J3394 — Inj Lovotibeglogene Autotem
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj lovotibeglogene autotem (OTHER J3394) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3394?code_type=OTHER
MLA (9th ed.)
“Inj lovotibeglogene autotem (OTHER J3394) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3394?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inj lovotibeglogene autotem (OTHER J3394) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3394?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,248,446–$3,384,580 (25th–75th percentile) across 117 hospitals · 134 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER J3394 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $5,870,439.00 | — | — | 2026-05-23 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Caresource | Exchange | $5,197,513.15 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Workers Compensation | $6,172,046.87 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Caresource | Exchange | $5,197,513.15 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Workers Compensation | $6,172,046.87 | — | — | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $5,870,439.00 | — | — | 2026-05-23 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mhs | Exchange | $5,847,202.30 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | Exchange | $5,847,202.30 | — | — | 2026-05-13 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Denv Hlth Med Plan | Denver Hlth Med Plan Exchange | $8,445,958.87 | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Denv Hlth Med Plan | Denver Hlth Med Pl | $8,445,958.87 | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Denv Hlth Med Plan | Denver Hlth Med Pn Other | $8,445,958.87 | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Denv Hlth Med Plan | Denver Hlth Med Pl | $8,445,958.87 | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Denv Hlth Med Plan | Denver Hlth Med Pn Other | $8,445,958.87 | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Denv Hlth Med Plan | Denver Hlth Med Pl | $8,445,958.87 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Denv Hlth Med Plan | Denver Hlth Med Pl | $8,445,958.87 | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Denv Hlth Med Plan | Denver Hlth Med Plan Exchange | $8,445,958.87 | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Denv Hlth Med Plan | Denver Hlth Med Plan Exchange | $8,445,958.87 | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Denv Hlth Med Plan | Denver Hlth Med Plan Exchange | $8,445,958.87 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-17 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $6,881.22 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $6,881.22 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $7,087.65 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $7,087.65 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $7,087.65 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $7,087.65 | — | — | 2026-05-27 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $71,090.90 | — | — | 2026-05-23 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $1,741,166.91 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $1,741,166.91 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $1,741,166.91 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $1,741,166.91 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $1,741,166.91 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $1,741,166.91 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $1,741,166.91 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $1,741,166.91 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $1,741,166.91 | — | — | 2026-05-13 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $2,273,912.00 | — | — | 2026-05-27 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Cigna | Commercial | $9,980,360.10 | — | — | 2026-05-27 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Ambetter | Commercial | $5,359,935.44 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $2,533,787.66 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Ambetter | Commercial | $5,359,935.44 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $2,533,787.66 | — | — | 2026-05-24 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $2,606,144.76 | — | — | 2026-05-09 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $2,682,891.32 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $2,682,891.32 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,682,891.32 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,682,891.32 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $2,682,891.32 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $2,682,891.32 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $2,682,891.32 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $2,682,891.32 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $2,691,450.44 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $2,691,450.44 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $2,691,450.44 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,691,450.44 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $2,691,450.44 | — | — | 2026-05-22 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $2,691,450.44 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $2,691,450.44 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $2,691,450.44 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,691,450.44 | — | — | 2026-05-14 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $2,691,450.44 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Healthy U | Medicaid | $2,691,450.44 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $2,691,450.44 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $2,691,450.44 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,691,450.44 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $2,691,450.44 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicaid | $2,691,450.44 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Choice | Medicaid | $2,691,450.44 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,691,450.44 | — | — | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,691,450.44 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $2,691,450.44 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $2,691,450.44 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $2,691,450.44 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $2,691,450.44 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $2,691,450.44 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,691,450.44 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,691,450.44 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $2,691,450.44 | — | — | 2026-05-22 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Davis Behavioral Health | Behavioral Health | $2,713,730.70 | — | — | 2026-05-18 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,760,854.02 | — | — | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Healthy U | Medicaid | $2,760,854.02 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Medicaid | $2,760,854.02 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,760,854.02 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,760,854.02 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $2,760,854.02 | — | — | 2026-05-22 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Regence | Medicare Advantage | $2,761,178.86 | — | — | 2026-05-27 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $2,772,151.75 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $5,746,191.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $5,746,191.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $5,746,191.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $5,746,191.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $2,793,100.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Coverkids Tenncare | $5,746,191.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $2,793,100.00 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Bluecare Tenncare | $5,746,191.00 | — | — | 2026-05-13 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Wellpoint | Tenncare | $3,059,266.00 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Wellpoint | Tenncare | $3,059,266.00 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $7,018,762.10 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $7,388,273.62 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Aca | $7,018,762.10 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $3,065,673.70 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - My Blue Access Ppo | $7,018,762.10 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $3,065,673.70 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $7,388,273.62 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Performance Blue | $7,018,762.10 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Managed Care | $7,388,273.62 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Highmark - Indemnity | $7,388,273.62 | — | — | 2026-05-14 | 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.