J9277 — Pembrolizumab 1mg Berahyalur
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Pembrolizumab 1mg berahyalur (HCPCS J9277) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9277?code_type=HCPCS
MLA (9th ed.)
“Pembrolizumab 1mg berahyalur (HCPCS J9277) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9277?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Pembrolizumab 1mg berahyalur (HCPCS J9277) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9277?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $34–$61,667 (25th–75th percentile) across 57 hospitals · 328 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9277 — 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
$34
$6,494 typical
$61,667
The middle 50% of negotiated facility rates for this procedure, measured across 57 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $6,494 |
| Likely subtotal | $6,494 |
Facility charge (no separate professional fee)
$6,494
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 $34–$61,667.
- 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 |
|---|---|---|---|---|---|---|---|
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $16.80 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $16.80 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $16.80 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $16.80 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $16.80 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $16.80 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $22.65 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $22.65 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $22.65 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $22.65 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $22.65 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $22.65 | — | — | 2026-04-17 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $23.96 | — | — | 2026-09-25 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Blue Cross | Anthem Priority Select Other Commercial Plan | $26.09 | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Blue Cross | Anthem Priority Select Other Commercial Plan | $26.09 | — | — | 2026-04-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | $27.31 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | $27.31 | — | — | 2026-07-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | HealthNet Sante Dual Risk | Medicare Advantage | $28.92 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | HealthNet Sante - Sub Cap Dual Risk | Medicare Advantage | $28.92 | — | — | 2026-06-18 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | MCAdvantage | MCAdvantage | $29.85 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Medicare | Medicare | $29.85 | — | — | 2026-08-30 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid CHIP | $30.13 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid MCO | $30.13 | — | — | 2026-09-15 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | UHC MCR ADV | UHC MCR ADV | $30.34 | $422.63 | $316.97 | 2026-07-31 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | TennCare | Medicaid Managed Care Plan | $30.34 | — | — | 2026-09-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNJ001_JNJ002_JNJ003 Commercial Exchange | $30.34 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | IBC Medicare | JNE002_JNE003 Medicare Focus | $30.34 | — | — | 2026-09-15 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Patient Centered Community Care | VA Government | $31.30 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MAP | $31.49 | — | — | 2026-09-05 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Alabama | Medicare Advantage | $31.49 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Alabama | Medicare Advantage | $31.49 | — | — | 2026-04-30 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $31.49 | — | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Healthfirst | Medicare Advantage PPO | $31.49 | — | — | 2026-09-05 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Inspira Life | JAB002 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid MCO | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $31.94 | — | — | 2026-09-05 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | St Agnes | Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Point of Comfort Refugee Resettlement | Commercial | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Optum VA CCN | JAB002 VA CCN | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Innovage | JNJ001_JNJ002_JNJ003 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Aetna | Covered CA Exchange | $31.94 | — | — | 2026-04-01 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Point of Comfort Refugee Resettlement | JMR001 | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | St Agnes | Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Innovage | JAB002 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $31.94 | $422.63 | $316.97 | 2026-07-31 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Mvp | Medicare Advantage | $31.94 | — | — | 2026-10-12 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Provider Partners | Provider Partners | $31.94 | $39,638.60 | $19,819.30 | 2026-09-28 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Horizon Medicare Blue | JMR001 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | St Agnes | Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | AmeriHealth Medicare | JNJ001_JNJ002_JNJ003 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan Medicaid | JNE001_JNE002_JNE003 Caid MCO CHIP | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Horizon Medicare Blue | JNE002_JNE003 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Innovage | JNE002_JNE003 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Geisinger Medicaid | JNE001_JNE002_JNE003 Caid | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JAB002 Commercial Exchange | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| HOLY REDEEMER HOSPITAL AND MEDICAL CENTER OutpatientFacility | Keystone Family Health Plan | Managed Medicaid | $31.94 | — | — | 2026-09-21 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Aetna | Medicare Managed Care Plan | $31.94 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Martin'S Point | Commercial | $31.94 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $31.94 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Uhc | Medicare Advantage | $31.94 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Bcbs | Medicare Advantage | $31.94 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Fidelis | Medicare Advantage | $31.94 | — | — | 2026-10-12 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Cigna | All Commercial Plans | $31.94 | — | — | 2026-09-01 | MRF ↗ |
