Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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J9038 — Axatilimab-csfr 50 Mg/ml Intravenous Solution

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $11,026

Usually $72–$24,506 (25th–75th percentile) across 990 hospitals · 2,093 payers.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9038 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

What this costs at this hospital

The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$72 $11,026 typical $24,506

The middle 50% of negotiated facility rates for this procedure, measured across 990 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $11,026
Likely subtotal $11,026
Facility charge (no separate professional fee) $11,026

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 $72–$24,506.

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
James Cancer Hospital & Solove Research Institute Outpatient Cigna Cigna - Transplant $0.62 $190.36 — 2026-07-01 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 TRUST PPO $1.00 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $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 TRADITIONAL $1.00 — — 2026-09-02 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Medicaid Medicaid $1.00 $18,900.00 $9,450.00 2026-07-01 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-09-02 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-09-02 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient Geisinger Family Plan Geisinger Family Plan - Managed Medicaid $1.07 $18,900.00 $9,450.00 2026-07-01 MRF ↗
GEISINGER-LEWISTOWN HOSPITAL Outpatient AmeriHealth AmeriHealth Cartias - Managed Medicaid $1.10 $18,900.00 $9,450.00 2026-07-01 MRF ↗
BOSTON CHILDREN'S HOSPITAL Both Optum/URN COMM Inpatient — $55,811.50 $55,811.50 2026-04-01 MRF ↗
FAIRVIEW HOSPITAL OutpatientFacility AETNA Asa_Whirlpool_Peia $2.17 $94,500.00 $61,425.00 2026-06-15 MRF ↗
BERKSHIRE MEDICAL CENTER Outpatient Commcare Alliance Mcrmanaged Cca One Care $5.48 $35,165.59 $33,407.31 2026-07-15 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Health First Medicare Advantage - Outpatient $6.14 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both BlueCross Medicare Advantage - Outpatient $6.14 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both United HC Medicare Advantage - Outpatient $6.14 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Molina Medicare Advantage - Outpatient $6.27 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Devoted Medicare Advantage - Outpatient $6.45 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both CarePlus Medicare Advantage - Outpatient $6.45 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Baycare Medicare Advantage - Outpatient $6.45 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Devoted Medicare Advantage OON (MMG) - Outpatient $6.76 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Humana Medicare Advantage - Outpatient $8.06 $32.00 $16.00 2025-10-24 MRF ↗
MACNEAL HOSPITAL OutpatientFacility BCBS IL PPO $9.30 — — 2026-03-31 MRF ↗
NORTHSIDE HOSPITAL Outpatient UHC UHC Medicare $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient BCBS BCBS Medicare Advantage $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient CBWW CBWW $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient UHC UHC Medicare $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient CLEAR SPRINGS EON HEALTH CLEAR SPRINGS EON HEALTH $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Genex/Priority Care Solutions Genex/Priority Care Solutions $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Fairly Group Fairly Group $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient CBWW CBWW $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient BCCP BCCP $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient CLEAR SPRINGS EON HEALTH CLEAR SPRINGS EON HEALTH $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient CLEAR SPRINGS EON HEALTH CLEAR SPRINGS EON HEALTH $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient VA CCN VA CCN $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL Outpatient Medicare Medicare $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient BCCP BCCP $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient CLEAR SPRINGS EON HEALTH CLEAR SPRINGS EON HEALTH $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient BCBS BCBS Medicare Advantage-P $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Institutional 100 Percent of Medicare Institutional 100 Percent of Medicare $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Medicare Medicare $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL Outpatient BCBS BCBS Medicare Advantage $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient BCCP BCCP $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient CBWW CBWW $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient CBWW CBWW $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient UHC UHC Medicare $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient BCCP BCCP $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient BCBS BCBS Medicare Advantage-P $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Fairly Group Fairly Group $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Medicare Medicare $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Medicare Medicare $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient BCBS BCBS Medicare Advantage-P $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient UHC UHC Medicare $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Institutional 100 Percent of Medicare Institutional 100 Percent of Medicare $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Fairly Group Fairly Group $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL Outpatient BCBS BCBS Medicare Advantage-P $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient VA CCN VA CCN $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Genex/Priority Care Solutions Genex/Priority Care Solutions $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient BCBS BCBS Medicare Advantage-P $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Medicare Medicare $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient Fairly Group Fairly Group $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient Clover Health Clover Health $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient VA CCN VA CCN $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Institutional 100 Percent of Medicare Institutional 100 Percent of Medicare $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Clover