J9203 — Gemtuzumab Ozogamicin 0.1 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Gemtuzumab ozogamicin 0.1 mg (HCPCS J9203) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9203?code_type=HCPCS
MLA (9th ed.)
“Gemtuzumab ozogamicin 0.1 mg (HCPCS J9203) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9203?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Gemtuzumab ozogamicin 0.1 mg (HCPCS J9203) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9203?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $252–$18,769 (25th–75th percentile) across 1,752 hospitals · 4,373 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9203 — 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
$252
$687 typical
$18,769
The middle 50% of negotiated facility rates for this procedure, measured across 1,752 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $687 |
| Likely subtotal | $687 |
Facility charge (no separate professional fee)
$687
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 $252–$18,769.
- 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 | — | $90,405.00 | $58,763.25 | 2025-11-26 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $43,329.00 | $30,763.59 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $43,329.00 | $30,763.59 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $43,329.00 | $30,763.59 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $913.01 | — | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | County Medical Services | County of San Diego | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Interplan | Interplan | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medicare | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Commercial | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Cal Medi-Connect | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $90,405.00 | $58,763.25 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | San Diego Pace | San Diego Pace | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $906.28 | $453.14 | 2026-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $90,405.00 | $58,763.25 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - Rehab | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | — | $57,394.16 | $43,045.62 | 2025-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $906.28 | $453.14 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $906.28 | $453.14 | 2026-07-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $49,270.14 | $49,270.14 | 2026-04-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.59 | $885.57 | $217.49 | 2024-12-31 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $50,407.44 | $32,764.84 | 2026-06-15 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $4.26 | $107,983.75 | $66,949.93 | 2025-07-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $4.50 | $16,923.55 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $4.50 | $16,923.55 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $4.50 | $16,923.55 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $4.50 | $16,923.55 | — | 2026-04-01 | MRF ↗ |
| UPMC EAST InpatientFacility | UPMC Work Partners | Workers Comp | $5.38 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Univera | Univera_Medicare_Hamot_2024 | $7.20 | $48.00 | $28.80 | 2026-03-06 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $25,856.48 | $10,084.03 | 2026-07-31 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $8.84 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $8.84 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $8.84 | — | — | 2026-01-14 | MRF ↗ |
| UPMC EAST InpatientFacility | UPMC Work Partners | Workers Comp | $8.85 | $74.00 | $44.40 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Univera | Univera_Medicare_Hamot_2024 | $11.25 | $75.00 | $45.00 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Aetna | Commercial | $12.00 | $48.00 | $28.80 | 2026-03-06 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $12.24 | — | — | 2026-03-18 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Aetna | Commercial | $12.96 | $48.00 | $28.80 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | Cigna | Commercial | $13.24 | $43.00 | $25.80 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Work Partners | Workers Comp | $13.59 | $48.00 | $28.80 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Cigna | NBR ASO/FI | $14.40 | $48.00 | $28.80 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Cigna | New Business ASO | $14.40 | $48.00 | $28.80 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | UPMC Work Partners | Workers Comp | $14.47 | $48.00 | $28.80 | 2026-03-06 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $14.62 | — | — | 2026-01-13 | MRF ↗ |
| UPMC HORIZON InpatientFacility | United Healthcare | Compass Exchange | $15.30 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | United Healthcare | Compass Exchange | $15.30 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Anthem Blue Cross Blue Shield | Traditional | $15.35 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Aetna | AetnaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Medcost | MedCostPPO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Clover Insurance Co | CloverMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Employers Choice Network | EmployersChoiceNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedExchange | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | AbsoluteMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Multiplan | BeechStreetWC | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Encompass Health Lab | EncompassHealthLab | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Anthem | BlueCrossofGeorgia | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Eon Health Medicare | EONHealthMedicare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPAR | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Medical Development International | MedicalDevelopmentInternational | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Amerihealth | AmerihealthCaritasMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Amerihealth | SelectHealthPlan | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedOptions | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Memorial Health Partners/GHP | MemorialHealthPartnersGHP | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedNonOptions | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | — | — | — | 2024-12-08 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $15.66 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $15.66 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $15.66 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $15.66 | — | — | 2025-04-16 | MRF ↗ |
| UPMC EAST OutpatientFacility | Aetna | Neighborhood Network | $15.79 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Univera | Commercial | $15.84 | $48.00 | $28.80 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UPMC Work Partners | Workers Comp | $16.16 | $43.00 | $25.80 | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | Aetna | Neighborhood Network | $16.20 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | United Healthcare | Commercial | $16.21 | $43.00 | $25.80 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | Neighborhood Network | $16.65 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | BCBS of Western NY | Commercial | $16.80 | $48.00 | $28.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | $16.98 | $74.00 | $44.40 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Work Partners | Workers Comp | $16.98 | $74.00 | $44.40 | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | Aetna | EBR FI | $17.10 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | Neighborhood Network | $17.10 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $17.18 | $43.00 | $25.80 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | Home Depot Employer Group | $17.19 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | Aetna | Home Depot Employer Group | $17.19 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $17.50 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | Cigna | NBR ASO/FI | $17.55 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Cigna | NBR ASO/FI | $17.55 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | NBR ASO/FI | $17.55 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | Aetna | NBR ASO/FI | $17.55 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | Cigna | New Business ASO | $17.55 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Cigna | New Business ASO | $17.55 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | Home Depot Employer Group | $17.64 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | Aetna | Home Depot Employer Group | $17.64 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Health Plan | Commercial | $17.66 | $48.00 | $28.80 | 2026-03-06 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | NHC Healthcare Of Bluffton Snf | NHCHealthcareBlufftonSNF | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Encompass Health Lab | EncompassHealthLab | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Memorial Health Partners/GHP | MemorialHealthPartnersGHP | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Medical Savings PPO | MedicalSavingsPPO | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Hargray | Hargray | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Life Care Center | LifeCareCenterManagedSNF | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Preferred Plan of Georgia | PreferredPlanofGeorgiaPPO | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Fraser Health Center Managed | FraserHealthCenterManagedSNF | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Align Network | AlignNetworkWC | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | AllyAlign Health | AllyAlignHealthMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Eon Health Medicare | EONHealthMedicare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Physician Care Network | PhysiciansCareNetworkAccess | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Clover Insurance Co | CloverMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Broad Creek Care Center | BroadCreekCareCenter | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPAR | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCHIX | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Corvel | Corvel | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Centene | AbsoluteMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Amerihealth | AmerihealthCaritasMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Medcost | MedCostPPO | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Amerihealth | SelectHealthPlan | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Humana | HumanaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Humana | HumanaWellstar | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | United Healthcare | UnitedExchange | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | United Healthcare | UnitedNonOptions | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | United Healthcare | UnitedOptions | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | United Healthcare | UnitedBehavioral | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Aetna | AetnaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | Aetna | AetnaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | EBR | $18.00 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | New Business ASO | $18.00 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | EBR ASO | $18.00 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | United Healthcare | All Business | $18.00 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | Commercial | $18.00 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | NBR ASO/FI | $18.00 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | NBR ASO/FI | $18.00 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | Cigna | Commercial | $18.00 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | Cigna | New Business ASO | $18.00 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | Aetna | NBR ASO/FI | $18.00 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | United Healthcare | All Business | $18.00 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | Cigna | EBR | $18.00 | $45.00 | $27.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST InpatientFacility | Aetna | EBR ASO | $18.00 | $45.00 | $27.00 | 2026-03-06 | 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.