J9317 — Sacituzumab Govitecan-hziy 180 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION (HCPCS J9317) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9317?code_type=HCPCS
MLA (9th ed.)
“SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION (HCPCS J9317) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9317?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“SACITUZUMAB GOVITECAN-HZIY 180 MG INTRAVENOUS SOLUTION (HCPCS J9317) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9317?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $40–$5,052 (25th–75th percentile) across 1,674 hospitals · 5,000 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9317 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $7,211.58 | $6,129.84 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $7,211.58 | $3,966.37 | 2025-01-01 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Kaiser | Medicare Advantage | $0.13 | $77.00 | $53.90 | 2026-05-09 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Humana | Medicare Advantage | $0.13 | $77.00 | $53.90 | 2026-05-09 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | United Healthcare | Medicare Advantage | $0.13 | $77.00 | $53.90 | 2026-05-09 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-EPO | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-HMO | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-POS | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-POS | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-PPO | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-EPO | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-PPO | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-Indemnity | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-Indemnity | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Medicare-HMO | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-HMO | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Medicare-HMO | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.24 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.24 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | New Business | $0.24 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.24 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.51 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.51 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.51 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | PPO | $0.51 | — | — | 2026-01-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Arkansas Total Care | Managed Medicaid | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Primewell Health Services | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Provider Partners Health Plans | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Assured Benefits | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Covenant Healthcare | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Ambetter | Marketplace Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Harmony Health Plan | Medicare Advantage Non-Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Harmony Health Plan | Medicare Advantage Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Wellcare by Allwell | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare Health Plans | Medicare Advantage Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Cigna Healthspring | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Arkansas Superior Select | Dual Eligible Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Anthem | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | QualChoice of Arkansas | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Assured Benefits Administrators | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare Health Plans | Medicare Advantage Non-Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Primewell Health Services | Exchange | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Covenant | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Empower Healthcare Solutions | Managed Medicaid | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.92 | $62.83 | $37.70 | 2025-12-30 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $1.00 | $2.00 | — | 2026-02-27 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $22,619.16 | $14,702.45 | 2025-11-26 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $1.00 | $2.00 | — | 2026-02-27 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $22,619.16 | $14,702.45 | 2025-11-26 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Interplan | Interplan | $1.04 | $18,601.82 | $13,951.37 | 2026-04-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $1.10 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $1.10 | $2.00 | — | 2026-02-27 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $22,619.16 | $14,702.45 | 2025-11-26 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $1.30 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $1.30 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $1.36 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $1.36 | $2.00 | — | 2026-02-27 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $1.50 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $1.50 | $2.00 | — | 2026-02-27 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $1.60 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $1.60 | $2.00 | — | 2026-02-27 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1.92 | — | — | 2026-03-18 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $3.39 | $8.00 | $6.40 | 2025-12-16 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $22,619.16 | $14,702.45 | 2025-11-26 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $4.00 | $8.00 | $6.40 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $4.00 | $8.00 | $6.40 | 2025-12-16 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $4.64 | $7,659.58 | $7,659.58 | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | PPO | — | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | PPO | — | $7,659.58 | $7,659.58 | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | HMO | — | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $4.64 | — | — | 2024-10-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $5.04 | $8.00 | $6.40 | 2025-12-16 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | United Healthcare | United Healthcare - PPO | $5.55 | $18,601.82 | $13,951.37 | 2026-04-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $5.60 | $8.00 | $6.40 | 2025-12-16 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $6.24 | — | — | 2026-03-31 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $6.83 | $160.00 | $160.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $6.83 | $160.00 | $160.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $6.96 | $160.00 | $160.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $6.96 | $160.00 | $160.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $7.04 | $176.00 | $176.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $7.52 | $176.00 | $176.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $7.60 | $176.00 | $176.00 | 2026-05-15 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $7.98 | $11,472.00 | $1,720.80 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $7.98 | $11,472.00 | $1,720.80 | 2025-12-23 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $8.42 | $160.00 | $160.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $8.42 | $160.00 | $160.00 | 2026-04-30 | MRF ↗ |
