J3393 — Inj, Betibeglogene Autotemce
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, betibeglogene autotemce (HCPCS J3393) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3393?code_type=HCPCS
MLA (9th ed.)
“Inj, betibeglogene autotemce (HCPCS J3393) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3393?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj, betibeglogene autotemce (HCPCS J3393) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3393?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,945,740–$3,240,314 (25th–75th percentile) across 1,044 hospitals · 809 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3393 — 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
$2,945,740
$2,995,818 typical
$3,240,314
The middle 50% of negotiated facility rates for this procedure, measured across 1,044 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,995,818 |
| Likely subtotal | $2,995,818 |
Facility charge (no separate professional fee)
$2,995,818
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 |
|---|---|---|---|---|---|---|---|
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | Cle-Care Hmo | $8,764,140.73 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Oscar | Exchange | $5,243,417.20 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | All Commercial Plans | $11,685,284.01 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Employer Advisory Services | Elite Network | $6,539,542.80 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $6,038,767.00 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Anthem | Anthem Bcbs | $8,989,514.76 | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL - SAVANNAH OutpatientFacility | Bcbs | Anthem Ppo | $8,006,532.34 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Cincinnati Public Library | All Commercial Plans | $5,567,448.60 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Healthnet | Ambetter Hmo | $5,435,892.00 | — | — | 2026-04-01 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | 6 Degrees Health | 6 Degrees Health | $7,420,000.00 | — | — | 2026-08-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Employer Advisory Services | Choice Network | $7,275,977.80 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem Blue Connection HMO | $7,508,465.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $7,275,977.80 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo/Pos | $10,951,154.20 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Healthnet | Ambetter Hmo | $5,435,892.00 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Exchange | $12,189,392.32 | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL - SAVANNAH OutpatientFacility | Bcbs | Anthem Hmo/Pos | $7,046,169.32 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $8,012,412.80 | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Pos | $12,354,078.67 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Employer Advisory Services | Choice Network | $7,275,977.80 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Clarity Health | All Commercial Plans | $7,639,632.00 | — | — | 2026-04-01 | MRF ↗ |
| CHESAPEAKE GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $7,406,184.55 | — | — | 2026-04-01 | MRF ↗ |
| CHESAPEAKE GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $7,796,111.20 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH GRANT OutpatientFacility | Ambetter | Marketplace | $5,891,480.00 | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Health Net | Community Care Other Commercial Plan | $5,403,400.08 | — | — | 2026-04-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | Exchange | $5,302,332.00 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $5,129,520.12 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Unitedhealthcare | All Commercial Plans | $11,171,881.78 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Hpn Other Commercial Plan | $9,965,550.32 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Healthnet | Ambetter Ppo | $6,288,004.80 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Caresource | Exchange | $5,155,045.00 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Hmo/Pos/Ppo | $13,543,884.81 | — | — | 2026-04-01 | MRF ↗ |
| LIMA MEMORIAL HEALTH SYSTEM OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $5,007,758.00 | — | — | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL - SAVANNAH OutpatientFacility | Caresource | Exchange | $5,744,193.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Healthnet | Ambetter Hmo | $5,435,892.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $7,275,977.80 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $5,390,704.20 | — | — | 2026-04-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Bcbs | Hpn Other Commercial Plan | $11,242,245.58 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $8,609,996.55 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Aetna | Medicare Advantage Hmo | — | $0.02 | $0.01 | 2026-07-18 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Healthnet | Ambetter Hmo | $5,435,892.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Bcbs | Anthem All Commercial Plans | $11,202,573.79 | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Health E Ohio | All Commercial Plans | $6,170,472.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Healthnet | Ambetter Ppo | $6,288,004.80 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $7,891,749.42 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $7,275,977.80 | — | — | 2026-04-01 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Centivo | Nebraska Furniture Mart | $5,639,200.00 | — | — | 2026-08-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mhs | Exchange | $5,302,332.00 | — | — | 2026-09-21 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $6,686,829.80 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Hmo | $5,435,892.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $6,038,767.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $5,302,332.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $10,720,278.45 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Centivo | All Commercial Plans | $6,627,915.00 | — | — | 2026-04-01 | MRF ↗ |
