Price Transparency 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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J9302 — Ofatumumab Injection

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

Typical negotiated price $226

Usually $70–$1,988 (25th–75th percentile) across 1,415 hospitals · 3,348 payers.

“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9302 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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

Hospital rates (per row)

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

Hospital Payer Plan Negotiated rate Gross Cash Observed Source
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient None $89,803.25 $44,901.63 2024-12-15 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient None $89,803.25 $44,901.63 2024-12-15 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $0.97 $261.75 $248.66 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $0.97 $261.75 $248.66 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $0.97 $261.75 $248.66 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $0.99 $261.75 $248.66 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.05 $261.75 $248.66 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.09 $295.86 $281.06 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.09 $295.86 $281.06 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.09 $295.86 $281.06 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.12 $303.44 $288.27 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.12 $303.44 $288.27 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility UnitedHealth Group of WI Medicare Advantage $1.12 $303.44 $288.27 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.12 $295.86 $281.06 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.15 $295.86 $281.06 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.15 $303.44 $288.27 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.18 $295.86 $281.06 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.18 $303.44 $288.27 2026-02-20 MRF ↗
FLAMBEAU HOSPITAL OutpatientFacility Point Comfort Underwriters Organizational $1.21 $303.44 $288.27 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.26 $261.75 $248.66 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.26 $261.75 $248.66 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.28 $261.75 $248.66 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $1.28 $261.75 $248.66 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.28 $261.75 $248.66 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.28 $261.75 $248.66 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.31 $261.75 $248.66 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.33 $261.75 $248.66 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.36 $261.75 $248.66 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.41 $261.75 $248.66 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.42 $295.86 $281.06 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.42 $295.86 $281.06 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.45 $295.86 $281.06 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.45 $295.86 $281.06 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $1.45 $295.86 $281.06 2026-02-20 MRF ↗
BOSTON CHILDREN'S HOSPITAL Both Optum/URN COMM Inpatient $2,939.28 $2,939.28 2026-04-01 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.45 $295.86 $281.06 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.46 $303.44 $288.27 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.46 $303.44 $288.27 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.48 $295.86 $281.06 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Point Comfort Underwriters Organizational $1.49 $303.44 $288.27 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Veteran's Administration (VA CCN) VA Network $1.49 $303.44 $288.27 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.49 $303.44 $288.27 