J3404 — Inj Zopapogene Per Ther Dose
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj zopapogene per ther dose (HCPCS J3404) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3404?code_type=HCPCS
MLA (9th ed.)
“Inj zopapogene per ther dose (HCPCS J3404) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3404?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj zopapogene per ther dose (HCPCS J3404) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3404?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $121,900–$188,945 (25th–75th percentile) across 37 hospitals · 164 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3404 — 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
$121,900
$121,900 typical
$188,945
The middle 50% of negotiated facility rates for this procedure, measured across 37 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $121,900 |
| Likely subtotal | $121,900 |
Facility charge (no separate professional fee)
$121,900
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 $121,900–$188,945.
- 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 |
|---|---|---|---|---|---|---|---|
| NICKLAUS CHILDREN'S HOSPITAL OutpatientFacility | Cigna | Surfit/Local Plus | $2,408.00 | — | — | 2026-04-01 | MRF ↗ |
| NICKLAUS CHILDREN'S HOSPITAL OutpatientFacility | Cigna | Hmo/Ppo | $2,675.00 | — | — | 2026-04-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OPTUM | Managed Medicaid Transplant | $14,814.63 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $15,391.98 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $15,391.98 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $15,391.98 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $15,685.16 | — | — | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $15,685.16 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Paramount | Managed Medicaid | $16,062.18 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $16,374.07 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $16,374.07 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $16,374.07 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | United BH | Managed Medicaid | $16,530.01 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $16,685.95 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $16,685.95 | — | — | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $17,153.79 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Buckeye | Managed Medicaid | $19,406.63 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | ANTHEM | Managed Medicaid | $20,376.96 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | MOLINA | Managed Medicaid | $20,376.96 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | UNITED | Managed Medicaid | $20,765.09 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | CARESOURCE | Managed Medicaid | $20,765.09 | — | — | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | AMERIHEALTH | Managed Medicaid | $21,347.29 | — | — | 2026-06-15 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Aetna | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | Managed Medicaid | $32,400.21 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Aetna | Managed Medicaid | $32,603.97 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $32,603.97 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Aetna | Managed Medicaid | $32,603.97 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $32,603.97 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | Managed Medicaid | $32,603.97 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | Managed Medicaid | $32,603.97 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Sentara Health Plans | Managed Medicaid | $33,216.70 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Sentara Health Plans | Managed Medicaid | $33,425.59 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Sentara Health Plans | Managed Medicaid | $33,425.59 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Humana | Managed Medicaid | $34,020.22 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | $34,234.17 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Humana | Managed Medicaid | $34,234.17 | — | — | 2026-01-02 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $63,753.70 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $63,753.70 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $63,753.70 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $63,753.70 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $63,753.70 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $63,753.70 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $85,939.50 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $85,939.50 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $85,939.50 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $85,939.50 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $85,939.50 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $85,939.50 | — | — | 2026-04-17 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $91,425.00 | — | — | 2026-09-25 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Blue Cross | Anthem Priority Select Other Commercial Plan | $93,368.50 | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Blue Cross | Anthem Priority Select Other Commercial Plan | $93,368.50 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Medicare Advantage PPO | $101,177.00 | — | — | 2026-09-05 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | $103,615.00 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | $103,615.00 | — | — | 2026-07-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | HealthNet Sante Dual Risk | Medicare Advantage | $109,710.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | HealthNet Sante - Sub Cap Dual Risk | Medicare Advantage | $109,710.00 | — | — | 2026-06-18 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Aetna 6/1/ | Aetna 6/1/ | $111,780.00 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | MCAdvantage | MCAdvantage | $113,920.43 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Medicare | Medicare | $113,920.43 | — | — | 2026-08-30 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 PPO_Indemnity | $114,540.00 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JNJ001_JNJ002_JNJ003 Indemnity | $114,540.00 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JNJ001_JNJ002_JNJ003 PPO | $114,540.00 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JNJ001_JNJ002_JNJ003 Managed | $114,540.00 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | JNE PPO_Indemnity | $114,540.00 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon BCBS of NJ | JAB001_JAB002 Managed | $114,540.00 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Horizon BCBS of NJ | Commercial HMO | $114,540.00 | — | — | 2026-09-15 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $115,000.00 | — | — | 2026-09-05 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Network S Other Commercial Plan | $115,000.00 | — | — | 2026-09-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Network P Other Commercial Plan | $115,000.00 | — | — | 2026-09-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | TennCare | Medicaid Managed Care Plan | $115,805.00 | — | — | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MAP | $119,462.00 | — | — | 2026-09-05 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Alabama | Medicare Advantage | $119,462.00 | — | — | 2026-04-30 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $119,462.00 | — | — | 2026-09-05 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Alabama | Medicare Advantage | $119,462.00 | — | — | 2026-04-30 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Patient Centered Community Care | VA Government | $119,462.00 | — | — | 2026-04-01 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $119,676.00 | $487,600.00 | $243,800.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HEART OF HOSPICE OP ONLY - ALL PLANS | HEART OF HOSPICE OP ONLY - ALL PLANS | $119,676.00 | $487,600.00 | $243,800.00 | 2026-10-02 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Cigna Access (PFFS) | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic Humana HMO | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | VillageCare Max | MEDICARE ADVANTAGE | $121,900.00 | — | — | 2026-09-05 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | HealthNet HMO - La Salle | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Humana HMO - Key Medical | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Amidacare | Managed Medicaid | $121,900.00 | — | — | 2026-09-05 | MRF ↗ |
