J8597 — Ondansetron Hcl 4 Mg Tablet
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ONDANSETRON HCL 4 MG TABLET (HCPCS J8597) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J8597?code_type=HCPCS
MLA (9th ed.)
“ONDANSETRON HCL 4 MG TABLET (HCPCS J8597) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J8597?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ONDANSETRON HCL 4 MG TABLET (HCPCS J8597) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J8597?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3–$28 (25th–75th percentile) across 456 hospitals · 1,358 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J8597 — 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 |
|---|---|---|---|---|---|---|---|
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | AmeriHealth | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross NC | PPO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL OutpatientFacility | Blue Cross NC | Healthy Blue Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER OutpatientFacility | Blue Cross NC | HMO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER OutpatientFacility | Carolina Complete | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Carolina Complete | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross NC | HMO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility | AmeriHealth | Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER OutpatientFacility | Blue Cross NC | PPO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER OutpatientFacility | Carolina Complete | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER OutpatientFacility | AmeriHealth | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER OutpatientFacility | Blue Cross NC | PPO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER OutpatientFacility | Blue Cross NC | Healthy Blue Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH MINT HILL MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER OutpatientFacility | Blue Cross NC | Healthy Blue Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH MINT HILL MEDICAL CENTER OutpatientFacility | Blue Cross NC | PPO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER OutpatientFacility | Blue Cross NC | HMO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER OutpatientFacility | Carolina Complete | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER OutpatientFacility | AmeriHealth | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility | Blue Cross NC | Healthy Blue Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER OutpatientFacility | Blue Cross NC | HMO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER OutpatientFacility | Blue Cross NC | PPO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER OutpatientFacility | Blue Cross NC | PPO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER OutpatientFacility | Blue Cross NC | HMO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH MINT HILL MEDICAL CENTER OutpatientFacility | Blue Cross NC | HMO | — | — | — | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Carolina Complete | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Blue Cross NC | Healthy Blue Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH NEW HANOVER REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER OutpatientFacility | Blue Cross NC | Healthy Blue Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Aetna | Medicare Advantage | $0.03 | $0.22 | — | 2026-04-20 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility | Carolina Complete | Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER OutpatientFacility | BCBSFL | PPO | — | — | — | 2026-03-30 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | AmeriHealth | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Blue Cross NC | HMO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | Blue Cross NC | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | AmeriHealth | Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER OutpatientFacility | AmeriHealth | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility | Blue Cross NC | PPO | — | — | — | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER OutpatientFacility | Wellcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER OutpatientFacility | AmeriHealth | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-03-31 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.03 | $2.70 | $2.70 | 2026-04-24 | MRF ↗ |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER OutpatientFacility | BCBSFL | HMO | — | — | — | 2026-03-30 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Aetna | Medicare Advantage | $0.03 | $0.22 | — | 2026-04-20 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | Blue Cross NC | PPO | — | — | — | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER OutpatientFacility | Carolina Complete | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Blue Cross NC | PPO | — | — | — | 2026-03-30 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | United Healthcare Community Plan for Families | Unison MedPLUS | $0.04 | $2.00 | $1.20 | 2026-03-07 | MRF ↗ |
| UPMC EAST OutpatientFacility | United Healthcare Community Plan for Families | Unison Kids | $0.04 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | Medicaid | $0.04 | $5.75 | $4.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.04 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER OutpatientFacility | Carolina Complete | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| Upmc Children's Hospital Of Pgh - Transplant Ctr OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $11.50 | $9.20 | 2026-03-06 | MRF ↗ |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER OutpatientFacility | AmeriHealth | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | United Healthcare Community Plan for Families | Unison MedPLUS | $0.04 | $2.00 | $1.20 | 2026-03-07 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| Upmc Children's Hospital Of Pgh - Transplant Ctr OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | United Healthcare Community Plan for Families | Unison MedPLUS | $0.04 | $2.00 | $1.20 | 2026-03-07 | MRF ↗ |
