J3392 — Inj, Exagamglogene Autotem
Cite this view
HANK Price Transparency. (n.d.). Inj, exagamglogene autotem (HCPCS J3392) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3392?code_type=HCPCS
“Inj, exagamglogene autotem (HCPCS J3392) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3392?code_type=HCPCS. Accessed .
“Inj, exagamglogene autotem (HCPCS J3392) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3392?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,332,000–$3,088,906 (25th–75th percentile) across 977 hospitals · 917 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3392 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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).
The middle 50% of negotiated facility rates for this procedure, measured across 977 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,401,965 |
| Likely subtotal | $2,401,965 |
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 $2,332,000–$3,088,906.
- 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 |
|---|---|---|---|---|---|---|---|
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $5,760,040.00 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | SUREST [110715126] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | OXFORD HEALTH PLANS [1001285] | OXFORD HEALTH PLANS [100128501] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $6,343,040.00 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE PLUS [110715101] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE STUDENT [110715111] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UNITED MEDICAL RESOURCES CONTRACT [1107140] | UMR [110714001] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | OXFORD HEALTH PLANS [1001285] | OXFORD HEALTH PLANS [100128501] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UMR [1107154] | UMR QUANTUM HEALTH [110715402] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $6,367,926.38 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE ALL SAVERS [110715114] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE PLUS [110715101] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE POS EPO [110715110] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE POS EPO [110715110] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA GWH POS [110715017] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UNITED MEDICAL RESOURCES CONTRACT [1107140] | UMR [110714001] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE POS EPO [110715110] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA CONNECT IFP [110715024] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | MAIL HANDLERS [1001414] | MAIL HANDLERS BENEFIT PLAN [100141401] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UMR [1107154] | UMR QUANTUM HEALTH [110715402] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $5,306,673.93 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITEDHEALTHCARE NEXUSACO R [110715125] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $5,760,040.00 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA BH DUKE EMP [110715005] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITEDHEALTHONE OXFORD HEALTH [110715122] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA BH DUKE EMP [110715005] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE EMPIRE PLAN [110715107] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA SHARED ADMINISTRATION [110715009] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITEDHEALTHONE OXFORD HEALTH [110715122] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA OTHER [110715015] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA GWH PPO [110715018] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA GWH POS [110715017] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA INTERNATIONAL [110715007] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITEDHEALTHONE GOLDEN RULE [110715123] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $6,179,800.00 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE ALL SAVERS [110715114] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Unitedhealthcare | Oxford Liberty Other Commercial Plan | $8,861,600.00 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UNITEDHEALTH INTEGRATED SERVICE [1107148] | UNITEDHEALTHCARE SHARED SERVICES [110714801] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | MAIL HANDLERS [1001414] | MAIL HANDLERS BENEFIT PLAN [100141401] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | FIRST HEALTH [1107113] | FIRST HEALTH DIRECT POS HMO [110711301] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | FIRST HEALTH [1107113] | FIRST HEALTH DIRECT POS HMO [110711301] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $6,247,516.63 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Anthem | Anthem Bcbs | $6,975,245.20 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Unitedhealthcare | All Commercial Plans | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | AETNA [1107164] | AETNA CONNECTED PLAN [110716418] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA GWH HMO [110715016] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE ALL SAVERS [110715114] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $5,993,240.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | All Commercial Plans | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA INDEMNITY [110715014] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA PPN POS PPO PLUS [110715013] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA UNASSIGNED [110715003] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITEDHEALTHONE GOLDEN RULE [110715123] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE STUDENT [110715111] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA OUT OF NETWORK [110715006] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE [110715102] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | UHC [1107151] | UNITED HEALTHCARE EMPIRE PLAN [110715107] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA GWH PPO [110715018] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA SHARED ADMINISTRATION [110715009] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA NETWORK PPO [110715010] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA OPEN ACCESS HMO [110715008] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $5,959,099.20 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA OPEN ACCESS PPO [110715012] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA PPN POS PPO PLUS [110715013] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA OPEN ACCESS HMO [110715008] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA OTHER [110715015] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $5,592,835.60 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE EMPIRE PLAN [110715107] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA INTERNATIONAL [110715007] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $5,760,040.00 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Anthem | Anthem Blue Connection High Performance Network | $5,120,372.40 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Centivo | All Commercial Plans | $5,247,000.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $5,293,640.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $6,179,800.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $6,179,800.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | All Commercial Plans | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $8,861,600.00 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA OUT OF NETWORK [110715006] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA INDEMNITY [110715014] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UNITEDHEALTH INTEGRATED SERVICE [1107148] | UNITEDHEALTHCARE SHARED SERVICES [110714801] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | GOLDEN RULE INSURANCE COMPANY [1001209] | GOLDEN RULE INSURANCE COMPANY [100120901] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA NETWORK [110715022] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA CONNECT IFP [110715024] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE OTHER [110715113] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Anthem | Anthem Bcbs | $7,116,564.40 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $6,343,040.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Centivo | All Commercial Plans | $5,247,000.