J7170 — Inj., Emicizumab-kxwh 0.5 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj., emicizumab-kxwh 0.5 mg (HCPCS J7170) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7170?code_type=HCPCS
MLA (9th ed.)
“Inj., emicizumab-kxwh 0.5 mg (HCPCS J7170) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7170?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj., emicizumab-kxwh 0.5 mg (HCPCS J7170) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7170?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $58–$15,355 (25th–75th percentile) across 1,467 hospitals · 2,488 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7170 — 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
$58
$120 typical
$15,355
The middle 50% of negotiated facility rates for this procedure, measured across 1,467 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $120 |
| Likely subtotal | $120 |
Facility charge (no separate professional fee)
$120
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 $58–$15,355.
- 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 |
|---|---|---|---|---|---|---|---|
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $0.06 | — | — | 2026-03-04 | MRF ↗ |
| UNC HOSPITALS Outpatient | Contigo | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Value | $0.12 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ultra | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ppo | $0.14 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Exchange | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Tricare | Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Choice | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Nalc Health Benefit Plan | Hmo/Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alliance | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Carolina Complete Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Partners | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Trillium | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Vaya Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Health Network | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Preferred Plus Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare Health Plans | Medicare Advantage Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Primewell Health Services | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Primewell Health Services | Exchange | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Anthem | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare Health Plans | Medicare Advantage Non-Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Harmony Health Plan | Medicare Advantage Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Harmony Health Plan | Medicare Advantage Non-Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Covenant | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Empower Healthcare Solutions | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Assured Benefits | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $585.00 | $438.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $585.00 | $438.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $585.00 | $438.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $585.00 | $438.75 | 2026-05-20 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $17,544.04 | $17,544.04 | 2026-04-01 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Blue Cross Blue Shield Co | — | $1.72 | $3.50 | — | 2026-07-30 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $13,057.68 | $8,487.49 | 2026-06-15 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Commercial | — | $2.45 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Uhc Ip | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cofinity | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm Op: Par/ Ppo/ Pos/ Hmo | — | $2.80 | $3.50 | — | 2026-07-30 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.90 | — | — | 2026-03-18 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Aetna/ First Health Ccn | — | $3.08 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cigna | — | $3.27 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Mcr Adv | — | $3.50 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm: Mcr Adv | — | $3.50 | $3.50 | — | 2026-07-30 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $5.56 | $9,202.76 | $8,742.62 | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $5.65 | $49.90 | $15.27 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $6.09 | $49.90 | $15.27 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $6.09 | $49.90 | $15.27 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $6.28 | $49.90 | $15.27 | 2026-07-18 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $7.26 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $7.26 | — | — | 2024-10-01 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $9,617.66 | $3,750.89 | 2026-07-31 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Galaxy | MCI PPO | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Emblem Health | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Health Plus | MEDICAID | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Dentaquest | Affinity MCD | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Dentaquest | HealthFirst MCD | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Guardian Life Insurance Company Of America | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Local 1199 | PPO | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Health Plus | HARP | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Pomco | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Bakery & Confectionery Union | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Cigna | Indemnity | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Three Rivers Provider Network | PPO | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Aetna | Narrow Network | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Comprehensive Benefits Consultant | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Amerihealth Administrators | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Magellan | BH Alternate USFHP | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Brighton | Create IDN | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Brighton | LOCAL 3 MAGNA JIB | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Magellan | BH | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Mail Handlers Benefit Plan | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Health Plus | ESSENTIAL PLAN 3&4 | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Health Plus | CHILD HEALTH PLUS | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Alpha Care | Medicare FIDA | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Oscar Health | All Plans | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Health Plus | ESSENTIAL PLAN 1&2 | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Brighton | Direct Plus | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Brighton | Create Flex | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | American Group Administrators | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Health Plus | INDIVIDUAL NETWORK | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | PHCS | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Centivo | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Brighton | PPO | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | United Employees Health Plan | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | TPA Inc | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $8.84 | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Performax | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | CHP | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Salvation Army | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Aither Health | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Coventry | HMO | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Nippon Life Insurance Company Of America | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Ultra Benefits Inc. | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | International Benefit Administrator | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Allied Wellfare Fund | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Multiplan | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Maloney and Assoc | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Benefit Services | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Unicare | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | American Plan Administrators | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Meritain Health | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | GHI CBP NY City Employee Alternate | Commercial | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicaid | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Health Plus | MLTC | — | — | — | 2026-02-19 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Elderplan Inc. | MA | — | — | — | 2026-02-19 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $8.95 | $78.95 | $24.16 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $9.64 | $78.95 | $24.16 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $9.64 | $78.95 | $24.16 | 2026-07-18 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $9.88 | — | — | 2026-03-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $9.94 | $78.95 | $24.16 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $10.27 | $90.68 | $27.75 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $11.07 | $90.68 | $27.75 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $11.07 | $90.68 | $27.75 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $11.42 | $90.68 | $27.75 | 2026-07-18 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $11.55 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $11.55 | — | — | 2025-12-31 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $12.63 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $12.63 | — | — | 2025-12-23 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Optum | Behavioral Medicare | — | $250.16 | $106.32 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $14.22 | $250.16 | $106.32 | 2026-01-29 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Memorial Health Partners/GHP | MemorialHealthPartnersGHP | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Medical Development International | MedicalDevelopmentInternational | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Encompass Health Lab | EncompassHealthLab | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Clover Insurance Co | CloverMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Eon Health Medicare | EONHealthMedicare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Multiplan | BeechStreetWC | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Amerihealth | SelectHealthPlan | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Anthem | BlueCrossofGeorgia | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2024-12-08 | 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.