Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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J9299 — Nivolumab 40 Mg/4 Ml Intravenous Solution

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $2,795

Usually $61–$8,853 (25th–75th percentile) across 2,463 hospitals · 6,766 payers.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9299 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$61 $2,795 typical $8,853

The middle 50% of negotiated facility rates for this procedure, measured across 2,463 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $2,795
Likely subtotal $2,795
Facility charge (no separate professional fee) $2,795

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 $61–$8,853.

How each figure is sourced
Hospital facility (actual)
source: Hospital MRF (45 CFR 180)

Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).

Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.

Hospital rates (per row)

Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
SAINT MARY'S HOSPITAL OutpatientFacility CTCare Medicare Advantage — $22,454.86 $12,350.17 2025-01-01 MRF ↗
COX MEDICAL CENTERS Outpatient Aetna Premier Network — $1.00 $0.25 2026-07-15 MRF ↗
JOHNSON MEMORIAL HOSPITAL OutpatientFacility CTCare Medicare Advantage — $22,454.86 $12,350.17 2025-01-01 MRF ↗
NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility Cigna Commercial — — — 2026-03-31 MRF ↗
ST PETER'S HOSPITAL OutpatientFacility VNA Homecare Options Medicaid — $22,454.86 $19,086.63 2025-01-01 MRF ↗
JOHNSON MEMORIAL HOSPITAL OutpatientFacility CTCare Medicare Advantage — $22,454.86 $12,350.17 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient FIRST HEALTH FIRST HEALTH[16] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID DEAN HEALTH MEDICAID DEAN HEALTH[118] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID ICARE MEDICAID ICARE[75] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE[97] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient TRILOGY TRILOGY[47] $0.03 $0.05 $0.03 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE UHC MEDICARE UHC[99] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient IHG IHG[22] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE[97] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient PHCS (PRIVATE HEALTH CARE SYSTEMS) PHCS (PRIVATE HEALTH CARE SYSTEMS)[21] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID TRILOGY MEDICAID TRILOGY[128] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE HUMANA MEDICARE HUMANA[100] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient AETNA AETNA[27] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID CHORUS COMMUNITY HEALTH PLANS MEDICAID CHORUS COMMUNITY HEALTH PLANS[78] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient VA CCN VA CCN[275] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient COMMUNITY CARE COMMUNITY CARE[115] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Outpatient Blue Cross Blue Shield Of Sc Bcbs Exchange $0.03 $0.10 $0.07 2026-09-21 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID ANTHEM MEDICAID ANTHEM[83] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE[97] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Outpatient Blue Cross Blue Shield Of Sc Bluechoice Exchange $0.03 $0.10 $0.07 2026-09-21 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE[97] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Inpatient Aetna Us Healthcare Inc Aetna Prisma Health $0.03 $0.10 $0.07 2026-09-21 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID UHC MEDICAID UHC[85] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID MANAGED HEALTH SERVICESS (MHS) MEDICAID MANAGED HEALTH SERVICESS (MHS)[79] $0.03 $0.03 $0.02 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient WPS STANDARD and WPS SELECT PLUS WPS STANDARD and WPS SELECT PLUS[137] $0.03 $0.05 $0.03 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient ALLIANCE ALLIANCE[23] $0.03 $0.05 $0.03 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient AETNA AETNA[27] $0.04 $0.05 $0.03 2025-01-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Centrus Health Direct Non-Exclusive $0.04 $0.10 $0.03 2026-03-06 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient IHG IHG[22] $0.04 $0.05 $0.03 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient COVENTRY COVENTRY[13] $0.04 $0.05 $0.03 2025-01-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both ORANGEBURG SENIOR HELPING CENTER PACE [5401] PH OAKS PACE $0.04 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Aetna National $0.04 $0.10 $0.03 2026-03-06 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both