J9307 — Pralatrexate Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Pralatrexate injection (HCPCS J9307) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9307?code_type=HCPCS
MLA (9th ed.)
“Pralatrexate injection (HCPCS J9307) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9307?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Pralatrexate injection (HCPCS J9307) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9307?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $406–$13,826 (25th–75th percentile) across 1,469 hospitals · 2,806 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9307 — 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
$406
$793 typical
$13,826
The middle 50% of negotiated facility rates for this procedure, measured across 1,469 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $793 |
| Likely subtotal | $793 |
Facility charge (no separate professional fee)
$793
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $36,894.78 | $31,360.56 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $133,376.22 | $86,694.54 | 2025-11-26 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.09 | $30,747.20 | $19,985.68 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.09 | $30,747.20 | $19,985.68 | 2026-03-30 | MRF ↗ |
| UPMC HORIZON InpatientFacility | United Healthcare | Compass Exchange | $0.68 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Anthem Blue Cross Blue Shield | Traditional | $0.68 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | Neighborhood Network | $0.74 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | Home Depot Employer Group | $0.76 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | Neighborhood Network | $0.76 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | Home Depot Employer Group | $0.78 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Cigna | New Business ASO | $0.78 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $0.78 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Cigna | NBR ASO/FI | $0.78 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | NBR ASO/FI | $0.78 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | Commercial | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | EBR ASO | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | United Healthcare | All Business | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | EBR | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | NBR ASO/FI | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | NBR ASO/FI | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | New Business ASO | $0.80 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Univera | Univera_Medicare_Hamot_2024 | $0.90 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Anthem Blue Cross Blue Shield | Traditional | $0.91 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $133,376.22 | $86,694.54 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $133,376.22 | $86,694.54 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | $1.00 | $16,797.05 | $12,597.79 | 2026-04-01 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UPMC Work Partners | Workers Comp | $1.02 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | UPMC Work Partners | Workers Comp | $1.09 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | $1.15 | $16,797.05 | $12,597.79 | 2026-04-01 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | EBR FI | $1.20 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $133,376.22 | $86,694.54 | 2025-11-26 | MRF ↗ |
| UPMC HORIZON InpatientFacility | InterGroup | PPO | $1.30 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Coventry/First Health | Commercial | $1.32 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Health Coalition Partners | PPO | $1.40 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Aetna | Commercial | $1.50 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Private Health Care Systems | PPO | $1.60 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Aetna | Commercial | $1.62 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Prime Net | Commercial | $1.64 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Work Partners | Workers Comp | $1.70 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Humana | Commercial | $1.70 | $2.00 | $1.20 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Cigna | New Business ASO | $1.80 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Cigna | NBR ASO/FI | $1.80 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | UPMC Work Partners | Workers Comp | $1.81 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Univera | Commercial | $1.98 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | BCBS of Western NY | Commercial | $2.10 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Health Plan | Commercial | $2.21 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Cigna | EBR | $2.40 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Cigna | Commercial | $2.40 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Univera | Commercial | $2.64 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | United Healthcare | Commercial | $2.73 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $133,376.22 | $86,694.54 | 2025-11-26 | MRF ↗ |
| UPMC HAMOT InpatientFacility | InterGroup | Health Coalition Partners/PPO | $3.90 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Multiplan | PPO (Includes PHCS as a Payer) | $4.20 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Aetna | AXA/MMO | $4.20 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4.80 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT InpatientFacility | InterGroup | Beech Street | $4.80 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Magellan Health Services | Medicaid Replacement | — | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | United Healthcare | Default | — | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Wellcare Health Plan Mcd Rep | Medicaid Replacement | — | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Simply Healthcare Mcd Rep Dos Lt 2/1/19 | Medicaid Replacement | — | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Tricare East Region Dos Lt 01012025 | Default | $5.33 | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Sunshine State Health Plan Mcd Rep | Default | — | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $5.48 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $5.48 | — | — | 2025-12-31 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Blue Cross Blue Shield Of Fl Florida Blue | Medicare Advantage | $6.38 | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $6.68 | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicare A Fl Jn | Default | $6.68 | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Medicare Advantage | $8.87 | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Humana | Default | $8.87 | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL Both | BLUECROSS_MBN | BLUE CROSS MBN | $9.20 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $133,376.22 | $86,694.54 | 2025-11-26 | MRF ↗ |
| JACKSON HOSPITAL Both | AUTO_AETNA | AETNA AUTO INSURANCE | $10.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | SELF_PAY | SELF PAY DISCOUNT | $10.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | BLUECROSS_PPO | BLUE CROSS PPO/PHS | $10.40 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | BLUECROSS_NWB | BLUE CROSS NETWORK (NWB) | $10.40 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Cigna | Default | $11.00 | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| JACKSON HOSPITAL Both | PHS | PRIME HEALTH SERVICES COMMERCIAL | $12.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | CIGNA | CIGNA | $13.40 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Anthem | Blue Priority WI/Blue Priority X-WI | $13.48 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM InpatientFacility | Quartz | Beloit One Network | $13.76 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| JACKSON HOSPITAL Both | HUMANA | HUMANA | $14.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Anthem | Blue Preferred/Blue Preferred Plus | $14.04 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM InpatientFacility | Blue Cross Blue Shield of Illinois | Blue Cross PPO | $14.88 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM InpatientFacility | WEA Trust | Commercial | $15.44 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM InpatientFacility | Quartz | Commercial | $16.85 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| JACKSON HOSPITAL Both | MULTIPLAN | MULTIPLAN | $18.