J9074 — Inj, Cyclophosphamd, Sandoz
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, cyclophosphamd, sandoz (HCPCS J9074) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9074?code_type=HCPCS
MLA (9th ed.)
“Inj, cyclophosphamd, sandoz (HCPCS J9074) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9074?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj, cyclophosphamd, sandoz (HCPCS J9074) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9074?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$485 (25th–75th percentile) across 1,392 hospitals · 2,374 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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
$8 typical
$485
The middle 50% of negotiated facility rates for this procedure, measured across 1,392 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $8 |
| Likely subtotal | $8 |
Facility charge (no separate professional fee)
$8
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 $4–$485.
- 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 |
|---|---|---|---|---|---|---|---|
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $0.10 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $0.10 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $0.10 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $0.10 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $0.10 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $0.11 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $0.11 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $0.11 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $0.11 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Multiplan Plan | Commercial | $0.12 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Humana Choicecare Plan | Commercial | $0.12 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Network Plan | Medicare | $0.12 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Access Medicaid Hmo Plan | Medicaid Hmo | $0.13 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.13 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid New Mexico Plan | Medicaid | $0.13 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.13 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Western Sky Community Care Plan | Commercial | $0.13 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.13 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Medicaid Plan | Medicaid | $0.13 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid Plan | Medicaid | $0.13 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.13 | $0.13 | $0.10 | 2026-09-25 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | Medicare HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | — | 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 | WebTPA | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | Savility | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Healthcare Highways | Sync | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Community Care | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Generations Healthcare | Medicare Adv | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Healthchoice | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | HMO | — | — | — | 2026-03-12 | 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 BothFacility | Immergun | Direct | $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 | United Healthcare | Custom | $0.35 | $0.82 | $0.49 | 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 InpatientFacility | Medica with MU Health | Exchange | $0.36 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Immergun | Direct | $0.36 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $0.38 | $1,424.80 | $1,353.56 | 2026-07-15 | 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 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 | 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 ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.42 | $1.07 | $0.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.43 | $1.07 | $0.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.43 | $1.07 | $0.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.43 | $1.07 | $0.86 | 2026-09-25 | 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 | 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 BothFacility | Healthlink | PPO/HMO/WC | $0.46 | $0.82 | $0.49 | 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 | Exchange | $0.46 | $0.82 | $0.49 | 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 | Anthem | HMO EPO | $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 BothFacility | Coventry Health Plan National | PPO | $0.49 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Humana | Medicare Advantage | $0.50 | $6.30 | $4.41 | 2026-07-15 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | United Healthcare | Medicare Advantage | $0.50 | $6.30 | $4.41 | 2026-07-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Anthem | PPO | $0.50 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center 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 | 2026-07-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Direct PPO | $0.50 | $1.03 | $0.62 | 2025-12-15 | 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 BothFacility | Healthlink | PPO/HMO/WC | $0.51 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.51 | $1.32 | $1.06 | 2026-09-25 | 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 OutpatientFacility | Anthem | HMO EPO | $0.52 | $0.91 | $0.55 | 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 | United Healthcare | PPO/HMO | $0.52 | $1.03 | $0.62 | 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 | 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 | Coventry Health Plan | PPO | $0.53 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.53 | $1.32 | $1.06 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.53 | $1.32 | $1.06 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.53 | $1.32 | $1.06 | 2026-09-25 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $0.55 | $3.42 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $0.55 | $3.42 | $4.21 | 2025-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Coventry Health Plan National | PPO | $0.55 | $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 InpatientFacility | Anthem | Exchange | $0.56 | $0.91 | $0.55 | 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 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 | 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 | UNITED HEALTHCARE | MANAGED MEDICAID | $0.59 | $3.42 | $4.21 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $0.61 | $3.80 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $0.61 | $3.80 | $4.21 | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.62 | $3.42 | $4.21 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY 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 ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.62 | $3.42 | $4.21 | 2025-12-31 | 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 ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.62 | $3.42 | $4.21 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.62 | $3.42 | — | 2024-12-31 | 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 ↗ |
| UM Capital Region Medical Center BothFacility | Mercy | PHO | $0.62 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Coventry Health Plan National | PPO | $0.62 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| JERSEY SHORE UNIVERSITY 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 ↗ |
| 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 | PPO | $0.63 | $1.03 | $0.62 | 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 ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $0.65 | $3.80 | $4.21 | 2025-12-31 | 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 ↗ |
| 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 ↗ |
| HACKENSACK UNIVERSITY 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 ↗ |
| JERSEY SHORE UNIVERSITY 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 ↗ |
| RARITAN BAY 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 ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.68 | $3.80 | $4.21 | 2025-12-31 | MRF ↗ |
| RIVERVIEW 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 ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.68 | $3.80 | $4.21 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY 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 | Aetna | Managed Medicaid | $0.69 | $4.30 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $0.69 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.70 | $3.42 | — | 2024-12-31 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Cigna | PPO | $0.70 | $0.82 | $0.49 | 2025-12-15 | 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 | Multiplan | PPO | $0.72 | $0.82 | $0.49 | 2025-12-15 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.72 | $3.42 | — | 2024-12-31 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.72 | — | — | 2026-03-31 | 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 ↗ |
| UM Capital Region Medical Center BothFacility | Cox Health Network | PPO | $0.73 | $0.91 | $0.55 | 2025-12-15 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.73 | $3.42 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $0.74 | $4.30 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $0.74 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $0.75 | $3.42 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.77 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.77 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| RIVERVIEW 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 ↗ |
| OCEAN 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 ↗ |
| RIVERVIEW 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 ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.77 | $4.30 | $4.21 | 2025-12-31 | MRF ↗ |
| Hackensack University 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 ↗ |
| UM Capital Region Medical Center BothFacility | Mercy | PHO | $0.77 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| JFK 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 ↗ |
| 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 ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.80 | $3.80 | — | 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 ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $0.80 | $1.07 | $0.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $0.81 | $1.07 | $0.86 | 2026-09-25 | 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 ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $0.83 | $3.80 | — | 2024-12-31 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $0.85 | $1.07 | $0.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $0.86 | $1.07 | $0.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $0.86 | $1.07 | $0.86 | 2026-09-25 | 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 ↗ |
| UM Capital Region Medical Center BothFacility | Cigna | PPO | $0.88 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $0.88 | $3.80 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.89 | $4.30 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $0.90 | $4.30 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicare Advantage | $0.90 | $3.42 | — | 2024-12-31 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $0.91 | $1.07 | $0.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $0.91 | $1.07 | $0.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $0.91 | $1.07 | $0.86 | 2026-09-25 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Multiplan | PPO | $0.91 | $1.03 | $0.62 | 2025-12-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $0.91 | $1.07 | $0.86 | 2026-09-25 | 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 ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $0.94 | $4.30 | — | 2024-12-31 | 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 ↗ |
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.