J3391 — Inj, Atidarsagene Autotemcel
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, atidarsagene autotemcel (HCPCS J3391) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3391?code_type=HCPCS
MLA (9th ed.)
“Inj, atidarsagene autotemcel (HCPCS J3391) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3391?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj, atidarsagene autotemcel (HCPCS J3391) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3391?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,377,500–$4,596,375 (25th–75th percentile) across 521 hospitals · 399 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3391 — 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
$4,377,500
$4,505,000 typical
$4,596,375
The middle 50% of negotiated facility rates for this procedure, measured across 521 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $4,505,000 |
| Likely subtotal | $4,505,000 |
Facility charge (no separate professional fee)
$4,505,000
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: your remaining deductible and out-of-pocket max — enter your own plan terms to tighten this.
- 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 |
|---|---|---|---|---|---|---|---|
| WEST CHESTER HOSPITAL OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $6,307,000.00 | — | — | 2026-04-01 | MRF ↗ |
| University Of Toledo Medical Center Both | [Medical Mutual] | [Traditional] | $5,631,250.00 | — | — | 2026-07-15 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Unitedhealthcare | Oxford Liberty Other Commercial Plan | $17,119,000.00 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Cincinnati Public Library | All Commercial Plans | $8,514,450.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $9,734,635.49 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $12,974,400.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Imagine Health | All Commercial Plans | $10,804,341.50 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $12,343,700.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $9,734,635.49 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Employer Advisory Services | Choice Network | $11,127,350.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Buckeye | Ambetter Exchange | $6,532,250.00 | — | — | 2026-04-01 | MRF ↗ |
| University Of Toledo Medical Center Both | [Medical Mutual] | [Pos Hmo] | $5,631,250.00 | — | — | 2026-07-15 | MRF ↗ |
| University Of Toledo Medical Center Both | [Unitedhealthcare] | [Market Exchange] | $5,161,108.20 | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $12,090,539.21 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $11,082,300.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $12,343,700.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem KY Pathway Transition HMO Exchange | $5,631,436.52 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | UnitedHealthCare | All Commercial Plans | $5,496,100.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH DEPAUL HOSPITAL ST LOUIS OutpatientFacility | Oscar | Exchange | $5,406,000.00 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Oscar | Exchange | $8,109,000.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $12,974,400.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $11,082,300.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Oscar | All Commercial Plans | $6,757,500.00 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Oscar | Exchange | $12,794,200.00 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Oscar | Exchange | $12,974,400.00 | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Health Net | Community Care Other Commercial Plan | $8,307,220.00 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Oscar | Exchange | $8,018,900.00 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Humana | Behavioral Health Plan | $6,081,750.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $11,082,300.00 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Bcbs | Anthem Pathway Exchange | $5,913,008.34 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $11,043,815.32 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $10,804,341.50 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Oscar | All Commercial Plans | $6,757,500.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Oscar | All Commercial Plans | $6,757,500.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $12,343,700.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $11,511,896.19 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $13,854,883.76 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Buckeye | Ambetter Exchange | $6,532,250.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Harvard Pilgrim | POS | $6,215,956.50 | — | — | 2026-03-01 | MRF ↗ |
| CLINTON REGIONAL HOSPITAL OutpatientFacility | CareSource | Exchange | $5,856,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Harvard Pilgrim | ELEVATE | $5,470,336.50 | — | — | 2026-03-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Ambetter | Marketplace | $9,010,000.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $10,223,382.18 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $11,082,300.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Oscar | All Commercial Plans | $6,757,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Molina Healthcare | All Commercial Plans | $6,982,750.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem Blue Access PPO | $13,240,075.56 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Hmo/Pos/Ppo | $20,713,030.02 | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Molina Healthcare | All Commercial Plans | $6,982,750.00 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $6,307,000.00 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Employer Advisory Services | Elite Network | $10,001,100.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $10,804,341.50 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Buckeye | Ambetter Exchange | $6,532,250.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $12,090,539.21 | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN LIGHT MAYO HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Employer Advisory Services | Choice Network | $11,127,350.