J3357 — Ustekinumab 90 Mg/ml Subcutaneous Syringe
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE (HCPCS J3357) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3357?code_type=HCPCS
MLA (9th ed.)
“USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE (HCPCS J3357) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3357?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“USTEKINUMAB 90 MG/ML SUBCUTANEOUS SYRINGE (HCPCS J3357) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3357?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $303–$50,117 (25th–75th percentile) across 1,872 hospitals · 4,642 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3357 — 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
$303
$14,637 typical
$50,117
The middle 50% of negotiated facility rates for this procedure, measured across 1,872 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $14,637 |
| Likely subtotal | $14,637 |
Facility charge (no separate professional fee)
$14,637
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 $303–$50,117.
- 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $38,414.82 | $32,652.60 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $41,271.69 | $20,635.84 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $41,271.69 | $20,635.84 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $233,470.62 | $151,755.90 | 2025-11-26 | 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 | Contigo | — | $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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | State Health Plan | $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 | Surest | — | $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 | Preferred Plus Hmo | $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 | United Healthcare | Medicare Advantage | $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 | Cigna | Behavioral Health | $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 | Wellcare | 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 | Bcbs | Medicare Advantage | $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 | Humana | Medicare Advantage State Health Plan | $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 | Cigna | Choice | $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 | Vaya Health | Managed Medicaid | $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 | Alliance | Managed Medicaid | $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 | Bcbs | Option Ppo | $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 | Aetna | Medicare Advantage | $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 | 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 | Partners | Managed Medicaid | $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 | Healthy Blue North Carolina | Managed Medicaid | $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 | Cigna | Medicare Advantage | $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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S HEALTHCARE Outpatient | Medicare | Medicare | $0.31 | $30,762.11 | $21,198.17 | 2026-07-15 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $0.59 | $156,689.20 | $97,147.31 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Indian Health Council | Indian Health Council | $0.91 | $243,876.80 | $182,907.60 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | San Diego Pace | San Diego Pace | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | $1.00 | $222,918.41 | $167,188.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $1,295.62 | $647.81 | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Anthem | Pathway/Pathway X | — | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - HMO/POS | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $233,470.62 | $151,755.90 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | $1.00 | $243,876.80 | $182,907.60 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Medicare | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - HMO | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $233,470.62 | $151,755.90 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | $1.00 | $222,918.41 | $167,188.80 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - MCS | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | $1.00 | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | — | $243,876.80 | $182,907.60 | 2025-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $1,295.62 | $647.81 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $1,295.62 | $647.81 | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | $1.15 | $222,918.41 | $167,188.80 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | $1.15 | $222,918.41 | $167,188.80 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $1,295.62 | $647.81 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $1,295.62 | $647.81 | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $233,470.62 | $151,755.90 | 2025-11-26 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $135,546.54 | $135,546.54 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $1,295.62 | $647.81 | 2026-07-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.62 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $1.62 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.62 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.62 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $1.62 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.62 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $1.62 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.62 | — | — | 2026-04-01 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Blue Cross Blue Shield Co | — | $1.72 | $3.50 | — | 2026-07-30 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.01 | $1,117.73 | $153.77 | 2024-12-31 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $104,945.34 | $68,214.47 | 2026-06-15 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Commercial | — | $2.45 | $3.50 | — | 2026-07-30 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $1,295.62 | $647.81 | 2026-07-01 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Uhc Ip | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cofinity | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $2.67 | $4.45 | $3.12 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $2.67 | $4.45 | $3.12 | 2025-07-17 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm Op: Par/ Ppo/ Pos/ Hmo | — | $2.80 | $3.50 | — | 2026-07-30 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARKids | $3.06 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | CHIP | $3.06 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARPLUS | $3.06 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | MCDSTAR | $3.06 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARHealth | $3.06 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Aetna/ First Health Ccn | — | $3.08 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cigna | — | $3.27 | $3.50 | — | 2026-07-30 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $3.34 | $4.45 | $3.12 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | HUMANA PPO-ALL OTHER PLANS | HUMANA PPO-ALL OTHER PLANS | $3.34 | $4.45 | $3.12 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | UHC COMMERCIAL-ALL OTHER PLANS | UHC COMMERCIAL-ALL OTHER PLANS | $3.34 | $4.45 | $3.12 | 2025-07-17 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm: Mcr Adv | — | $3.50 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Mcr Adv | — | $3.50 | $3.50 | — | 2026-07-30 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $233,470.62 | $151,755.90 | 2025-11-26 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $4.01 | $4.45 | $3.12 | 2025-07-17 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $4.08 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $4.08 | — | — | 2025-12-31 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Kaiser | Kaiser - HMO | $4.27 | $243,876.80 | $182,907.60 | 2026-04-01 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA MSHO/MCR ADV | MEDICA MSHO/MCR ADV | $5.20 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $5.20 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC VA CCN | UHC VA CCN | $5.20 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | BCBS MN MCR ADV | BCBS MN MCR ADV | $5.20 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $5.25 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC MEDICAID | UHC MEDICAID | $5.33 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MCR ADV | UCARE MCR ADV | $5.36 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE MSHO/SPECIAL NEEDS | UCARE MSHO/SPECIAL NEEDS | $5.36 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $5.86 | $1,172.52 | $1,172.52 | 2026-06-05 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Aetna | QHPHIX | $5.90 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Cigna | IFP | $5.90 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UCARE INDIVIDUAL/FAMILY - ALL OTHER PLANS | UCARE INDIVIDUAL/FAMILY - ALL OTHER PLANS | $5.98 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Cigna | QHP | $6.12 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA CHOICE CARE | MEDICA CHOICE CARE | $6.34 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $34,839.78 | $13,587.51 | 2026-07-31 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $7.62 | $1,172.52 | $1,172.52 | 2026-06-05 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | United | OptionsPPO | $7.70 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | PASSPORT HP HMO - ALL PLANS | PASSPORT HP HMO - ALL PLANS | $7.98 | $29.54 | $22.45 | 2026-03-09 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $8.21 | $1,172.52 | $1,172.52 | 2026-06-05 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Aetna | NewBusiness | $8.70 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior | HMO | $8.75 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior | ValueHMO | $8.75 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior | EPO | $8.75 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| AVERA ST ANTHONY'S HOSPITAL Outpatient | Medica Insurance | Com | $8.96 | $41,802.00 | $40,548.65 | 2026-05-09 | MRF ↗ |
| AVERA ST ANTHONY'S HOSPITAL Outpatient | Medica Insurance | Ind | $8.96 | $41,802.00 | $40,548.65 | 2026-05-09 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $8.97 | $1,172.52 | $1,172.52 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $9.03 | $1,172.52 | $1,172.52 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $9.03 | $1,172.52 | $1,172.52 | 2026-06-05 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Oscar | HIX | $9.10 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Aetna | COMM | $9.32 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Aetna | Meritain | $9.32 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $233,470.62 | $151,755.90 | 2025-11-26 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $9.79 | $1,172.52 | $1,172.52 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $9.97 | $1,172.52 | $1,172.52 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $10.06 | $1,172.52 | $1,172.52 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $10.06 | $1,172.52 | $1,172.52 | 2026-06-05 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Healthcare Highways | NarrowNetwork | $10.72 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Molina Healthcare | HIX | $10.94 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Aetna | OON | $10.98 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $11.49 | $1,172.52 | $1,172.52 | 2026-06-05 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | UHC COMMERCIAL - ALL OTHER PLANS | UHC COMMERCIAL - ALL OTHER PLANS | $11.57 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | MEDICA CHOICE/FOCUS/IFB/MHPS - ALL OTHER PLANS | MEDICA CHOICE/FOCUS/IFB/MHPS - ALL OTHER PLANS | $11.64 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $11.67 | — | — | 2026-03-18 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | HEALTH PARTNERS - ALL PLANS | HEALTH PARTNERS - ALL PLANS | $12.22 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | PREFERRED ONE PPO - ALL OTHER PLANS | PREFERRED ONE PPO - ALL OTHER PLANS | $12.35 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| LAKEWOOD HEALTH SYSTEM Outpatient | PREFERRED ONE HMO | PREFERRED ONE HMO | $12.35 | $13.00 | $8.06 | 2026-04-22 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $13.35 | $53.41 | $53.41 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $13.35 | $53.41 | $53.41 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $13.35 | $53.41 | $53.41 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $13.35 | $53.41 | $53.41 | 2026-03-27 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Healthcare Highways | CityofPlano | $14.78 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $15.34 | $37,650.32 | $35,767.80 | 2026-07-15 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER OutpatientFacility | Aetna | MCR Advantage | $15.86 | $31.15 | $6.54 | 2026-02-03 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | US Family Health Plan | Tricare Prime | — | $95.00 | $57.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Aetna | Medicare | $17.10 | $95.00 | $57.00 | 2026-03-06 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Curative Administrators | COMM | $17.50 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $19.00 | $95.00 | $57.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Highmark BCBS of PA | Medicare | $19.00 | $95.00 | $57.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | UPMC Health Plan | Managed Medicare | $19.38 | $95.00 | $57.00 | 2026-03-06 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | BCBS | Traditional | $19.42 | $43.74 | $43.74 | 2026-03-01 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Cigna | Medicare | $19.95 | $95.00 | $57.00 | 2026-03-06 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PATH | ANTHEM BLUE PATH | $20.09 | $29.54 | $22.45 | 2026-03-09 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER InpatientFacility | CHO | Commercial | $20.25 | $31.15 | $6.54 | 2026-02-03 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER InpatientFacility | Anthem | Commercial | $20.25 | $31.15 | $6.54 | 2026-02-03 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER InpatientFacility | Anthem | Enhanced Pathways | $20.25 | $31.15 | $6.54 | 2026-02-03 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER InpatientFacility | — | — | — | $31.15 | $6.54 | 2026-02-03 | MRF ↗ |
| GEORGETOWN COMMUNITY HOSPITAL Outpatient | Humana | Humana Hix | $20.30 | $70.40 | $28.16 | 2026-07-15 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | United Healthcare | Medicare | $20.33 | $95.00 | $57.00 | 2026-03-06 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PATH HPN | ANTHEM BLUE PATH HPN | $20.38 | $29.54 | $22.45 | 2026-03-09 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $20.52 | $95.00 | $57.00 | 2026-03-06 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Passport | Managed Medicare 100% | — | $68.70 | $27.48 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Centercare Network | Centercare | — | $68.70 | $27.48 | 2026-05-22 | MRF ↗ |
| BLUEGRASS COMMUNITY HOSPITAL Outpatient | Essence | Managed Medicare 100% | — | $68.70 | $27.48 | 2026-05-22 | 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.