J3101 — Tenecteplase Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tenecteplase injection (OTHER J3101) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3101?code_type=OTHER
MLA (9th ed.)
“Tenecteplase injection (OTHER J3101) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3101?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Tenecteplase injection (OTHER J3101) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3101?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $164–$301 (25th–75th percentile) across 246 hospitals · 564 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER J3101 — 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 |
|---|---|---|---|---|---|---|---|
| AVERA GREGORY HOSPITAL Outpatient | Medica Insurance | Ind | $0.41 | $31,584.00 | $30,637.29 | 2026-05-06 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Ind | $0.41 | $14,021.00 | $13,600.41 | 2026-05-22 | MRF ↗ |
| AVERA TYLER HOSPITAL Outpatient | Medica Insurance | Com | $0.41 | $31,584.00 | $30,637.29 | 2026-05-13 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Ind | $0.41 | $14,021.00 | $13,600.41 | 2026-05-18 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Com | $0.41 | $14,021.00 | $13,600.41 | 2026-05-22 | MRF ↗ |
| AVERA DE SMET MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Ind | $0.41 | $31,584.00 | $30,637.29 | 2026-05-21 | MRF ↗ |
| AVERA DE SMET MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Com | $0.41 | $31,584.00 | $30,637.29 | 2026-05-13 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Com | $0.41 | $14,021.00 | $13,600.41 | 2026-05-18 | MRF ↗ |
| AVERA TYLER HOSPITAL Outpatient | Medica Insurance | Com | $0.41 | $31,584.00 | $30,637.29 | 2026-05-21 | MRF ↗ |
| AVERA DE SMET MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Ind | $0.41 | $31,584.00 | $30,637.29 | 2026-05-13 | MRF ↗ |
| AVERA DELLS AREA HOSPITAL - CAH Outpatient | Medica Insurance | Com | $0.41 | $31,584.00 | $30,637.29 | 2026-05-09 | MRF ↗ |
| AVERA DELLS AREA HOSPITAL - CAH Outpatient | Medica Insurance | Ind | $0.41 | $31,584.00 | $30,637.29 | 2026-05-09 | MRF ↗ |
| AVERA ST BENEDICT HEALTH CENTER - CAH Outpatient | Medica Insurance | Ind | $0.41 | $31,584.00 | $30,637.29 | 2026-05-09 | MRF ↗ |
| AVERA SACRED HEART HOSPITAL Outpatient | Medica Insurance | Com | $0.41 | $31,584.00 | $30,637.29 | 2026-05-09 | MRF ↗ |
| AVERA ST BENEDICT HEALTH CENTER - CAH Outpatient | Medica Insurance | Com | $0.41 | $31,584.00 | $30,637.29 | 2026-05-09 | MRF ↗ |
| AVERA MERRILL PIONEER HOSPITAL Outpatient | Medica Insurance | Ind | $0.41 | $31,584.00 | $30,637.29 | 2026-05-06 | MRF ↗ |
| AVERA TYLER HOSPITAL Outpatient | Medica Insurance | Ind | $0.41 | $31,584.00 | $30,637.29 | 2026-05-21 | MRF ↗ |
| AVERA GREGORY HOSPITAL Outpatient | Medica Insurance | Com | $0.41 | $31,584.00 | $30,637.29 | 2026-05-06 | MRF ↗ |
| AVERA CREIGHTON HOSPITAL Outpatient | Medica Insurance | Com | $0.41 | $31,584.00 | $30,637.29 | 2026-05-09 | MRF ↗ |
| AVERA SACRED HEART HOSPITAL Outpatient | Medica Insurance | Ind | $0.41 | $31,584.00 | $30,637.29 | 2026-05-09 | MRF ↗ |
| BOWDLE HOSPITAL - CAH Outpatient | Medica Insurance | Ind | $0.41 | $14,016.00 | $14,016.04 | 2026-05-14 | MRF ↗ |
| AVERA TYLER HOSPITAL Outpatient | Medica Insurance | Ind | $0.41 | $31,584.00 | $30,637.29 | 2026-05-13 | MRF ↗ |
| AVERA CREIGHTON HOSPITAL Outpatient | Medica Insurance | Ind | $0.41 | $31,584.00 | $30,637.29 | 2026-05-09 | MRF ↗ |
| BOWDLE HOSPITAL - CAH Outpatient | Medica Insurance | Com | $0.41 | $14,016.00 | $14,016.04 | 2026-05-14 | MRF ↗ |
| AVERA DE SMET MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Com | $0.41 | $31,584.00 | $30,637.29 | 2026-05-21 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Medica Insurance | Com | $0.41 | $31,584.00 | $30,637.29 | 2026-05-08 | MRF ↗ |
| AVERA MERRILL PIONEER HOSPITAL Outpatient | Medica Insurance | Com | $0.41 | $31,584.00 | $30,637.29 | 2026-05-06 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Medica Insurance | Ind | $0.41 | $31,584.00 | $30,637.29 | 2026-05-08 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Medcost | Managed Care | $1.64 | $5.00 | $2.00 | 2026-05-06 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $2.87 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $2.87 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $2.87 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $2.87 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $2.87 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $2.87 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $2.87 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $2.87 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $2.87 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $2.87 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $2.87 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $2.87 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $2.87 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $2.87 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $2.87 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $2.95 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $2.95 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $2.95 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $2.95 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $2.95 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $2.95 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $2.95 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $2.95 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $2.95 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $2.95 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $2.95 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $2.95 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $2.95 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $2.95 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $2.95 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $3.13 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $3.13 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $3.13 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $3.13 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $3.13 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Humana | Managed Care | $3.63 | $5.00 | $2.00 | 2026-05-06 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Both | Multiplan | Managed Care | $4.25 | $5.00 | $2.00 | 2026-05-06 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $27.36 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $27.36 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $27.36 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $27.36 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $27.36 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $27.36 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $27.36 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $27.36 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $27.36 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $27.36 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $27.36 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $27.36 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $27.36 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $27.36 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $27.36 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $30.17 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $30.17 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $30.17 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $30.17 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $30.17 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $30.17 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $30.17 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $30.17 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $30.17 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $30.17 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $30.17 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $30.17 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $30.17 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $30.17 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $30.17 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $31.61 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $31.61 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $31.61 | — | — | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $31.98 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $31.98 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $31.98 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $31.98 | $80,996.15 | $8,099.62 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $31.98 | $80,996.15 | $8,099.62 | 2026-05-27 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $39.51 | — | — | 2026-05-24 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $39.51 | — | — | 2026-05-08 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $39.51 | — | — | 2026-05-14 | MRF ↗ |
| OZARK HEALTH Both | Medicaid Arkansas | Default | $41.06 | $26,561.75 | $13,812.11 | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $41.06 | — | — | 2026-05-09 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Caresource (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Caresource (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Summit Care (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Empower (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Summit Care (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Ar Total Care (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Multiplan | All | — | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Summit Care (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Empower (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Healthlink | All | — | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Summit Care (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Zelis | All | — | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Summit Care (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Zelis | All | — | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Empower (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Ar Total Care (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Empower (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Zelis | All | — | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Ar Total Care (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Multiplan | All | — | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Empower (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Ar Total Care (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Caresource (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Multiplan | All | — | $480.16 | $120.04 | 2026-05-13 | MRF ↗ |
| BAPTIST HEALTH - FORT SMITH Outpatient | Caresource (Passe) | All | $52.17 | $480.16 | $120.04 | 2026-05-13 | 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.