J9216 — Interferon Gamma 1-b Inj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INTERFERON GAMMA 1-B INJ (HCPCS J9216) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9216?code_type=HCPCS
MLA (9th ed.)
“INTERFERON GAMMA 1-B INJ (HCPCS J9216) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9216?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INTERFERON GAMMA 1-B INJ (HCPCS J9216) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9216?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,187–$17,440 (25th–75th percentile) across 1,023 hospitals · 825 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9216 — 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
$5,187
$9,923 typical
$17,440
The middle 50% of negotiated facility rates for this procedure, measured across 1,023 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $9,923 |
| Likely subtotal | $9,923 |
Facility charge (no separate professional fee)
$9,923
- 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 |
|---|---|---|---|---|---|---|---|
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $2.60 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $2.60 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $2.60 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $2.60 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $8.84 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $8.84 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $8.84 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Imperial Insurance | MGMCR | $9.88 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Oscar | HMO | $9.98 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Oscar | HIX | $9.98 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Oscar | EPO | $11.13 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Oscar | PPO | $11.13 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Oscar | POS | $11.13 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | MODA | HIX | $12.22 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | United | OptionsPPO | $12.95 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Covenant Management Systems | HMO | $14.98 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Healthcare Highways | EPO | $15.13 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Healthcare Highways | PPO | $15.60 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $15.60 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | BCBS | Traditional | $16.59 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Nomi Health | COMMTier1OutofNetwork | $16.64 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Cigna | NewBusinessNetwork | $16.69 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Cigna | OpenAccessPlus | $17.78 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Cigna | HMO | $17.78 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Cigna | OpenAccess | $17.78 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Shared Health | MGMCR | $18.20 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | MODA Health | EPO | $18.72 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Evry Health | BroadNetwork | $19.14 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Nomi Health | COMMTier1 | $19.24 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $19.24 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $19.24 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | MODA Health | PPO | $19.24 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Nomi Health | Tier2OutofNetwork | $19.24 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $20.28 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Curative Administrators | COMM | $20.80 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Harbor Health Team | COMMPPO | $20.80 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Empower | MANAGED MEDICAID | $21.00 | $11,465.00 | — | 2025-07-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Cigna | PPO | $21.32 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | NaphCare | MGMCR | $23.40 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $23.40 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Averde Health | COMM | $23.40 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $25.93 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $25.93 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $25.93 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Comanche County | LOCALGOV | $26.00 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Austin FC | WORKERSCOMP | $26.00 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | National ChoiceCare | WC | $26.00 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $26.63 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $27.34 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $28.04 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Physicians Cooperative of Texas | WC | $28.60 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | HealthSmart Preferred Care | Accel | $28.60 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Independent Medical Systems | COMM | $28.60 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Prime Health | WC | $31.20 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | First Health | PPO | $32.76 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $33.64 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $33.64 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Coastal Comp Health Networks | WORKERSCOMP | $33.80 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | National Health Care | COMM | $33.80 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $34.34 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $34.34 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $34.34 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $34.34 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $35.05 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $35.75 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | First Health | PPO | $36.04 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Texas Municipal League | COMM | $36.40 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Occunet | COMM | $36.40 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $36.45 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | First Health | PPO | $37.39 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $37.85 | $7,009.02 | $6,658.57 | 2026-02-20 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Preferred Health Arrangement | COMM | $39.00 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | MedCorp Southwest | COMM | $39.00 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPRockportCommunityNetwork | $41.60 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | HealthSmart Preferred Care | COMM | $41.60 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Beech Street | COMMPPO | $46.80 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Rockport Healthcare Group | WORKERSCOMPNewtonHealthcareNetwork | $46.80 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Multiplan | COMMPPO | $46.80 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | BCE Emergis Corporation | COMMPPO | $46.80 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Medical Control Network Solutions | MedicalControlNetwork | $46.80 | $52.00 | $52.00 | 2026-03-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $58.32 | — | — | 2026-04-01 | MRF ↗ |