ORANGEBURG SENIOR HELPING CENTER PACE [5401] PH OAKS PACE $0.04 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both ORANGEBURG SENIOR HELPING CENTER PACE [5401] PH OAKS PACE $0.04 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $0.04 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both ORANGEBURG SENIOR HELPING CENTER PACE [5401] PH OAKS PACE $0.04 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Occunet Network Commercial $0.04 $0.10 $0.03 2026-03-06 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient HEALTHEOS HEALTHEOS[18] $0.04 $0.05 $0.03 2025-01-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $0.04 $0.10 $0.06 2026-03-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient FIRST HEALTH FIRST HEALTH[16] $0.04 $0.05 $0.03 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient HPS SOLUTIONS HPS SOLUTIONS[36] $0.04 $0.05 $0.03 2025-01-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $0.04 $0.10 $0.06 2026-03-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient HPS HPS[37] $0.04 $0.05 $0.03 2025-01-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Aetna Local $0.04 $0.10 $0.03 2026-03-06 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE PRISMA EMPLOYEE PLAN $0.04 $0.10 $0.06 2026-03-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient AETNA W PLAN AETNA W PLAN[39] $0.04 $0.05 $0.03 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient WPS STATEWIDE WPS STATEWIDE[31] $0.04 $0.05 $0.03 2025-01-01 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility Centivo Commercial $0.04 $0.10 $0.03 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Centrus Health Direct Exclusive $0.04 $0.10 $0.03 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility Wellfit Exclusive Network $0.04 $0.10 $0.03 2026-03-06 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE MEDICARE ADVANTAGE MISCELLANEOUS - ANTHEM MEDICARE[97] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID MANAGED HEALTH SERVICESS (MHS) MEDICAID MANAGED HEALTH SERVICESS (MHS)[79] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility Wellfit Exclusive Network $0.05 $0.13 $0.04 2026-03-06 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient VA CCN VA CCN[275] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
PARDEE HOSPITAL HENDERSON COUNTY Outpatient Healthy Blue North Carolina Managed Medicaid $0.05 $0.20 $0.12 2026-07-15 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID ICARE MEDICAID ICARE[75] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE MEDICARE ADVANTAGE MISCELLANEOUS - DEAN MEDICARE[97] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE HUMANA MEDICARE HUMANA[100] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Occunet Network Commercial $0.05 $0.13 $0.04 2026-03-06 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE UHC MEDICARE UHC[99] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE MEDICARE ADVANTAGE MISCELLANEOUS - QUARTZ MEDICARE ADVANTAGE[97] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
PARDEE HOSPITAL HENDERSON COUNTY Outpatient Trillium Managed Medicaid $0.05 $0.20 $0.12 2026-07-15 MRF ↗
PARDEE HOSPITAL HENDERSON COUNTY Outpatient Vaya Health Managed Medicaid $0.05 $0.20 $0.12 2026-07-15 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID CHORUS COMMUNITY HEALTH PLANS MEDICAID CHORUS COMMUNITY HEALTH PLANS[78] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
PARDEE HOSPITAL HENDERSON COUNTY Outpatient Amerihealth Caritas North Carolina Managed Medicaid $0.05 $0.20 $0.12 2026-07-15 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID ANTHEM MEDICAID ANTHEM[83] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility Wellfit Non-Exclusive Network $0.05 $0.10 $0.03 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Aetna National $0.05 $0.13 $0.04 2026-03-06 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Centrus Health Direct Exclusive $0.05 $0.13 $0.04 2026-03-06 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID TRILOGY MEDICAID TRILOGY[128] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility Centivo Commercial $0.05 $0.13 $0.04 2026-03-06 MRF ↗
PARDEE HOSPITAL HENDERSON COUNTY Outpatient Alliance Managed Medicaid $0.05 $0.20 $0.12 2026-07-15 MRF ↗
PARDEE HOSPITAL HENDERSON COUNTY Outpatient United Healthcare Managed Medicaid $0.05 $0.20 $0.12 2026-07-15 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Cigna Commercial $0.05 $0.10 $0.03 2026-03-06 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID DEAN HEALTH MEDICAID DEAN HEALTH[118] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Outpatient Value Options Beacon Health Options $0.05 $0.10 $0.07 2026-09-21 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Inpatient Aetna Us Healthcare Aetna Whole Health Of Sc $0.05 $0.10 $0.07 2026-09-21 MRF ↗
