J9229 — Inj Inotuzumab Ozogam 0.1 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj inotuzumab ozogam 0.1 mg (HCPCS J9229) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9229?code_type=HCPCS
MLA (9th ed.)
“Inj inotuzumab ozogam 0.1 mg (HCPCS J9229) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9229?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj inotuzumab ozogam 0.1 mg (HCPCS J9229) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9229?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,881–$33,877 (25th–75th percentile) across 1,428 hospitals · 3,672 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9229 — 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
$2,881
$6,079 typical
$33,877
The middle 50% of negotiated facility rates for this procedure, measured across 1,428 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $6,079 |
| Likely subtotal | $6,079 |
Facility charge (no separate professional fee)
$6,079
- 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 | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Aetna | Medicare | $0.90 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $1.00 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Highmark BCBS of PA | Medicare | $1.00 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | UPMC Health Plan | Managed Medicare | $1.02 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Cigna | Medicare | $1.05 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | United Healthcare | Medicare | $1.07 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advantage (Allwell by Wellcare) | $1.08 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $115,539.04 | $115,539.04 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $1.85 | $246,261.00 | $152,681.82 | 2025-07-01 | MRF ↗ |
| UPMC WELLSBORO InpatientFacility | UPMC Work Partners | Workers Comp | $1.89 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $2.15 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | UPMC Health Plan | Commercial | $2.18 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Highmark BCBS of PA | Commercial | $2.53 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO InpatientFacility | Wirerope Works | Commercial | $2.78 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO OutpatientFacility | Geisinger | Commercial | $3.35 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| UPMC WELLSBORO InpatientFacility | Aetna | PEBTF Custom Network | $3.67 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO InpatientFacility | Multiplan | Auto | $3.90 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO InpatientFacility | Multiplan | PPO (Includes PHCS as a Payer) | $3.90 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO InpatientFacility | United Healthcare | Commercial | $4.25 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO InpatientFacility | Aetna | Commercial | $4.32 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO InpatientFacility | InterGroup | PPO | $4.50 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO InpatientFacility | America's Choice | PPO | $4.50 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC WELLSBORO InpatientFacility | Multiplan | Worker's Compensation | $4.75 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $17.54 | $9,742.12 | $2,479.96 | 2024-12-31 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $66,706.47 | $43,359.21 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $66,706.47 | $43,359.21 | 2025-01-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Empower | MANAGED MEDICAID | $21.00 | $43,999.00 | — | 2025-07-01 | 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $33.07 | $78.00 | $62.40 | 2025-12-16 | 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 ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $39.00 | $78.00 | $62.40 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $39.00 | $78.00 | $62.40 | 2025-12-16 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $44.07 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $44.07 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $44.07 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $44.07 | — | — | 2025-04-16 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Humana | Humana Commercial | $48.55 | $8,903.96 | — | 2026-04-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $49.14 | $78.00 | $62.40 | 2025-12-16 | 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 ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $54.60 | $78.00 | $62.40 | 2025-12-16 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | PPO | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | HMO | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $77.55 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $77.55 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | New Business | $77.55 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $77.55 | — | — | 2026-01-12 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | HMO | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | $12,458.00 | $9,343.50 | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | $12,458.00 | $9,343.50 | 2025-01-31 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | $12,458.00 | $9,343.50 | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | VENTURA COUNTY MEDI-CAL MANAGED CARE COMMISSION (dba Gold Coast Health Plan) | Medi-Cal | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $139.41 | — | — | 2026-03-18 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $148.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $148.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $148.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $152.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $156.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $160.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | PPO | $161.99 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $161.99 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $161.99 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $161.99 | — | — | 2026-01-12 | MRF ↗ |
| DRISCOLL CHILDREN'S HOSPITAL RIO GRANDE VALLEY Outpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $139,071.25 | $27,814.25 | 2025-10-06 | MRF ↗ |
| DRISCOLL CHILDRENS HOSPITAL Outpatient | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $126,276.25 | $25,255.25 | 2025-10-06 | MRF ↗ |
| Driscoll Children's Hospital Transplant Center Both | TEXAS REHABILITATION COMM [50038] | TEXAS REHABILITATION COMM [5003801] | $165.82 | $154,562.25 | $30,912.45 | 2026-03-31 | MRF ↗ |
| CHELSEA HOSPITAL OutpatientFacility | Magellan Behavioral Health | Summit_Pinnacle | $181.00 | $66,706.47 | $43,359.21 | 2025-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $192.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $192.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $196.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $196.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $196.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $196.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $200.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $204.03 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $208.04 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $212.15 | — | — | 2026-03-04 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $216.04 | $40,006.82 | $38,006.48 | 2026-02-20 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $223.74 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $223.74 | — | — | 2025-12-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medi-Cal | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Affinity Health Plan | EP 1&2 | $260.33 | $168,321.00 | — | 2026-02-19 | MRF ↗ |
