J9299 — Nivolumab 40 Mg/4 Ml Intravenous Solution
Cite this view
HANK Price Transparency. (n.d.). NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION (HCPCS J9299) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9299?code_type=HCPCS
“NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION (HCPCS J9299) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9299?code_type=HCPCS. Accessed .
“NIVOLUMAB 40 MG/4 ML INTRAVENOUS SOLUTION (HCPCS J9299) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9299?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
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).
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 |
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.
- 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
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.