PARDEE HOSPITAL HENDERSON COUNTY Outpatient Partners Managed Medicaid $0.05 $0.20 $0.12 2026-07-15 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient PHCS (PRIVATE HEALTH CARE SYSTEMS) PHCS (PRIVATE HEALTH CARE SYSTEMS)[21] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Aetna Local $0.05 $0.13 $0.04 2026-03-06 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Outpatient Promise Health Plan Promise Health Plan $0.05 $0.10 $0.07 2026-09-21 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient COMMUNITY CARE COMMUNITY CARE[115] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICAID UHC MEDICAID UHC[85] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
WAUKESHA MEMORIAL HOSPITAL Outpatient MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE MEDICARE ADVANTAGE MISCELLANEOUS - MEDICARE ADVANTAGE[97] $0.05 $0.05 $0.03 2025-01-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both AETNA [2000] PHM HB AETNA SC PREFERRED $0.06 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility QuikTrip Commercial $0.06 $0.10 $0.03 2026-03-06 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both BOB JONES UNIV-PAI [821] GHS HB MyHFN BOB JONES PAI $0.06 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility Wellfit Non-Exclusive Network $0.06 $0.13 $0.04 2026-03-06 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE HEALTHCARE $0.06 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both BOB JONES UNIV-PAI [821] GHS HB MyHFN BOB JONES PAI $0.06 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Cigna Commercial $0.06 $0.13 $0.04 2026-03-06 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE HEALTHCARE $0.06 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both MERITAIN HEALTH CONTRACTED [2200] PHU HB AETNA SC PREFERRED $0.06 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both MERITAIN HEALTH CONTRACTED [2200] PHM HB AETNA SC PREFERRED $0.06 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Inpatient Aetna Us Healthcare Aetna Sc Preferred $0.06 $0.10 $0.07 2026-09-21 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both AETNA [2000] PHM HB AETNA SC PREFERRED $0.06 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Centrus Health Direct Non-Exclusive $0.06 $0.13 $0.04 2026-03-06 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE HEALTHCARE $0.06 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both MERITAIN HEALTH CONTRACTED [2200] PHM HB AETNA SC PREFERRED $0.06 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both MAGELLAN BEHAVIORAL CONTRACTED [3198] PHU HB MAGELLAN BEHAVIORAL $0.06 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both PROMISE HEALTH PLAN CONTRACTED [2401] PH HB PROMISE HEALTHCARE $0.06 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility BCBS of KC PC $0.06 $0.10 $0.03 2026-03-06 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both MERITAIN HEALTH CONTRACTED [2200] PHU HB AETNA SC PREFERRED $0.06 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both BOB JONES UNIV-PAI [821] GHS HB MyHFN BOB JONES PAI $0.06 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility BCBS of KC FN $0.06 $0.10 $0.03 2026-03-06 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both BOB JONES UNIV-PAI [821] GHS HB MyHFN BOB JONES PAI $0.06 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both AETNA [2000] PHU HB AETNA SC PREFERRED $0.06 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both AETNA [2000] PHU HB AETNA SC PREFERRED $0.06 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both CIGNA [2800] PHU HB CIGNA $0.07 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility MultiPlan Primary Network $0.07 $0.10 $0.03 2026-03-06 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both PREFERRED ADMINISTRATORS CONTRACTED [2839] PH HB PREFERRED ADMINISTRATORS $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both EVERNORTH BEHAVIORAL CONTRACTED [2982] PHM HB CIGNA - MIDLANDS $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both MVP HEALTH CARE [3037] PHU HB CIGNA $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both CIGNA [2800] PHM HB CIGNA - MIDLANDS $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both MEDCOST [2940] PH HB MEDCOST BENEFIT SERVICES $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both MEDCOST [2940] PH HB MEDCOST BENEFIT SERVICES $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both EVERNORTH BEHAVIORAL CONTRACTED [2982] PHU HB CIGNA $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both MVP HEALTH CARE [3037] PHU HB