J9026 — Inj, Tarlatamab-dlle, 1 Mg
Cite this view
HANK Price Transparency. (n.d.). Inj, tarlatamab-dlle, 1 mg (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
“Inj, tarlatamab-dlle, 1 mg (HCPCS J9026) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9026?code_type=HCPCS. Accessed .
“Inj, tarlatamab-dlle, 1 mg (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 $1,721–$16,340 (25th–75th percentile) across 1,204 hospitals · 3,034 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/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.
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 |
|---|---|---|---|---|---|---|---|
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.32 | $2,700.00 | $1,620.00 | 2025-12-30 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | United Healthcare | Medicare Advantage | $1.94 | $3,375.00 | $2,362.50 | 2026-05-09 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Kaiser | Medicare Advantage | $1.94 | $3,375.00 | $2,362.50 | 2026-05-09 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Humana | Medicare Advantage | $1.94 | $3,375.00 | $2,362.50 | 2026-05-09 | 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 | Signature Advantage Plan (Medicare) | Signature Advantage | $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 ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $12.77 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $12.77 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $12.77 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $13.11 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $13.46 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU 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 - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $16.56 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $16.56 | $3,450.00 | $3,277.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $16.91 | $3,450.00 | $3,277.50 | 2026-02-20 | 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 - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $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 ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $17.59 | $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 ↗ |
| Umc Transplantation Services OutpatientFacility | JW Marriott | All Plans | $18.70 | — | — | 2025-12-27 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $105.45 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $105.45 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $105.45 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $108.30 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $111.15 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $114.00 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $114.78 | $6,900.00 | $6,210.00 | 2026-05-13 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Ind | $114.78 | $67,650.00 | $65,620.50 | 2026-05-09 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Com | $114.78 | $67,650.00 | $65,620.50 | 2026-05-09 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $114.78 | $6,900.00 | $6,210.00 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $114.78 | $6,900.00 | $6,210.00 | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $114.78 | $6,900.00 | $6,210.00 | 2026-05-23 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $136.80 | $28,500.00 | $27,075.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $136.80 | $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 - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $139.65 | $28,500.00 | $27,075.00 | 2026-02-20 | 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 - LADYSMITH OutpatientFacility | Anthem BCBS of WI | 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 - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $145.35 | $28,500.00 | $27,075.00 | 2026-02-20 | 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 ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $171.65 | — | — | 2026-03-04 | 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 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 ↗ |
| 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 ↗ |
| 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 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $228.58 | $1,142.90 | $228.58 | 2026-02-13 | 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 ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | OMC WTC HEALTH PROGRAM | $246.47 | $118,244.98 | $18,530.34 | 2026-01-01 | 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 ↗ |
| 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 ↗ |
| CHILTON MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | CMC WTC HEALTH PROGRAM | $246.47 | $117,946.90 | $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 ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | WTC HEALTH PROGRAM [5273] | OMC WTC HEALTH PROGRAM | $246.47 | $118,244.98 | $18,530.34 | 2026-01-01 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $247.50 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $269.61 | — | — | 2026-03-31 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Humana Medicaid | Managed Medicaid | $274.30 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $283.44 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | United Healthcare Adult | Commercial | $283.44 | $1,142.90 | $228.58 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $283.44 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $283.44 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $283.44 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $285.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $285.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $285.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $285.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Capital Blue Cross | Medicare Advantage | $300.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Keystone Health Plan | Medicare Advantage | $300.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $300.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $300.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Capital Blue Cross | Medicare Advantage | $300.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Keystone Health Plan | Medicare Advantage | $300.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $300.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $300.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Capital Blue Cross | Medicare Advantage | $300.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Keystone Health Plan | Medicare Advantage | $300.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Aetna (Medicaid) | Aetna Better Health | $315.34 | $2,627.85 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | WellCare (Medicaid) | WellCare of Kentucky | $315.34 | $2,627.85 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicaid) | United Healthcare Community Plan | $318.50 | $2,627.85 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicaid) | Passport Health Plan by Molina Healthcare | $318.50 | $2,627.85 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicaid) | Humana Healthy Horizons | $334.26 | $2,627.85 | — | 2026-04-01 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $344.85 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $344.85 | — | — | 2025-12-23 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Prime Net | Managed Medicare | $363.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $363.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $363.