J9312 — Rituximab 10 Mg/ml Concentrate,intravenous
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS (HCPCS J9312) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9312?code_type=HCPCS
MLA (9th ed.)
“RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS (HCPCS J9312) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9312?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“RITUXIMAB 10 MG/ML CONCENTRATE,INTRAVENOUS (HCPCS J9312) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9312?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $112–$5,116 (25th–75th percentile) across 2,608 hospitals · 7,316 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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
$112
$1,022 typical
$5,116
The middle 50% of negotiated facility rates for this procedure, measured across 2,608 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,022 |
| Likely subtotal | $1,022 |
Facility charge (no separate professional fee)
$1,022
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 $112–$5,116.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $1,395.91 | $697.96 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $2,818.56 | $2,395.78 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL 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 ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,395.91 | $697.96 | 2024-12-15 | MRF ↗ |
| FAMILY HEALTH WEST HOSPITAL Outpatient | Rocky Mountain | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| FAMILY HEALTH WEST HOSPITAL Outpatient | United Healthcare | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| FAMILY HEALTH WEST HOSPITAL Outpatient | United Healthcare | Commercial | — | — | — | 2026-05-18 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $0.03 | $0.03 | $0.01 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $15,032.32 | $9,771.01 | 2025-11-26 | MRF ↗ |
| UNC HOSPITALS Outpatient | Contigo | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ultra | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Contigo | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ppo | $0.14 | $0.20 | $0.12 | 2026-07-15 | 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 ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Pa Health And Wellness Medicaid | Pa Health And Wellness Medicaid | $0.15 | $1.00 | $1.00 | 2026-07-15 | 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 ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | 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 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 ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $13,981.00 | $9,926.51 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $13,981.00 | $9,926.51 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Horizon Nj Health | Horizon Nj Health | $0.17 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $13,981.00 | $9,926.51 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Horizon Nj Health | Horizon Nj Health | $0.18 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Bcbs | Hix | $0.20 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Preferred Plus Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Trillium | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alliance | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Bcbs | Hix | $0.20 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Choice | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Carolina Complete Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Vaya Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Nalc Health Benefit Plan | Hmo/Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Partners | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Tricare | Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Health Network | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Exchange | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Pgm - Regie De L'Assurance Maladie Quebec | Pgm - Regie De Lassurance Maladie Quebec | $0.23 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Hix | $0.24 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Hix | $0.24 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Highmark | Highmark | $0.25 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Preferred Health Care Eliance | Preferred Health Care Eliance | $0.25 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Cigna | Cigna | $0.32 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Us Family Health Plan | Us Family Health Plan | $0.35 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Pgm - Kuwait Defense | Pgm - Kuwait Defense | $0.35 | $1.00 | $1.00 | 2026-07-15 | 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 ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Devon | Devon Premier | $0.38 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Qualcare | Qualcare | $0.38 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | UHC | UNITED HEALTHCARE | $0.39 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Coventry | Healthamerica/Coventry Sepa | $0.40 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Wissahickon Hospice | Wissahickon Hospice | $0.40 | $1.00 | $1.00 | 2026-07-15 | 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 ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Unitedhealthcare Non Options | Unitedhealthcare Non Options | $0.40 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Pgm - Chop | Pgm - Chop | $0.40 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | UCHEALTH | UCHEALTH PLAN ADMINISTRATORS | $0.44 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Devon | Devon Premier | $0.45 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Healthamerica/Coventry | Healthamerica/Healthassurance | $0.45 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Unitedhealthcare New Business | Unitedhealthcare New Business | $0.46 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Olympus | Olympus | $0.47 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | AETNA | AETNA | $0.49 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Healthamerica/Coventry | Healthamerica/Healthassurance | $0.49 | $1.00 | $1.00 | 2026-07-15 | 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 | MCRADV_UHC | UHC MEDICARE ADVANTAGE | $0.50 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Urn-Cancer Resource Services | Urn-Cancer Resource Services | $0.50 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | First Health Global | First Health Global | $0.50 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | MCRADV_HUMANA | HUMANA MEDICARE ADVANTAGE | $0.50 | $0.50 | $0.30 | 2026-04-02 | MRF ↗ |
