J3111 — Romosozumab-aqqg 210 Mg/2.34 Ml(105 Mg/1.17 Ml X2)subcutaneous Syringe
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE (HCPCS J3111) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3111?code_type=HCPCS
MLA (9th ed.)
“ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE (HCPCS J3111) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3111?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE (HCPCS J3111) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3111?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14–$4,382 (25th–75th percentile) across 2,533 hospitals · 6,286 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3111 — 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
$14
$694 typical
$4,382
The middle 50% of negotiated facility rates for this procedure, measured across 2,533 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $694 |
| Likely subtotal | $694 |
Facility charge (no separate professional fee)
$694
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 $14–$4,382.
- 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 | — | $7,303.08 | $6,207.62 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $2,310.08 | $1,155.04 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $2,310.08 | $1,155.04 | 2024-12-15 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $7,303.08 | $4,016.69 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $11,830.14 | $7,689.59 | 2025-11-26 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Prime Care | $0.08 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $0.08 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Partner | $0.09 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Ohio PPO | Ohio PPO Connect | $0.09 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Market | $0.09 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $0.10 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Prime Care | $0.10 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Healthspan | Healthspan - Commercial | $0.10 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Partner | $0.10 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Non OSU PPO | $0.11 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Ohio PPO | Ohio PPO Connect | $0.11 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Health Plan - Market | $0.11 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthspan | Healthspan - Commercial | $0.12 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OSU Health Plan | OSU Department of Athletics | $0.13 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | OhioHealth | OhioHealth - Choice | $0.16 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Aetna | Aetna Transplant | $0.16 | $0.25 | — | 2026-04-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $13,221.22 | $9,387.07 | 2026-07-15 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Upper Ohio Valley | Upper Ohio Valley - Health Plan | $0.17 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Lifetrac | Lifetrac | $0.17 | $0.25 | — | 2026-04-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $13,222.00 | $9,387.62 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $13,222.00 | $9,387.62 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $13,221.22 | $9,387.07 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $13,222.00 | $9,387.62 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $13,221.22 | $9,387.07 | 2026-07-15 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OhioHealth | OhioHealth - Group Healthreach | $0.18 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OhioHealth | OhioHealth - Choice | $0.19 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | First Health | $0.20 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Frontpath | Frontpath Transplant | $0.20 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Multiplan | Multiplan | $0.20 | $0.25 | — | 2026-04-01 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $0.21 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $0.21 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $0.22 | $0.25 | — | 2026-04-01 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $0.22 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $0.22 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $0.22 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Healthsmart | Healthsmart | $0.23 | $0.25 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Anthem | Anthem - Traditional | $0.23 | $0.25 | — | 2026-04-01 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $0.24 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $0.24 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $0.24 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Anthem | Anthem - Traditional | $0.24 | $0.25 | — | 2026-04-01 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $0.24 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Multiplan Plan | Commercial | $0.25 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Humana Choicecare Plan | Commercial | $0.25 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Network Plan | Medicare | $0.27 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid New Mexico Plan | Medicaid | $0.28 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.28 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Access Medicaid Hmo Plan | Medicaid Hmo | $0.28 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.28 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.28 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| ST LUKES HOSPITAL BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.28 | $4,260.15 | $2,130.08 | 2025-09-23 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.28 | $0.28 | $0.22 | 2026-09-25 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | $0.46 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | $0.46 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $0.47 | — | — | 2026-03-04 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | UPMC Work Partners | Workers Comp | $0.49 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | UPMC Work Partners | Workers Comp | $0.49 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.56 | — | — | 2026-03-18 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $37.56 | — | 2026-07-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.63 | $31.64 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.63 | $31.64 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.63 | $31.64 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.63 | $31.64 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.63 | $31.64 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.63 | $31.64 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.63 | $31.64 | — | 2026-03-31 | MRF ↗ |
