J9217 — Leuprolide Acetate Suspnsion
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Leuprolide acetate suspnsion (OTHER J9217) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9217?code_type=OTHER
MLA (9th ed.)
“Leuprolide acetate suspnsion (OTHER J9217) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9217?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Leuprolide acetate suspnsion (OTHER J9217) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9217?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $179–$459 (25th–75th percentile) across 240 hospitals · 600 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER J9217 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-05-06 | MRF ↗ |
| AVERA ST BENEDICT HEALTH CENTER - CAH Outpatient | Medica Insurance | Com | $1.47 | $2,391.00 | $2,319.99 | 2026-05-09 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Medica Insurance | Com | $1.47 | $6,397.00 | $6,205.89 | 2026-05-08 | MRF ↗ |
| AVERA GREGORY HOSPITAL Outpatient | Medica Insurance | Com | $1.47 | $2,391.00 | $2,319.99 | 2026-05-06 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Medica Insurance | Ind | $1.47 | $6,397.00 | $6,205.89 | 2026-05-08 | MRF ↗ |
| AVERA MERRILL PIONEER HOSPITAL Outpatient | Medica Insurance | Ind | $1.47 | $3,675.00 | $3,564.75 | 2026-05-06 | MRF ↗ |
| AVERA GREGORY HOSPITAL Outpatient | Medica Insurance | Ind | $1.47 | $2,391.00 | $2,319.99 | 2026-05-06 | MRF ↗ |
| AVERA CREIGHTON HOSPITAL Outpatient | Medica Insurance | Ind | $1.47 | $2,391.00 | $2,319.99 | 2026-05-09 | MRF ↗ |
| AVERA CREIGHTON HOSPITAL Outpatient | Medica Insurance | Com | $1.47 | $2,391.00 | $2,319.99 | 2026-05-09 | MRF ↗ |
| AVERA SACRED HEART HOSPITAL Outpatient | Medica Insurance | Com | $1.47 | $2,391.00 | $2,319.99 | 2026-05-09 | MRF ↗ |
| AVERA ST BENEDICT HEALTH CENTER - CAH Outpatient | Medica Insurance | Ind | $1.47 | $2,391.00 | $2,319.99 | 2026-05-09 | MRF ↗ |
| AVERA SACRED HEART HOSPITAL Outpatient | Medica Insurance | Ind | $1.47 | $2,391.00 | $2,319.99 | 2026-05-09 | MRF ↗ |
| AVERA MERRILL PIONEER HOSPITAL Outpatient | Medica Insurance | Com | $1.47 | $3,675.00 | $3,564.75 | 2026-05-06 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Cigna | Medicare Managed 100% Mhrh | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | United Healthcare | Uhc Commercial | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Magnacare | Magnacare Standard | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | United Healthcare | Uhc Compass | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Magnacare | Magnacare Preferred | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Mvp | Mvp Gold (Mcr) | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Health First | Medicare Managed 100% Mhrh | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Va | Veterans (Mcr) | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Multiplan | Multiplan | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Consolidated Health | Consolidated Health | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Magnacare | Medicare Managed 100% Mhrh | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Oscar | Oscar Medicare | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Emblem Select Care (Exchange) | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | United Healthcare | Uhc Empire | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Emblem Leased Network | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Emblem Ghi/Hip Hmo/Epo/Pos | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | United Healthcare | Uhc Exchange | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Mvp | Mvp Exchange | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Cdphp | Cdphp Medicare | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Aetna | Medicare Managed 100% Mhrh | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | United Healthcare | Medicare Managed 100% Mhrh | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Cdphp | Cdphp | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Phcs | Phcs | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Oxford | Uhc Commercial | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Connection/Exchange | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Emblem Ghi/Hip Cbp | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Wellcare | Wellcare Exchange (Mcr) | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Cigna | Cigna Ppo | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Medicare Managed 100% Mhrh | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Value Options | Value Options (Non-Hmo) | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Todays Options | Medicare Managed 100% Mhrh | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Partners Health Plan | Medicare Managed 100% Mhrh | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Vns Choice | Vns Medicare Choice | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Emblem Ghi/Hip Medicare | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Beacon Health | Beacon Medicare | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Value Options | Value Options Comm (Chcs) | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Aetna | Aetna Hp Network | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Oxford | Oxford Exchange | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Medicare | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | First Health | First Health | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Beacon Health | Beacon Commercial | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Aetna | Aetna | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Oxford | Medicare Managed 100% Mhrh | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Access | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Value Options | Value Options Ghi Bmp | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Emblem | Emblem Ghi/Hip Ppo | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Small Group | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Wellcare | Medicare Managed 100% Mhrh | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Mvp | Mvp Hmo/Ppo | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Value Options | Value Options Medicare (Chcs) | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Aetna | Aetna Employee | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Non Contracted | Medicare Managed 100% Mhrh | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Tricare | Tricare | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| MidHudson Regional Hospital Outpatient | Bcbs | Blue Cross Commercial/Healthy Ny | — | $99.63 | $33.87 | 2026-05-13 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $52.53 | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Op | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Op | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Ip | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Op Plans | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare Comm. | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Ip | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Ip Plans | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Cigna | Hmo Ppo Healthpartners Plans | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $52.53 | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $52.53 | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Ip | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Op | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare Comm. | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Op | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Ip | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | All Sentara Comm. Plans | — | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $52.53 | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $53.06 | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $53.06 | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $53.58 | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $53.58 | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $54.11 | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $54.11 | $1,748.00 | $576.84 | 2026-05-13 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $64.81 | $572.06 | $175.05 | 2026-05-08 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Aetna Health | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $68.31 | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Aetna Health | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $68.31 | $1,965.50 | $1,277.58 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $68.31 | $4,787.30 | $3,111.75 | 2026-05-22 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $69.85 | $572.06 | $175.05 | 2026-05-08 | 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.