| COFFEE REGIONAL MEDICAL CENTER, INC Outpatient | United Healthcare | United Healthcare | $0.50 | $1.02 | $0.69 | 2026-07-15 | MRF ↗ |
| DELTA COUNTY MEMORIAL HOSPITAL Both | MCRADV_AETNA | AETNA 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 ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Coventry | Coventry Of Delaware | $0.51 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Pgm - Royal Embassy Of Saudi Arabia | Pgm - Royal Embassy Of Saudi Arabia | $0.60 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Health Net | Health Net | $0.60 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | — | — | 2026-07-01 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) | Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) | $0.65 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Pgm - Embassy Of Qatar | Pgm - Embassy Of Qatar | $0.65 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| COFFEE REGIONAL MEDICAL CENTER, INC Outpatient | Blue Cross Blue Shield | Bcbs Hmo/Ppo | $0.66 | $1.02 | $0.69 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Outpatient | Pgm - Embassy Of The United Emirates/Ipc | Pgm - Embassy Of The United Emirates/Ipc | $0.70 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Pgm - Kuwait Defense | Pgm - Kuwait Defense | $0.70 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| COFFEE REGIONAL MEDICAL CENTER, INC Outpatient | Georgia Health Network Ghn | Georgia Health Network Ghn | $0.71 | $1.02 | $0.69 | 2026-07-15 | MRF ↗ |
| COFFEE REGIONAL MEDICAL CENTER, INC Outpatient | Coventry | Coventry | $0.71 | $1.02 | $0.69 | 2026-07-15 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.75 | $169.11 | $101.47 | 2025-12-30 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Both | Uhc | Commercial | $0.78 | $1.00 | $0.71 | 2026-08-13 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Both | Uhc | Commercial | $0.78 | $1.00 | $0.71 | 2026-08-13 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Uhc | Commercial | $0.78 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Uhc | Commercial | $0.78 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Preferred Care | Preferred Care | $0.80 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Intergroup | Intergroup | $0.80 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Pgm - Kuwait Oil | Pgm - Kuwait Oil | $0.80 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Pgm - Kuwait Health Division | Pgm - Kuwait Health Division | $0.80 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-18 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-18 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-18 | MRF ↗ |
| McLeod Health Seacoast Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| McLeod Health Seacoast Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| COFFEE REGIONAL MEDICAL CENTER, INC Outpatient | Cigna | Cigna | $0.80 | $1.02 | $0.69 | 2026-07-15 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-18 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Devon Health Services Inc | Devon Health Services | $0.80 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Health America/Ccn | First Health / Coventry National | $0.80 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| PENN PRESBYTERIAN MEDICAL CENTER Inpatient | Humana Choice Care | Humana Choice Care | $0.80 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | UHC | MEDICAID | $0.85 | $5.34 | — | 2025-11-10 | MRF ↗ |
| COFFEE REGIONAL MEDICAL CENTER, INC Outpatient | Aetna | Aetna | $0.87 | $1.02 | $0.69 | 2026-07-15 | MRF ↗ |
| COFFEE REGIONAL MEDICAL CENTER, INC Outpatient | Phcs | Phcs | $0.87 | $1.02 | $0.69 | 2026-07-15 | MRF ↗ |
| COFFEE REGIONAL MEDICAL CENTER, INC Outpatient | Humana | Humana | $0.87 | $1.02 | $0.69 | 2026-07-15 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIDELIS | MEDICAID | $0.88 | $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 ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH MCD/CHIP | $0.90 | $5.34 | — | 2025-11-10 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.90 | $502.17 | $81.19 | 2024-12-31 | MRF ↗ |
| COFFEE REGIONAL MEDICAL CENTER, INC Outpatient | Aig | 1St Health | $0.90 | $1.02 | $0.69 | 2026-07-15 | MRF ↗ |
| COFFEE REGIONAL MEDICAL CENTER, INC Outpatient | Medical Mutual | 1St Medical Network | $0.92 | $1.02 | $0.69 | 2026-07-15 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Ambetter | 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 | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $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 | QualChoice of Arkansas | 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 | Cigna HealthSpring | 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 | 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 | Blue Cross Blue Shield of Arkansas | 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 | Arkansas Total Care | Managed Care | — | $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 | Humana ChoiceCare | 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 | CareSource | Managed Care | — | $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 | QualChoice of Arkansas | Medicare Advantage | — | $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 | Cigna HealthSpring | 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 ↗ |
| 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 - Commercial-PPO | 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-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 - Commercial-PPO | 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-HMO | 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 ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $0.96 | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE PRIME | $0.97 | $5.34 | — | 2025-11-10 | 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.