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 $39–$5,121 (25th–75th percentile) across 2,012 hospitals · 4,888 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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.
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
$39
$110 typical
$5,121
The middle 50% of negotiated facility rates for this procedure, measured across 2,012 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $110 |
| Likely subtotal | $110 |
Facility charge (no separate professional fee)
$110
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 $39–$5,121.
- 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 | — | $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 ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | $0.10 | $0.07 | 2024-12-16 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | $0.10 | $0.07 | 2024-12-07 | MRF ↗ |
| Prisma Health North Greenville Ltach InpatientFacility | — | — | — | $0.10 | $0.07 | 2024-12-11 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Blue Cross Blue Shield Of Sc | Bcbs Exchange | $0.03 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Blue Cross Blue Shield Of Sc | Bluechoice Exchange | $0.03 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Aetna Us Healthcare Inc | Aetna Prisma Health | $0.03 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| REX HOSPITAL Outpatient | Wellcare | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Vaya Health | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Trillium | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Trillium | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Partners | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Alliance | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Alliance | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Carolina Complete Health | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | United Healthcare | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Wellcare | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Value Options | Beacon Health Options | $0.05 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| REX HOSPITAL Outpatient | Partners | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Aetna Us Healthcare | Aetna Whole Health Of Sc | $0.05 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| REX HOSPITAL Outpatient | Vaya Health | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Promise Health Plan | Promise Health Plan | $0.05 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Blue Home | $0.06 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Aetna Us Healthcare | Aetna Sc Preferred | $0.06 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Preferred Care, Inc | Preferred Administrators | $0.07 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medcost | Medcost Benefit Services | $0.07 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Contigo | — | $0.08 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Aps Healthcare Bethesda Inc | Aps Healthcare | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Aetna Us Healthcare | Aetna | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medcost Preferred | Medcost | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Tricare | Tricare | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Tricare Humana Military | Tricare Humana Military | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Cigna Behavioral Health | Cigna Behavioral Health | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Atlantic Packaging | Atlantic Packaging | $0.08 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| REX HOSPITAL Outpatient | Contigo | — | $0.09 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Multiplan | Multiplan | $0.09 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Aetna Health | First Health-Aetna Rental Network | $0.09 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Choicecare Network | Humana Choicecare Ppo | $0.09 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Aetna | State Health Plan | $0.09 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Bluecross Blueshield Of Sc | Bcbs Medicare Advantage | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Miscellaneous | Commercial Other | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Medicare | Medicare | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Tricare Humana Military | Tricare Humana Military | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| REX HOSPITAL Outpatient | Medcost | Ultra | $0.10 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Select Health Medicare | Select Health Medicare | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Sc Workers Compensation | Sc Workers Comp | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Medicare Nhc Advantage | Medicare Nhc Advantage | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Choicecare Network | Humana Gold Plus Medicare Advantage Hmo | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Tricare | Tricare | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Medicaid Of South Carolina | Medicaid | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Select Health | Select Health Medicaid | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Select Health | Select Health First Choice Vip | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Wellpath Select Inc | First Health-Wc | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Self Pay | Self Pay | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | United Healthcare Insurance Co | United Healthcare | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Companion Benefit Alternatives | Companion Benefit Alternatives | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Molina | Molina Dual Eligibles | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Care Improvement Plus | Care Improvement Plus Medicare Advantage | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Molina | Molina Medicaid | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Choicecare Network | Humana Choicecare Medicare Advantage Pffs | $0.10 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Aetna | Choice Pos | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Contigo | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Medcost | — | $0.12 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Medcost | Ppo | $0.12 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | First Carolina Care | — | $0.12 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Medcost | Ultra | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Humana | Medicare Advantage | $0.13 | $77.00 | $53.90 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Medicaid Other | Medicaid Other | $0.13 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ultra | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Kaiser | Medicare Advantage | $0.13 | $77.00 | $53.90 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Medicaid Of South Carolina | Medicaid | $0.13 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | United Healthcare | Medicare Advantage | $0.13 | $77.00 | $53.90 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Outpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $0.14 | $0.10 | $0.07 | 2026-09-21 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ppo | $0.14 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Medcost | Ppo | $0.16 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Medcost | — | $0.16 | $0.20 | $0.12 | 2026-07-15 | 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-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 - Medicare-HMO | 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-HMO | 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 - 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 - Commercial-Indemnity | Community Insurance Company | — | — | — | 2026-01-01 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $61,031.00 | $43,332.01 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $48,257.22 | $34,262.63 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $48,257.22 | $34,262.63 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $61,031.00 | $43,332.01 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $36,506.00 | $25,919.26 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $7,193.00 | $5,107.03 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $61,031.00 | $43,332.01 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $5,659.92 | $4,018.54 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $5,659.92 | $4,018.54 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $7,193.00 | $5,107.03 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $5,659.92 | $4,018.54 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $36,506.00 | $25,919.26 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $61,031.00 | $43,332.01 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $7,193.00 | $5,107.03 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $61,031.00 | $43,332.01 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $61,031.00 | $43,332.01 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $48,257.22 | $34,262.63 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $36,506.00 | $25,919.26 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Humana | Medicare Advantage Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | First Health Network | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | United Healthcare | Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Alignment | Smart Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Alignment | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Aetna | 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 ↗ |
| REX HOSPITAL Outpatient | Wellcare | Medicare Advantage | $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 | Alignment | Medicare Advantage | $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 | 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 | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Surest | — | $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 | Nalc Health Benefit Plan | Hmo/Ppo | $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 ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Medicare Advantage | $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 ↗ |
| REX HOSPITAL Outpatient | Health Team Advantage | Medicare Advantage | $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 | Option Ppo | $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 HEALTH NASH Outpatient | Bcbs | Blue Value | $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 ↗ |
| UNC HEALTH NASH Outpatient | Bcbs | Blue Home | $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 | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Medicare Advantage | $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 | Cigna | Choice | $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 | Humana | Medicare Advantage Gold Plus | $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 | United Healthcare | 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 | Wellcare | Managed Medicaid | $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 | Tricare | Hmo | $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 ↗ |
| REX HOSPITAL Outpatient | Alignment | 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 ↗ |
| REX HOSPITAL Outpatient | Aetna | State Health Plan | $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 ↗ |
| REX HOSPITAL Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | First Medicare Direct | Medicare Advantage | $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 | Trillium | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER 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 | New Business | $0.24 | — | — | 2026-01-12 | 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 | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | 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 ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $160.66 | — | 2026-07-01 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $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 | Ambetter | Marketplace Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | QualChoice of Arkansas | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Provider Partners Health Plans | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | 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.