J9074 — Inj, Cyclophosphamd, Sandoz
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, cyclophosphamd, sandoz (CPT J9074) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9074?code_type=CPT
MLA (9th ed.)
“Inj, cyclophosphamd, sandoz (CPT J9074) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9074?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Inj, cyclophosphamd, sandoz (CPT J9074) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9074?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$280 (25th–75th percentile) across 1,191 hospitals · 2,369 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9074 — 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
$4
$7 typical
$280
The middle 50% of negotiated facility rates for this procedure, measured across 1,191 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $7 |
| Likely subtotal | $7 |
Facility charge (no separate professional fee)
$7
- 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 |
|---|---|---|---|---|---|---|---|
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Healthcare Highways | Sync | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Community Care | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Generations Healthcare | Medicare Adv | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | Savility | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Medica with MU Health | Exchange | $0.28 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | Medicare HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Healthchoice | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | WebTPA | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Immergun | Direct | $0.29 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Medica with MU Health | Exchange | $0.29 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Medica with MU Health | Exchange | $0.31 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Immergun | Direct | $0.32 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Medica with MU Health | Exchange | $0.32 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Medica with MU Health | Exchange | $0.35 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Custom | $0.35 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Immergun | Direct | $0.36 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Medica with MU Health | Exchange | $0.36 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Custom | $0.39 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Direct PPO | $0.40 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | PPO/HMO | $0.41 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Customer Specific | $0.41 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Aetna | Missouri Preferred PPO | $0.41 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Exchange | $0.41 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Custom | $0.44 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Direct PPO | $0.45 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Anthem | Exchange | $0.46 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Exchange | $0.46 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Anthem | PPO | $0.46 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | PPO/HMO | $0.46 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Aetna | Missouri Preferred PPO | $0.46 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Customer Specific | $0.46 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Anthem | HMO EPO | $0.46 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Healthlink | PPO/HMO/WC | $0.46 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Coventry Health Plan National | PPO | $0.49 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Direct PPO | $0.50 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | United Healthcare | Medicare Advantage | $0.50 | $6.30 | $4.41 | 2026-05-09 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Anthem | Exchange | $0.50 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Kaiser | Medicare Advantage | $0.50 | $6.30 | $4.41 | 2026-05-09 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Humana | Medicare Advantage | $0.50 | $6.30 | $4.41 | 2026-05-09 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Anthem | HMO EPO | $0.50 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Anthem | PPO | $0.50 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Healthlink | PPO/HMO/WC | $0.51 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | PPO/HMO | $0.52 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Customer Specific | $0.52 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Aetna | Missouri Preferred PPO | $0.52 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Anthem | HMO EPO | $0.52 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Anthem | PPO | $0.52 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Anthem | Exchange | $0.52 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Exchange | $0.52 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Coventry Health Plan | PPO | $0.53 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Coventry Health Plan National | PPO | $0.55 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $0.55 | $3.42 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Anthem | Exchange | $0.56 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Anthem | HMO EPO | $0.56 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Anthem | PPO | $0.56 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Healthlink | PPO/HMO/WC | $0.58 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Anthem | HMO EPO | $0.58 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Anthem | Exchange | $0.58 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Anthem | PPO | $0.58 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $0.59 | $3.42 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Coventry Health Plan | PPO | $0.59 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $0.61 | $3.80 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Coventry Health Plan National | PPO | $0.62 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.62 | $3.42 | $4.21 | 2025-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Mercy | PHO | $0.62 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.62 | $3.42 | $4.21 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.62 | $3.42 | $4.21 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.62 | $3.42 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.62 | $3.42 | $4.21 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.62 | $3.42 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Anthem | PPO | $0.63 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Anthem | Exchange | $0.63 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Aetna | PPO | $0.63 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Anthem | HMO EPO | $0.63 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $0.65 | $3.80 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Cox Health Network | PPO | $0.66 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Coventry Health Plan | PPO | $0.67 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.68 | $3.80 | $4.21 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.68 | $3.80 | $4.21 | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.68 | $3.80 | $4.21 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.68 | $3.80 | $4.21 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.68 | $3.80 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.68 | $3.80 | $4.21 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.68 | $3.80 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Mercy | PHO | $0.68 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $0.69 | $4.30 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Aetna | PPO | $0.70 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Cigna | PPO | $0.70 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.70 | $3.42 | — | 2024-12-31 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.72 | — | — | 2026-03-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Multiplan | PPO | $0.72 