J9302 — Ofatumumab Injection
Cite this view
HANK Price Transparency. (n.d.). Ofatumumab injection (HCPCS J9302) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9302?code_type=HCPCS
“Ofatumumab injection (HCPCS J9302) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9302?code_type=HCPCS. Accessed .
“Ofatumumab injection (HCPCS J9302) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9302?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
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.