J9053 — Inj Belantamab Mafodot Blmf__0.1 Mg
Cite this view
HANK Price Transparency. (n.d.). Inj belantamab mafodot blmf__0.1 MG (HCPCS J9053) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9053?code_type=HCPCS
“Inj belantamab mafodot blmf__0.1 MG (HCPCS J9053) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9053?code_type=HCPCS. Accessed .
“Inj belantamab mafodot blmf__0.1 MG (HCPCS J9053) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9053?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $37–$17,626 (25th–75th percentile) across 37 hospitals · 132 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9053 — 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).
The middle 50% of negotiated facility rates for this procedure, measured across 37 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $44 |
| Likely subtotal | $44 |
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 $37–$17,626.
- 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 |
|---|---|---|---|---|---|---|---|
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | UnitedHealthCare | VA CCN Government | $25.38 | — | — | 2026-10-01 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $27.19 | — | — | 2026-09-25 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Medicare Advantage PPO | $30.09 | — | — | 2026-09-05 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | MCAdvantage | MCAdvantage | $33.88 | — | — | 2026-09-01 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Medicare | Medicare | $33.88 | — | — | 2026-09-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $34.20 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid CHIP | $34.20 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid MCO | $34.20 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $34.20 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNJ001_JNJ002_JNJ003 Commercial Exchange | $34.44 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | IBC Medicare | JNE002_JNE003 Medicare Focus | $34.44 | — | — | 2026-09-15 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | TennCare | Medicaid Managed Care Plan | $34.44 | — | — | 2026-09-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Patient Centered Community Care | VA Government | $35.52 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MAP | $35.53 | — | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $35.53 | — | — | 2026-09-05 | MRF ↗ |
| FAIRVIEW HOSPITAL Outpatient | Medicare | Mcrmanaged Medicare Hmo | $35.62 | $73,071.36 | $69,417.79 | 2026-10-16 | MRF ↗ |
| FAIRVIEW HOSPITAL Outpatient | Medicare | Mcr Traditional Medicare | $35.62 | $73,071.36 | $69,417.79 | 2026-10-16 | MRF ↗ |
| MAINEHEALTH MID COAST HOSPITAL OutpatientFacility | Martins Point | Medicare Advantage | $36.20 | — | — | 2026-10-30 | MRF ↗ |
| FAIRVIEW HOSPITAL Outpatient | Other Government | Mcrmanaged Va | $36.20 | $73,071.36 | $69,417.79 | 2026-10-16 | MRF ↗ |
| MAINEHEALTH PEN BAY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $36.20 | — | — | 2026-10-30 | MRF ↗ |
| MAINEHEALTH PEN BAY HOSPITAL OutpatientFacility | Martins Point | Medicare Advantage | $36.20 | — | — | 2026-10-30 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Va Medical Center | Va Medical Center | $36.20 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| MAINEHEALTH BEHAVIORAL HEALTH AT SPRING HARBOR OutpatientFacility | Aetna | Medicare Advantage | $36.20 | — | — | 2026-10-30 | MRF ↗ |
| MAINEHEALTH MID COAST HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | $36.20 | — | — | 2026-10-30 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Upmc Medicare | Upmc Medicare | $36.20 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Keystone First Vip Choice | Keystone First Vip Choice | $36.20 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| FAIRVIEW HOSPITAL Outpatient | Other Government | Mcr Miscellaneous | $36.20 | $73,071.36 | $69,417.79 | 2026-10-16 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Primecare Medical | Primecare Medical | $36.20 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| MAINEHEALTH PEN BAY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $36.20 | — | — | 2026-10-30 | MRF ↗ |
| FAIRVIEW HOSPITAL Outpatient | Other Government | Mcrmanaged Usa Family | $36.20 | $73,071.36 | $69,417.79 | 2026-10-16 | MRF ↗ |
| FAIRVIEW HOSPITAL Outpatient | Hospice | Comm Hospice | $36.20 | $73,071.36 | $69,417.79 | 2026-10-16 | MRF ↗ |
| MAINEHEALTH BEHAVIORAL HEALTH AT SPRING HARBOR OutpatientFacility | Anthem | Medicare Advantage | $36.20 | — | — | 2026-10-30 | MRF ↗ |
| MAINEHEALTH MID COAST HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $36.20 | — | — | 2026-10-30 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Managed Medicare Other | Managed Medicare Other | $36.20 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| MAINEHEALTH MID COAST HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $36.20 | — | — | 2026-10-30 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Cigna | Cigna Healthspring | $36.20 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| MAINEHEALTH MID COAST HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $36.20 | — | — | 2026-10-30 | MRF ↗ |