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $18.12 | — | — | 2026-03-18 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Anthem | Blue Access PPO/Blue Traditional | $18.25 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM OutpatientFacility | Quartz | Commercial | $18.25 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| JACKSON HOSPITAL Both | SMMC_SUNSHINE | SUNSHINE FL MEDICAID MANAGED CARE | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | SMMC_HUMANA | HUMANA FL MEDICAID MANAGED CARE | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | SMMC_HUMANA_CLEAR | HUMANA CLEAR FL MEDICAID MANAGED CARE | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | SMMC_ABH | AETNA BETTER HEALTH FL MEDICAID MANAGED CARE | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | FLORIDA COMM CARE | FLORIDA COMMUNITY CARE | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | MCRADV_UHC | UHC MEDICARE ADVANTAGE | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | TRICARE | TRICARE | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | AETNA | AETNA | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | SMMC_SIMPLY | SIMPLY FL MEDICAID MANAGED CARE | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | MCRADV_AETNA | AETNA MEDICARE ADVANTAGE | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | NAPHCARE | NAPHCARE FEDERAL PRISON | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | SMMC_SIMPLY_CLEAR | SIMPLY CLEAR FL MEDICAID MANAGED CARE | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| JACKSON HOSPITAL Both | MCRADV_HUMANA | HUMANA MEDICARE ADVANTAGE | $20.00 | $20.00 | $9,749.13 | 2025-01-21 | MRF ↗ |
| BELOIT HEALTH SYSTEM InpatientFacility | WPS | Commercial | $20.80 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| CALHOUN-LIBERTY HOSPITAL Both | Medicare B Fl Jn | Default | $21.56 | $22.00 | $15.40 | 2026-05-08 | MRF ↗ |
| BELOIT HEALTH SYSTEM InpatientFacility | Multiplan | Commercial | $22.46 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM InpatientFacility | Aetna | Gatekeeper/Not Gatekeeper | $24.15 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM InpatientFacility | Health EOS | Commercial | $24.99 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM InpatientFacility | Aetna | Commercial | $25.27 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Shield | Blue Shield - Promise | $25.78 | $16,797.05 | $12,597.79 | 2026-04-01 | MRF ↗ |
| BELOIT HEALTH SYSTEM InpatientFacility | Cigna | Commercial | $25.83 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM InpatientFacility | Preferred Network Access | Commercial | $25.83 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| BELOIT HEALTH SYSTEM InpatientFacility | HFN | Commercial | $25.83 | $27.00 | $8.10 | 2026-04-02 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $39.75 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $39.75 | — | — | 2024-10-01 | MRF ↗ |
| DAVIS MEDICAL CENTER OutpatientFacility | Peak Health | Commercial | $43.13 | $250.00 | $175.00 | 2025-08-07 | MRF ↗ |
| DAVIS MEDICAL CENTER OutpatientFacility | Peak Health | Commercial | $43.13 | $250.00 | $175.00 | 2025-08-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $43.23 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $43.23 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $43.23 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $43.65 | $873.00 | $873.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $43.65 | $873.00 | $873.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $43.65 | $873.00 | $873.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $43.65 | $873.00 | $873.00 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $44.40 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $45.57 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $46.00 | $424.17 | $212.08 | 2024-12-15 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $46.73 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $47.72 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $47.72 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $47.72 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Humana | Humana Commercial | $48.55 | $1,620.39 | — | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $49.01 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $50.30 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $51.59 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $52.00 | $424.17 | $212.08 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | PPO | — | $133,376.22 | $86,694.54 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $56.08 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $56.08 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $57.25 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $57.25 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $57.25 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $57.25 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $58.42 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $59.59 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $60.75 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $61.90 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $61.90 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $63.09 | $11,683.35 | $11,099.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $63.19 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $63.19 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $63.19 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $63.19 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - Rehab | $63.62 | $16,797.05 | $12,597.79 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $64.48 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $65.77 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $66.72 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $66.72 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $66.72 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $66.72 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $66.88 | — | — | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $67.06 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $69.64 | $12,896.29 | $12,251.47 | 2026-02-20 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $70.00 | $424.17 | $212.08 | 2024-12-15 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | First Health | Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | PIP | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Fidelis Care | NJ Family Care | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $73.25 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | — | — | — | 2026-03-04 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AETNA HEALTH OF CALIFORNIA INC. | HMO | — | $133,376.22 | $86,694.54 | 2025-11-26 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $79.43 | $72,965.84 | $45,238.82 | 2025-07-01 | MRF ↗ |
| DAVIS MEDICAL CENTER InpatientFacility | Peak Health | Commercial | $79.63 | $250.00 | $175.00 | 2025-08-07 | MRF ↗ |
| DAVIS MEDICAL CENTER InpatientFacility | Peak Health | Commercial | $79.63 | $250.00 | $175.00 | 2025-08-07 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | HMO | — | $133,376.22 | $86,694.54 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | HMO | — | $133,376.22 | $86,694.54 | 2025-11-26 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $84.89 | $1,516.74 | $644.62 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Optum | Behavioral Medicare | — | $1,516.74 | $644.62 | 2026-01-29 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $85.54 | $26,733.00 | $4,009.95 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $85.54 | $26,733.00 | $4,009.95 | 2025-12-23 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $36,894.78 | $31,360.56 | 2025-01-01 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | Viva Health | All Products | $91.30 | $202.89 | $121.73 | 2025-12-30 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Traditional | $92.36 | — | $1,108.83 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | $1,108.83 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | $1,108.83 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | $1,108.83 | 2026-03-31 | 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.