J9150 — Daunorubicin 5 Mg/ml Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION (HCPCS J9150) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9150?code_type=HCPCS
MLA (9th ed.)
“DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION (HCPCS J9150) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9150?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DAUNORUBICIN 5 MG/ML INTRAVENOUS SOLUTION (HCPCS J9150) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9150?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $41–$342 (25th–75th percentile) across 1,893 hospitals · 4,512 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9150 — 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
$41
$138 typical
$342
The middle 50% of negotiated facility rates for this procedure, measured across 1,893 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $138 |
| Likely subtotal | $138 |
Facility charge (no separate professional fee)
$138
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 $41–$342.
- 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $1,725.00 | $1,293.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $1,725.00 | $1,293.75 | 2026-09-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.20 | $54.12 | $51.41 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.20 | $54.12 | $51.41 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.20 | $54.12 | $51.41 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.21 | $54.12 | $51.41 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.21 | $54.12 | $51.41 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.22 | $54.12 | $51.41 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.27 | $54.12 | $51.41 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.27 | $54.12 | $51.41 | 2026-02-20 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.29 | $161.40 | $37.16 | 2024-12-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.29 | $54.12 | $51.41 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.38 | $103.60 | $98.42 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.38 | $103.60 | $98.42 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.38 | $103.60 | $98.42 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.39 | $105.97 | $100.67 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.39 | $103.60 | $98.42 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.39 | $105.97 | $100.67 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.39 | $105.97 | $100.67 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.40 | $105.97 | $100.67 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.40 | $103.60 | $98.42 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.41 | $105.97 | $100.67 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.41 | $103.60 | $98.42 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.42 | $105.97 | $100.67 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.51 | $103.60 | $98.42 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.51 | $103.60 | $98.42 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.52 | $105.97 | $100.67 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.52 | $103.60 | $98.42 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.52 | $105.97 | $100.67 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.54 | $103.60 | $98.42 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.56 | $103.60 | $98.42 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.57 | $105.97 | $100.67 | 2026-02-20 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $326.80 | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $268.29 | $134.15 | 2026-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $268.29 | $134.15 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $268.29 | $134.15 | 2026-07-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $483.17 | $483.17 | 2026-04-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $1.47 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $1.51 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $1.81 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| REFUGIO COUNTY MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $2.04 | $5.10 | $4.08 | 2026-04-22 | MRF ↗ |
| REFUGIO COUNTY MEMORIAL HOSPITAL Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $2.06 | $5.10 | $4.08 | 2026-04-22 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $2.09 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $2.09 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $2.09 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $2.09 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Shield | Blue Shield - Promise | $2.12 | $33.54 | $25.15 | 2026-04-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Outpatient | Molina | Molina Medi-Cal | $2.12 | $33.54 | $25.15 | 2025-07-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Molina | Molina Medi-Cal | $2.12 | $33.54 | $25.15 | 2025-07-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $160.96 | $104.62 | 2026-06-15 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Keystone Health Plan | Medicare Advantage | $2.20 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Keystone Health Plan | Medicare Advantage | $2.20 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $2.20 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $2.20 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Capital Blue Cross | Medicare Advantage | $2.20 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Capital Blue Cross | Medicare Advantage | $2.20 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Keystone Health Plan | Medicare Advantage | $2.20 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Capital Blue Cross | Medicare Advantage | $2.20 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $2.28 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | $2.31 | $493.54 | $345.48 | 2025-01-01 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $2.33 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $2.66 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $2.66 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $2.66 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $2.66 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Prime Net | Managed Medicare | $2.66 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $2.66 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | UPMC Work Partners | Workers Comp | $2.71 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $2.81 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | UPMC Work Partners | Workers Comp | $2.88 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - HMO | $2.92 | $33.54 | $25.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - HMO/POS | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Standard | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - HMO | $2.92 | $33.54 | $25.15 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | $2.92 | $33.54 | $25.