J9312 — Rituximab 10 Mg/ml Concentrate,intravenous
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS (CPT J9312) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9312?code_type=CPT
MLA (9th ed.)
“RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS (CPT J9312) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9312?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS (CPT J9312) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9312?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $119–$5,186 (25th–75th percentile) across 2,149 hospitals · 7,628 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9312 — 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
$119
$1,136 typical
$5,186
The middle 50% of negotiated facility rates for this procedure, measured across 2,149 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,136 |
| Likely subtotal | $1,136 |
Facility charge (no separate professional fee)
$1,136
- 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $2,818.56 | $2,395.78 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $2,818.56 | $1,550.21 | 2025-01-01 | MRF ↗ |
| FAMILY HEALTH WEST HOSPITAL Outpatient | United Healthcare | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $2,818.56 | $2,395.78 | 2025-01-01 | MRF ↗ |
| FAMILY HEALTH WEST HOSPITAL Outpatient | United Healthcare | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| FAMILY HEALTH WEST HOSPITAL Outpatient | Rocky Mountain | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,395.91 | $697.96 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,395.91 | $697.96 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $15,032.32 | $9,771.01 | 2025-11-26 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.15 | $500.57 | $325.37 | 2026-03-30 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | ANTHEM_ST | ANTHEM BCBS- PPO/HMO STANDARD NETWORK | $0.36 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | HEALTHFIRST MEDICAID [1059] | HEALTHFIRST MEDICAID MANAGED CARE [105900] | — | $12,483.00 | $9,671.20 | 2026-04-01 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | UHC | UNITED HEALTHCARE | $0.39 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | ANTHEM_NS | ANTHEM BCBS- PPO/HMO NON STANDARD (PATHWAY) | $0.40 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | UCHEALTH | UCHEALTH PLAN ADMINISTRATORS | $0.44 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | HUMANA | HUMANA COMMERCIAL PLAN | $0.49 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | AETNA | AETNA | $0.49 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | MCRADV_HUMANA | HUMANA MEDICARE ADVANTAGE | $0.50 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | MCRADV_CIGNA | CIGNA MEDICARE ADVANTAGE | $0.50 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | MCRADV_UHC | UHC MEDICARE ADVANTAGE | $0.50 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | MCRADV_AETNA | AETNA MEDICARE ADVANTAGE | $0.50 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.75 | $169.11 | $101.47 | 2025-12-30 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | UHC | MEDICAID | $0.85 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIDELIS | MEDICAID | $0.88 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH MCD/CHIP | $0.90 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | WELLPOINT | MEDICAID | $0.90 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON NJ HEALTH | HORIZON NJ HEALTH | $0.90 | $5.34 | — | 2025-11-10 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Windsor | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Assured Benefits Administrators | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Windsor | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Assured Benefits Administrators | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-HMO | Community Insurance Company | — | $1,247.00 | $685.85 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-POS | Community Insurance Company | — | $1,247.00 | $685.85 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-EPO | Community Insurance Company | — | $1,247.00 | $685.85 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-HMO | Community Insurance Company | — | $1,247.00 | $685.85 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-Indemnity | Community Insurance Company | — | $1,247.00 | $685.85 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-EPO | Community Insurance Company | — | $1,247.00 | $685.85 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Medicare-HMO | Community Insurance Company | — | $1,247.00 | $685.85 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-POS | Community Insurance Company | — | $1,247.00 | $685.85 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-Indemnity | Community Insurance Company | — | $1,247.00 | $685.85 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Medicare-HMO | Community Insurance Company | — | $1,247.00 | $685.85 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-PPO | Community Insurance Company | — | $1,247.00 | $685.85 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-PPO | Community Insurance Company | — | $1,247.00 | $685.85 | 2026-01-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE PRIME | $0.97 | $5.34 | — | 2025-11-10 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $3,644.53 | $2,988.51 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $3,644.53 | $2,988.51 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $15,032.32 | $9,771.01 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $3,644.53 | $2,988.51 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $15,032.32 | $9,771.01 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $18,220.57 | $14,940.87 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $3,644.53 | $2,988.51 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $18,220.57 | $14,940.87 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,644.53 | $2,988.51 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $18,220.57 | $14,940.87 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.10 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.10 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.10 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.13 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.16 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | GOLDEN MEDICARE | $1.18 | $5.34 | — | 2025-11-10 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.19 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE MCR | $1.22 | $5.34 | — | 2025-11-10 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $7,516.16 | $4,885.50 | 2025-11-26 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $1.29 | $5.34 | — | 2025-11-10 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | $1.30 | $798.59 | $598.94 | 2026-04-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER | $1.34 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE | $1.39 | $5.34 | — | 2025-11-10 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.43 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.43 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.45 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.45 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.45 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $4,562.88 | $4,562.88 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.45 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.48 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | HEALTHFIRST MEDICAID [1059] | HEALTHFIRST CHILD HEALTH PLUS [105901] | — | $12,483.00 | $9,671.20 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.51 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.54 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.60 | $296.89 | $282.04 | 2026-02-20 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $1.70 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.72 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIRST HEALTH | FIRST HEALTH | $1.87 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | WORKER'S COMP | $1.92 | $5.34 | — | 2025-11-10 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $2.00 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $2.00 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| HOLY NAME MEDICAL CENTER InpatientFacility | CIGNA | HMO/POS | $2.14 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | QUALCARE | PPO | $2.24 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | QUALCARE | OSCAR | $2.24 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | PRAXIS | MEDICAL & WORKERS COMPENSATION | $2.24 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | QUALCARE | HMO/POS | $2.24 | $5.34 | — | 2025-11-10 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $2.52 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $2.55 | — | — | 2026-01-13 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | BERGEN | BERGEN RISK | $2.67 | $5.34 | — | 2025-11-10 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $2.80 | $4.00 | $3.20 | 2025-12-16 | MRF ↗ |
