J9228 — Ipilimumab 50 Mg/10 Ml (5 Mg/ml) Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION (HCPCS J9228) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9228?code_type=HCPCS
MLA (9th ed.)
“IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION (HCPCS J9228) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9228?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“IPILIMUMAB 50 MG/10 ML (5 MG/ML) INTRAVENOUS SOLUTION (HCPCS J9228) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9228?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $248–$32,934 (25th–75th percentile) across 2,275 hospitals · 6,113 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9228 — 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
$248
$8,854 typical
$32,934
The middle 50% of negotiated facility rates for this procedure, measured across 2,275 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $8,854 |
| Likely subtotal | $8,854 |
Facility charge (no separate professional fee)
$8,854
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 $248–$32,934.
- 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 |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $25,597.47 | $14,078.61 | 2025-01-01 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-03-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $25,597.47 | $21,757.85 | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Blue Cross Blue Shield Of Sc | Bcbs Exchange | $0.03 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Blue Cross Blue Shield Of Sc | Bluechoice Exchange | $0.03 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Aetna Us Healthcare Inc | Aetna Prisma Health | $0.03 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Partners | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Alliance | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Aetna Us Healthcare | Aetna Whole Health Of Sc | $0.05 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Value Options | Beacon Health Options | $0.05 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Trillium | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | United Healthcare | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Vaya Health | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Promise Health Plan | Promise Health Plan | $0.05 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Aetna Us Healthcare | Aetna Sc Preferred | $0.06 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Preferred Care, Inc | Preferred Administrators | $0.07 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medcost | Medcost Benefit Services | $0.07 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medcost Preferred | Medcost | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Tricare Humana Military | Tricare Humana Military | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Tricare | Tricare | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Aetna Us Healthcare | Aetna | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Atlantic Packaging | Atlantic Packaging | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Aps Healthcare Bethesda Inc | Aps Healthcare | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Choicecare Network | Humana Choicecare Ppo | $0.09 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Multiplan | Multiplan | $0.09 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Aetna Health | First Health-Aetna Rental Network | $0.09 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Select Health | Select Health First Choice Vip | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | United Healthcare Insurance Co | United Healthcare | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Companion Benefit Alternatives | Companion Benefit Alternatives | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Sc Workers Compensation | Sc Workers Comp | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Molina | Molina Medicaid | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Medicaid Of South Carolina | Medicaid | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Select Health | Select Health Medicaid | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Molina | Molina Dual Eligibles | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Wellpath Select Inc | First Health-Wc | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Select Health Medicare | Select Health Medicare | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Care Improvement Plus | Care Improvement Plus Medicare Advantage | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Tricare Humana Military | Tricare Humana Military | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Medicare Nhc Advantage | Medicare Nhc Advantage | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Choicecare Network | Humana Gold Plus Medicare Advantage Hmo | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Medicare | Medicare | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Bluecross Blueshield Of Sc | Bcbs Medicare Advantage | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Tricare | Tricare | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Miscellaneous | Commercial Other | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Choicecare Network | Humana Choicecare Medicare Advantage Pffs | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Self Pay | Self Pay | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Medcost | Ultra | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Medcost | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Medcost | Ppo | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Contigo | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ultra | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Medicaid Of South Carolina | Medicaid | $0.13 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Medicaid Other | Medicaid Other | $0.13 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ppo | $0.14 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $0.14 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $2,385.00 | $1,788.75 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $2,385.00 | $1,788.75 | 2026-09-01 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $138,355.00 | $98,232.05 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $72,103.00 | $51,193.13 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $15,953.00 | $11,326.63 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $65,478.00 | $46,489.38 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $64,666.00 | $45,912.86 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $65,478.00 | $46,489.38 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $138,355.00 | $98,232.05 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $10,131.00 | $7,193.01 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $10,131.00 | $7,193.01 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $138,355.00 | $98,232.05 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $72,103.00 | $51,193.13 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $15,953.00 | $11,326.63 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $15,953.00 | $11,326.63 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $10,131.00 | $7,193.01 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $64,666.00 | $45,912.86 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $72,103.00 | $51,193.13 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $65,478.00 | $46,489.38 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $64,666.00 | $45,912.86 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.18 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.18 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.18 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.18 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| UNC HOSPITALS Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Health Network | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alliance | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Carolina Complete Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Tricare | Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Tricare | Select | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Bcbs | Blue Value | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Partners | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | United Healthcare | Exchange | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Exchange | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Alignment | Preferred Plus Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Choice | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Nalc Health Benefit Plan | Hmo/Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Preferred Plus Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Vaya Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Trillium | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.24 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.25 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $0.31 | $0.41 | $0.33 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $0.31 | $0.41 | $0.33 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $0.32 | $0.41 | $0.33 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $0.33 | $0.41 | $0.33 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $0.33 | $0.41 | $0.33 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $0.35 | $0.41 | $0.33 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $0.35 | $0.41 | $0.33 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $0.35 | $0.41 | $0.33 | 2026-09-25 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $0.35 | $0.41 | $0.33 | 2026-09-25 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Multiplan Plan | Commercial | $0.37 | $0.41 | $0.33 | 2026-09-25 | 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.