Health Clover Health $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient Institutional 100 Percent of Medicare Institutional 100 Percent of Medicare $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient UHC UHC Medicare $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient CBWW CBWW $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Genex/Priority Care Solutions Genex/Priority Care Solutions $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient Genex/Priority Care Solutions Genex/Priority Care Solutions $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Clover Health Clover Health $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Clover Health Clover Health $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient VA CCN VA CCN $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Fairly Group Fairly Group $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient VA CCN VA CCN $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient BCCP BCCP $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Institutional 100 Percent of Medicare Institutional 100 Percent of Medicare $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient CLEAR SPRINGS EON HEALTH CLEAR SPRINGS EON HEALTH $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Genex/Priority Care Solutions Genex/Priority Care Solutions $10.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Clover Health Clover Health $10.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Humana Humana Medicare Advantage HMO $10.12 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Humana Humana Medicare Advantage HMO $10.12 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Aetna Aetna Medicare $10.12 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Humana Humana Medicare Advantage HMO $10.12 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Humana Humana Medicare Advantage HMO $10.12 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Aetna Aetna Medicare $10.12 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient Humana Humana Medicare Advantage HMO $10.12 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient Aetna Aetna Medicare $10.22 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Coventry Coventry Medicare $10.22 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Coventry Coventry Medicare $10.22 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Coventry Coventry Medicare $10.22 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Coventry Coventry Medicare $10.22 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL Outpatient Coventry Coventry Medicare $10.22 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Aetna Aetna Medicare $10.22 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Aetna Aetna Medicare $10.22 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Kaiser Kaiser Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient CareSource CareSource Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient CareSource CareSource Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL Outpatient Kaiser Kaiser Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Wellcare Wellcare Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Wellcare Wellcare Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Wellcare Wellcare Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Kaiser Kaiser Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL Outpatient Wellcare Wellcare Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient CareSource CareSource Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient CareSource CareSource Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Wellcare Wellcare Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient CareSource CareSource Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Kaiser Kaiser Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Kaiser Kaiser Medicare Advantage $10.32 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Humana Humana Medicare Advantage PPO $10.42 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Humana Humana Medicare Advantage PPO $10.42 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Humana Humana Medicare Advantage PPO $10.42 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient Humana Humana Medicare Advantage PPO $10.42 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Humana Humana Medicare Advantage PPO $10.42 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Devoted Medicare Advantage Devoted Medicare Advantage $10.52 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Devoted Medicare Advantage Devoted Medicare Advantage $10.52 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Devoted Medicare Advantage Devoted Medicare Advantage $10.52 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Pruitt Health Premier Pruitt Health Premier $10.52 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Pruitt Health Premier Pruitt Health Premier $10.52 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL Outpatient Devoted Medicare Advantage Devoted Medicare Advantage $10.52 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient Pruitt Health Premier Pruitt Health Premier $10.52 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Pruitt Health Premier Pruitt Health Premier $10.52 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Devoted Medicare Advantage Devoted Medicare Advantage $10.52 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Pruitt Health Premier Pruitt Health Premier $10.52 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Institutional 110 Percent of Medicare Institutional 110 Percent of Medicare $11.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Institutional 110 Percent of Medicare Institutional 110 Percent of Medicare $11.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Institutional 110 Percent of Medicare Institutional 110 Percent of Medicare $11.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Institutional 110 Percent of Medicare Institutional 110 Percent of Medicare $11.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient Institutional 110 Percent of Medicare Institutional 110 Percent of Medicare $11.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient CareSource CareSource $11.55 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient CareSource CareSource $11.55 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient CareSource CareSource $11.55 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient CareSource CareSource $11.55 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient CareSource CareSource $11.55 $26,365.50 $19,774.13 2026-02-15 MRF ↗
