J9319 — Inj Romidepsin Lyophil 0.1mg
Cite this view
HANK Price Transparency. (n.d.). Inj romidepsin lyophil 0.1mg (HCPCS J9319) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9319?code_type=HCPCS
“Inj romidepsin lyophil 0.1mg (HCPCS J9319) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9319?code_type=HCPCS. Accessed .
“Inj romidepsin lyophil 0.1mg (HCPCS J9319) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9319?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $34–$6,215 (25th–75th percentile) across 1,489 hospitals · 3,951 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9319 — 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $28,787.85 | $18,712.10 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $28,787.85 | $18,712.10 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $28,787.85 | $18,712.10 | 2025-11-26 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Braven Health | Medicare Advantage | $1.38 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $1.45 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $1.57 | — | — | 2026-01-13 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Braven Health | Medicare Advantage | $1.73 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $1.79 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.04 | — | — | 2026-03-18 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Aetna Medicare | Medicare Advantage | $2.08 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Aetna Medicare | Medicare Advantage | $2.08 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna Medicare | Medicare Advantage | $2.08 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Braven Health | Medicare Advantage | $2.17 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $2.27 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $2.56 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Wellpoint | Managed Medicaid | $2.56 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $2.62 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $2.62 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $2.77 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Cigna | Commercial | $2.89 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Cigna | Commercial | $2.89 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Cigna | Commercial | $2.89 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Cigna | Commercial | $2.89 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.91 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Fidelis Care of NJ | Managed Medicaid | $2.91 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.91 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Fidelis Care of NJ | Managed Medicaid | $2.91 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Wellpoint | Managed Medicaid | $2.97 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Wellpoint | Managed Medicaid | $2.97 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Aetna Better Health | Managed Medicaid | $3.07 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Aetna Better Health | Managed Medicaid | $3.07 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Fidelis Care of NJ | Managed Medicaid | $3.07 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Fidelis Care of NJ | Managed Medicaid | $3.07 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Wellpoint | Managed Medicaid | $3.14 | $15.20 | $15.21 | 2026-03-24 | 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 | — | $28,787.85 | $18,712.10 | 2025-11-26 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $3.93 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $3.93 | — | — | 2024-10-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $4.00 | $8.00 | $6.40 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $4.00 | $8.00 | $6.40 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $5.04 | $8.00 | $6.40 | 2025-12-16 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $5.35 | — | — | 2026-03-31 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $5.60 | $8.00 | $6.40 | 2025-12-16 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | AmeriHealth | Commercial | $6.08 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | United Healthcare | Commercial | $6.84 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | United Healthcare | Commercial | $6.84 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Oxford Health Plans | Commercial | $6.84 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Oxford Health Plans | Commercial | $6.84 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $6.84 | $15,807.00 | $2,371.05 | 2025-12-23 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Oxford Health Plans | Commercial | $6.84 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | United Healthcare | Commercial | $6.84 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | United Healthcare | Commercial | $6.84 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Oxford Health Plans | Commercial | $6.84 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $6.84 | $15,807.00 | $2,371.05 | 2025-12-23 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $8.59 | $31.69 | $25.36 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $8.59 | $31.69 | $25.36 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $8.67 | $31.99 | $25.60 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $8.67 | $31.99 | $25.60 | 2026-01-28 | MRF ↗ |
| Centra Specialty Hospital BothFacility | None | — | — | $126.00 | $41.58 | 2026-01-01 | MRF ↗ |
| DAVIS MEDICAL CENTER OutpatientFacility | Peak Health | Commercial | $9.32 | $54.00 | $37.80 | 2025-08-07 | MRF ↗ |
