J9026 — Tarlatamab-dlle 10 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION (HCPCS J9026) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9026?code_type=HCPCS
MLA (9th ed.)
“TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION (HCPCS J9026) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9026?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TARLATAMAB-DLLE 10 MG INTRAVENOUS SOLUTION (HCPCS J9026) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9026?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,719–$17,154 (25th–75th percentile) across 1,461 hospitals · 3,232 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9026 — 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
$1,719
$4,269 typical
$17,154
The middle 50% of negotiated facility rates for this procedure, measured across 1,461 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $4,269 |
| Likely subtotal | $4,269 |
Facility charge (no separate professional fee)
$4,269
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 $1,719–$17,154.
- 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 |
|---|---|---|---|---|---|---|---|
| UNC HOSPITALS Outpatient | Contigo | — | $0.11 | $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 | Ultra | $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 ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| UNC HOSPITALS Outpatient | Vaya Health | Managed Medicaid | $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 | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Medicare Advantage | $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 | Alignment | Medicare Advantage | $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 | Surest | — | $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 | Tricare | Hmo | $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 | Partners | 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 | Aetna | Choice Pos | $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 | Liberty | Medicare Advantage | $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 | Trillium | Managed Medicaid | $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 | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Managed Medicaid | $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 | Aetna | State Health Plan | $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 | First Health Network | — | $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 | Aetna | 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 | Health Team Advantage | Medicare Advantage | $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 | Cigna | 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 | Healthy Blue North Carolina | Managed Medicaid | $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 ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.32 | $2,700.00 | $1,620.00 | 2025-12-30 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $6,860.11 | — | 2026-07-01 | 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 EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $60,000.00 | $30,000.00 | 2026-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | 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 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $60,000.00 | $30,000.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $60,000.00 | $30,000.00 | 2026-07-01 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | United Healthcare | Medicare Advantage | $1.94 | $3,375.00 | $2,362.50 | 2026-07-15 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Humana | Medicare Advantage | $1.94 | $3,375.00 | $2,362.50 | 2026-07-15 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Kaiser | Medicare Advantage | $1.94 | $3,375.00 | $2,362.50 | 2026-07-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $7,200.00 | $4,680.00 | 2026-06-15 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $10.00 | $24,821.85 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $10.00 | $24,821.85 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $10.00 | $24,821.85 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $10.00 | $24,821.85 | — | 2026-04-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $12.77 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $12.77 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $12.77 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $13.11 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $13.46 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $13.80 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $15.00 | $121,532.65 | $18,479.03 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $16.91 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $16.91 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $17.25 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| THE UNIVERSITY OF CHICAGO MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | $17.75 | — | — | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $17.94 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $18.63 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | JW Marriott | All Plans | $18.70 | — | — | 2026-07-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $29.85 | $5,969.40 | $5,969.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $38.80 | $5,969.40 | $5,969.40 | 2026-06-05 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $41.79 | $5,969.40 | $5,969.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $45.68 | $5,969.40 | $5,969.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $45.98 | $5,969.40 | $5,969.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $45.98 | $5,969.40 | $5,969.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $49.84 | $5,969.40 | $5,969.40 | 2026-06-05 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $50.74 | $5,969.40 | $5,969.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $51.22 | $5,969.40 | $5,969.40 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $51.22 | $5,969.40 | $5,969.40 | 2026-06-05 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $53.60 | $4,122.75 | $3,092.06 | 2026-08-01 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $55.19 | $10,374.00 | $10,374.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $55.19 | $10,374.00 | $10,374.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $55.19 | $10,374.00 | $10,374.00 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $58.50 | $5,969.40 | $5,969.40 | 2026-06-05 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uhc | Quest | $60.00 | $43,245.00 | $16,866.00 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $105.45 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $105.45 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $105.45 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $108.30 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $111.15 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $114.00 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Ind | $114.78 | $67,650.00 | $65,620.50 | 2026-07-18 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Com | $114.78 | $67,650.00 | $65,620.50 | 2026-07-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $139.65 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $139.65 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $142.50 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $143.43 | $2,700.00 | $1,620.00 | 2025-12-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $148.20 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $153.90 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $154.15 | $45,669.60 | $43,386.12 | 2026-07-15 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $171.65 | — | — | 2026-03-04 | MRF ↗ |
| THEDACARE REGIONAL MED CTR - NEENAH Outpatient | Cigna 1/1/23 | — | $180.00 | $3,107.69 | $1,740.31 | 2026-09-28 | MRF ↗ |
| THEDACARE REGIONAL MED CTR - NEENAH Outpatient | Hb Common Ground -1/1/25 | — | $180.00 | $3,107.69 | $1,740.31 | 2026-09-28 | MRF ↗ |
| ThedaCare Oshkosh Outpatient | Hb Common Ground -1/1/25 | — | $180.00 | $3,107.69 | $1,740.31 | 2026-10-18 | MRF ↗ |
| ThedaCare Fond du Lac Outpatient | Hb Common Ground -1/1/25 | — | $180.00 | $3,107.69 | $1,740.31 | 2026-09-18 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $188.58 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $188.58 | $1,142.90 | $228.58 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $188.58 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $188.58 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $188.58 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $188.58 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $201.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $205.50 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $217.15 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $228.58 | $1,142.90 | $228.58 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $228.58 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $228.58 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $228.58 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $228.58 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $228.58 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | CSMC WTC HEALTH PROGRAM | $235.32 | $117,946.90 | $18,468.77 | 2026-01-01 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Inpatient | Novanet | Commercial | $238.50 | $1,590.00 | $874.50 | 2026-07-15 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | MMC WTC HEALTH PROGRAM | $246.47 | $117,954.41 | $18,468.77 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WTC HEALTH PROGRAM [5273] | HMC WTC HEALTH PROGRAM | $246.47 | $85,233.14 | $18,442.97 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | NMC WTC HEALTH PROGRAM | $246.47 | $117,946.90 | $16,059.80 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WTC HEALTH PROGRAM [5273] | HMC WTC HEALTH PROGRAM | $246.47 | $85,233.14 | $18,442.97 | 2026-01-01 | 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.