JAY HOSPITAL OutpatientFacility WELLCARE MCARE HMO $11.90 — — 2025-12-23 MRF ↗
JAY HOSPITAL OutpatientFacility WELLCARE MCARE HMO DUAL PLAN $11.90 — — 2025-12-23 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Institutional 120 Percent of Medicare Institutional 120 Percent of Medicare $12.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient Institutional 120 Percent of Medicare Institutional 120 Percent of Medicare $12.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Institutional 120 Percent of Medicare Institutional 120 Percent of Medicare $12.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient Institutional 120 Percent of Medicare Institutional 120 Percent of Medicare $12.02 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Institutional 120 Percent of Medicare Institutional 120 Percent of Medicare $12.02 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient US Dept of Labor WC US Dept of Labor WC $12.52 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL Outpatient US Dept of Labor WC US Dept of Labor WC $12.52 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient US Dept of Labor WC US Dept of Labor WC $12.52 $26,365.50 $19,774.13 2026-02-14 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Aetna Transplant - Outpatient $12.80 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Humana Commercial - Inpatient $16.00 $32.00 $16.00 2025-10-24 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient BCBS BCBS_PATHWAY $16.03 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient BCBS BCBS_PATHWAY-L $16.03 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL Outpatient BCBS BCBS_PATHWAY $16.03 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient BCBS BCBS_PATHWAY $16.03 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL Outpatient BCBS BCBS_PATHWAY-L $16.03 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient BCBS BCBS_PATHWAY-L $16.03 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient BCBS BCBS_PATHWAY $16.03 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient BCBS BCBS_PATHWAY-L $16.03 $26,365.50 $19,774.13 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient BCBS BCBS_PATHWAY $16.03 $26,365.50 $19,774.13 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL CHEROKEE Outpatient BCBS BCBS_PATHWAY-L $16.03 $26,365.50 $19,774.13 2026-02-14 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Humana Commercial - Outpatient $16.96 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Health First Commercial - Outpatient $17.60 $32.00 $16.00 2025-10-24 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility Humana Military TRICARE $17.64 $63.00 $63.00 2026-10-12 MRF ↗
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility Excellus BlueCross BlueShield Medicare Advantage $17.64 $63.00 $63.00 2026-10-12 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Cigna Transplant - Outpatient $19.20 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Emerging Therapies Transplant $19.20 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Optum Transplant - Outpatient $19.20 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Avmed Transplant - Outpatient $19.20 $32.00 $16.00 2025-10-24 MRF ↗
UPMC BEDFORD MEMORIAL OutpatientFacility Aetna of PA Medicare $20.08 $167.00 $100.20 2026-03-06 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility BCBS-OK Blue Preferred $20.32 — $157.17 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility Global Health HMO — — $157.17 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility Cigna New Business — — $157.17 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility Aetna PPO — — $157.17 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility BCBS-OK Blue Advantage $20.32 — $157.17 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility United Healthcare All Plans — — $157.17 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility BCBS-OK Blue Lincs $20.32 — $157.17 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility Aetna PPO — — $157.17 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility Cigna New Business — — $157.17 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility BCBS-OK Traditional $20.32 — $157.17 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility Community Care HMO — — $157.17 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility BCBS-OK Blue Preferred $20.32 — $157.17 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility Community Care HMO — — $157.17 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility BCBS-OK Traditional $20.32 — $157.17 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility United Healthcare All Plans — — $157.17 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility BCBS-OK Blue Lincs $20.32 — $157.17 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility BCBS-OK Blue Advantage $20.32 — $157.17 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility BCBS-OK Blue Choice $20.32 — $157.17 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility Global Health HMO — — $157.17 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility BCBS-OK Blue Choice $20.32 — $157.17 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility Healthcare Highways All Plans — — $157.17 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility Healthcare Highways All Plans — — $157.17 2026-03-31 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Humana Transplant - Outpatient $20.80 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both Evolutions Prime $22.40 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both United HC PPO $22.72 $32.00 $16.00 2025-10-24 MRF ↗
H Lee Moffitt Cancer Center & Research Institute I Both First Health PPO $24.00 $32.00 $16.00 2025-10-24 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient CBWW CBWW $24.49 $64,449.00 $48,336.75 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient Institutional 100 Percent of Medicare Institutional 100 Percent of Medicare $24.49 $64,449.00 $48,336.75 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL GWINNETT Outpatient BCCP BCCP $24.49 $64,449.00 $48,336.75 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient Fairly Group Fairly Group $24.49 $64,449.00 $48,336.75 2026-02-15 MRF ↗
NORTHSIDE HOSPITAL DULUTH Outpatient Genex/Priority Care Solutions Genex/Priority Care Solutions $24.49 $64,449.00 $48,336.75 2026-02-14 MRF ↗
NORTHSIDE HOSPITAL FORSYTH Outpatient CLEAR SPRINGS EON HEALTH CLEAR SPRINGS EON HEALTH $24.49 $64,449.00 $48,336.75 2026-02-15 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.