CIGNA $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Outpatient Preferred Care, Inc Preferred Administrators $0.07 $0.10 $0.07 2026-09-21 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both PREFERRED ADMINISTRATORS CONTRACTED [2839] PH HB PREFERRED ADMINISTRATORS $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both EVERNORTH BEHAVIORAL CONTRACTED [2982] PHM HB CIGNA - MIDLANDS $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both PREFERRED ADMINISTRATORS CONTRACTED [2839] PH HB PREFERRED ADMINISTRATORS $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both PREFERRED ADMINISTRATORS CONTRACTED [2839] PH HB PREFERRED ADMINISTRATORS $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both CIGNA [2800] PHM HB CIGNA - MIDLANDS $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both MEDCOST [2940] PH HB MEDCOST BENEFIT SERVICES $0.07 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility BCBS of KC PAR $0.07 $0.10 $0.03 2026-03-06 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both CIGNA [2800] PHU HB CIGNA $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both EVERNORTH BEHAVIORAL CONTRACTED [2982] PHU HB CIGNA $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both MEDCOST [2940] PH HB MEDCOST BENEFIT SERVICES $0.07 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Inpatient Medcost Medcost Benefit Services $0.07 $0.10 $0.07 2026-09-21 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both AETNA-LUMINARE CONTRACTED [2400] PHM HB AETNA COMMERCIAL - MIDLANDS $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both NIPPON [2300] PHM HB AETNA COMMERCIAL - MIDLANDS $0.08 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility QuikTrip Commercial $0.08 $0.13 $0.04 2026-03-06 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both AETNA [2000] PHM HB AETNA COMMERCIAL - MIDLANDS $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both APS HEALTHCARE SYSTEM [2981] GHS HB AMERICAN PSYCH SERVICES (APS) $0.08 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Aetna First Health $0.08 $0.10 $0.03 2026-03-06 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both AETNA VOLUNTARY PLAN [2500] PHM HB AETNA COMMERCIAL - MIDLANDS $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both ATLANTIC PACKAGING CONTRACTED [4833] PH HB ATLANTIC PACKAGING $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both AETNA-LUMINARE CONTRACTED [2400] PHM HB AETNA COMMERCIAL - MIDLANDS $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both APS HEALTHCARE SYSTEM [2981] GHS HB AMERICAN PSYCH SERVICES (APS) $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both ATLANTIC PACKAGING CONTRACTED [4833] PH HB ATLANTIC PACKAGING $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both MERITAIN HEALTH CONTRACTED [2200] PHM HB AETNA COMMERCIAL - MIDLANDS $0.08 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility MultiPlan Complementary Network $0.08 $0.10 $0.03 2026-03-06 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both HUMANA [2930] PHM CHOICECARE - MIDLANDS $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both MEDCOST [2940] PH HB MEDCOST $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both MERITAIN HEALTH CONTRACTED [2200] PHU HB AETNA $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Inpatient Medcost Preferred Medcost $0.08 $0.10 $0.07 2026-09-21 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Outpatient Aps Healthcare Bethesda Inc Aps Healthcare $0.08 $0.10 $0.07 2026-09-21 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both ATLANTIC PACKAGING CONTRACTED [4833] PH HB ATLANTIC PACKAGING $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Outpatient Aetna Us Healthcare Aetna $0.08 $0.10 $0.07 2026-09-21 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both MEDCOST [2940] PH HB MEDCOST $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both AETNA VOLUNTARY PLAN [2500] PHM HB AETNA COMMERCIAL - MIDLANDS $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both AETNA [2000] PHU HB AETNA $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both APS HEALTHCARE SYSTEM [2981] GHS HB AMERICAN PSYCH SERVICES (APS) $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both AETNA-LUMINARE CONTRACTED [2400] PHU HB AETNA $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Outpatient Tricare Humana Military Tricare Humana Military $0.08 $0.10 $0.07 2026-09-21 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Outpatient Cigna Behavioral Health Cigna Behavioral Health $0.08 $0.10 $0.07 2026-09-21 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Inpatient Atlantic Packaging Atlantic Packaging $0.08 $0.10 $0.07 