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Security Health Plan (SHP) Medicare Advantage $1.49 $303.44 $288.27 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.51 $295.86 $281.06 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Anthem BCBS of WI Medicare Advantage $1.52 $303.44 $288.27 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.54 $295.86 $281.06 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.55 $303.44 $288.27 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Group Health Cooperative of Eau Claire Medicare Advantage $1.58 $303.44 $288.27 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.60 $295.86 $281.06 2026-02-20 MRF ↗
MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility Point Comfort Underwriters Organizational $1.64 $303.44 $288.27 2026-02-20 MRF ↗
LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility Blue Shield of California Commercial/IFP $3.68 2026-03-18 MRF ↗
SAMARITAN MEDICAL CENTER OutpatientFacility MVP Small/Large Group Commercial (HMO, EPO/PPO, ASO) Plans $6.50 $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER OutpatientFacility MVP Student Health Plans $6.50 $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER OutpatientFacility MVP Individual Commercial (HMO, EPO/PPO) Plans $6.50 $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER OutpatientFacility UMR Commercial $6.80 $10.00 $10.00 2026-02-02 MRF ↗
MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient Peach State MGMCD $7.97 2024-10-01 MRF ↗
SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient Peach State MGMCD $7.97 2024-10-01 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility MVP Student Health Plans $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility GHI Emblem Commercial $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Fidelis Medicare Advantage/Managed Long Term Care $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Excellus Medicare Advantage $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Capital District Physician's Health Plan, Inc (CDPHP) Managed Medicaid $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Capital District Physician's Health Plan, Inc (CDPHP) Commercial $8.00 $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Capital District Physician's Health Plan, Inc (CDPHP) Medicare Advantage $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility MVP Essential Plan 3-4 $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility United Healthcare Managed Medicaid $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Optum Behavioral Health Commercial $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility MVP Medicare Advantage $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Excellus Managed Medicaid $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility MVP Small/Large Group Commercial (HMO, EPO/PPO, ASO) Plans $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility United Healthcare Commercial $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Wellcare Medicare Advantage $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Aetna Medicare Advantage $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Aetna Commercial $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Capital District Physician's Health Plan, Inc (CDPHP) Essential Plan $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Empire Commercial $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Fidelis Essential Plan Program/Aliessa and Essential Plan Program-QHP $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Fidelis Medicaid Managed Care/Child Health Plus and Family Health Plus $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility UMR Commercial $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Excellus Commercial $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility MVP New York State Government Program $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility United Healthcare Medicare Advantage $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility MVP Essential Plan 1-2 and 5-6 $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility Fidelis Health Benefit Exchange $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER InpatientFacility MVP Individual Commercial (HMO, EPO/PPO) Plans $10.00 $10.00 2026-02-02 MRF ↗