| Westchester Medical Center T C OutpatientFacility | None | — | — | $24.92 | $8.47 | 2026-04-02 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $8.70 | $160.00 | $160.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $8.70 | $160.00 | $160.00 | 2026-04-30 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | ANTHEM BLUE CROSS | MEDICARE ADVANTAGE | $9.00 | $30.00 | $22.50 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | CARE WISCONSIN | MEDICARE ADVANTAGE | $9.00 | $30.00 | $22.50 | 2026-03-27 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | GLOBAL EXCEL [1712] | NLFH MEDICARE | — | $21,374.00 | $14,961.80 | 2026-04-01 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $9.30 | $30.00 | $22.50 | 2026-03-27 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $9.36 | $25.23 | $20.19 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $9.36 | $25.23 | $20.19 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $9.37 | $25.25 | $20.20 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $9.37 | $25.25 | $20.20 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $9.43 | $34.80 | $27.84 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $9.43 | $34.80 | $27.84 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $9.44 | $25.44 | $20.36 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $9.44 | $25.44 | $20.36 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $9.50 | $176.00 | $176.00 | 2026-05-15 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $9.51 | $35.09 | $28.08 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $9.51 | $35.09 | $28.08 | 2026-01-28 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Optum | Behavioral Medicare | — | $147.44 | $62.67 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $10.54 | $147.44 | $62.67 | 2026-01-29 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $11.05 | $221.00 | $221.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $11.05 | $221.00 | $221.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $11.05 | $221.00 | $221.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $11.05 | $221.00 | $221.00 | 2026-03-01 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $11.88 | $25.23 | $20.19 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $11.88 | $25.23 | $20.19 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $11.89 | $25.25 | $20.20 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $11.89 | $25.25 | $20.20 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $11.98 | $25.44 | $20.36 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $11.98 | $25.44 | $20.36 | 2026-01-28 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $12.05 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $12.05 | — | — | 2026-03-01 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $12.18 | $34.80 | $27.84 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $12.28 | $35.09 | $28.08 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $12.86 | $34.65 | $27.72 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $12.86 | $34.65 | $27.72 | 2026-01-28 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $13.05 | $36.26 | $22.84 | 2026-01-27 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Aetna of PA | Medicare | $13.09 | $118.00 | $70.80 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Tricare | TRICARE | — | $118.00 | $70.80 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | US Family Health Plan | Tricare Prime | — | $118.00 | $70.80 | 2026-03-06 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $13.30 | $25.23 | $20.19 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $13.30 | $25.23 | $20.19 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $13.31 | $25.25 | $20.20 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $13.31 | $25.25 | $20.20 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $13.41 | $25.44 | $20.36 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $13.41 | $25.44 | $20.36 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $13.64 | $34.80 | $27.84 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $13.71 | $34.80 | $27.84 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $13.76 | $35.09 | $28.08 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $13.83 | $35.09 | $28.08 | 2026-01-28 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $14.44 | $24.47 | $24.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellmark | Commercial | — | $24.47 | $24.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $14.44 | $24.47 | $24.47 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $14.44 | $24.47 | $24.47 | 2025-05-01 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | EHN | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Initial Group | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | MedSave USA | Commercial | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Correctional Medical Services | Correctional Facilities Inmate Claims | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Community Services Network | NonProfit Public Benefit | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $14.76 | $6,858.60 | $3,429.30 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | — | $6,858.60 | $3,429.30 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | National Provider Network | PPO | — | $6,858.60 | $3,429.30 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Direct Care America | PPO | — | $6,858.60 | $3,429.30 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | USA Managed Care Organization | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | National Provider Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Beechstreet | PPO | — | $6,858.60 | $3,429.30 | 2024-12-10 | MRF ↗ |
| PARKWEST MEDICAL CENTER BothFacility | United Healthcare | Tenncare | $14.76 | $6,858.60 | $2,126.17 | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2025-12-23 | 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.