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $8,486,726.38 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $6,258,632.06 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA OPEN ACCESS POS [110715011] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | AETNA [1107164] | AETNA OPEN ACCESS HMO [110716402] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | AETNA [1107164] | AETNA CONNECTED PLAN [110716418] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE ALL SAVERS [110715114] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA GWH HMO [110715016] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA NETWORK PPO [110715010] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $5,830,000.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $6,389,680.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $6,716,160.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $7,171,939.83 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $6,258,632.06 | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN LIGHT MERCY HOSPITAL OutpatientFacility | CHO | Commercial | $9,141,440.00 | — | — | 2026-04-15 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITEDHEALTHCARE NEXUSACO R [110715125] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Hmo/Pos/Ppo | $10,722,039.07 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | CHO | Commercial | $9,141,440.00 | — | — | 2026-03-30 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Exchange | $9,649,752.83 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE OTHER [110715113] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITEDHEALTHONE GOLDEN RULE [110715123] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE STUDENT [110715111] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE [110715102] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE [110715102] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE EMPIRE PLAN [110715107] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA UNASSIGNED [110715003] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE POS EPO [110715110] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE [110715102] | — | $0.02 | $0.01 | 2025-03-14 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITEDHEALTHCARE NEXUSACO R [110715125] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITEDHEALTHONE GOLDEN RULE [110715123] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITEDHEALTHONE OXFORD HEALTH [110715122] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE PLUS [110715101] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITEDHEALTHONE OXFORD HEALTH [110715122] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | AETNA [1107164] | AETNA OPEN ACCESS HMO [110716402] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | AETNA [1107164] | AETNA CHOICE [110716401] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | UNITED HEALTHCARE CHOICE PLUS [110715101] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $6,621,507.26 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $5,039,105.43 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $6,716,160.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $6,716,160.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $6,853,686.17 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Anthem | Anthem Bcbs | $7,199,816.80 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | AETNA [1107164] | AETNA CHOICE [110716401] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $6,389,680.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Imagine Health | All Commercial Plans | $5,592,835.60 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem Blue Access PPO | $6,853,686.17 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem Blue Connection HMO | $5,959,099.20 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $7,497,102.29 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $5,039,105.43 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Centivo | Ppo | $5,247,000.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Centivo | Ppo | $5,247,000.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC Outpatient | Cigna | All Commercial Plans | $9,447,975.58 | $23,100,184.80 | $10,395,083.16 | 2026-03-27 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $6,343,040.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $5,830,000.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC Outpatient | Blue Cross Blue Shield | All PPO Plans | $8,547,068.38 | $23,100,184.80 | $10,395,083.16 | 2026-03-27 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $5,517,854.11 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $8,486,726.38 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Broad Networks | $5,830,000.00 | — | — | 2025-11-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $7,072,271.98 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Oscar | Exchange | $6,622,880.00 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Select Colorado | $5,830,000.00 | — | — | 2025-11-01 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC Outpatient | Sano | Medicare All Plans | $6,496,690.82 | $23,100,184.80 | $10,395,083.16 | 2026-03-27 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC Outpatient | Aetna Exchange | All Commercial Plans | $9,240,073.92 | $23,100,184.80 | $10,395,083.16 | 2026-03-27 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $5,716,798.52 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Healthcare Partners | All Commercial Plans | $5,760,040.00 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHEASTERN REGIONAL MEDICAL CENTER, INC Outpatient | Aetna | All Commercial Plans | $9,240,073.92 | $23,100,184.80 | $10,395,083.16 | 2026-03-27 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Healthcare Partners | All Commercial Plans | $6,343,040.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $7,497,102.29 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Anthem | Anthem Blue Connection High Performance Network | $5,399,979.20 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $6,389,680.00 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | GOLDEN RULE INSURANCE COMPANY [1001209] | GOLDEN RULE INSURANCE COMPANY [100120901] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA NETWORK [110715022] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | SUREST [110715126] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | CIGNA [1107150] | CIGNA OPEN ACCESS PPO [110715012] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | UHC [1107151] | UNITED HEALTHCARE OTHER [110715113] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $6,247,516.63 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Anthem | Anthem Blue Connection High Performance Network | $5,231,142.40 | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER OutpatientFacility | CHO | Commercial | $9,141,440.00 | — | — | 2026-02-03 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $5,736,720.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $5,993,240.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $5,993,240.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Centivo | Ppo | $5,247,000.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $6,389,680.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $5,592,835.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $5,830,000.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $7,171,939.83 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $5,292,103.72 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $7,072,271.98 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $5,736,720.00 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Outpatient | CIGNA [1107150] | CIGNA OPEN ACCESS POS [110715011] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | NALC HEALTH BENEFIT PLAN [1001268] | NALC HEALTH BENEFIT PLAN [100126801] | — | $0.02 | — | 2025-03-27 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $5,293,640.00 | — | — | 2026-04-01 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | CHO | Commercial | $9,141,440.00 | — | — | 2026-03-30 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| Duke Health Raleigh Hospital Inpatient | UHC [1107151] | SUREST [110715126] | — | $0.02 | $0.01 | 2025-03-27 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $5,736,720.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Unitedhealthcare | All Commercial Plans | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $5,013,800.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $5,592,835.60 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $5,993,240.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $5,736,720.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Centivo | Ppo | $5,247,000.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $5,292,103.72 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Outpatient | UHC [1107151] | UNITED HEALTHCARE STUDENT [110715111] | — | $0.02 | $0.01 | 2025-03-14 | 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.