| DAVIS MEDICAL CENTER OutpatientFacility | Peak Health | Commercial | $9.32 | $54.00 | $37.80 | 2025-08-07 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $28,787.85 | $18,712.10 | 2025-11-26 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $10.33 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $10.33 | — | — | 2026-03-01 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Aetna | Commercial | $10.64 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Aetna | Commercial | $10.64 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Aetna | Commercial | $10.64 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna | Commercial | $10.64 | $15.20 | $15.21 | 2026-03-24 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Medica with MU Health | Exchange | $10.97 | $31.99 | $19.19 | 2025-12-15 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $11.09 | $31.69 | $25.36 | 2026-01-28 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $11.19 | $31.08 | $19.58 | 2026-01-27 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Immergun | Direct | $11.20 | $31.99 | $19.19 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Medica with MU Health | Exchange | $11.20 | $31.99 | $19.19 | 2025-12-15 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $11.20 | $31.99 | $25.60 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $12.42 | $31.69 | $25.36 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $12.49 | $31.69 | $25.36 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $12.54 | $31.99 | $25.60 | 2026-01-28 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $12.60 | $2,878.00 | $1,726.80 | 2026-03-06 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $12.60 | $31.99 | $25.60 | 2026-01-28 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | ALL PRODUCTS | $12.84 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $12.84 | — | — | 2025-07-01 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Custom | $13.76 | $31.99 | $19.19 | 2025-12-15 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Insure | Commercial | $13.98 | $31.69 | $25.36 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Insure | Commercial | $14.11 | $31.99 | $25.60 | 2026-01-28 | MRF ↗ |
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | Health New England | All Products | $15.28 | — | — | 2025-01-01 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $15.31 | $2,878.00 | $1,726.80 | 2026-03-06 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | All Products | $15.34 | — | — | 2025-07-01 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | AMERICHOICE - ALL PLANS | AMERICHOICE - ALL PLANS | $15.40 | $154.00 | $20.02 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | TCHP CHIPS - ALL PLANS | TCHP CHIPS - ALL PLANS | $15.40 | $154.00 | $20.02 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | SUPERIOR HEALTH PLAN MEDICAID | SUPERIOR HEALTH PLAN MEDICAID | $15.40 | $154.00 | $20.02 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | COMMUNITY HEALTH CHOICE - ALL PLANS | COMMUNITY HEALTH CHOICE - ALL PLANS | $15.40 | $154.00 | $20.02 | 2026-02-03 | MRF ↗ |
| BAPTIST BEAUMONT HOSPITAL Outpatient | AMERIGROUP - ALL PLANS | AMERIGROUP - ALL PLANS | $15.40 | $154.00 | $20.02 | 2026-02-03 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $15.47 | $106.00 | $63.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | $106.00 | $63.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | $106.00 | $63.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | $106.00 | $63.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $151.00 | $90.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $15.47 | $151.00 | $90.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | $106.00 | $63.60 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $15.47 | $106.00 | $63.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $212.00 | $127.20 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $15.61 | $212.00 | $127.20 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | US Family Health Plan | Tricare Prime | — | $212.00 | $127.20 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Tricare | East Region | — | $212.00 | $127.20 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $212.00 | $127.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Tricare | East Region | — | $212.00 | $127.20 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $15.61 | $212.00 | $127.20 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Tricare | East Region | — | $147.00 | $117.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $15.61 | $212.00 | $127.20 | 2026-03-07 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $15.61 | $147.00 | $117.60 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | US Family Health Plan | Tricare Prime | — | $147.00 | $117.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $15.61 | $212.00 | $127.20 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $15.61 | $212.00 | $127.20 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $212.00 | $127.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Tricare | East Region | — | $212.00 | $127.20 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $212.00 | $127.20 | 2026-03-06 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Direct PPO | $15.68 | $31.99 | $19.19 | 2025-12-15 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER BothFacility | Health New England | All Products | $15.89 | $8,826.36 | $4,854.50 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER BothFacility | Health New England | All Products | $15.89 | $8,826.36 | $4,854.50 | 2025-01-01 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Meridian | Medicaid - Meridian | $16.00 | $139.00 | $69.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Midwest | Medicaid - Midwest | $16.00 | $62.00 | $31.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $57.00 | $28.00 | 2025-02-03 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Aetna | Missouri Preferred PPO | $16.00 | $31.99 | $19.19 | 2025-12-15 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $16.00 | $93.00 | $46.