| OHIO COUNTY HOSPITAL BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.68 | $9,465.00 | $4,732.50 | 2026-01-12 | MRF ↗ |
| OHIO COUNTY HOSPITAL BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.68 | $9,465.00 | $4,732.50 | 2026-01-12 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Neighborhood Network | $0.72 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Neighborhood Network | $0.72 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR FI | $0.78 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR FI | $0.78 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Home Depot Employer Group | $0.78 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | Home Depot Employer Group | $0.78 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | Commercial | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | Commercial | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR ASO | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | NBR ASO/FI | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | New Business ASO | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Cigna | New Business ASO | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | EBR ASO | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Aetna | NBR ASO/FI | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | KAISER - ALL PLANS | KAISER - ALL PLANS | $0.88 | $1.75 | $0.30 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | UHC SELECT | UHC SELECT | $0.90 | $1.75 | $0.30 | 2026-01-24 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | EBR FI | $0.95 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | EBR FI | $0.95 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | UHC JLL BP | UHC JLL BP | $0.97 | $1.75 | $0.30 | 2026-01-24 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldofCA | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Affiliated Health Fund | AffiliatedHealthFundAHF | — | — | — | 2025-01-31 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | InterGroup | PPO | $1.00 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Corvel | CorvelWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaNonGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Imperial Health Plan | ImperialHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldReciprocity | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldPromiseMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Central California Alliance For Health | CentralCAAllianceMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Alignment Health Plan | AlignmentHealthPlanMedicare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedBehavioral | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | InterGroup | PPO | $1.00 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $50.07 | $25.04 | 2026-07-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | CentralHealthPlanofCaliforniaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCareDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Morongo Basin Community Health | MorongoBasinCommunityHealth | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Naval Medical Center | NavalMedicalCenter | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Live Well | LiveWellIPAAncillary | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetWholecarePurecareHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | BrandNewDayMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdComm | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageCommercialDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageTrioHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCaidDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetEnhancedCareSBGPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CAHealthandWellnessMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Scan | SCANMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $1.02 | $1.75 | $0.30 | 2026-01-24 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Home Depot Employer Group | $1.06 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Home Depot Employer Group | $1.06 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Neighborhood Network | $1.06 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Aetna | Neighborhood Network | $1.06 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Cigna | New Business ASO | $1.06 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Cigna | New Business ASO | $1.06 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $50.07 | $25.04 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $50.07 | $25.04 | 2026-07-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $1.17 | $2,220.35 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $1.17 | $2,220.35 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $1.17 | $2,220.35 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $1.17 | $2,220.35 | — | 2026-04-01 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $1.19 | $2,942.16 | $2,795.05 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | WESTERN GROWERS/PINNACLE - ALL PLANS | WESTERN GROWERS/PINNACLE - ALL PLANS | $1.26 | $1.75 | $0.30 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BLUE SHIELD EPN | BLUE SHIELD EPN | $1.33 | $1.75 | $0.30 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $1.33 | $1.75 | $0.30 | 2026-01-24 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Coventry/First Health | Commercial | $1.40 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM InpatientFacility | Coventry/First Health | Commercial | $1.40 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | TRPN - THREE RIVERS PPO - ALL PLANS | TRPN - THREE RIVERS PPO - ALL PLANS | $1.40 | $1.75 | $0.30 | 2026-01-24 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | GREATWEST OA/POS/HMO | GREATWEST OA/POS/HMO | $1.49 | $1.75 | $0.30 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1.49 | $1.75 | $0.30 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | UHC PPO | UHC PPO | $1.50 | $1.75 | $0.30 | 2026-01-24 | MRF ↗ |
| ADVENTIST HEALTH SONORA Outpatient | HEALTHNET - ALL OTHER PLANS | HEALTHNET - ALL OTHER PLANS | $1.53 | $1.75 | $0.30 | 2026-01-24 | MRF ↗ |
| AVERA CREIGHTON HOSPITAL Outpatient | Medica Insurance | Ind | $1.56 | $11,524.00 | $11,178.43 | 2026-07-15 | MRF ↗ |
| AVERA CREIGHTON HOSPITAL Outpatient | Medica Insurance | Com | $1.56 | $11,524.00 | $11,178.43 | 2026-07-15 | MRF ↗ |
| AVERA MERRILL PIONEER HOSPITAL Outpatient | Medica Insurance | Com | $1.56 | $11,900.00 | $11,543.60 | 2026-07-15 | 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.