SAMARITAN MEDICAL CENTER OutpatientFacility GHI Emblem Commercial $8.30 $10.00 $10.00 2026-02-02 MRF ↗
STORMONT VAIL HOSPITAL Both UHC UHC Commercial $8.42 $12.96 2025-12-19 MRF ↗
STORMONT VAIL HOSPITAL Both Cigna Cigna Commercial $8.42 $12.96 2025-12-19 MRF ↗
STORMONT VAIL HOSPITAL Both Aetna Aetna Commercial $8.42 $12.96 2025-12-19 MRF ↗
STORMONT VAIL HOSPITAL Both Aetna Aetna Commercial $8.42 $12.96 2025-12-19 MRF ↗
STORMONT VAIL HEALTH FLINT HILLS, LLC Both Cigna Cigna Commercial $8.42 $12.96 2025-12-19 MRF ↗
STORMONT VAIL HEALTH FLINT HILLS, LLC Both UHC UHC Commercial $8.42 $12.96 2025-12-19 MRF ↗
STORMONT VAIL HOSPITAL Both Cigna Cigna Commercial $8.42 $12.96 2025-12-19 MRF ↗
STORMONT VAIL HOSPITAL Both UHC UHC Commercial $8.42 $12.96 2025-12-19 MRF ↗
STORMONT VAIL HEALTH FLINT HILLS, LLC Both Aetna Aetna Commercial $8.42 $12.96 2025-12-19 MRF ↗
SAMARITAN MEDICAL CENTER OutpatientFacility Aetna Commercial $8.50 $10.00 $10.00 2026-02-02 MRF ↗
ADVENTHEALTH GORDON Outpatient Amerigroup_Community_Care Medicaid_HMO $9.00 $79.95 $39.98 2024-12-15 MRF ↗
DAVIESS COMMUNITY HOSPITAL Outpatient PATOKA VALLEY-ALL PLANS PATOKA VALLEY-ALL PLANS $10.00 $20.00 $14.00 2026-01-10 MRF ↗
ADVENTHEALTH GORDON Outpatient Caresource_GA_Medicaid Medicaid_HMO $10.00 $79.95 $39.98 2024-12-15 MRF ↗
MACNEAL HOSPITAL OutpatientFacility BCBS IL PPO $10.70 2026-03-31 MRF ↗
STORMONT VAIL HOSPITAL Both Multiplan Multiplan Commercial $11.40 $12.96 2025-12-19 MRF ↗
STORMONT VAIL HEALTH FLINT HILLS, LLC Both Multiplan Multiplan Commercial $11.40 $12.96 2025-12-19 MRF ↗
STORMONT VAIL HOSPITAL Both Multiplan Multiplan Commercial $11.40 $12.96 2025-12-19 MRF ↗
DAVIESS COMMUNITY HOSPITAL Outpatient ST. VINCENT HEALTH - ALL PLANS ST. VINCENT HEALTH - ALL PLANS $13.00 $20.00 $14.00 2026-01-10 MRF ↗
Adventhealth Zephyrhills Outpatient United_HealthCare Exchange $13.00 $79.95 $39.98 2024-12-15 MRF ↗
UPMC LITITZ OutpatientFacility Prime Net Managed Medicare $13.53 $101.00 $60.60 2026-03-06 MRF ↗
JAY HOSPITAL OutpatientFacility WELLCARE MCARE HMO DUAL PLAN $13.69 $3,242.00 $486.30 2025-12-23 MRF ↗
JAY HOSPITAL OutpatientFacility WELLCARE MCARE HMO $13.69 $3,242.00 $486.30 2025-12-23 MRF ↗
UPMC CARLISLE OutpatientFacility Prime Net Managed Medicare $13.84 $101.00 $60.60 2026-03-06 MRF ↗
UPMC CARLISLE OutpatientFacility Prime Net Managed Medicare $13.84 $101.00 $60.60 2026-03-06 MRF ↗
DAVIESS COMMUNITY HOSPITAL Outpatient AETNA - ALL OTHER PLANS AETNA - ALL OTHER PLANS $16.00 $20.00 $14.00 2026-01-10 MRF ↗
UPMC LITITZ OutpatientFacility Prime Net Managed Medicare $16.08 $120.00 $72.00 2026-03-06 MRF ↗
UM Capital Region Medical Center OutpatientFacility Medica with MU Health Exchange $16.34 $47.63 $28.58 2025-12-15 MRF ↗
UPMC CARLISLE OutpatientFacility Prime Net Managed Medicare $16.44 $120.00 $72.00 2026-03-06 MRF ↗
UPMC CARLISLE OutpatientFacility Prime Net Managed Medicare $16.44 $120.00 $72.00 2026-03-06 MRF ↗
DAVIESS COMMUNITY HOSPITAL Outpatient ENCORE PPO-ALL PLANS ENCORE PPO-ALL PLANS $16.50 $20.00 $14.00 2026-01-10 MRF ↗
UPMC MEMORIAL OutpatientFacility Prime Net Managed Medicare $16.66 $101.00 $60.60 2026-03-06 MRF ↗
UM Capital Region Medical Center BothFacility Immergun Direct $16.67 $47.63 $28.58 2025-12-15 MRF ↗
UM Capital Region Medical Center InpatientFacility Medica with MU Health Exchange $16.67 $47.63 $28.58 2025-12-15 MRF ↗
DAVIESS COMMUNITY HOSPITAL Outpatient UHC - ALL PLANS UHC - ALL PLANS $16.80 $20.00 $14.00 2026-01-10 MRF ↗
RANGE REGIONAL HEALTH SERVICES OutpatientFacility Blue Cross of Minnesota PMAP $17.98 2026-01-29 MRF ↗
DAVIESS COMMUNITY HOSPITAL Outpatient SIHO-ALL PLANS SIHO-ALL PLANS $18.00 $20.00 $14.00 2026-01-10 MRF ↗
