J9289 — Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION (HCPCS J9289) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9289?code_type=HCPCS
MLA (9th ed.)
“NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION (HCPCS J9289) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9289?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“NIVOLUMAB 600 MG-HYALURONIDASE-NVHY 10,000 UNIT/5 ML SUBCUT SOLUTION (HCPCS J9289) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9289?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $30–$21,170 (25th–75th percentile) across 998 hospitals · 2,328 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9289 — 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
$30
$2,780 typical
$21,170
The middle 50% of negotiated facility rates for this procedure, measured across 998 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,780 |
| Likely subtotal | $2,780 |
Facility charge (no separate professional fee)
$2,780
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 $30–$21,170.
- 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 |
|---|---|---|---|---|---|---|---|
| COX MONETT HOSPITAL Outpatient | First Health | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Epo | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $31,772.32 | $15,886.16 | 2026-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Mihlfeld & Associates | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Medicare Advantage | Non Contracted Payors | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Xerox | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Medicare Advantage | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Justice Furniture And Bedding Co | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Self-Pay | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Centene Wellcare | Medicare Advantage | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Town And Country Super Market | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Compalliance | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Medicaid | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Coastal Energy Corporation | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark Anesthesia Assoc. Inc | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Advanced Concrete Technology | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Architectural Systems Inc | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Src Holdings Corporation | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Flora Farms | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Access | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Direct Contracted Employers | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | All Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Non Contracted | Managed Care | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Va Ccn | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Behavioral Health | Optum Medicaid | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Behavioral Health | Optum Medicare | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Mirma Health | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Humana | Medicare Advantage | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Missouri Eye Institute | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Custom Powder Systems | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Other Contracted Managed Care | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Missouri Affiliated School Consortium (Masc) | Missouri Affiliated School Consortium (Masc) | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Springfieldgreene Co Library | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozarks Cocacola | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Pathway/Pathway X | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Workers Compensation | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Aca Marketplace | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Corvel | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Heart Of America Beverage Company | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Healthy Blue Mo | Medicaid Managed Care | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | City Of Lebanon | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cigna | Commercial Test | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Ppo | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Bjc Consortium | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Aetna | Premier Network | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Traditional | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Medicare | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark County | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | The Durham Company | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Texas Co Memorial Hospital | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Medicare / Medicare Advantage | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Phelps Health | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Preferred | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Core Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Show Me Benefit Consortium | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Loren Cook | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Merril Iron And Steel | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Freeman Pho | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Parkcrest Dental Group | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Phcs | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Multiplan | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Employee Plan | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Amprod | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Centene Home State Health | Medicaid | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Blu Current Credit Union | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $31,772.32 | $15,886.16 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $31,772.32 | $15,886.16 | 2026-07-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $4.32 | $108.00 | $108.00 | 2026-06-24 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $4.60 | — | — | 2026-03-31 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $4.61 | $108.00 | $108.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $4.67 | $108.00 | $108.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $4.68 | $117.00 | $117.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $5.00 | $117.00 | $117.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $5.05 | $117.00 | $117.00 | 2026-06-24 | MRF ↗ |
| Riverside Community Hospital Outpatient | Molina | MCD | $5.19 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | LA Care Health | Medi-cal | $5.19 | — | — | 2026-03-01 | MRF ↗ |