| CHESAPEAKE GENERAL HOSPITAL OutpatientFacility | BCBS | Anthem HMO | $121,900.00 | — | — | 2026-07-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | VIVA Health | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| CHESAPEAKE GENERAL HOSPITAL OutpatientFacility | BCBS | Anthem PPO | $121,900.00 | — | — | 2026-07-01 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Cigna Healthspring | Advantage HMO/Premier HMO-POS/Primary HMO | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | VillageCare Max | MAP | $121,900.00 | — | — | 2026-09-05 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MetroPlus Behavioral Health | Medicare Advantage | $121,900.00 | — | $121,900.00 | 2026-07-13 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Oak Street Health | Medicare Advantage | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicare Advantage | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Cigna Healthspring | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Aetna | HMO/POS/PPO | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | CMS | Medicare | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Humana | Medicare Advantage/PPO | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | VACCN | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Blue Cross Blue | Medicare Advantage | $121,900.00 | — | — | 2026-05-11 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Victims of Crime | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Blue Cross Blue Shield | Blue Care | $121,900.00 | — | — | 2026-08-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | AARP Medicare Complete UHC Sante | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Cross First Choice HMO | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield 65 Plus HMO First Choice | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | Keystone Family Health Plan | Managed Medicaid | $121,900.00 | — | — | 2026-09-21 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Railroad Part B | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante Sub Cap AARP UHC | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Meritage HealthNet HMO | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante Sub Cap-Blue Shield/Sante | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Aetna | Medicare HMO for CHP | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $121,900.00 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $121,900.00 | — | — | 2026-07-01 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | United Healthcare | VACCN | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Humana | Medicare Advantage/HMO | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield 65 Plus HMO EHS | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Meritage Humana HMO | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Hartford Life Supplement | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | HealthNet HMO - CVMP/MedPro | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Wellcare | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Meritage Brand New Day | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante-Sub Cap MA Brand New Day | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Cross | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Aetna | Medicare PPO | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Meritage United Healthcare | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Railroad Part A | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Advantek Table Mountain Rancheria Tribal Member | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | HealthNet Sante | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Cross SR Secure EHS HMO | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield HMO-CVMP/MedPro | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield Saint Agnes | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Humana Choice (PFFS) | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | BSCPHP HMO - First Choice | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic BSCPHP | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Meritage Blue Shield 65 Plus | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic Humana PFFS | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicare Advantage | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic Victims of Crime | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | HealthNet HMO - Sante | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Railroad Part A & B | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Humana HMO - MedPro | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | HealthNet HMO - DHMSO | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Humana HMO EHS | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Cares Act Provider Relief Fund | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Alignment | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Kaiser Senior Advantage Medicare | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| TUCSON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | GemCare HMO | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | BSCPHP - DHMSO | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Care1st HMO - EHS | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield Promise - Imperial | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Humana HMO - First Choice | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Medi-Cal Innovative Integrated Health | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Meritage Blue Cross HMO | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic Aetna PPO/PFFS | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic Aetna HMO | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Devoted Health | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | BSCPHP - First Choice | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | $121,900.00 | — | — | 2026-09-01 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross | Medicare Advantage | $121,900.00 | — | — | 2026-06-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Cross Imperial Health HMO | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Scan Health Plan | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Kaiser | Commercial | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Brand New Day | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | VIVA Health | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante-MA Blue Cross Senior Secure | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Aetna | HMO/POS/PPO | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | US Marshal | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $121,900.00 | — | — | 2026-08-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Centerlight | PACE | $121,900.00 | — | — | 2026-09-05 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante-Blue Shield/Sante | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Cigna Healthspring | Advantage HMO/Premier HMO-POS/Primary HMO | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante Sub Cap HealthNet Seniority | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Oak Street Health | Medicare Advantage | $121,900.00 | — | — | 2026-04-28 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Blue Cross Blue Shield | Blue Select/Blue Select Plus - Aca | $121,900.00 | — | — | 2026-08-01 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | United HealthCare | Medicare Advantage | $121,900.00 | — | — | 2026-05-11 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Aetna | Medicare Advantage | $121,900.00 | — | — | 2026-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $121,900.00 | — | — | 2026-07-01 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | Aetna Healthcare | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $121,900.00 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $121,900.00 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $121,900.00 | — | — | 2026-07-01 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Medicare Plus Blue | Medicare Advantage | $121,900.00 | — | — | 2026-04-17 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Senior Whole Health | MLTC | $121,900.00 | — | — | 2026-09-05 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Devoted Health | Medicare Advantage | $121,900.00 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante | Medicare Advantage | $121,900.00 | — | — | 2026-06-18 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Humana | Medicare Advantage/PPO | $121,900.00 | — | — | 2026-04-30 | 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.