UPMC HANOVER OutpatientFacility Keystone Health Plan Medicare Advantage $19.19 $101.00 $60.60 2026-03-06 MRF ↗
UPMC HANOVER OutpatientFacility Capital Blue Cross Medicare Advantage $19.19 $101.00 $60.60 2026-03-06 MRF ↗
UPMC HANOVER OutpatientFacility Capital Blue Cross Medicare Advantage $19.19 $101.00 $60.60 2026-03-06 MRF ↗
UPMC HANOVER OutpatientFacility Keystone Health Plan Medicare Advantage $19.19 $101.00 $60.60 2026-03-06 MRF ↗
DAVIESS COMMUNITY HOSPITAL Outpatient SAGAMORE VALLEY-ALL PLANS SAGAMORE VALLEY-ALL PLANS $19.40 $20.00 $14.00 2026-01-10 MRF ↗
UPMC MEMORIAL OutpatientFacility Prime Net Managed Medicare $19.80 $120.00 $72.00 2026-03-06 MRF ↗
DAVIESS COMMUNITY HOSPITAL Outpatient AETNA MCR ADV AETNA MCR ADV $20.00 $20.00 $14.00 2026-01-10 MRF ↗
Adventhealth Zephyrhills Outpatient Centivo PPO $20.00 $79.95 $39.98 2024-12-15 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Tricare Tricare $101.00 $60.60 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility US Family Health Plan Tricare Prime $101.00 $60.60 2026-03-06 MRF ↗
UPMC CARLISLE OutpatientFacility Capital Blue Cross Medicare Advantage $20.20 $101.00 $60.60 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Capital Blue Cross Medicare Advantage $20.20 $101.00 $60.60 2026-03-06 MRF ↗
UPMC CARLISLE OutpatientFacility Keystone Health Plan Medicare Advantage $20.20 $101.00 $60.60 2026-03-06 MRF ↗
UPMC MEMORIAL OutpatientFacility Keystone Health Plan Medicare Advantage $20.20 $101.00 $60.60 2026-03-06 MRF ↗
UPMC LITITZ OutpatientFacility Capital Blue Cross Medicare Advantage $20.20 $101.00 $60.60 2026-03-06 MRF ↗
UPMC CARLISLE OutpatientFacility Keystone Health Plan Medicare Advantage $20.20 $101.00 $60.60 2026-03-06 MRF ↗
UPMC CARLISLE OutpatientFacility Capital Blue Cross Medicare Advantage $20.20 $101.00 $60.60 2026-03-06 MRF ↗
UPMC LITITZ OutpatientFacility Keystone Health Plan Medicare Advantage $20.20 $101.00 $60.60 2026-03-06 MRF ↗
UPMC MEMORIAL OutpatientFacility Capital Blue Cross Medicare Advantage $20.20 $101.00 $60.60 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Keystone Health Plan Medicare Advantage $20.20 $101.00 $60.60 2026-03-06 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility BCBS-OK Blue Choice $20.32 $175.74 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility Global Health HMO $175.74 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility Community Care HMO $175.74 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility BCBS-OK Blue Preferred $20.32 $175.74 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility BCBS-OK Blue Lincs $20.32 $175.74 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility Healthcare Highways All Plans $175.74 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility United Healthcare All Plans $175.74 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility Aetna PPO $175.74 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility BCBS-OK Traditional $20.32 $175.74 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility Cigna New Business $175.74 2026-03-31 MRF ↗
COMMUNITY HOSPITAL, LLC OutpatientFacility BCBS-OK Blue Advantage $20.32 $175.74 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility BCBS-OK Blue Lincs $20.32 $175.74 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility United Healthcare All Plans $175.74 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility BCBS-OK Blue Preferred $20.32 $175.74 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility Aetna PPO $175.74 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility Community Care HMO $175.74 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility BCBS-OK Traditional $20.32 $175.74 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility Healthcare Highways All Plans $175.74 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility Cigna New Business $175.74 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility BCBS-OK Blue Advantage $20.32 $175.74 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility Global Health HMO $175.74 2026-03-31 MRF ↗