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST JOSEPH HEALTH CENTER OutpatientFacility | Oscar | Exchange | $5,406,000.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN LIGHT C A DEAN HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Employer Advisory Services | Elite Network | $10,001,100.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $11,577,850.00 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Exchange | $18,641,567.96 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem Pathway X HMO Exchange | $5,631,436.52 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $13,854,883.76 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Caresource | Exchange | $5,856,500.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | $5,496,100.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $10,804,341.50 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $11,577,850.00 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $17,119,000.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $12,974,400.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Buckeye | Ambetter Exchange | $6,532,250.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $13,240,075.56 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem KY Pathway Transition HMO Exchange | $5,631,436.52 | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Health Net | Community Care Other Commercial Plan | $8,307,220.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem KY Pathway Transition HMO Exchange | $5,631,436.52 | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Scripps | All Commercial Plans | $7,208,000.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | UnitedHealthCare | All Commercial Plans | $5,496,100.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $10,223,382.18 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Caresource | Exchange | $7,883,750.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Harvard Pilgrim | ELEVATE | $5,470,336.50 | — | — | 2026-03-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Aetna | Hmo/Pos/Ppo | $5,406,000.00 | — | — | 2026-04-01 | MRF ↗ |
| CLINTON REGIONAL HOSPITAL OutpatientFacility | Buckeye | Ambetter Exchange | $6,532,250.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Harvard Pilgrim | HMO | $6,215,956.50 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Harvard Pilgrim | POS | $6,215,956.50 | — | — | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Harvard Pilgrim | HMO | $6,215,956.50 | — | — | 2026-03-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Bcbs | Anthem Pathway Exchange | $5,812,104.18 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $13,167,501.03 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem Blue Connection HMO | $11,511,896.19 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $12,343,700.00 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Cincinnati Public Library | All Commercial Plans | $8,514,450.00 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $7,658,500.00 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Ambetter | Marketplace | $9,010,000.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $11,577,850.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM ST CLARE HEALTH CENTER OutpatientFacility | Oscar | Exchange | $5,406,000.00 | — | — | 2026-04-01 | MRF ↗ |
| University Of Toledo Medical Center Both | [Medical Mutual] | [Ppo] | $5,631,250.00 | — | — | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Caresource | Exchange | $5,856,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $11,577,850.00 | — | — | 2026-04-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | United Healthcare | Select Colorado | $21,187,100.00 | — | — | 2025-11-01 | MRF ↗ |
| PARKVIEW HUNTINGTON HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $6,757,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW WHITLEY HOSPITAL OutpatientFacility | Managed Health Services | Exchange | $6,081,750.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW MEDICAL CENTER, INC OutpatientFacility | Select Health | Value Network (Individual ACA) | $9,911,000.00 | — | — | 2025-11-01 | MRF ↗ |
| PARKVIEW WHITLEY HOSPITAL OutpatientFacility | Physicians Health Plan | Hmo | $6,834,000.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW MEDICAL CENTER, INC OutpatientFacility | Select Health | Individual Colorado Option | $9,911,000.00 | — | — | 2025-11-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Managed Health Services | Exchange | $6,081,750.00 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA HALIFAX REGIONAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $14,438,580.96 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA HALIFAX REGIONAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $16,005,580.97 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA MARTHA JEFFERSON HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $15,317,799.59 | — | — | 2026-04-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | United Healthcare | Navigate Colorado Option | $21,187,100.00 | — | — | 2025-11-01 | MRF ↗ |
| SENTARA HALIFAX REGIONAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $15,525,155.40 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA MARTHA JEFFERSON HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $16,471,124.01 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA MARTHA JEFFERSON HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $14,245,491.69 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Dunn & Associates | Other Commercial Plan | $9,010,000.00 | — | — | 2026-09-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Physicians Health Plan | Hmo | $6,834,000.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Exchange | $6,757,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW LAGRANGE HOSPITAL OutpatientFacility | Physicians Health Plan | Hmo | $6,834,000.00 | — | — | 2026-04-01 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | United Healthcare | Broad Networks | $21,187,100.00 | — | — | 2025-11-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | United Healthcare | Broad Networks | $21,187,100.00 | — | — | 2025-11-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Harvard Pilgrim | POS | $7,459,234.50 | — | — | 2026-03-01 | MRF ↗ |