| HOLY NAME MEDICAL CENTER BothFacility | MAGNACARE | MAGNACARE | $2.94 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER BothFacility | FIRST MCO | ACTIVE CARE | $2.99 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER InpatientFacility | FIRST MCO | ACTIVE CARE PLUS | $2.99 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER InpatientFacility | FIRST MCO | FIRST MCO | $2.99 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER InpatientFacility | MULTIPLAN | MULTIPLAN | $3.36 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER BothFacility | MULTIPLAN | MULTIPLAN | $3.47 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER BothFacility | MAGNACARE | WORKERS COMP | $3.74 | $5.34 | — | 2025-11-10 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $3.97 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $3.97 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $3.97 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | DEVON HEALTH | DEVON HEALTH | $4.01 | $5.34 | — | 2025-11-10 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | BCBS EMPLOYEE HEALTH PLAN | BCBS EMPLOYEE HEALTH PLAN | $4.24 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | BCBS MMAI | BCBS MMAI | $4.27 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | AETNA MEDICARE ADV | AETNA MEDICARE ADV | $4.49 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | BCBS MEDICARE ADV | BCBS MEDICARE ADV | $4.49 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | HEALTH ALLIANCE MCARE ADV | HEALTH ALLIANCE MCARE ADV | $4.49 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE ADV-ALL PLANS | HUMANA MEDICARE ADV-ALL PLANS | $4.49 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Blue Cross Medicare Blue | Medicare Advantage | $4.51 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $4.51 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Humana Choice | Medicare Advantage | $4.51 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $4.51 | $225.68 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $4.51 | $225.68 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $4.51 | $225.68 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $4.51 | $225.68 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $4.51 | $225.68 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $4.51 | $225.68 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $4.51 | $225.68 | — | 2026-03-31 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | United Healthcare Medicare Solutions | Medicare Advantage | $4.51 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Medicare Advantage | $4.51 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Health Partners | Medicare Advantage | $4.51 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER BothFacility | MULTIPLAN | WORKER'S COMP | $4.54 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER BothFacility | MULTIPLAN | AUTO ACCIDENT MEDICAL | $4.81 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON BCBS | PPO | $4.95 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON BCBS | INDEMNITY | $4.95 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON BCBS | MANAGED | $4.95 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL PREFERRED | $5.07 | $5.34 | — | 2025-11-10 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | CARE WISCONSIN | MEDICARE ADVANTAGE | $5.11 | $17.02 | $12.77 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | ANTHEM BLUE CROSS | MEDICARE ADVANTAGE | $5.11 | $17.02 | $12.77 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $5.28 | $17.02 | $12.77 | 2026-03-27 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | HEALTH ALLIANCE-ALL OTHER PLANS | HEALTH ALLIANCE-ALL OTHER PLANS | $5.51 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | HEALTH ALLIANCE EXCHANGE | HEALTH ALLIANCE EXCHANGE | $5.51 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | PRIME HEALTH SERVICES-ALL PLANS | PRIME HEALTH SERVICES-ALL PLANS | $5.51 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $12,603.66 | $1,260.37 | 2026-06-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | None | — | — | $12,603.66 | $1,260.37 | 2026-04-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $12,603.66 | $1,260.37 | 2026-04-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $5.79 | — | — | 2026-03-18 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Wellmark | Commercial | $6.12 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | HEALTHLINK HMO | HEALTHLINK HMO | $6.22 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | United Healthcare | Commercial | $6.53 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Midlands Choice | Commercial | $6.60 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Health Partners | Commercial/Self-Funded | $6.60 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Cigna | Commercial | $6.60 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Aetna Coventry | Commercial | $6.60 | $6.73 | $6.73 | 2025-05-01 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | AETNA LEASED NETWORK | AETNA LEASED NETWORK | $6.94 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $6.94 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | HEALTHLINK PPO-ALL OTHER PLANS | HEALTHLINK PPO-ALL OTHER PLANS | $6.97 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $6.99 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | MTA MA Retirees | $7.00 | $17.93 | $17.93 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | MTA MA Retirees | $7.00 | $17.93 | $17.93 | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | Aetna | MTA MA Retirees | $7.00 | $17.93 | $17.93 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | MTA MA Retirees | $7.00 | $17.93 | $17.93 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | MTA MA Retirees | $7.00 | $17.93 | $17.93 | 2025-12-01 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE-ALL PLANS | UNITED HEALTHCARE-ALL PLANS | $7.12 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $7.63 | $18.00 | $14.40 | 2025-12-16 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $7.63 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | BCBS BLUE CHOICE | BCBS BLUE CHOICE | $7.89 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $8.00 | $17.93 | $17.93 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $8.00 | $17.93 | $17.93 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $8.00 | $17.93 | $17.93 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $8.00 | $17.93 | $17.93 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $8.00 | $17.93 | $17.93 | 2025-12-01 | MRF ↗ |
| MASSAC MEMORIAL HOSPITAL Outpatient | BCBS PPO/BLUE OPTIONS/TRAD-ALL OTHER PLANS | BCBS PPO/BLUE OPTIONS/TRAD-ALL OTHER PLANS | $8.14 | $8.48 | $5.94 | 2026-02-20 | MRF ↗ |
| BANNER OCOTILLO MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $8.41 | $42.07 | $5.97 | 2026-03-02 | 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.