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | $2.92 | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | $2.92 | $33.54 | $25.15 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Interplan | Interplan | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Indian Health Council | Indian Health Council | — | $191.95 | $143.96 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | $2.92 | $191.95 | $143.96 | 2026-04-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.97 | — | — | 2026-03-18 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $3.23 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $3.23 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $3.23 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $3.23 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| REFUGIO COUNTY MEMORIAL HOSPITAL Outpatient | BCBS BLUE ADV HMO | BCBS BLUE ADV HMO | $3.32 | $5.10 | $4.08 | 2026-04-22 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Keystone Health Plan | Medicare Advantage | $3.40 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $3.40 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $3.40 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Keystone Health Plan | Medicare Advantage | $3.40 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $3.40 | — | — | 2026-03-31 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Keystone Health Plan | Medicare Advantage | $3.40 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Capital Blue Cross | Medicare Advantage | $3.40 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Capital Blue Cross | Medicare Advantage | $3.40 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Capital Blue Cross | Medicare Advantage | $3.40 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $3.43 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $3.43 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $3.45 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $3.45 | — | — | 2024-10-01 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Keystone Health Plan | Commercial | $3.53 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Capital Blue Cross | CHIP | $3.53 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Capital Blue Cross | Commercial | $3.53 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Work Partners | Workers Comp | $3.70 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| REFUGIO COUNTY MEMORIAL HOSPITAL Outpatient | BCBS BLUE/PPO/TRAD-ALL OTHER PLANS | BCBS BLUE/PPO/TRAD-ALL OTHER PLANS | $3.72 | $5.10 | $4.08 | 2026-04-22 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | Aetna | ACO | $3.75 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | UPMC Work Partners | Workers Comp | $3.94 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | UPMC Work Partners | Workers Comp | $3.95 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | Aetna | PEBTF ACO | $3.98 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $4.00 | $382.38 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $4.00 | $382.38 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $4.00 | $382.38 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $4.00 | $382.38 | — | 2026-04-01 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | Legacy Commercial | $4.08 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| REFUGIO COUNTY MEMORIAL HOSPITAL Outpatient | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $4.08 | $5.10 | $4.08 | 2026-04-22 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $4.11 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | ACO | $4.11 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $4.11 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $4.11 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $4.11 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Prime Net | Managed Medicare | $4.11 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Aetna | ACO | $4.11 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $4.11 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | UPMC Work Partners | Workers Comp | $4.19 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $4.20 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Legacy Commercial | $4.29 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Legacy Commercial | $4.29 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | ACO | $4.32 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | ACO | $4.32 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | ACO | $4.32 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Aetna | ACO | $4.32 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Geisinger | Commercial | $4.33 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $4.35 | $1,852.00 | $277.80 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $4.35 | $1,852.00 | $277.80 | 2025-12-23 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Aetna of PA | TPA/Carrier | $4.40 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $4.42 | $33.00 | $19.80 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | UPMC Work Partners | Workers Comp | $4.45 | $17.00 | $10.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | UPMC Work Partners | Workers Comp | $4.48 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | Legacy Commercial | $4.49 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | ACO/Legacy Commercial | $4.51 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | ACO | $4.52 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Aetna | ACO | $4.52 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $4.52 | $33.00 | $19.80 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Aetna | ACO | $4.54 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | San Diego Pace | San Diego Pace | $4.60 | $33.54 | $25.15 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Kaiser | Kaiser - HMO | $4.60 | $33.54 | $25.15 | 2026-04-01 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | Aetna | Commercial | $4.69 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Community Health Group | Community Health Group - Medi-Cal | $4.70 | $33.54 | $25.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | $4.70 | $33.54 | $25.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | $4.70 | $33.54 | $25.15 | 2026-04-01 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | $4.70 | $33.54 | $25.15 | 2025-07-01 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | UPMC Work Partners | Workers Comp | $4.71 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $4.76 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | NonGateKeeper | $4.86 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | GateKeeper | $4.89 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Aetna | Commercial | $4.89 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | UPMC Work Partners | Workers Comp | $5.01 | $11.00 | $6.60 | 2026-03-06 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Medi-Cal | Medi-Cal | $5.03 | $33.54 | $25.15 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Interplan | Interplan | $5.03 | $33.54 | $25.15 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Medi-Cal | Medi-Cal | $5.03 | $33.54 | $25.15 | 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.