J9304 — Inj. Pemetrexed, 10 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj. pemetrexed, 10 mg (HCPCS J9304) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9304?code_type=HCPCS
MLA (9th ed.)
“Inj. pemetrexed, 10 mg (HCPCS J9304) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9304?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj. pemetrexed, 10 mg (HCPCS J9304) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9304?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $51–$124 (25th–75th percentile) across 1,428 hospitals · 1,441 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9304 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$51
$66 typical
$124
The middle 50% of negotiated facility rates for this procedure, measured across 1,428 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $66 |
| Likely subtotal | $66 |
Facility charge (no separate professional fee)
$66
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 $51–$124.
- 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 |
|---|---|---|---|---|---|---|---|
| SUMMIT MEDICAL CENTER Outpatient | BCBS Blue Lincs HMO | BCBS Blue Lincs HMO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Advantage PPO | BCBS Advantage PPO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Preferred | BCBS Preferred | $0.18 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Choice | BCBS Choice | $0.21 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Traditional | BCBS Traditional | $0.24 | — | — | 2026-08-30 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Humana Military Tricare | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | OSMA Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Cigna | PPO/POS | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Cigna | PPO/POS | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Friday Health Plan | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Friday Health Plan | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Humana Military Tricare | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | OSMA Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Humana ChoiceCare | Commercial | $0.46 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Coventry | Commercial | $0.46 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | St. Lawrence-Lewis Program/STLLC | School Employee Program | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Medicare Advantage | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Managed Medicaid | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Fidelis | Medicare Advantage | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Beacon Health Options | Behavioral Health/All Products | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Essential Medicaid 1-2/5-6 | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Commercial | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Commercial | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Logistic Health Inc. | Commercial | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Group Commercial | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Essential Medicaid 3-4 | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Commercial | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Managed Medicaid | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Medicare Advantage | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Fidelis | Managed Medicaid | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Commercial | $0.50 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Telemedicine Program | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Medicare Advantage | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Individual Commercial | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Department of Correctional Services DOCCCS | Managed Medicaid | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Medicare Advantage | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Nascentia/VNA Homecare Options Inc. | Medicare Advantage/Medicaid Long Term Care | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Managed Medicaid | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Emblem/GHI | Commercial | — | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Blue Cross Blue Shield/Excellus | Managed Medicaid | $0.68 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $399.00 | $299.25 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $399.00 | $299.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $399.00 | $299.25 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $399.00 | $299.25 | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $399.00 | $299.25 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $399.00 | $299.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $399.00 | $299.25 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $399.00 | $299.25 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Multiplan/PHCS | Commercial | $1.19 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $1.48 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Commercial/Group Health | $1.60 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Commercial | $1.71 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Department of Correctional Services DOCCCS | Managed Medicaid | $1.82 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Blue Cross Blue Shield/Excellus | Commercial | $1.88 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Cigna/MVP | Group Commercial | $1.89 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Coventry | Commercial | $2.05 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | St. Lawrence-Lewis Program/STLLC | School Employee Program | $2.10 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Emblem/GHI | Commercial | $2.12 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Multiplan/PHCS | Commercial | $2.17 | $2.28 | $1.82 | 2025-01-28 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $4.17 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $4.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $4.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $4.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $4.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $4.18 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $4.18 | — | — | 2026-04-17 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | Cle-Care Hmo | $4.35 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Independent Health Association | Essential Plan Medicaid Managed Care Plan | $4.65 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Independent Health Association - Wchob | Essential Plan Medicaid Managed Care Plan | $4.83 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs | Advantage - Healthnow Medicare Managed Care Plan | $5.45 | — | — | 2026-04-01 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $5.64 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $5.64 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $5.64 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $5.64 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $5.64 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $5.64 | — | — | 2026-04-17 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | All Commercial Plans | $5.80 | — | — | 2026-04-01 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $6.00 | — | — | 2026-09-25 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs | Healthnow Standard Exchange | $6.18 | — | — | 2026-04-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthfirst | Commercial | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Fidelis | Essential Aliessa/Qhp | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Fidelis | Health Benefit Exchange | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Metroplus | Essential 3/4 Aliessa | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Metroplus | Medicaid/Child Health Plus/Gold/Harp | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Metroplus | Essential 1/2 Non Aliessa | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Affinity | Medicaid/Harp/Essential 3, 4/Child Plus | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Emblem Health | Ghi Ppo/Epo/Hmo | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Emblem Health | Hip Ppo/Epo/Vytra | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Affinity | Essential 1, 2 | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Cigna | Commercial | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Fidelis | Medicaid Managed Care/Child Health Plus | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Multiplan | Commercial | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Blue Cross | Blue Access/Small Group | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthplus | Essential | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Blue Cross | Epo/Hmo/Indemnity/Ppo | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Aetna | Commercial | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Magnacare | Commercial | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs - Wchob | Healthnow Standard Exchange | $6.19 | — | — | 2026-04-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Emblem Health | Hip Medicaid/Fhp/Chp | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Carelon | Medicaid/Child Health Plus/Harp/Essentia | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Hamaspik | Medicaid | — | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Fidelis | Medicare/Medicaid Advantage Plus | $6.19 | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs | Healthnow Standard Exchange | $6.33 | — | — | 2026-04-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Fidelis Care Essen Plan Other | Managed Medicaid | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Fidelis Care Essen Plan Aliessa | Managed Medicaid | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Fidelis Care Health Benefit Exch | Managed Medicaid | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Choice Health Plan | Managed Medicaid | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Blue Cross Blue Shield Empire Indem | Commercial | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Emblem Health Hmo/Ppo | Commercial | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Affinity Ep 1 And 2 | Managed Medicaid | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Affinity Ep 3 And 4 | Managed Medicaid | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Blue Cross Blue Shield Access Large Group | Commerc | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Affinity Child Health Plan | Managed Medicaid | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Magnacare | Commercial | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Healthfirst | Child Health Plus | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Emblem Health | Commercial | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Fidelis Care | Managed Medicaid | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Healthfirst | Managed Medicaid | $6.39 | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Vns Choice | Managed Medicaid | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Healthfirst Essential Plan 1 And 2 | Commercial | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Affinity | Managed Medicaid | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Healthfirst Essential Plan 3-4 | Commercial | $6.39 | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | United Healthcare | Managed Medicaid | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| BROOKLYN HOSPITAL CENTER - DOWNTOWN CAMPUS Outpatient | Non | Contracted Commercial | — | $252.03 | $252.03 | 2026-08-01 | MRF ↗ |
| PROVIDENCE MEDFORD MEDICAL CENTER OutpatientFacility | Kaiser | Medicaid Managed Care Plan | $6.40 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Independent Health Association | Bradford Medicare Managed Care Plan | $6.43 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny - Bradford | All Commercial Plans | $6.43 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Hmo/Pos | $6.43 | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR HEALTH DOWNTOWN CAMPUS OutpatientFacility | Blue Cross | Anthem Priority Select Other Commercial Plan | $6.49 | — | — | 2026-04-01 | MRF ↗ |
| PALOMAR MEDICAL CENTER POWAY OutpatientFacility | Blue Cross | Anthem Priority Select Other Commercial Plan | $6.49 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Independent Health Association | Medicare Managed Care Plan | $6.51 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Highmark - Bradford | My Direct Blue Epo | $6.54 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Medicare Managed Care Plan | $6.60 | — | — | 2026-04-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthfirst | Medicare | $6.63 | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny - Bradford | All Commercial Plans | $6.78 | — | — | 2026-04-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthfirst | Medicaid/Harp | $6.79 | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthfirst | Chp | $6.79 | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| PROVIDENCE ST. JUDE MEDICAL CENTER OutpatientFacility | Providence | Oscar All Commercial Plans | $6.79 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE MISSION HOSPITAL OutpatientFacility | Providence | Oscar All Commercial Plans | $6.79 | — | — | 2026-04-01 | MRF ↗ |
| PROVIDENCE ST PETER HOSPITAL OutpatientFacility | Unitedhealthcare | Navigate Other Commercial Plan | $6.79 | — | — | 2026-04-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | $6.79 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | $6.79 | — | — | 2026-07-01 | MRF ↗ |
| PROVIDENCE ST. JOSEPH HOSPITAL OutpatientFacility | Providence | Oscar All Commercial Plans | $6.79 | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Unitedhealthcare | Medicare Managed Care Plan | $6.82 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs | Align - Healthnow Other Commercial Plan | $6.87 | — | — | 2026-04-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs - Wchob | Align - Healthnow Other Commercial Plan | $6.87 | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care Plan | $6.99 | — | — | 2026-04-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $7.02 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $7.02 | — | — | 2024-10-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs | Align - Healthnow Other Commercial Plan | $7.04 | — | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $7.04 | — | — | 2026-04-01 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Bcbs - Western Ny | Hmo/Pos | $7.16 | — | — | 2026-04-01 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | HealthNet Sante - Sub Cap Dual Risk | Medicare Advantage | $7.19 | — | — | 2026-06-18 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | HealthNet Sante Dual Risk | Medicare Advantage | $7.19 | — | — | 2026-06-18 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Fidelis | Medicare Managed Care Plan | $7.19 | — | — | 2026-04-01 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Medicare | Medicare | $7.47 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | MCAdvantage | MCAdvantage | $7.47 | — | — | 2026-08-30 | MRF ↗ |
| Bradford Regional Medical Center OutpatientFacility | Independent Health Association | Medicare Managed Care Plan | $7.49 | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid MCO | $7.54 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | Keystone First | JNE001_JNE_002_JNE003 Caid CHIP | $7.54 | — | — | 2026-09-15 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Vns | Snip Mltc | $7.59 | $222.63 | $222.63 | 2026-08-01 | MRF ↗ |
| METRO NASHVILLE GENERAL HOSPITAL OutpatientFacility | TennCare | Medicaid Managed Care Plan | $7.59 | — | — | 2026-09-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST InpatientFacility | IBC Medicare | JNE002_JNE003 Medicare Focus | $7.59 | — | — | 2026-09-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | JNJ001_JNJ002_JNJ003 Commercial Exchange | $7.59 | — | — | 2026-09-15 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Tricare | Government | $7.59 | — | — | 2026-04-01 | 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.