J3403 — Revakinagene Per Implant
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Revakinagene per implant (OTHER J3403) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3403?code_type=OTHER
MLA (9th ed.)
“Revakinagene per implant (OTHER J3403) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3403?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Revakinagene per implant (OTHER J3403) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3403?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $257,500–$278,250 (25th–75th percentile) across 57 hospitals · 103 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER J3403 — 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 |
|---|---|---|---|---|---|---|---|
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $6,881.22 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $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 | United Healthcare | Unitedmedicaid | $7,087.65 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $7,087.65 | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $138,020.00 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $138,020.00 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $138,020.00 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $138,020.00 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $138,020.00 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $138,020.00 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $138,020.00 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $138,020.00 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $138,020.00 | — | — | 2026-05-13 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $180,250.00 | — | — | 2026-05-27 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $200,850.00 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $200,850.00 | — | — | 2026-05-24 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $212,669.25 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $212,669.25 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $212,669.25 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $212,669.25 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $212,669.25 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $212,669.25 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $212,669.25 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $212,669.25 | — | — | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Healthy U | Medicaid | $218,849.25 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Medicaid | $218,849.25 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $218,849.25 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $218,849.25 | — | — | 2026-05-15 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $218,849.25 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $218,849.25 | — | — | 2026-05-22 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Regence | Medicare Advantage | $218,875.00 | — | — | 2026-05-27 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $219,287.50 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $219,287.50 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $219,287.50 | — | — | 2026-05-22 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $219,287.50 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Healthy U | Medicaid | $219,287.50 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $219,287.50 | — | — | 2026-05-22 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $219,287.50 | — | — | 2026-05-09 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $219,287.50 | — | — | 2026-05-14 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $219,287.50 | — | — | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $219,287.50 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $219,287.50 | — | — | 2026-05-22 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicaid | $219,287.50 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $219,287.50 | — | — | 2026-05-09 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $219,287.50 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $219,287.50 | — | — | 2026-05-18 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $219,287.50 | — | — | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $219,287.50 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $219,287.50 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $219,287.50 | — | — | 2026-05-18 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $219,287.50 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $219,287.50 | — | — | 2026-05-14 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Choice | Medicaid | $219,287.50 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $219,287.50 | — | — | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $219,287.50 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $219,287.50 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $219,287.50 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $219,287.50 | — | — | 2026-05-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $250,000.00 | — | — | 2026-05-08 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $252,350.00 | — | — | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $252,350.00 | — | — | 2026-05-27 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare Mrp | Uhc Mrp Php Prime | $254,925.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare Mrp | Uhc Rmhp Mrp Dualcare | $254,925.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare Mrp | United Healthcare Mrp | $254,925.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare Mrp | United Healthcare Optum Mrp | $254,925.00 | — | — | 2026-05-22 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Mcr Advantage | $254,925.00 | — | — | 2026-05-13 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare Mrp | United Healthcare Mrp | $254,925.00 | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare Mrp | United Healthcare Optum Mrp | $254,925.00 | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aarp | Aarp | $254,925.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare Mrp | United Healthcare Optum Mrp | $254,925.00 | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare Mrp | United Healthcare Optum Mrp | $254,925.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare Mrp | Uhc Mrp Php Prime | $254,925.00 | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare Mrp | Uhc Mrp Php Prime | $254,925.00 | — | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare Mrp | Uhc Rmhp Mrp Dualcare | $254,925.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare Mrp | Uhc Rmhp Mrp Dualcare | $254,925.00 | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Aarp | Aarp | $254,925.00 | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aarp | Aarp | $254,925.00 | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare Mrp | United Healthcare Mrp | $254,925.00 | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare Mrp | Uhc Rmhp Mrp Dualcare | $254,925.00 | — | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare Mrp | Uhc Mrp Php Prime | $254,925.00 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark | Mcr Advantage | $254,925.00 | — | — | 2026-05-23 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare Mrp | United Healthcare Mrp | $254,925.00 | — | — | 2026-05-18 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | $256,470.00 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Highmark Community Blue | Mcr Advantage | $256,470.00 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Humana | Ma Private Ffs | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Highmark Blue Cross | Medicare | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Uhc | Commercial | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Wellcare | Medicare