| FAIRVIEW HOSPITAL Outpatient | United Healthcare | Mcrmanaged United Vaccn | $36.20 | $73,071.36 | $69,417.79 | 2026-10-16 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Hospice Vna | Hospice Vna | $36.20 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Point of Comfort Refugee Resettlement | Commercial | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | AmeriHealth Medicare | JNJ001_JNJ002_JNJ003 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Provider Partners Health Plan | JNE002_JNE003 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Centerlight | PACE | $36.25 | — | — | 2026-09-05 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | Keystone Family Health Plan | Managed Medicaid | $36.25 | — | — | 2026-09-21 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | VA_Champus_Tricare | JCC001_JCC002 Military | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Optum VA CCN | JNE002_JNE003 VA CCN | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Blue Cross | Blue Preferred Ppo | $36.25 | — | — | 2026-09-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | United Healthcare Medicare | Medicare Dual SNP | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan Medicaid | JAB002 Caid MCO CHIP | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | St Agnes | Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bcbs | Medicare Advantage | $36.25 | — | — | 2026-11-06 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Blue Cross | Pathway Exchange | $36.25 | — | — | 2026-09-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid MCO | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $36.25 | — | — | 2026-11-06 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Inspira Life | JNJ001_JNJ002_JNJ003 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Humana ChoiceCare | Medicare Advantage | $36.25 | — | — | 2026-08-17 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Innovage | JNJ001_JNJ002_JNJ003 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Cigna | All Commercial Plans | $36.25 | — | — | 2026-09-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Point of Comfort Refugee Resettlement | Commercial | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | St Agnes | Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | United Healthcare Rehabilitation | JMR001 Dual SNP | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Jefferson Health Plan Medicaid | JCC001_JCC002 Caid MCO CHIP | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid CHIP | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Aetna | Medicare Managed Care Plan | $36.25 | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan Medicaid | JNE001_JNE002_JNE003 Caid MCO CHIP | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Inspira Life | JMR001 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $36.25 | — | — | 2026-11-06 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicare Advantage | $36.25 | — | — | 2026-11-06 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Point of Comfort Refugee Resettlement | JMR001 | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Blue Cross | Pathway Essentials Exchange | $36.25 | — | — | 2026-09-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Aetna | Covered CA Exchange | $36.25 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Fidelis | Medicare Advantage | $36.25 | — | — | 2026-11-06 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Horizon Medicare Blue | JAB002 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Inspira Life | JCC001_JCC002 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Horizon Medicare Blue | JCC001_JCC002 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| TALLAHASSEE MEMORIAL HEALTHCARE OutpatientFacility | Aetna | Medicare Managed Care Plan | $36.25 | — | — | 2026-09-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | IBC Medicare | JAB002 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | VA_Champus_Tricare | JNE002_JNE003 Military | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Geisinger Medicaid | JCC001 JCC002 Caid MCO | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Horizon Medicare Blue | JNE002_JNE003 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | VA_Champus_Tricare | JAB002 Military | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Point of Comfort Refugee Resettlement | Commercial | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JCC001_JCC002 Commercial Exchange | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| PARKVIEW HUNTINGTON HOSPITAL OutpatientFacility | Caresource | Exchange | $36.25 | — | — | 2026-09-01 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | St Agnes | Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Blue Cross | Traditional | $36.25 | — | — | 2026-09-01 | MRF ↗ |
| FAIRVIEW HOSPITAL Outpatient | Point32Health | Comm Harvard | $36.25 | $73,071.36 | $69,417.79 | 2026-10-16 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Optum VA CCN | JMR001 VA CCN | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First VIP Choice | JCC002 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| AURORA MEDICAL CENTER BAY AREA OutpatientFacility | Anthem | PPO | $36.25 | — | — | 2026-11-04 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Senior Whole Health | MLTC | $36.25 | — | — | 2026-09-05 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Jefferson Health Plan Medicare | JNE002_JNE003 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Amidacare | Managed Medicaid | $36.25 | — | — | 2026-09-05 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Commercial | $36.25 | — | — | 2026-11-06 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Innovage | JNE002_JNE003 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Point of Comfort Refugee Resettlement | Commercial | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Cigna | Cigna New Business | $36.25 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Geisinger Medicaid | JAB002 Caid | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| PAM Health Rehabilitation Hospital of Henderson OutpatientFacility | Molina | Marketplace Exchange | $36.25 | — | — | 2026-08-06 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | $36.25 | — | — | 2026-09-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $36.25 | — | — | 2026-09-05 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | IBC Medicare | JCC002 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Pam Rehabilitation Hospital Of Fargo OutpatientFacility | Aetna | Medicare Advantage | $36.25 | — | — | 2026-08-06 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | St Agnes | Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Provider Partners Health Plan | JAB002 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Inspira Life | JNE002_JNE003 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNJ001_JNJ002_JNJ003 Commercial Exchange | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Highmark Wholecare Gateway | JNJ001_JNJ002_JNJ003 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| AURORA LAKELAND MEDICAL CENTER OutpatientFacility | Anthem | Blue Priority | $36.25 | — | — | 2026-11-04 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | St Agnes | Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicare Advantage | $36.25 | — | — | 2026-11-06 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Innovage | JAB002 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | VillageCare Max | MEDICARE ADVANTAGE | $36.25 | — | — | 2026-09-05 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Blue Cross | Blue Access Ppo | $36.25 | — | — | 2026-09-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Optum VA CCN | JNJ001_JNJ002_JNJ003 VA CCN | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNE002 JNE003 Commercial Exchange | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Optum VA CCN | JCC001_JCC002 VA CCN | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | VillageCare Max | MAP | $36.25 | — | — | 2026-09-05 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Inspira Life | JAB002 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | VA_Champus_Tricare | JNJ001_JNJ002_JNJ003 Military | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Martin'S Point | Commercial | $36.25 | — | — | 2026-11-06 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Keystone First | JMR001 Caid CHIP | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | $36.25 | — | — | 2026-11-06 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Aetna | Medicare/Medicaid Managed Care Plan | $36.25 | — | — | 2026-09-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | IBC Medicare | JNE002_JNE003 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| BROADLAWNS MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Medicare Managed Care Plan | $36.25 | — | — | 2026-09-01 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Innovage | JCC001_JCC002 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| AURORA MEDICAL CTR MANITOWOC COUNTY OutpatientFacility | Anthem | Blue Priority | $36.25 | — | — | 2026-11-04 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicare Advantage | $36.25 | — | — | 2026-11-06 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Geisinger Medicaid | JNE001_JNE002_JNE003 Caid | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Health Partners | Health Partners Medicaid | $36.25 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | $36.25 | — | — | 2026-10-01 | MRF ↗ |
| AURORA MEDICAL CENTER BAY AREA OutpatientFacility | Anthem | Blue Priority | $36.25 | — | — | 2026-11-04 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | $36.25 | — | — | 2026-09-01 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Horizon Medicare Blue | JMR001 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Geisinger Medicaid | JMR001 Caid | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| AURORA LAKELAND MEDICAL CENTER OutpatientFacility | Anthem | Blue Preferred | $36.25 | — | — | 2026-11-04 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Innovage | JMR001 Medicare | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Optum VA CCN | JAB002 VA CCN | $36.25 | — | — | 2026-09-15 | MRF ↗ |
| MAINEHEALTH PEN BAY HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | $36.56 | — | — | 2026-10-30 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Unitedhealthcare | Unitedhealthcare Medicare Advantage | $36.56 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| PARKVIEW HUNTINGTON HOSPITAL OutpatientFacility | UnitedHealthCare | Medicare Managed Care Plan | $36.61 | — | — | 2026-09-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | HealthSpring | Medicare Managed Care Plan | $36.61 | — | — | 2026-09-01 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Allwell | Medicare Managed Care Plan | $36.61 | — | — | 2026-09-01 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | Independence Blue Cross | Medicare Advantage | $36.61 | — | — | 2026-09-21 | MRF ↗ |