| Riverside Community Hospital Outpatient | Brand New Day | MCD | $5.71 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Gold Coast Health Plan | MCD | $5.71 | — | — | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Brand New Day | MCD | $5.71 | — | — | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $5.83 | $108.00 | $108.00 | 2026-06-24 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $5.88 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $5.88 | — | — | 2025-12-23 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $6.32 | $117.00 | $117.00 | 2026-06-24 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | NPR | $7.48 | $43.00 | $43.00 | 2026-03-07 | MRF ↗ |
| Riverside Community Hospital Outpatient | Inland Empire Health Plan | MGMCD | $7.53 | — | — | 2026-03-01 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Amerigroup | Amerigroup Medicaid | $8.27 | $74.00 | $55.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Amerigroup | Amerigroup Medicaid | $8.92 | $74.00 | $55.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Amerigroup | Amerigroup Medicaid | $9.35 | $74.00 | $55.50 | 2026-02-14 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | $77.28 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | $77.28 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | $77.28 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | $77.28 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Traditional | $9.85 | — | $77.28 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | $77.28 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Preferred | $9.85 | — | $77.28 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Lincs | $9.85 | — | $77.28 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | $77.28 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Advantage | $9.85 | — | $77.28 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Preferred | $9.85 | — | $77.28 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Choice | $9.85 | — | $77.28 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Lincs | $9.85 | — | $77.28 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | $77.28 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | $77.28 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Advantage | $9.85 | — | $77.28 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | $77.28 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Choice | $9.85 | — | $77.28 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | $77.28 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Traditional | $9.85 | — | $77.28 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | $77.28 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | $77.28 | 2026-03-31 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Aetna of PA | Medicare | $9.87 | $81.00 | $48.60 | 2026-03-06 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Amerigroup | Amerigroup Medicare Advantage | $10.53 | $74.00 | $55.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $10.63 | $74.00 | $55.50 | 2026-02-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Omnia | $10.77 | $108.00 | $108.00 | 2026-06-24 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Amerigroup | Amerigroup Medicare Advantage | $10.98 | $74.00 | $55.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $11.09 | $74.00 | $55.50 | 2026-02-14 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | TUFTS | TUFTS MEDICARE | $11.12 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $11.12 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | UNITED | UNITED MEDICARE | $11.12 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | ANTHEM | ANTHEM MEDICARE | $11.12 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $11.12 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $11.12 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $11.12 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $11.12 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $11.12 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $11.12 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Amerigroup | Amerigroup Medicare Advantage | $11.13 | $74.00 | $55.50 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $11.24 | $74.00 | $55.50 | 2026-02-15 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | WELLCARE | WELLCARE MEDICARE | $11.34 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $11.34 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LEBN DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $11.35 | $27,141.50 | $17,641.97 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LEBN DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $11.35 | $27,153.50 | $17,649.77 | 2026-06-10 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | AETNA | AETNA MEDICARE | $11.40 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $11.40 | $1,669.60 | $1,669.60 | 2026-04-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Omnia | $11.66 | $117.00 | $117.00 | 2026-06-24 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Amerigroup | Amerigroup Medicare Advantage | $11.97 | $74.00 | $55.50 | 2026-02-14 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Managed Care | $11.97 | $108.00 | $108.00 | 2026-06-24 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $12.08 | $74.00 | $55.50 | 2026-02-14 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Univera | Univera_Medicare_Hamot_2024 | $12.15 | $81.00 | $48.60 | 2026-03-06 | MRF ↗ |
| DeTar Hospital North Outpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $12.33 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | Medicaid | Node Tx Medicaid | $12.33 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $12.33 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $12.33 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Medicaid | Node Tx Medicaid | $12.33 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $12.33 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $12.33 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $12.33 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Amerigroup | Amerigroup Medicare Advantage | $12.72 | $74.00 | $55.50 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $12.84 | $74.00 | $55.50 | 2026-02-14 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Indemnity | $12.92 | $108.00 | $108.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | PPO | $12.92 | $108.00 | $108.00 | 2026-06-24 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $12.95 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $12.95 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $12.95 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $12.95 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $12.95 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $12.95 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $12.95 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $12.95 | $244.65 | $51.38 | 2026-07-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Managed Care | $12.96 | $117.00 | $117.00 | 2026-06-24 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Amerigroup | Amerigroup Medicaid | $13.29 | $74.00 | $55.50 | 2026-02-15 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | United | OptionsPPO | $13.36 | $40.00 | $40.00 | 2026-03-07 | 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.