| CHELSEA HOSPITAL OutpatientFacility | Magellan Behavioral Health | All Products | $275.00 | $66,706.47 | $43,359.21 | 2025-01-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $301.55 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $301.55 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| CHELSEA HOSPITAL OutpatientFacility | Magellan Behavioral Health | Summit_Pinnacle_Navigator | $331.00 | $66,706.47 | $43,359.21 | 2025-01-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | HMO | — | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | PPO | — | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | PPO | — | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $348.55 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $348.55 | — | — | 2024-10-01 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $349.68 | $101,810.00 | $91,629.53 | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $349.68 | $101,810.00 | $91,629.53 | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $349.68 | $101,810.00 | $91,629.53 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $349.68 | $101,810.00 | $91,629.53 | 2026-05-13 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $371.94 | $6,199.02 | $6,199.02 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $371.94 | $6,199.02 | $6,199.02 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $371.94 | $6,199.02 | $6,199.02 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $371.94 | $6,199.02 | $6,199.02 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $371.94 | $6,199.02 | $6,199.02 | 2026-03-01 | MRF ↗ |
| MERCY MEDICAL CTR BothFacility | TUFTS HEALTH PUBLIC PLANS | TUFTS MEDICAID | $392.00 | $73,182.85 | $73,182.85 | 2026-03-31 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | TUFTS CONNCARE/QHP [8020] | BMC HB TUFTS SUBSIDIZED PLANS | $431.24 | $84,961.42 | $38,232.64 | 2026-03-13 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $439.73 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $439.73 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $439.73 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $439.73 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $464.06 | — | — | 2026-03-31 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $593.57 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $593.57 | — | — | 2025-12-23 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $620.29 | $10,573.47 | $4,493.73 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Optum | Behavioral Medicare | — | $10,573.47 | $4,493.73 | 2026-01-29 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Aetna | First Health - Direct | $625.89 | $99,194.15 | $74,395.61 | 2026-04-01 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Lincs | $646.50 | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Preferred | $646.50 | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Traditional | $646.50 | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Choice | $646.50 | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Advantage | $646.50 | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Lincs | $646.50 | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Choice | $646.50 | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Advantage | $646.50 | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Preferred | $646.50 | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Traditional | $646.50 | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | $7,619.67 | 2026-03-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Advantage | $691.50 | — | — | 2025-10-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Bluelincs | $691.50 | — | — | 2025-10-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CORVEL HEALTHCARE CORPORATION | Worker's Compensation | — | $206,172.00 | $134,011.80 | 2025-11-26 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $747.11 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $747.11 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $747.11 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | CIGNA | CIGNA_COMMERCIAL-GOOD | $747.11 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $805.87 | $6,199.02 | $6,199.02 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $805.87 | $6,199.02 | $6,199.02 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $805.87 | $6,199.02 | $6,199.02 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $805.87 | $6,199.02 | $6,199.02 | 2026-03-01 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIALPPO | $845.89 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIAL | $845.89 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIALPPO | $845.89 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| HUNTSVILLE HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIAL | $845.89 | $12,222.65 | $12,222.65 | 2026-03-27 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Longevity | Medicare Advantage | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Michigan Amish Medical Board | Commercial | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Promedica | Commercial | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Molina | Medicare Advantage | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Nomi Health | Commercial | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Employee Benefits Logistics | Commercial | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Hospice of Michigan | Commercial | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | McLaren Health Plan | Managed Medicaid | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Humana Choicecare | Medicare Advantage | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | McLaren Health Plan | Medicare Advantage | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Blue Care Network | Medicare Advantage | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Blue Cross | PPO/Traditional/HMO/Blue Care Network | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | United Healthcare Definity | Medicare Advantage | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Occunet/First Agency | Commercial | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | United Healthcare Behavioral Health | Commercial | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Priority Health | Medicare Advantage | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Blue Cross Complete | Managed Medicaid | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Logistics Health Incorporated/Optum Serve | Commercial | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Medicare Plus Blue | Medicare Advantage | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | HAP (Health Alliance Plan) | Medicare Advantage | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | United Healthcare Behavioral Health | Medicare Advantage | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Priority Health | Managed Medicaid | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | University Kansas Hospital | Commercial | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Northern Michigan Mennonite Group | Commercial | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Priority Health | Commercial | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | Meridian | Managed Medicaid | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | PACE North | Medicare Advantage | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $7,051.64 | $5,993.90 | 2026-04-17 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Preferred | $858.75 | — | — | 2025-10-31 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $867.86 | $6,199.02 | $6,199.02 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $867.86 | $6,199.02 | $6,199.02 | 2026-03-01 | MRF ↗ |
| CAPE COD HOSPITAL OutpatientFacility | None | — | — | $37,567.18 | $15,966.05 | 2026-02-21 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | $893.98 | $99,194.15 | $74,395.61 | 2026-04-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $903.76 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $903.76 | — | — | 2026-03-01 | 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.