J9272 — Inj Dostarlimab-gxly 10 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj dostarlimab-gxly 10 mg (OTHER J9272) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9272?code_type=OTHER
MLA (9th ed.)
“Inj dostarlimab-gxly 10 mg (OTHER J9272) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9272?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inj dostarlimab-gxly 10 mg (OTHER J9272) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9272?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $240–$410 (25th–75th percentile) across 141 hospitals · 301 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER J9272 — 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 |
|---|---|---|---|---|---|---|---|
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $3.57 | $792.00 | $261.36 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $3.57 | $792.00 | $261.36 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $3.61 | $792.00 | $261.36 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $3.64 | $792.00 | $261.36 | 2026-05-09 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $3.68 | $792.00 | $261.36 | 2026-05-09 | 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 | Golden Rule Ins | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | 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 | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 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 | Golden Rule Ins | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | 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 | Healthscope | — | — | — | 2026-05-17 | 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 ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | 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 | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER 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 ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 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 | United Healthcare | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-18 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Ip Plans | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $52.46 | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $52.46 | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Cigna | Hmo Ppo Healthpartners Plans | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Op | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $52.46 | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | All Sentara Comm. Plans | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Ip | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Op | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | All Sentara Op Plans | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | United Healthcare Comm. | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Gateway Health Ip | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Ip | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $52.46 | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Medcost Op | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Medcost Op | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Gateway Health Ip | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | United Healthcare Comm. | — | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $52.98 | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $52.98 | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $53.51 | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $53.51 | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $54.03 | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $54.03 | $792.00 | $261.36 | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $86.05 | — | — | 2026-05-06 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $86.84 | $766.49 | $234.55 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $93.59 | $766.49 | $234.55 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $93.59 | $766.49 | $234.55 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $93.82 | $766.49 | $211.55 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $93.82 | $766.49 | $211.55 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $96.50 | $766.49 | $234.55 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $105.62 | $766.49 | $211.55 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $105.62 | $766.49 | $211.55 | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $107.56 | — | — | 2026-05-08 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Local 1199 | Medicare | $118.20 | $3,526.86 | $458.49 | 2026-05-06 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $128.00 | $766.49 | $211.55 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $128.00 | $766.49 | $211.55 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $130.63 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $130.63 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $130.63 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $130.63 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $130.63 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $130.63 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $130.63 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $130.63 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $130.63 | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $146.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $146.23 | — | — | 2026-05-14 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Multiplan | Phcs - Beech Street | $153.66 | $3,526.86 | $458.49 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Magellan | Medicare | $153.66 | $3,526.86 | $458.49 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Oscar Health Exchange | Medicare | $160.75 | $3,526.86 | $458.49 | 2026-05-06 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $163.26 | $766.49 | $211.55 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $163.26 | $766.49 | $211.55 | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $170.60 | — | — | 2026-05-27 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Coventry | Medicare | $174.94 | $3,526.86 | $458.49 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Longevity Health | Medicare | $189.12 | $3,526.86 | $458.49 | 2026-05-06 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $190.09 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $190.09 | — | — | 2026-05-24 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $198.79 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $200.94 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $200.94 | — | — | 2026-05-24 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $201.28 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $201.28 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $201.28 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $201.28 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $201.28 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $201.28 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $201.28 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $201.28 | — | — | 2026-05-18 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Traditional | $203.01 | — | — | 2026-05-23 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Pathway Ppo/Hmo | $203.01 | — | — | 2026-05-23 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Weber Human Services | Behavioral Health | $203.40 | — | — | 2026-05-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Davis Behavioral Health | Behavioral Health | $204.03 | — | — | 2026-05-18 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $204.76 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $204.76 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $204.76 | — | — | 2026-05-14 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $204.76 | — | — | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $204.76 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $204.76 | — | — | 2026-05-22 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $204.76 | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $204.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $204.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $204.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $204.76 | — | — | 2026-05-22 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $204.76 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $204.76 | — | — | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $204.76 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $204.76 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $204.76 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $204.76 | — | — | 2026-05-18 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Healthy U | Medicaid | $204.76 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $204.76 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $204.76 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $204.76 | — | — | 2026-05-18 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $204.76 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicaid | $204.76 | — | — | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $204.76 | — | — | 2026-05-18 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Choice | Medicaid | $204.76 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $204.76 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $204.76 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $207.13 | — | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $207.13 | — | — | 2026-05-13 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Medicaid | $207.13 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Healthy U | Medicaid | $207.13 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $207.13 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $207.13 | — | — | 2026-05-15 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Regence | Medicare Advantage | $207.15 | — | — | 2026-05-27 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $207.25 | — | — | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $207.38 | — | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $207.74 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Hfn | Commercial | $207.74 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $207.74 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | United Healthcare | Commercial | $207.74 | — | — | 2026-05-24 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Wellpoint Tci | Medicaid | $209.93 | — | — | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Wellpoint | Medicaid | $209.93 | — | — | 2026-05-06 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Trad/Par | Commercial | — | $11,336.39 | $6,348.38 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | — | $11,336.39 | $6,348.38 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Mngd. Medica | — | $11,336.39 | $6,348.38 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Anthem Public Option | Commercial | — | $11,336.39 | $6,348.38 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo/Hmo | Commercial | — | $11,336.39 | $6,348.38 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Medicare Adv | $210.32 | $11,336.39 | $6,348.38 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Cigna | Commercial | — | $11,336.39 | $6,348.38 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Multiplan | Commercial | — | $11,336.39 | $6,348.38 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Kaiser Permanente | Commercial | — | $11,336.39 | $6,348.38 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | United Healthcare | Commercial | — | $11,336.39 | $6,348.38 | 2026-05-23 | 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.