| PARKVIEW HUNTINGTON HOSPITAL OutpatientFacility | Caresource | Exchange | $31.94 | — | — | 2026-09-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Humana | Humana Medicare | $31.94 | $39,638.60 | $19,819.30 | 2026-09-28 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JMR001 Commercial Exchange | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Inspira Life | JMR001 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital InpatientFacility | Optum VA CCN | JMR001 VA CCN | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| COMMUNITY HOSPITALS AND WELLNESS CENTERS OutpatientFacility | Caresource | Exchange | $31.94 | — | — | 2026-09-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | United Healthcare Medicare | Medicare Dual SNP | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Inspira Life | JNJ001_JNJ002_JNJ003 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | VA_Champus_Tricare | JNJ001_JNJ002_JNJ003 Military | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | VA_Champus_Tricare | JNE002_JNE003 Military | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Optum VA CCN | JNE002_JNE003 VA CCN | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Highmark Wholecare Gateway | JNJ001_JNJ002_JNJ003 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Optum VA CCN | JNJ001_JNJ002_JNJ003 VA CCN | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Point of Comfort Refugee Resettlement | Commercial | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | IBC Medicare | JNE002_JNE003 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Innovage | JMR001 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | United Healthcare Rehabilitation | JMR001 Dual SNP | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | United Healthcare | United Healthcare Medicare Ppo | $31.94 | $39,638.60 | $19,819.30 | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Bankers Life And Casualty | Bankers Life And Casualty | $31.94 | $39,638.60 | $19,819.30 | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wellmed Medicare | Wellmed Medicare | $31.94 | $39,638.60 | $19,819.30 | 2026-09-28 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | Aetna | Medicare Managed Care Plan | $31.94 | — | — | 2026-09-01 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | $31.94 | — | — | 2026-10-12 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNE002 JNE003 Commercial Exchange | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Commercial | $31.94 | — | — | 2026-10-12 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $31.94 | — | — | 2026-10-12 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Jefferson Health Plan Medicaid | JAB002 Caid MCO CHIP | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Inspira Life | JNE002_JNE003 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicare Advantage | $31.94 | — | — | 2026-10-12 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Keystone First | JMR001 Caid CHIP | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Point of Comfort Refugee Resettlement | Commercial | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | St Agnes | Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Horizon Medicare Blue | JAB002 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Superior | Allwell Medicare By Superior | $31.94 | $39,638.60 | $19,819.30 | 2026-09-28 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | Provider Partners Health Plan | JAB002 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Keystone First | JAB002 Caid CHIP | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | CARESOURCE MCR ADV | CARESOURCE MCR ADV | $31.94 | $422.63 | $316.97 | 2026-07-31 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | Geisinger Medicaid | JAB002 Caid | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | VA_Champus_Tricare | JAB002 Military | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNJ001_JNJ002_JNJ003 Commercial Exchange | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | Jefferson Health Plan Medicare | JNE002_JNE003 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | AETNA MCR ADV | AETNA MCR ADV | $31.94 | $422.63 | $316.97 | 2026-07-31 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | VillageCare Max | MAP | $31.94 | — | — | 2026-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | VillageCare Max | MEDICARE ADVANTAGE | $31.94 | — | — | 2026-09-05 | MRF ↗ |
| PARKVIEW DEKALB HOSPITAL OutpatientFacility | Caresource | Exchange | $31.94 | — | — | 2026-09-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Provider Partners Health Plan | JNE002_JNE003 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Senior Whole Health | MLTC | $31.94 | — | — | 2026-09-05 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL InpatientFacility | IBC Medicare | JAB002 Medicare | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| Magee Rehabilitation Hospital OutpatientFacility | Geisinger Medicaid | JMR001 Caid | $31.94 | — | — | 2026-09-15 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | ANTHEM MCR ADV | ANTHEM MCR ADV | $32.10 | $422.63 | $316.97 | 2026-07-31 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Elderplan | Medicare Advantage | $32.13 | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic Humana PFFS | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Humana HMO - First Choice | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $32.13 | — | — | 2026-07-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Brand New Day | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | Denver Health Medical Plan | Medicare Advantage | $32.13 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield Sante | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Cigna Access (PFFS) | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante Sub Cap AARP UHC | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Humana | Medicare Advantage/HMO | $32.13 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Kaiser | Commercial | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $32.13 | — | — | 2026-07-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic Aetna PPO/PFFS | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | VIVA Health | Medicare Advantage | $32.13 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Hartford Life Supplement | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny Chp | Managed Medicaid | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Cigna Healthspring | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Oak Street Health | Medicare Advantage | $32.13 | — | — | 2026-04-28 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Advantek Table Mountain Rancheria Tribal Member | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Cigna Healthspring | Medicare Advantage | $32.13 | — | — | 2026-04-30 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Cigna Healthspring | Advantage HMO/Premier HMO-POS/Primary HMO | $32.13 | — | — | 2026-04-28 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | Aetna Healthcare | Medicare Advantage | $32.13 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Cross SmartValue | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Behavioral Health Harp | Commercial | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Aetna | Medicare Advantage | $32.13 | — | — | 2026-08-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic Aetna HMO | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Aetna | HMO/POS/PPO | $32.13 | — | — | 2026-04-28 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Kaiser Senior Advantage Medicare | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $32.13 | — | — | 2026-04-28 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Meritage United Healthcare | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $32.13 | — | — | 2026-04-28 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | BSCPHP - DHMSO | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $32.13 | — | — | 2026-04-30 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $32.13 | — | — | 2026-04-28 | MRF ↗ |
| DENVER HEALTH & HOSPITAL AUTHORITY OutpatientFacility | CMS | Medicare | $32.13 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | GemCare HMO | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Individual | Comm | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $32.13 | — | — | 2026-04-28 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care Ny Harp | Managed Medicaid | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Humana | Medicare Advantage/PPO | $32.13 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield 65 Plus HMO First Choice | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst Essential Plan 3/4 | Commerial | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Railroad Part A | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | BSCPHP HMO - First Choice | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante-Blue Shield/Sante | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante-Sub Cap MA Brand New Day | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Railroad Part A & B | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | US Marshal | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care - Essential Plans 1 | 5 | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Molina Chp/Harp | Managed Medicaid | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare Individual Exchange | Commercial | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| LIBERTY HOSPITAL Outpatient | Blue Cross Blue Shield | Blue Care | $32.13 | — | — | 2026-08-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Cross | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $32.13 | — | — | 2026-07-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Managed Medicaid | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Wellcare | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | United HealthCare | Medicare Advantage | $32.13 | — | — | 2026-05-11 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | AARP Medicare Complete Out of Area | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Empire Blue Cross Blue Shield Chp | Managed Medicaid | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $32.13 | — | — | 2026-07-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante Sub Cap HealthNet Seniority | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Sante-MA Aetna | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $32.13 | — | — | 2026-07-01 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | VIVA Health | Medicare Advantage | $32.13 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | AARP Medicare Complete UHC Sante | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Oxford Freedom And Liberty | Commercial | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $32.13 | — | — | 2026-07-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Humana | Medicare Advantage/HMO | $32.13 | — | — | 2026-04-30 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $32.13 | — | — | 2026-07-01 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Blue Cross Blue | Medicare Advantage | $32.13 | — | — | 2026-05-11 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $32.13 | — | — | 2026-07-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Emblemhealth Hip Of Ny | Commercial | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Humana | Medicare Advantage/PPO | $32.13 | — | — | 2026-04-30 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Care1st HMO - EHS | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Cares Act Provider Relief Fund | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Railroad Part B | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | United Healthcare | VACCN | $32.13 | — | — | 2026-04-30 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $32.13 | — | — | 2026-07-01 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Fidelis Care | Exchange (Hbx) | — | $6,136.00 | $6,136.00 | 2026-08-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Generic BSCPHP | Medicare Advantage | $32.13 | — | — | 2026-06-18 | MRF ↗ |
| SAINT ANTHONY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicare Advantage | $32.13 | — | — | 2026-04-28 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Devoted Health | Medicare Advantage | $32.13 | — | — | 2026-04-30 | 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.