| SAINT JOHN'S HEALTH CENTER OutpatientFacility | Blue Shield | Epn/Ifp Benefit Exchange | $58.32 | — | — | 2026-04-01 | MRF ↗ |
| STANFORD HEALTH CARE TRI-VALLEY OutpatientFacility | Blue Shield | Value Network/Ifp Benefit Other Commercial Plan | $81.75 | — | — | 2026-04-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $95.20 | — | — | 2025-12-27 | MRF ↗ |
| NEBRASKA ORTHOPAEDIC HOSPITAL OutpatientFacility | AMERIGROUP | MEDICAID | $95.20 | — | — | 2025-12-27 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $102.15 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $102.15 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $102.15 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $102.15 | — | — | 2025-04-16 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Outpatient | First Choice | Commercial|All Plans | $109.99 | $2,553.05 | $845.57 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | First Choice | Commercial|All Plans | $109.99 | $2,553.05 | $801.21 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Outpatient | First Choice | Commercial|All Plans | $109.99 | $2,553.05 | $776.51 | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Outpatient | First Choice | Commercial|All Plans | $109.99 | $2,553.05 | $735.90 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Outpatient | First Choice | Commercial|All Plans | $109.99 | $2,553.05 | $801.21 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | First Choice | Commercial|All Plans | $109.99 | $2,553.05 | $776.51 | 2026-02-28 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-BlueCare | $119.97 | $15,413.60 | $4,469.94 | 2025-10-01 | MRF ↗ |
| ST ELIZABETH HOSPITAL Outpatient | First Choice | Commercial|All Plans | $122.23 | $2,553.05 | $902.16 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Outpatient | First Choice | Commercial|All Plans | $131.82 | $2,553.05 | $779.59 | 2026-02-28 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Medicaid | $133.00 | — | — | 2024-11-12 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Arkansas Total Care | Managed Care | $133.00 | — | — | 2025-06-11 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Summit Community Care | Medicaid | $133.00 | — | — | 2026-04-08 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Arkansas Total Care | KM | $133.00 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $133.00 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $133.00 | — | — | 2026-01-14 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Arkansas Total Care | Managed Care | $133.00 | — | — | 2025-06-11 | MRF ↗ |
| MERCY HOSPITAL OKLAHOMA CITY, INC OutpatientFacility | MEDICAID [20240] | HB OKLC ARK MEDICAID | $133.00 | $31,750.51 | $20,637.83 | 2026-03-12 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $133.00 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Arkansas Total Care | KM | $133.00 | — | — | 2026-01-14 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Pediatric | $135.30 | $15,413.60 | $8,323.34 | 2025-10-01 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Empower Healthcare Solutions | KM | $135.66 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Empower Healthcare Solutions | KM | $135.66 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Empower Healthcare Solutions | KM | $135.66 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Empower Healthcare Solutions | KM | $135.66 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Empower Healthcare Solutions | KM | $135.66 | — | — | 2026-01-13 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Empower Healthcare Services | Medicaid | $135.66 | — | — | 2026-04-08 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Empower Healthcare Solutions | Managed Medicaid | $139.65 | — | — | 2024-11-12 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $139.90 | $2,798.00 | $2,798.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $139.90 | $2,798.00 | $2,798.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $139.90 | $2,798.00 | $2,798.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $139.90 | $2,798.00 | $2,798.00 | 2026-03-01 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $140.19 | $274.89 | $233.66 | 2026-03-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $140.19 | $274.89 | $233.66 | 2026-03-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | REGENCE BS MCR | REGENCE BS MCR | $140.19 | $274.89 | $233.66 | 2026-03-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | BC MCR ADV | BC MCR ADV | $141.60 | $274.89 | $233.66 | 2026-03-10 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | CHOICECARE MCR ADV | CHOICECARE MCR ADV | $141.60 | $274.89 | $233.66 | 2026-03-10 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $142.16 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $142.16 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $142.16 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $142.16 | — | — | 2025-07-22 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $143.78 | — | — | 2026-01-29 | MRF ↗ |
| NELL J REDFIELD MEMORIAL HOSPITAL Outpatient | PACIFICSOURCE MCR ADV - ALL PLANS | PACIFICSOURCE MCR ADV - ALL PLANS | $144.40 | $274.89 | $233.66 | 2026-03-10 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $145.00 | — | — | 2025-07-22 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Amerigroup | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Molina Health | Managed Medicaid | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $147.95 | — | — | 2025-06-27 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | BCBST | BCBST-BlueCare | $153.07 | $15,413.60 | $4,469.94 | 2025-10-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $154.95 | — | — | 2025-07-22 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-BlueCare | $163.99 | $15,413.60 | $4,469.94 | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-BlueCare Adult | $163.99 | $15,413.60 | $8,323.34 | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | BCBST | BCBST-TennCare Select | $174.29 | $15,413.60 | $4,469.94 | 2025-10-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $176.29 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $176.29 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $176.29 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $176.29 | $2,798.00 | $2,798.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $176.29 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $176.29 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $176.29 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $176.29 | $2,798.00 | $2,798.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $176.29 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $176.29 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $176.29 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $176.29 | — | — | 2026-03-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | BCBST | BCBST-TennCare Select | $185.06 | $15,413.60 | $8,323.34 | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | BCBST | BCBST-TennCare Select | $185.06 | $15,413.60 | $4,469.94 | 2025-10-01 | 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.