NORTHWEST SURGICAL HOSPITAL OutpatientFacility BCBS-OK Blue Choice $20.32 $175.74 2026-03-31 MRF ↗
UM Capital Region Medical Center OutpatientFacility United Healthcare Custom $20.48 $47.63 $28.58 2025-12-15 MRF ↗
ADVENTHEALTH OTTAWA Outpatient WPPA PPO $21.00 $79.95 $39.98 2024-12-15 MRF ↗
ADVENTHEALTH OTTAWA Outpatient Cigna_HealthCare HMO_PPO $79.95 $39.98 2024-12-15 MRF ↗
Adventhealth Zephyrhills Outpatient Aetna QHP_Exchange $21.00 $79.95 $39.98 2024-12-15 MRF ↗
ALTRU HOSPITAL OutpatientFacility Medica Medicaid Managed Care Plan $21.13 2026-03-01 MRF ↗
ALTRU HOSPITAL OutpatientFacility Medica Medicaid Managed Care Plan – Hmo $21.13 2026-03-01 MRF ↗
OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility BCBS Advantage $21.73 2025-10-31 MRF ↗
OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility BCBS Bluelincs $21.73 2025-10-31 MRF ↗
Adventhealth Zephyrhills Outpatient AMPS PPO $22.00 $79.95 $39.98 2024-12-15 MRF ↗
UPMC HANOVER OutpatientFacility Capital Blue Cross Medicare Advantage $22.80 $120.00 $72.00 2026-03-06 MRF ↗
UPMC HANOVER OutpatientFacility Keystone Health Plan Medicare Advantage $22.80 $120.00 $72.00 2026-03-06 MRF ↗
UPMC HANOVER OutpatientFacility Capital Blue Cross Medicare Advantage $22.80 $120.00 $72.00 2026-03-06 MRF ↗
UPMC HANOVER OutpatientFacility Keystone Health Plan Medicare Advantage $22.80 $120.00 $72.00 2026-03-06 MRF ↗
HELEN NEWBERRY JOY HOSPITAL Outpatient MI WC - ALL PLANS MI WC - ALL PLANS $23.03 $63.96 $40.29 2026-01-27 MRF ↗
UM Capital Region Medical Center OutpatientFacility United Healthcare Direct PPO $23.34 $47.63 $28.58 2025-12-15 MRF ↗
UM Capital Region Medical Center OutpatientFacility United Healthcare Customer Specific $23.82 $47.63 $28.58 2025-12-15 MRF ↗
UM Capital Region Medical Center OutpatientFacility United Healthcare PPO/HMO $23.82 $47.63 $28.58 2025-12-15 MRF ↗
UM Capital Region Medical Center OutpatientFacility United Healthcare Exchange $23.82 $47.63 $28.58 2025-12-15 MRF ↗
UM Capital Region Medical Center InpatientFacility Aetna Missouri Preferred PPO $23.82 $47.63 $28.58 2025-12-15 MRF ↗
UPMC LITITZ OutpatientFacility Capital Blue Cross Medicare Advantage $24.00 $120.00 $72.00 2026-03-06 MRF ↗
UPMC CARLISLE OutpatientFacility Keystone Health Plan Medicare Advantage $24.00 $120.00 $72.00 2026-03-06 MRF ↗
UPMC CARLISLE OutpatientFacility Capital Blue Cross Medicare Advantage $24.00 $120.00 $72.00 2026-03-06 MRF ↗
Adventhealth Zephyrhills Outpatient Health_First_Health HMO_PPO $24.00 $79.95 $39.98 2024-12-15 MRF ↗
UPMC LITITZ OutpatientFacility Keystone Health Plan Medicare Advantage $24.00 $120.00 $72.00 2026-03-06 MRF ↗
UPMC MEMORIAL OutpatientFacility Capital Blue Cross Medicare Advantage $24.00 $120.00 $72.00 2026-03-06 MRF ↗
UPMC CARLISLE OutpatientFacility Keystone Health Plan Medicare Advantage $24.00 $120.00 $72.00 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Capital Blue Cross Medicare Advantage $24.00 $120.00 $72.00 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Keystone Health Plan Medicare Advantage $24.00 $120.00 $72.00 2026-03-06 MRF ↗
UPMC MEMORIAL OutpatientFacility Keystone Health Plan Medicare Advantage $24.00 $120.00 $72.00 2026-03-06 MRF ↗
UPMC CARLISLE OutpatientFacility Capital Blue Cross Medicare Advantage $24.00 $120.00 $72.00 2026-03-06 MRF ↗
UPMC CARLISLE OutpatientFacility Prime Net Managed Medicare $24.44 $101.00 $60.60 2026-03-06 MRF ↗
UPMC PINNACLE HOSPITALS OutpatientFacility Prime Net Managed Medicare $24.44 $101.00 $60.60 2026-03-06 MRF ↗
UPMC MEMORIAL OutpatientFacility Prime Net Managed Medicare $24.44 $101.00 $60.60 2026-03-06 MRF ↗
UPMC CARLISLE OutpatientFacility Prime Net Managed Medicare $24.44 $101.00 $60.60 2026-03-06 MRF ↗
UPMC LITITZ OutpatientFacility Prime Net Managed Medicare $24.44 $101.00 $60.60 2026-03-06 MRF ↗
UPMC HANOVER OutpatientFacility Prime Net Managed Medicare $24.44 $101.00 $60.60 2026-03-06 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.