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Molina | Medicaid - Molina | $16.00 | $139.00 | $69.00 | 2025-02-03 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $16.00 | — | — | 2025-06-28 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Midwest | Medicaid - Midwest | $16.00 | $57.00 | $28.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Midwest | Medicaid - Midwest | $16.00 | $93.00 | $46.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $16.00 | $57.00 | $28.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Midwest | Medicaid - Midwest | $16.00 | $139.00 | $69.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Meridian | Medicaid - Meridian | $16.00 | $93.00 | $46.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | McLaren Commercial Ins | McLaren Commercial Ins | $16.00 | $57.00 | $28.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $93.00 | $46.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Molina | Medicaid - Molina | $16.00 | $62.00 | $31.00 | 2025-02-03 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $1,938.00 | $969.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Meridian | Medicaid - Meridian | $16.00 | $57.00 | $28.00 | 2025-02-03 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Medicaid - Meridian | Medicaid - Meridian | $16.00 | $1,938.00 | $969.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $62.00 | $31.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Molina | Medicaid - Molina | $16.00 | $57.00 | $28.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $16.00 | $139.00 | $69.00 | 2025-02-03 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Medicaid - Midwest | Medicaid - Midwest | $16.00 | $1,938.00 | $969.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $16.00 | $62.00 | $31.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Medicaid - Midwest | Medicaid - Midwest | $16.00 | $70.00 | $35.00 | 2025-02-03 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Medicaid - Molina | Medicaid - Molina | $16.00 | $1,938.00 | $969.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $70.00 | $35.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $16.00 | $70.00 | $35.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - United | Medicaid - United | $16.00 | $62.00 | $31.00 | 2025-02-03 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Medicaid - United | Medicaid - United | $16.00 | $1,938.00 | $969.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Meridian | Medicaid - Meridian | $16.00 | $62.00 | $31.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - United | Medicaid - United | $16.00 | $93.00 | $46.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Medicaid - Molina | Medicaid - Molina | $16.00 | $70.00 | $35.00 | 2025-02-03 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Customer Specific | $16.00 | $31.99 | $19.19 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | PPO/HMO | $16.00 | $31.99 | $19.19 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | United Healthcare | Exchange | $16.00 | $31.99 | $19.19 | 2025-12-15 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $16.00 | $139.00 | $69.00 | 2025-02-03 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Priority Health | Managed Medicaid | $16.01 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan McLaren | Managed Medicaid | $16.01 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Molina | Managed Medicaid | $16.01 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Blue Cross Complete | Managed Medicaid | $16.01 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Meridian | Managed Medicaid | $16.01 | — | — | 2025-03-12 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Geisinger | Managed Medicare 100% | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Geisinger | Geisinger | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Bcbs Traditional | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Cigna | Cigna | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Cigna | Managed Medicare 100% | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $16.08 | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Aetna | Aetna | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Senior Life | Managed Medicare 100% | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Centene | Centene | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $16.08 | — | — | 2026-04-01 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Gateway | Gateway Medicare Advantage | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Upmc Health Plan | Upmc For Life | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Uhc | Managed Medicare 100% | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Tricare | Tricare | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Uhc | Uhc Onenet | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Devoted Health | Devoted | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Uhc | Uhc All Payer | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Amerihealth Caritas Health Plan | Amerihealth | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | American Progressive | Managed Medicare 100% | — | $151.02 | $60.41 | 2026-05-18 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $16.11 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $16.11 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $16.11 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $16.11 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $16.11 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $16.11 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $16.16 | $6,000.00 | $5,100.00 | 2026-04-17 | 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.