| FAIRVIEW HOSPITAL Outpatient | Health New England | Mcrmanaged Hne Medicare Advantage | $36.69 | $73,071.36 | $69,417.79 | 2026-10-16 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Highmark Medicare Advantage | Highmark Medicare Advantage | $36.93 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Ibc Medicare Keystone 65 Select | Ibc Medicare Keystone 65 Select | $36.93 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| MAINEHEALTH PEN BAY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $36.93 | — | — | 2026-10-30 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Network P Other Commercial Plan | $36.94 | — | — | 2026-09-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Blue Cross | Network S Other Commercial Plan | $36.94 | — | — | 2026-09-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | United Healthcare Medicare | JNE002_JNE003 AARP | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare Medicare | Medicare ISNP | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | NJ Amerigroup Medicare | JNJ001_JNJ002_JNJ003 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | United Healthcare Medicare | Medicare ISNP | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Innovage | JNJ001_JNJ002_JNJ003 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | United Healthcare Medicare | JCC001_JCC002 AARP | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Humana Medicare | Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Medicare | JNJ001_JNJ002_JNJ003 AARP | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | United Healthcare Medicare | Medicare Group Retiree | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | United Healthcare Medicare | Medicare ISNP | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Jefferson Health Plan Medicare | JAB002 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Aetna Medicare Adv | JNJ001_JNJ002_JNJ003 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Humana Medicare | JNJ001_JNJ002_JNJ003 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Innovage | JCC001_JCC002 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $36.98 | — | — | 2026-08-17 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan Medicare | JNE002_JNE003 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| MARIETTA MEMORIAL HOSPITAL OutpatientFacility | Valor Health Plan | Medicare Managed Care Plan | $36.98 | — | — | 2026-10-01 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Jefferson Health Plan Medicare | JMR001 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | United Healthcare Medicare | Medicare ISNP | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | United Healthcare Rehabilitation | JMR001 Erikson | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | United Healthcare Rehabilitation | JMR001 AARP | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | United Healthcare Medicare | JAB002 AARP | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Innovage | JNE002_JNE003 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Innovage | JMR001 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Humana Medicare | JAB002 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Humana Medicare | JCC001_JCC002 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Innovage | JAB002 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Humana Medicare | JMR001 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Jefferson Health Plan Medicare | JNJ001_JNJ002_JNJ003 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Jefferson Health Plan Medicare | JCC001_JCC002 Medicare | $36.98 | — | — | 2026-09-15 | MRF ↗ |
| TALLAHASSEE MEMORIAL HEALTHCARE OutpatientFacility | Capital Health Plan | All Commercial Plans | $37.01 | — | — | 2026-09-01 | MRF ↗ |
| MAINEHEALTH MID COAST HOSPITAL OutpatientFacility | Wellcare | Medicare Advantage | $37.29 | — | — | 2026-10-30 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Health Partners | Health Partners Medicare | $37.29 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| MAINEHEALTH PEN BAY HOSPITAL OutpatientFacility | Wellcare | Medicare Advantage | $37.29 | — | — | 2026-10-30 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Humana | Humana Medicare | $37.29 | $31,776.00 | $31,776.00 | 2026-10-30 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Devoted Health | Medicare Managed Care Plan | $37.34 | — | — | 2026-09-01 | MRF ↗ |
| FAIRVIEW HOSPITAL Outpatient | Fallon | Mcrmanaged Fallon Medicare Advantage | $37.40 | $73,071.36 | $69,417.79 | 2026-10-16 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | UPMC CHC Medicaid | JCC001 JCC002 CHIP | $37.62 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | UPMC CHC Medicaid | JNE001_JNE002_JNE003 Caid CHC | $37.62 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | UPMC CHC Medicaid | JAB002 Caid CHC | $37.62 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | UPMC CHC Medicaid | JCC001 JCC002 CHC | $37.62 | — | — | 2026-09-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Keystone First VIP Choice | JCC002 Medicare | $37.70 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Cigna HealthSpring Medicare Adv | JAB002 Medicare | $37.70 | — | — | 2026-09-15 | MRF ↗ |
| FREEMAN HEALTH SYSTEM - FREEMAN WEST OutpatientFacility | Kansas Health Advantage | Medicare Managed Care Plan | $37.70 | — | — | 2026-09-01 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Cigna HealthSpring Medicare Adv | JCC001_JCC002 Medicare | $37.70 | — | — | 2026-09-15 | 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.