| SENTARA RMH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo | $14,206,933.59 | — | — | 2026-04-01 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | United Healthcare | Select Colorado | $21,187,100.00 | — | — | 2025-11-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Harvard Pilgrim | INDIVIDUAL | $5,967,127.50 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Harvard Pilgrim | HMO | $7,459,234.50 | — | — | 2026-03-01 | MRF ↗ |
| PARKVIEW MEDICAL CENTER, INC OutpatientFacility | Select Health | Individual Colorado Option | $9,911,000.00 | — | — | 2025-11-01 | MRF ↗ |
| PARKVIEW HUNTINGTON HOSPITAL OutpatientFacility | Physicians Health Plan | Hmo | $6,834,000.00 | — | — | 2026-04-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Harvard Pilgrim | INDIVIDUAL | $5,967,127.50 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Harvard Pilgrim | ELEVATE | $6,564,057.00 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Harvard Pilgrim | POS | $7,459,234.50 | — | — | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Harvard Pilgrim | HMO | $7,459,234.50 | — | — | 2026-03-01 | MRF ↗ |
| SENTARA NORTHERN VIRGINIA MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo | $9,965,032.60 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW HUNTINGTON HOSPITAL OutpatientFacility | Managed Health Services | Exchange | $6,081,750.00 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORTHERN VIRGINIA MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Exchange | $9,267,361.64 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW NOBLE HOSPITAL OutpatientFacility | Physicians Health Plan | Hmo | $6,834,000.00 | — | — | 2026-04-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Harvard Pilgrim | ELEVATE | $6,564,057.00 | — | — | 2026-03-01 | MRF ↗ |
| POUDRE VALLEY HOSPITAL OutpatientFacility | United Healthcare | Navigate Colorado Option | $21,187,100.00 | — | — | 2025-11-01 | MRF ↗ |
| SENTARA RMH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Exchange | $13,212,457.88 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $6,757,500.00 | — | — | 2026-04-01 | MRF ↗ |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH OutpatientFacility | Bcbs | Anthem Exchange | $6,757,500.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OutpatientFacility | Dunn & Associates | Other Commercial Plan | $9,010,000.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW MEDICAL CENTER, INC OutpatientFacility | Select Health | Value Network (Individual ACA) | $9,911,000.00 | — | — | 2025-11-01 | MRF ↗ |
| PARKVIEW WHITLEY HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $6,757,500.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW NOBLE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $6,757,500.00 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH SAINT LOUIS UNIVERSITY HOSPITAL OutpatientFacility | Oscar | Exchange | $5,406,000.00 | — | — | 2026-04-01 | MRF ↗ |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH OutpatientFacility | Physicians Health Plan | Hmo | $6,834,000.00 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORTHERN VIRGINIA MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $10,645,158.59 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA RMH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $15,442,319.12 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW NOBLE HOSPITAL OutpatientFacility | Managed Health Services | Exchange | $6,081,750.00 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW REGIONAL MEDICAL CENTER OutpatientFacility | Physicians Health Plan | Hmo | $6,834,000.00 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $16,949,482.73 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $14,168,603.40 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $14,309,479.27 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $17,516,598.40 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $18,245,747.13 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $16,377,206.76 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $13,130,353.41 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $13,677,343.96 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Exchange | $15,213,561.76 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo | $16,271,420.85 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $12,276,841.73 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $15,303,350.78 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $14,758,424.34 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $15,752,811.88 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $14,139,705.78 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $15,122,224.66 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $15,940,646.38 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $13,246,459.89 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $15,639,285.54 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $14,039,080.16 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $15,014,890.67 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC UNIVERSITY | FAMILY CARE BANNER | $7,009,949.90 | — | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC MERCY CARE | ALL PRODUCTS | $6,358,231.20 | — | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC IHS | ALL PRODUCTS | $6,358,231.20 | — | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | W/O DAP | $6,233,560.00 | — | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHCCS | WITH DAP | $6,358,231.20 | — | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | BEHAVIORAL HEALTH | $6,358,231.20 | — | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | PARTIAL | $6,358,231.20 | — | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | FULLY | $6,358,231.20 | — | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CMDP | ALL PRODUCTS | $6,358,231.20 | — | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AHC CRS | ONLY | $6,358,231.20 | — | — | 2026-01-01 | 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.