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $363.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $363.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $363.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $363.00 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $368.01 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Alternative | Commercial | $368.01 | $1,142.90 | $228.58 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $368.01 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $368.01 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $368.01 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | UPMC Work Partners | Workers Comp | $369.30 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $382.77 | $3,995.50 | $1,997.75 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Both | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $382.77 | $3,995.50 | $1,997.75 | 2026-03-21 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $391.95 | $6,030.00 | $3,919.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $391.95 | $6,030.00 | $3,919.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $391.95 | $6,030.00 | $3,919.50 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $391.95 | $6,030.00 | $3,919.50 | 2026-03-12 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | MediGold | MediGold | $392.19 | $1,790.80 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Upper Ohio Valley | Upper Ohio Valley - Medicare Health Plan | $392.19 | $1,790.80 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Healthspan | Healthspan - Medicare | $392.19 | $1,790.80 | — | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB STLO CAPE MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $392.67 | $6,041.00 | $3,926.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID CONTRACTED [320265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $392.67 | $6,041.00 | $3,926.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | MOLINA HEALTHCARE MEDICAID [20265] | HB STLO CAPE MOLINA HEALTHCHOICE OF IL MEDICAID NEW 040125 | $392.67 | $6,041.00 | $3,926.65 | 2026-03-12 | MRF ↗ |
| MERCY HOSPITAL ST LOUIS OutpatientFacility | AETNA MEDICAID CONTRACTED [320009] | HB STLO CAPE AETNA BETTER HEALTH OF IL MEDICAID NEW 040125 | $392.67 | $6,041.00 | $3,926.65 | 2026-03-12 | MRF ↗ |
| UPMC LITITZ InpatientFacility | UPMC Work Partners | Workers Comp | $392.70 | $1,500.00 | $900.00 | 2026-03-06 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Medicare | Medicare Perennial Advantage | $396.12 | $1,790.80 | — | 2026-04-01 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | SIHO | Commercial | $400.02 | $1,142.90 | $228.58 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $400.02 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $400.02 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $400.02 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $400.02 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Humana | Humana - Medicare | $400.06 | $1,790.80 | — | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | DCH ILLINOIS MEDICAID | — | $5,904.50 | $4,133.15 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | DCH ILLINOIS MEDICAID | — | $5,904.50 | $4,133.15 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | DCH ILLINOIS MEDICAID | — | $5,904.50 | $4,133.15 | 2026-04-01 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Cigna Adult | Commercial | $425.16 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Cigna | Commercial | $425.16 | $1,142.90 | $228.58 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Cigna | Commercial | $425.16 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Cigna Adult | Commercial | $425.16 | $1,142.90 | $228.58 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Cigna | Commercial | $425.16 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Cigna | Commercial | $425.16 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Cigna Adult | Commercial | $425.16 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Cigna Adult | Commercial | $425.16 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Cigna | Commercial | $425.16 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Cigna Adult | Commercial | $425.16 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Pediatric | Commercial | $430.87 | $1,142.90 | $228.58 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $430.87 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $430.87 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Adult | Commercial | $430.87 | $1,142.90 | $228.58 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $430.87 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $430.87 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $430.87 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $430.87 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $430.87 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $430.87 | $1,142.90 | $228.58 | 2026-02-11 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $53,287.50 | $23,979.38 | 2026-03-13 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | KH ILLINOIS MEDICAID | — | $6,265.00 | $4,385.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | KH ILLINOIS MEDICAID | — | $6,265.00 | $4,385.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CENPATICO BEHAVIORAL HEALTH [1603] | KH ILLINOIS MEDICAID | — | $6,265.00 | $4,385.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | KH ILLINOIS MEDICAID | — | $6,265.00 | $4,385.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | KH ILLINOIS MEDICAID | — | $6,265.00 | $4,385.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | KH ILLINOIS MEDICAID | — | $6,265.00 | $4,385.50 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | FAMILY HEALTH NETWORK HMO [1610] | KH ILLINOIS MEDICAID | — | $6,265.00 | $4,385.50 | 2026-04-01 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | National Advantage Program | — | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Managed Choice Pos And Elect Choice | — | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Managed Medicaid | — | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health/Coventry | Commercial | — | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health/First Health | Commercial | — | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Cigna Health | All Other Ppo | — | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Cigna Health | Ppo Payor Solutions/Strategic Allia | — | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Cigna Health - C | 20 New Business Network | — | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Cigna Health | All Products Except Ppo | — | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid Transplant Agre | — | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Hmo Commercial | — | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | National Advantage Program | — | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Open Choice Ppo | $448.00 | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Hmo | — | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Communitycare Plus | — | $5,400.00 | $540.00 | 2026-05-22 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Health | Managed Choice Pos And Elect Choice | — | $5,400.00 | $540.00 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid Transplant Agre | — | $5,400.00 | $540.00 | 2026-05-14 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $5,400.00 | $540.00 | 2026-05-06 | 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.