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $21.82 | $192.60 | $58.94 | 2026-07-18 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $21.95 | $518.00 | $310.80 | 2026-03-06 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $22.53 | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Medicare Advantage HMO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $22.53 | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $22.53 | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Commercial PPO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Medicare Advantage PPO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Wellcare | Medicare Advantage HMO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | PPO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $22.53 | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Cigna | PPO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Multiplan/PHCS | PPO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Community Care | Managed Medicaid | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $22.53 | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Wellcare | Medicare Advantage HMO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Cigna | PPO | — | $225.29 | $225.29 | 2026-04-15 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Humana Military | TRICARE | $23.02 | $82.20 | $82.20 | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Excellus BlueCross BlueShield | Medicare Advantage | $23.02 | $82.20 | $82.20 | 2026-10-12 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | $205.08 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Choice | $23.40 | — | $205.08 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | $205.08 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Traditional | $23.40 | — | $205.08 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | $205.08 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Lincs | $23.40 | — | $205.08 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Traditional | $23.40 | — | $205.08 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Advantage | $23.40 | — | $205.08 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | $205.08 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | $205.08 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Advantage | $23.40 | — | $205.08 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Choice | $23.40 | — | $205.08 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | $205.08 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Lincs | $23.40 | — | $205.08 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | $205.08 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Preferred | $23.40 | — | $205.08 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | $205.08 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | $205.08 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | $205.08 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | $205.08 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | $205.08 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Preferred | $23.40 | — | $205.08 | 2026-03-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $23.52 | $192.60 | $58.94 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $23.52 | $192.60 | $58.94 | 2026-07-18 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $23.79 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $23.79 | — | — | 2026-03-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $24.25 | $192.60 | $58.94 | 2026-07-18 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $25.37 | $68.39 | $54.72 | 2026-01-28 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Both | Promise Health | Commerical | $26.14 | $16,578.00 | $11,770.38 | 2026-08-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $26.56 | — | — | 2026-02-13 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | US Family Health Plan | Tricare Prime | — | $518.00 | $310.80 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $26.66 | $518.00 | $310.80 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Tricare | East Region | — | $518.00 | $310.80 | 2026-03-06 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARKids | $26.90 | $384.32 | $384.32 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARHealth | $26.90 | $384.32 | $384.32 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $26.90 | $384.32 | $384.32 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | CHIP | $26.90 | $384.32 | $384.32 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $26.90 | $384.32 | $384.32 | 2026-03-01 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $27.09 | — | — | 2026-07-15 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $27.19 | $292.00 | $175.20 | 2026-03-06 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | Tricare | East Region | — | $292.00 | $175.20 | 2026-03-06 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | US Family Health Plan | Tricare Prime | — | $292.00 | $175.20 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $27.19 | $206.00 | $123.60 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Tricare | East Region | — | $206.00 | $123.60 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | US Family Health Plan | Tricare Prime | — | $206.00 | $123.60 | 2026-03-06 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $29.09 | — | — | 2026-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | All Products | $29.09 | — | — | 2026-07-01 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $29.81 | $2,293.17 | $1,719.87 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $29.97 | $11,516.84 | $11,516.84 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $29.97 | $11,516.84 | $11,516.84 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $29.97 | $11,516.84 | $11,516.84 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | UNITED | UNITED MEDICARE | $29.97 | $11,516.84 | $11,516.84 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $29.97 | $11,516.84 | $11,516.84 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $29.97 | $17,710.49 | $11,511.82 | 2026-07-31 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | ANTHEM | ANTHEM MEDICARE | $29.97 | $11,516.84 | $11,516.84 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $29.97 | $11,516.84 | $11,516.84 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $29.97 | $11,516.84 | $11,516.84 | 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.