J3405 — Injection, Onasemnogene Abeparvovec-brve, Per Treatment
Cite this view
HANK Price Transparency. (n.d.). INJECTION, ONASEMNOGENE ABEPARVOVEC-BRVE, PER TREATMENT (HCPCS J3405) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3405?code_type=HCPCS
“INJECTION, ONASEMNOGENE ABEPARVOVEC-BRVE, PER TREATMENT (HCPCS J3405) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3405?code_type=HCPCS. Accessed .
“INJECTION, ONASEMNOGENE ABEPARVOVEC-BRVE, PER TREATMENT (HCPCS J3405) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3405?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,211,310–$2,797,440 (25th–75th percentile) across 7 hospitals · 66 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3405 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
The middle 50% of negotiated facility rates for this procedure, measured across 7 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,664,229 |
| Likely subtotal | $2,664,229 |
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 |
|---|---|---|---|---|---|---|---|
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | FORD, BACON & DAVIS LLC - ALL PLANS | FORD, BACON & DAVIS LLC - ALL PLANS | $7,122,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | VANTAGE HEALTH PLAN - ALL OTHER PLANS | VANTAGE HEALTH PLAN - ALL OTHER PLANS | $7,865,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HUMANA - ALL OTHER PLANS | HUMANA - ALL OTHER PLANS | $7,700,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LSU FIRST CHOICE (WEBTPA) - ALL PLANS | LSU FIRST CHOICE (WEBTPA) - ALL PLANS | $15,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HST - ALL PLANS | HST - ALL PLANS | $7,150,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AMERIHLTH CARITAS MCAID - ALL PLANS | AMERIHLTH CARITAS MCAID - ALL PLANS | $787,050.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LHC MCAID | LHC MCAID | $787,050.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HUMANA HLTHY HORIZONS MCAID | HUMANA HLTHY HORIZONS MCAID | $787,050.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HEALTHY BLUE MCAID | HEALTHY BLUE MCAID | $787,050.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | MAGELLAN MCAID | MAGELLAN MCAID | $787,050.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $787,050.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $795,575.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BRC EMPLOYEES WEBTPA - ALL PLANS | BRC EMPLOYEES WEBTPA - ALL PLANS | $1,009,800.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LWHA (WEBTPA) - ALL PLANS | LWHA (WEBTPA) - ALL PLANS | $1,304,600.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BEACON BEHAV HLTH - ALL PLANS | BEACON BEHAV HLTH - ALL PLANS | $1,375,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $1,485,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | CIGNA - ALL OTHER PLANS | CIGNA - ALL OTHER PLANS | $1,600,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC EXCHANGE COMPASS | UHC EXCHANGE COMPASS | $1,643,675.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC NEXUS ACO | UHC NEXUS ACO | $1,643,675.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $1,866,975.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC COMM COFFEE GRP | UHC COMM COFFEE GRP | $1,906,025.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | WOMEN'S HOSPITAL FOUND - ALL PLANS | WOMEN'S HOSPITAL FOUND - ALL PLANS | $1,925,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $1,980,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $1,998,171.44 | — | — | 2026-09-25 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | PPO PLUS PLATINUM | PPO PLUS PLATINUM | $2,062,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | PPO PLUS LLC - ALL OTHER PLANS | PPO PLUS LLC - ALL OTHER PLANS | $2,062,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | GILSBAR 360 ALLIANCE - ALL PLANS | GILSBAR 360 ALLIANCE - ALL PLANS | $2,090,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Elderplan | MAP_Medicare Advantage_MLTC | $5,328,457.18 | — | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Medicare Advantage PPO | $2,211,309.73 | — | — | 2026-09-05 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UNITED BEHAV MCR | UNITED BEHAV MCR | $2,255,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UNITED BEHAV HEALTH - ALL OTHER PLANS | UNITED BEHAV HEALTH - ALL OTHER PLANS | $2,255,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | CIGNA BEHAV HLTH | CIGNA BEHAV HLTH | $2,337,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | ALC/PHCS - ALL PLANS | ALC/PHCS - ALL PLANS | $2,337,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | MHNET- ALL PLANS | MHNET- ALL PLANS | $2,337,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | MAGELLAN BEHAVIORAL HEALTH - ALL OTHER PLANS | MAGELLAN BEHAVIORAL HEALTH - ALL OTHER PLANS | $2,337,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | WORKERS COMP - ALL PLANS | WORKERS COMP - ALL PLANS | $2,475,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | MCCP - ALL PLANS | MCCP - ALL PLANS | $2,475,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | NEW DIRECTIONS BEHAV HEALTH - ALL PLANS | NEW DIRECTIONS BEHAV HEALTH - ALL PLANS | $2,475,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | CHOICE CARE - ALL PLANS | CHOICE CARE - ALL PLANS | $2,475,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BRG EMP VERITY HEALTHNET - ALL PLANS | BRG EMP VERITY HEALTHNET - ALL PLANS | $2,475,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Medicare | Medicare | $2,489,828.19 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | MCAdvantage | MCAdvantage | $2,489,828.19 | — | — | 2026-08-30 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $2,502,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | TennCare | Medicaid Managed Care Plan | $2,531,017.16 | — | — | 2026-09-01 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | USA MCO - ALL PLANS | USA MCO - ALL PLANS | $2,585,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Network P Other Commercial Plan | $2,586,629.70 | — | — | 2026-09-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Network S Other Commercial Plan | $2,586,629.70 | — | — | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $2,610,944.02 | — | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MAP | $2,610,944.02 | — | — | 2026-09-05 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | THREE RIVERS NETWORK - ALL PLANS | THREE RIVERS NETWORK - ALL PLANS | $2,612,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $2,612,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | VillageCare Max | MEDICARE ADVANTAGE | $2,664,228.59 | — | — | 2026-09-05 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | Keystone Family Health Plan | Managed Medicaid | $2,664,228.59 | — | — | 2026-09-21 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Centerlight | PACE | $2,664,228.59 | — | — | 2026-09-05 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | $2,664,228.59 | — | — | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Amidacare | Managed Medicaid | $2,664,228.59 | — | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Senior Whole Health | MLTC | $2,664,228.59 | — | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | VillageCare Max | MAP | $2,664,228.59 | — | — | 2026-09-05 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | HealthSpring | Medicare Managed Care Plan | $2,690,870.88 | — | — | 2026-09-01 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | Independence Blue Cross | Medicare Advantage | $2,690,870.88 | — | — | 2026-09-21 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HEART OF HOSPICE OP ONLY - ALL PLANS | HEART OF HOSPICE OP ONLY - ALL PLANS | $2,729,940.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $2,729,940.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | COVENTRY MCR ADV - ALL PLANS | COVENTRY MCR ADV - ALL PLANS | $2,750,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $2,750,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | UHC VA CCN | UHC VA CCN | $2,750,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $2,750,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | BCBS MCR ADV | BCBS MCR ADV | $2,750,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | VANTAGE MCR ADV | VANTAGE MCR ADV | $2,750,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HUMANA TRICARE | HUMANA TRICARE | $2,750,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | VETERANS ADMIN - ALL PLANS | VETERANS ADMIN - ALL PLANS | $2,750,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | HEALTHY BLUE MCR ADV - ALL OTHER PLANS | HEALTHY BLUE MCR ADV - ALL OTHER PLANS | $2,750,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | LHC MCR ADV (ALLWELL) - ALL OTHER PLANS | LHC MCR ADV (ALLWELL) - ALL OTHER PLANS | $2,750,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | PACE - ALL PLANS | PACE - ALL PLANS | $2,750,000.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | UNITED | MEDICARE ADVANTAGE | $2,797,440.02 | — | — | 2026-09-05 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | ZING | Medicare Managed Care Plan | $2,797,440.02 | — | — | 2026-09-01 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | Health Partners | Medicare Advantage | $2,797,440.02 | — | — | 2026-09-21 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $2,824,082.31 | — | — | 2026-09-21 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | Cigna HealthSpring | Medicare Advantage | $2,824,082.31 | — | — | 2026-09-21 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | Highmark | Wholecare | $2,837,403.45 | — | — | 2026-09-21 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | PHN- ALL OTHER PLANS | PHN- ALL OTHER PLANS | $2,866,437.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | WELLCARE - ALL PLANS | WELLCARE - ALL PLANS | $2,887,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Molina | Exchange | $2,930,651.45 | — | — | 2026-09-25 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | CoreCivic | Prisoner Population Government | $2,930,651.45 | — | — | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | MAP | $3,010,578.31 | — | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | MEDICARE ADVANTAGE | $3,010,578.31 | — | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | EXCHANGE | $3,010,578.31 | — | — | 2026-09-05 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | HealthChoice | HealthChoice | $3,037,220.59 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | GlobalHealth | GlobalHealth | $3,236,776.64 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Kempton | Kempton | $3,236,776.64 | — | — | 2026-08-30 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO OutpatientFacility | Buckeye Community Health Plan | Commercial | $3,330,285.74 | — | — | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Buckeye Community Health Plan | Exchange | $3,330,285.74 | — | — | 2026-09-25 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO OutpatientFacility | Caresource | Commercial | $5,328,457.18 | — | — | 2026-09-25 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Ambetter Health | Exchange | $3,729,920.03 | — | — | 2026-09-01 | MRF ↗ |
| OUR LADY OF THE LAKE REGIONAL MEDICAL CENTER Outpatient | PHN EMPLOYEE PLAN | PHN EMPLOYEE PLAN | $3,987,500.00 | $2,750,000.00 | $1,375,000.00 | 2026-10-02 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | OSCAR | ALL PRODUCTS | $3,996,342.89 | — | — | 2026-09-05 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | Jefferson Health Plan | HMO/PPO | $3,996,342.89 | — | — | 2026-09-21 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Naphcare | Prisoner Population Government | $3,996,342.89 | — | — | 2026-09-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Oscar | Exchange | $4,262,765.75 | — | — | 2026-09-01 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Caresource | Exchange | $4,928,822.89 | — | — | 2026-09-25 | MRF ↗ |