| STAMFORD HOSPITAL OutpatientFacility | Unitedhealthcare | Oxford Liberty Other Commercial Plan | $11,171,881.78 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $20,271,331.46 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHERN NH MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $18,759,015.97 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Anthem | Anthem Bcbs | $8,811,002.91 | — | — | 2026-04-01 | MRF ↗ |
| MIAMI VALLEY HOSPITAL OutpatientFacility | Anthem | Anthem Blue Connection High Performance Network | $6,607,883.97 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $7,228,267.20 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Allied National/Zelis - Freedom Plan | Commercial | $7,126,168.25 | — | — | 2026-02-13 | MRF ↗ |
| ATRIUM MEDICAL CENTER OutpatientFacility | Anthem | Anthem Blue Connection High Performance Network | $6,467,961.32 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $7,046,972.86 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $6,349,272.84 | — | — | 2026-04-01 | MRF ↗ |
| BRISTOL HOSPITAL OutpatientFacility | Claim Doc | TPA | $5,896,426.67 | — | — | 2025-08-20 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $8,462,361.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $6,303,883.60 | — | — | 2026-04-01 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $5,311,236.01 | — | — | 2026-05-23 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE SAINT JOSEPH MEDICAL CTR OutpatientFacility | Healthnet | Ambetter Ppo | $6,288,004.80 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $6,703,294.02 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $8,043,848.82 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $7,364,350.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $6,303,883.60 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Broad Networks | $7,370,533.33 | — | — | 2025-11-01 | MRF ↗ |
| ELLIOT HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $16,847,763.15 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Alliance Coal | All Commercial Plans | $7,345,800.00 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF KENTUCKY HOSPITAL OutpatientFacility | Wellcare | Ambetter Exchange | $5,024,527.20 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Employer Advisory Services | Elite Network | $6,539,542.80 | — | — | 2026-04-01 | MRF ↗ |
| ST ELIZABETH EDGEWOOD OutpatientFacility | Ambetter | Marketplace | $5,891,480.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $7,508,465.00 | — | — | 2026-04-01 | MRF ↗ |
| DUKE UNIVERSITY HOSPITAL Inpatient | Aetna | Medicare Advantage Ppo | — | $0.02 | $0.01 | 2026-07-18 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $8,050,996.80 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Healthnet | Ambetter Hmo | $5,435,892.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Ppo | $6,288,004.80 | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Pathway Exchange | $6,390,400.80 | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Pathway Tiered Exchange | $7,826,445.92 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Select Colorado | $7,370,533.33 | — | — | 2025-11-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $6,349,272.84 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $6,038,767.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $8,933,565.38 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Imagine Health | All Commercial Plans | $7,046,972.86 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Healthcare Partners | All Commercial Plans | $8,012,412.80 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Cincinnati Public Library | All Commercial Plans | $5,567,448.60 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Workers Compensation | $5,596,906.00 | — | — | 2026-09-21 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $6,668,050.68 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Ppo | $6,288,004.80 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $5,806,817.50 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $6,686,829.80 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Centivo | Ppo | $6,627,915.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $8,012,412.80 | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Health Net | Community Care Other Commercial Plan | $5,403,400.08 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Broad Networks | $7,370,533.33 | — | — | 2025-11-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | BCBS | Anthem Blue Access PPO | $8,635,644.58 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $7,806,211.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Hmo | $5,435,892.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Healthcare Partners | All Commercial Plans | $7,275,977.80 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE HOLY CROSS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Healthcare Partners | All Commercial Plans | $8,012,412.80 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $7,364,350.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $6,303,883.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | All Commercial Plans | $7,806,211.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $9,470,203.30 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $7,046,972.86 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE CEDARS SINAI TARZANA MEDICAL CENTER OutpatientFacility | Healthnet | Ambetter Hmo | $5,435,892.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $7,891,749.42 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Healthnet | Ambetter Hmo | $5,435,892.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $8,050,996.80 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $7,885,876.39 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $6,303,883.60 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Oscar | Exchange | $8,365,901.60 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE OutpatientFacility | Healthnet | Ambetter Ppo | $6,288,004.80 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Centivo | Ppo | $6,627,915.00 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $8,050,996.80 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $8,462,361.60 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Centivo | Ppo | $6,627,915.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $6,038,767.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $7,551,482.40 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $7,228,267.20 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $8,364,167.58 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $7,551,482.40 | — | — | 2026-04-01 | MRF ↗ |