2026-09-21 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both NIPPON [2300] PHM HB AETNA COMMERCIAL - MIDLANDS $0.08 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility BCBS of KC FN $0.08 $0.13 $0.04 2026-03-06 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both MEDCOST [2940] PH HB MEDCOST $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both MERITAIN HEALTH CONTRACTED [2200] PHU HB AETNA $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both MERITAIN HEALTH CONTRACTED [2200] PHM HB AETNA COMMERCIAL - MIDLANDS $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH HILLCREST HOSPITAL Outpatient Tricare Tricare $0.08 $0.10 $0.07 2026-09-21 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility BCBS of KC PC $0.08 $0.13 $0.04 2026-03-06 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both HUMANA [2930] PHM CHOICECARE - MIDLANDS $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both AETNA [2000] PHM HB AETNA COMMERCIAL - MIDLANDS $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both APS HEALTHCARE SYSTEM [2981] GHS HB AMERICAN PSYCH SERVICES (APS) $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both ATLANTIC PACKAGING CONTRACTED [4833] PH HB ATLANTIC PACKAGING $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both MEDCOST [2940] PH HB MEDCOST $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both AETNA [2000] PHU HB AETNA $0.08 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both AETNA-LUMINARE CONTRACTED [2400] PHU HB AETNA $0.08 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility MultiPlan Primary Network $0.09 $0.13 $0.04 2026-03-06 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both FIRST HEALTH CONTRACTED [2952] PHM HB AETNA FIRST HEALTH (AKA RENTAL) - MIDLANDS $0.09 $0.10 $0.06 2026-03-01 MRF ↗
NORTH KANSAS CITY HOSPITAL OutpatientFacility Wellfit Exclusive Network $0.09 $0.25 $0.07 2026-03-06 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Both FURMAN INT/ALLEN UNIVERSITY STUDENT [2951] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $0.09 $0.10 $0.06 2026-03-01 MRF ↗
SUMMA WESTERN RESERVE HOSPITAL BothFacility UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO INC - Medicaid United Healthcare — — — 2026-01-01 MRF ↗
SUMMA WESTERN RESERVE HOSPITAL BothFacility AETNA - Commercial-Indemnity Aetna — — — 2026-01-01 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL Both FIRST HEALTH CONTRACTED [2952] PHM HB AETNA FIRST HEALTH (AKA RENTAL) - MIDLANDS $0.09 $0.10 $0.06 2026-03-01 MRF ↗
SUMMA WESTERN RESERVE HOSPITAL BothFacility UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO United Healthcare — — — 2026-01-01 MRF ↗
SUMMA WESTERN RESERVE HOSPITAL BothFacility UNITEDHEALTHCARE - Commercial-PPO United Healthcare — — — 2026-01-01 MRF ↗
SUMMA WESTERN RESERVE HOSPITAL BothFacility UNITED HEALTHCARE INSURANCE COMPANY - Commercial-PPO United Healthcare — — — 2026-01-01 MRF ↗
NORTH KANSAS CITY HOSPITAL InpatientFacility Occunet Network Commercial $0.09 $0.25 $0.07 2026-03-06 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both VSP VISION CARE [2986] GHS HB VISION SERVICE PLAN (VSP) $0.09 $0.10 $0.06 2026-03-01 MRF ↗
SUMMA WESTERN RESERVE HOSPITAL BothFacility AETNA - Commercial-HMO Aetna — — — 2026-01-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both QUIKTRIP-FIRST HEALTH [3067] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $0.09 $0.10 $0.06 2026-03-01 MRF ↗
SUMMA WESTERN RESERVE HOSPITAL BothFacility UNITEDHEALTHCARE - Commercial-HMO United Healthcare — — — 2026-01-01 MRF ↗
SUMMA WESTERN RESERVE HOSPITAL BothFacility UMR - Commercial-PPO United Healthcare — — — 2026-01-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both MULTIPLAN/PHCS CONTRACTED [2950] PH HB MULTIPLAN $0.09 $0.10 $0.06 2026-03-01 MRF ↗
SUMMA WESTERN RESERVE HOSPITAL BothFacility UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS United Healthcare — — — 2026-01-01 MRF ↗
SUMMA WESTERN RESERVE HOSPITAL BothFacility AETNA - Commercial-PPO Aetna — — — 2026-01-01 MRF ↗
SUMMA WESTERN RESERVE HOSPITAL BothFacility UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO United Healthcare — — — 2026-01-01 MRF ↗
SUMMA WESTERN RESERVE HOSPITAL BothFacility AETNA - Commercial-POS Aetna — — — 2026-01-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both FURMAN INT/ALLEN UNIVERSITY STUDENT [2951] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $0.09 $0.10 $0.06 2026-03-01 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both FIRST HEALTH CONTRACTED [2952] PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) $0.09 $0.10 $0.06 2026-03-01 MRF ↗

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