| NOVANT HEALTH BALLANTYNE MEDICAL CENTER OutpatientFacility | Blue Cross NC | Healthy Blue Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $0.75 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $0.50 | $0.40 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | United Healthcare Community Plan for Families | Unison MedPLUS | $0.04 | $2.00 | $1.20 | 2026-03-07 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Aetna | Medicaid | $0.04 | $0.50 | $0.40 | 2026-03-06 | MRF ↗ |
| NOVANT HEALTH BRUNSWICK MEDICAL CENTER OutpatientFacility | Ambetter | All Plans | — | — | — | 2026-03-30 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $1.75 | $1.40 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $0.25 | $0.20 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $5.50 | $4.40 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $23.25 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | United Healthcare Community Plan for Families | Unison Kids | $0.04 | $2.00 | $1.20 | 2026-03-07 | MRF ↗ |
| UPMC EAST OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC CHILDREN'S HOSPITAL OF PITTSBURGH OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $11.50 | $9.20 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.04 | $1.25 | $1.00 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.04 | $1.75 | $1.40 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | United Healthcare Community Plan for Families | Unison Kids | $0.04 | $2.00 | $1.20 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.04 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $1.75 | $1.40 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | United Healthcare Community Plan for Families | Unison MedPLUS | $0.04 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $0.50 | $0.40 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $0.25 | $0.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $5.75 | $4.60 | 2026-03-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | Carolina Complete | Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $1.25 | $1.00 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.04 | $1.25 | $1.00 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Aetna | Medicaid | $0.04 | $1.75 | $1.40 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $0.75 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | United Healthcare Community Plan for Families | PA Medicaid | $0.04 | $7.25 | $5.80 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | UPMC Health Plan | CHIP | $0.04 | $0.75 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.04 | $1.25 | $1.00 | 2026-03-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | UPMC Health Plan | CHIP | $0.04 | $0.75 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Aetna | Medicaid | $0.04 | $1.25 | $1.00 | 2026-03-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL OutpatientFacility | Blue Cross NC | HMO | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL OutpatientFacility | Blue Cross NC | PPO | — | — | — | 2026-03-30 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Aetna | Medicaid | $0.04 | $1.75 | $1.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | United Healthcare Community Plan for Families | PA Medicaid | $0.04 | $7.25 | $5.80 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.04 | $0.75 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Aetna | Medicaid | $0.04 | $0.50 | $0.40 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.05 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | United Healthcare Community Plan for Families | PA Medicaid | $0.05 | $7.25 | $5.80 | 2026-03-06 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | United Healthcare | Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | Blue Cross NC | Healthy Blue Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Aetna | Medicare Advantage | $0.05 | $0.39 | — | 2026-04-20 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Aetna | Medicaid | $0.05 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.05 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Aetna | Medicare Advantage | $0.05 | $0.39 | — | 2026-04-20 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | UPMC Health Plan | CHIP | $0.05 | $0.25 | $0.20 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Aetna | Medicaid | $0.05 | $23.25 | $18.60 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.05 | $1.75 | $1.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | United Healthcare Community Plan for Families | PA Medicaid | $0.05 | $7.25 | $5.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | United Healthcare Community Plan for Families | Unison Kids | $0.05 | $2.00 | $1.20 | 2026-03-07 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | Aetna | Medicaid | $0.05 | $1.25 | $1.00 | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA OutpatientFacility | UPMC Health Plan | CHIP | $0.05 | $0.25 | $0.20 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | United Healthcare Community Plan for Families | Unison Kids | $0.05 | $2.00 | $1.20 | 2026-03-07 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.05 | $23.25 | $18.60 | 2026-03-06 | MRF ↗ |
| PENDER MEMORIAL HOSPITAL OutpatientFacility | Wellcare | Medicaid | — | — | — | 2026-03-30 | MRF ↗ |