| WEST CHESTER HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo/Ppo | $7,221,355.94 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $7,806,211.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $8,635,644.58 | — | — | 2026-04-01 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $5,311,236.01 | — | — | 2026-05-23 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $6,970,052.99 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $9,036,644.19 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem Blue Connection HMO | $7,885,876.39 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | BCBS | Anthem OH I and OH II PPO | $6,668,050.68 | — | — | 2026-04-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Workers Compensation | $5,596,906.00 | — | — | 2026-05-13 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | MedBen | Tier 2 Other Commercial Plan | $8,462,361.60 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | Imagine Health | All Commercial Plans | $7,046,972.86 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $5,302,332.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA BUTLER HOSPITAL OutpatientFacility | MedBen | Tier 1 Other Commercial Plan | $8,050,996.80 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL OutpatientFacility | BCBS | Anthem Blue Access PPO | $9,036,644.19 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Other Commercial Plan | $7,364,350.00 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $5,302,332.00 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $7,228,267.20 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Anthem | Anthem Bcbs | $9,094,677.68 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Unitedhealthcare | Select/Navigate Hmo | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| UPPER VALLEY MEDICAL CENTER OutpatientFacility | Anthem | Anthem Blue Connection High Performance Network | $6,821,155.54 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE ORANGE COAST MEDICAL CENTER OutpatientFacility | Centivo | Ppo | $6,627,915.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Healthnet | Ambetter Hmo | $5,435,892.00 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Unitedhealthcare | All Commercial Plans | $6,338,658.66 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Monarch Health Plan | Covered California Other Commercial Plan | $5,302,332.00 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Custom Design Benefits | Exclusive Other Commercial Plan | $7,228,267.20 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO OutpatientFacility | Healthnet | Ambetter Ppo | $6,288,004.80 | — | — | 2026-04-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Select Colorado | $7,370,533.33 | — | — | 2025-11-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $5,129,520.12 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Hmo Exchange | $5,806,817.50 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $10,720,278.45 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Oscar | Exchange | $5,302,332.00 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CINCINNATI MEDICAL CENTER, LLC OutpatientFacility | Oscar | Exchange | $8,483,731.20 | — | — | 2026-04-01 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $7,551,482.40 | — | — | 2026-04-01 | MRF ↗ |
| BETHESDA NORTH OutpatientFacility | Custom Design Benefits | TruCost Other Commercial Plan | $7,551,482.40 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Non-Mcs Other Commercial Plan | $8,933,565.38 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $9,470,203.30 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Centivo | All Commercial Plans | $6,627,915.00 | — | — | 2026-04-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $6,186,054.00 | — | — | 2026-04-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Custom Design Benefits Inc. | All Commercial Plans | $7,914,025.08 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $6,186,054.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $10,319,532.03 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH DAYTON OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $6,186,054.00 | — | — | 2026-04-01 | MRF ↗ |
| SOIN MEDICAL CENTER OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $10,149,322.77 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Molina Healthcare | Exchange | $6,115,945.39 | — | — | 2026-04-01 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL OutpatientFacility | ClaimDoc | Commercial | $6,980,736.24 | — | — | 2026-02-09 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Bcbs | Anthem - Blue Access/Blue Preferred Hmo/Ppo | $10,295,806.95 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Buckeye Health Plan | Ambetter Exchange | $6,186,054.00 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Custom Design Benefits Inc. | All Commercial Plans | $7,914,025.08 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Molina Healthcare | Exchange | $6,115,945.39 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH MIAMISBURG OutpatientFacility | Custom Design Benefits Inc. | All Commercial Plans | $7,914,025.08 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH TROY OutpatientFacility | Custom Design Benefits Inc. | All Commercial Plans | $7,914,025.08 | — | — | 2026-04-01 | MRF ↗ |
| KETTERING HEALTH GREENE MEMORIAL OutpatientFacility | Custom Design Benefits Inc. | All Commercial Plans | $7,914,025.08 | — | — | 2026-04-01 | MRF ↗ |
| PARKVIEW MEDICAL CENTER, INC OutpatientFacility | Select Health | Value Network (Individual ACA) | $6,480,628.00 | — | — | 2025-11-01 | 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.