Advantage | $257,500.00 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Medicare Advantage | $257,500.00 | — | — | 2026-05-22 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Humana | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Humana | Ma Private Ffs | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Meridian | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Bcbs Of Michigan | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Aetna | Managed Medicare | $257,500.00 | — | — | 2026-05-09 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Kaiser | Medicare | $257,500.00 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $257,500.00 | — | — | 2026-05-07 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Aetna | Medicare Advantage | $257,500.00 | — | — | 2026-05-09 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Va Community Care Network | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Pace | Medicare | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Uhc | Medicare | $257,500.00 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Humana | Medicare | $257,500.00 | — | — | 2026-05-07 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Essence Health | Medicare Advantage | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Cigna | Commercial | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Anthem | Medicare Advantage | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Humana | Ppo/Hmo Medicare Advantage | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| MOUNT NITTANY MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Va Ccn | Va Ccn | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Medicare Advantage | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Humana | Ppo/Hmo Medicare Advantage | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Va Ccn | Va Ccn | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Humana | Ma Private Ffs | $257,500.00 | — | — | 2026-05-22 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Essence Health | Medicare Advantage | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Medicare | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Humana Choicecare | Medicare | $257,500.00 | — | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Medicare | Medicare | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Humana | Medicare | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Humana | Medicare | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Peak Health | Medicare | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Peia | Other Governmental | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Meridian | Medicaid Illinois | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Anthem Bcbs | Medicare | $257,500.00 | — | — | 2026-05-07 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Aetna | Medicare | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Medicare | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Veteran Affairs | Traditional | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Cigna | Commercial | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Humana | Ma Private Ffs | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Pacificsource Medicare Advantage | Pacificsource Medicare Advantage | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Signature | Medicare Advantage | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Cigna | Commercial | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Essence Health | Medicare Advantage | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Select Health | Select Health | $257,500.00 | — | — | 2026-05-22 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Martin'S Point - Usfhp | Tricare | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Anthem Bcbs | Medicare | $257,500.00 | — | — | 2026-05-06 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Va Ccn | Va Ccn | $257,500.00 | — | — | 2026-05-22 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Aarp Medicare Complete / Secure Horizons | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Kaiser | Medicare | $257,500.00 | — | — | 2026-05-06 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Aetna | Medicare | $257,500.00 | — | — | 2026-05-06 | MRF ↗ |
| WAKEMED, RALEIGH CAMPUS Outpatient | Bcbs | Medicare Advantage | $257,500.00 | — | — | 2026-05-09 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Essence Health | Medicare Advantage | $257,500.00 | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Snp | Kaiser Snp | $257,500.00 | — | — | 2026-05-22 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Uhc | Medicare | $257,500.00 | — | — | 2026-05-06 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Snp | Kaiser Snp | $257,500.00 | — | — | 2026-05-18 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Humana | Medicare | $257,500.00 | — | — | 2026-05-06 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Va Ccn | Va Ccn | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Uhc - Veterans Choice Care | Mcr Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Vaccn | Commercial | $257,500.00 | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Exchange | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Humana | Ppo/Hmo Medicare Advantage | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Traditional Medicare | Traditional Medicare | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Tricare | Tricare | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Medicare Advantage | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Medicare | Medicare | $257,500.00 | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Humana | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Tricare | Traditional | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Pace | Medicare | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Vaccn | Commercial | $257,500.00 | — | — | 2026-05-07 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Aetna | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | United Healthcare | Medicare | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Select Health | Select Health | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Amerihealth | Mcr Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Va Community Care Network | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Select Health | Select Health | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Cigna | Medicare | $257,500.00 | — | — | 2026-05-06 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Exchange | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Wellcare | Medicare | $257,500.00 | — | — | 2026-05-06 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare Mrp | Uhc Mrp Php Prime | $257,500.00 | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Snp | Kaiser Snp | $257,500.00 | — | — | 2026-05-14 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Medicare Advantage | $257,500.00 | — | — | 2026-05-08 | MRF ↗ |
| WAKEMED, CARY HOSPITAL Outpatient | Aetna | Medicare Advantage | $257,500.00 | — | — | 2026-05-06 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare Mrp | United Healthcare Optum Mrp | $257,500.00 | — | — | 2026-05-17 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Medicare Advantage | $257,500.00 | — | — | 2026-05-13 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Wellcare | Medicare | $257,500.00 | — | — | 2026-05-07 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Medicare | Medicare | $257,500.00 | — | — | 2026-05-07 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Select Health | Select Health | $257,500.00 | — | — | 2026-05-18 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Humana | Ppo/Hmo Medicare Advantage | $257,500.00 | — | — | 2026-05-22 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.