| NOVANT HEALTH MATTHEWS MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Health Partners | Commercial|All Plans | $0.08 | $0.10 | $0.05 | 2026-02-28 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.08 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Medica | Commercial|All Plans | $0.08 | $0.10 | $0.05 | 2026-02-28 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.08 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Cigna Healthspring | Medicare Advantage | — | $18.75 | $9.38 | 2025-12-01 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $0.08 | $0.36 | $0.22 | 2026-02-28 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Cigna Healthspring | Medicare Advantage | — | $13.90 | $6.95 | 2025-12-05 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Medica | Commercial|All Plans | $0.08 | $0.10 | $0.05 | 2026-02-28 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.08 | $2.00 | $1.60 | 2026-03-06 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $0.08 | $0.36 | $0.22 | 2026-02-28 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Aetna | Medicaid | $0.08 | $2.00 | $1.60 | 2026-03-06 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Cigna Healthspring | Medicare Advantage | — | $125.10 | $62.55 | 2025-12-05 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Health Partners | Commercial|All Plans | $0.08 | $0.10 | $0.05 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | OPTUM | Medicare|All Plans | $0.08 | $0.28 | $0.10 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.08 | $0.36 | $0.22 | 2026-02-28 | MRF ↗ |
| UPMC EAST OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.08 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.08 | $0.36 | $0.30 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | OPTUM | Medicare|All Plans | $0.08 | $0.28 | $0.10 | 2026-02-28 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.08 | $2.25 | $1.80 | 2026-03-06 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Medica | Commercial|All Plans | $0.08 | $0.10 | $0.05 | 2025-09-30 | MRF ↗ |
| ST LUKE'S SUGAR LAND HOSPITAL Outpatient | OPTUM | Medicare|All Plans | $0.08 | $0.28 | $0.10 | 2026-02-28 | MRF ↗ |
| ST LUKE'S THE WOODLANDS HOSPITAL Outpatient | OPTUM | Medicare|All Plans | $0.08 | $0.28 | $0.10 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.08 | $0.36 | $0.30 | 2026-02-28 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Commercial | $0.08 | $0.25 | $0.22 | 2026-04-17 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.08 | $0.36 | $0.30 | 2026-02-28 | MRF ↗ |
| St. Luke's Health - Springwoods Village Hospital Outpatient | OPTUM | Medicare|All Plans | $0.08 | $0.28 | $0.10 | 2026-02-28 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Aetna | Medicaid | $0.08 | $2.00 | $1.60 | 2026-03-06 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Health Partners | Commercial|All Plans | $0.08 | $0.10 | $0.05 | 2025-09-30 | MRF ↗ |
| CHI ST LUKES LAKESIDE HOSPITAL Outpatient | OPTUM | Medicare|All Plans | $0.08 | $0.28 | $0.10 | 2026-02-28 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.08 | $1.25 | $1.00 | 2026-03-06 | MRF ↗ |
| ST LUKE'S HOSPITAL AT THE VINTAGE Outpatient | OPTUM | Medicare|All Plans | $0.08 | $0.28 | $0.10 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.08 | $0.36 | $0.22 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.08 | $0.36 | $0.30 | 2026-02-28 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.08 | $5.75 | $4.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $0.08 | $2.00 | $1.60 | 2026-03-06 | MRF ↗ |
| Baylor St Lukes Medical Center Outpatient | OPTUM | Medicare|All Plans | $0.08 | $0.28 | $0.10 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.09 | $0.36 | $0.17 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.09 | $0.36 | $0.17 | 2026-02-28 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.09 | $1.25 | $1.00 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | United Healthcare Community Plan for Families | Unison Kids | $0.09 | $2.00 | $1.20 | 2026-03-07 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | United Healthcare | Commercial | $0.09 | $0.22 | — | 2026-04-20 | MRF ↗ |
| UPMC MERCY OutpatientFacility | United Healthcare Community Plan for Families | PA Medicaid | $0.09 | $7.25 | $5.80 | 2026-03-06 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | MultiPlan | Commercial|All Plans | $0.09 | $0.10 | $0.05 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | MultiPlan | Commercial|All Plans | $0.09 | $0.10 | $0.05 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.09 | $0.36 | $0.18 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.09 | $0.36 | $0.18 | 2026-02-28 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | United Healthcare Community Plan for Families | Unison MedPLUS | $0.09 | $2.00 | $1.20 | 2026-03-07 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.09 | $0.36 | $0.17 | 2026-02-28 | MRF ↗ |
| NOVANT HEALTH FORSYTH MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.09 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | Medicaid | $0.09 | $5.75 | $4.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | United Healthcare Community Plan for Families | Unison Kids | $0.09 | $2.00 | $1.20 | 2026-03-07 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.09 | $1.75 | $1.40 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.09 | $1.25 | $1.00 | 2026-03-06 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.09 | $0.36 | $0.17 | 2026-02-28 | MRF ↗ |
| UPMC MERCY OutpatientFacility | United Healthcare Community Plan for Families | PA Medicaid | $0.09 | $7.25 | $5.80 | 2026-03-06 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | MultiPlan | Commercial|All Plans | $0.09 | $0.10 | $0.05 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.09 | $0.36 | $0.22 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.09 | $0.36 | $0.22 | 2026-02-28 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | United Healthcare | Commercial | $0.09 | $0.22 | — | 2026-04-20 | MRF ↗ |
| UPMC EAST OutpatientFacility | United Healthcare Community Plan for Families | Unison Kids | $0.09 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.09 | $0.36 | $0.22 | 2025-09-30 | MRF ↗ |
| UPMC EAST OutpatientFacility | United Healthcare Community Plan for Families | Unison MedPLUS | $0.09 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.09 | $0.36 | $0.22 | 2026-02-28 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.09 | $1.25 | $1.00 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | United Healthcare Community Plan for Families | Unison MedPLUS | $0.09 | $2.00 | $1.20 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $0.09 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-31 | 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.