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $0.73 | $0.73 | $0.47 | 2024-12-30 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.73 | $3.42 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Cox Health Network | PPO | $0.73 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $0.74 | $4.30 | — | 2024-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.77 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.77 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.77 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.77 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.77 | $4.30 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Cigna | PPO | $0.77 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Mercy | PHO | $0.77 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.78 | $3.80 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Aetna | PPO | $0.79 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $0.79 | $3.42 | — | 2024-12-31 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|UNIVERA MYHEALTH PLUS|HEALTHY NY | $0.80 | $2.68 | $2.14 | 2024-12-30 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Multiplan | PPO | $0.80 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.81 | $3.80 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Cox Health Network | PPO | $0.82 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UNITY HOSPITAL Outpatient | EXCELLUS HMO [104] | BLUE CHOICE OPTION|UNIVERA MYHEALTH PLUS|HEALTHY NY | $0.88 | $2.98 | $2.38 | 2024-12-30 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $0.88 | $3.80 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Cigna | PPO | $0.88 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.89 | $4.30 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicare Advantage | $0.90 | $3.42 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Multiplan | PPO | $0.91 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.93 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.93 | — | — | 2025-12-23 | MRF ↗ |
| CANTON-POTSDAM HOSPITAL Outpatient | FIDELIS CARE NEW YORK [112] | FIDELIS CARE NEW YORK|FIDELIS FHP|FIDELIS CHP | $0.94 | $0.94 | $0.61 | 2024-12-30 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $0.95 | — | — | 2025-08-06 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $0.95 | — | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | MMC HORIZON NJ HEALTH | — | $40,238.96 | $3,498.20 | 2026-04-01 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $0.99 | $3.42 | $3.42 | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $0.99 | $3.42 | $3.42 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $0.99 | $3.42 | $3.42 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $0.99 | $3.42 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $0.99 | $3.42 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicare Advantage | $1.00 | $3.80 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $1.08 | $3.42 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $1.08 | $3.42 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $1.09 | $3.42 | $3.42 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $1.09 | $3.42 | $3.42 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional PPO | $1.09 | $3.42 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional HMO | $1.09 | $3.42 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional HMO | $1.09 | $3.42 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $1.09 | $3.42 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional PPO | $1.09 | $3.42 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $1.09 | $3.42 | $3.42 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $1.09 | $3.42 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $1.11 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $1.11 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $1.11 | $3.80 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $1.11 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $1.11 | $3.80 | — | 2024-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.12 | $3.80 | $4.21 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicare Advantage | $1.13 | $4.30 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $1.20 | $3.80 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $1.20 | $3.80 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $1.21 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $1.21 | $3.80 | — | 2024-12-31 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CIGNA [5012] | MMC CIGNA OAP | — | $40,238.96 | $3,498.20 | 2026-04-01 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $1.21 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional HMO | $1.21 | $3.80 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $1.21 | $3.80 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional PPO | $1.21 | $3.80 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional PPO | $1.21 | $3.80 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $1.21 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional HMO | $1.21 | $3.80 | — | 2024-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | AMERIHEALTH | LOCAL HMO | $1.24 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $1.25 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL HMO | $1.25 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.27 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER BothFacility | QUALCARE | PPO | $1.28 | $3.42 | $3.42 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER BothFacility | QUALCARE | HMO | $1.28 | $3.42 | $3.42 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER BothFacility | QUALCARE | WORKERS COMP | $1.28 | $3.42 | $3.42 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center BothFacility | CIGNA | HMO | $1.29 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center BothFacility | CIGNA | PPO | $1.29 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | HMO | $1.35 | $4.30 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | PPO | $1.35 | $4.30 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional PPO | $1.37 | $4.30 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER InpatientFacility | Qualcare | HMO | $1.37 | $3.42 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER InpatientFacility | Qualcare | Workers Comp | $1.37 | $3.42 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER InpatientFacility | Qualcare | PPO | $1.37 | $3.42 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $1.37 | $4.30 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $1.37 | $4.30 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerihealth | Regional HMO | $1.37 | $4.30 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $1.37 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $1.37 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | AMERIHEALTH | REGIONAL HMO | $1.38 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | AMERIHEALTH | LOCAL HMO | $1.41 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | HORIZON | MANAGED MEDICAID | $1.41 | $3.80 | $4.21 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER BothFacility | QUALCARE | PPO | $1.43 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER BothFacility | QUALCARE | HMO | $1.43 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER BothFacility | QUALCARE | WORKERS COMP | $1.43 | $3.80 | $3.80 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center BothFacility | CIGNA | HMO | $1.46 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center BothFacility | CIGNA | PPO | $1.46 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Amerihealth | Local PPO | $1.47 | $3.42 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Amerihealth | Local HMO | $1.47 | $3.42 | — | 2024-12-31 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $1.48 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $1.48 | — | — | 2026-03-01 | MRF ↗ |
| MONMOUTH MEDICAL CENTER InpatientFacility | Qualcare | Workers Comp | $1.52 | $3.80 | — | 2024-12-31 | MRF ↗ |
| MONMOUTH MEDICAL CENTER InpatientFacility | Qualcare | PPO | $1.52 | $3.80 | — | 2024-12-31 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.