J9325 — Inj Talimogene Laherparepvec
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj talimogene laherparepvec (HCPCS J9325) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9325?code_type=HCPCS
MLA (9th ed.)
“Inj talimogene laherparepvec (HCPCS J9325) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9325?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj talimogene laherparepvec (HCPCS J9325) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9325?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $75–$659 (25th–75th percentile) across 1,585 hospitals · 2,815 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9325 — 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
$75
$141 typical
$659
The middle 50% of negotiated facility rates for this procedure, measured across 1,585 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $141 |
| Likely subtotal | $141 |
Facility charge (no separate professional fee)
$141
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 $75–$659.
- 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 | — | $798.48 | $678.71 | 2025-01-01 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Chip] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $321.95 | — | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.64 | $173.36 | $164.69 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.64 | $173.36 | $164.69 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.64 | $173.36 | $164.69 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.66 | $173.36 | $164.69 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.68 | $173.36 | $164.69 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.69 | $173.36 | $164.69 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.85 | $173.36 | $164.69 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.85 | $173.36 | $164.69 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.87 | $173.36 | $164.69 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.94 | $173.36 | $164.69 | 2026-02-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $335.36 | $217.98 | 2026-06-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $3.15 | — | — | 2026-03-18 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $5.50 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $5.50 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $5.50 | $33.36 | $6.68 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $5.50 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $5.50 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $5.50 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $5.89 | $39.00 | $8.97 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $5.89 | $39.00 | $8.58 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $5.89 | $39.00 | $8.97 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $5.89 | $39.00 | $8.58 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $6.01 | $39.00 | $8.97 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $6.01 | $39.00 | $8.58 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $6.01 | $39.00 | $8.97 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $6.01 | $39.00 | $8.58 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $6.07 | $39.00 | $8.97 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $6.07 | $39.00 | $8.58 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $6.07 | $39.00 | $8.58 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $6.07 | $39.00 | $8.97 | 2026-07-15 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $6.34 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $6.63 | — | — | 2026-03-04 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $6.67 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $6.67 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $6.67 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $6.67 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $6.67 | $33.36 | $6.68 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $6.67 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $6.71 | $39.93 | $11.18 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $6.71 | $39.93 | $11.18 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $6.84 | $39.93 | $11.18 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $6.84 | $39.93 | $11.18 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $6.91 | $39.93 | $11.18 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $6.91 | $39.93 | $11.18 | 2026-09-28 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $7.00 | $798.48 | $519.01 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $7.00 | $798.48 | $519.01 | 2025-01-01 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $7.10 | $39.93 | $10.78 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $7.10 | $39.93 | $10.78 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $7.24 | $39.93 | $10.78 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $7.24 | $39.93 | $10.78 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $7.31 | $39.93 | $10.78 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $7.31 | $39.93 | $10.78 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $27.38 | $10.68 | 2026-07-31 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Humana Medicaid | Managed Medicaid | $8.01 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $8.27 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | United Healthcare Adult | Commercial | $8.27 | $33.36 | $6.68 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $8.27 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $8.27 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $8.27 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | WELLSENSE HEALTH MEDICAID NEW HAMPSHIRE [1108] | BMC HB WELLSENSE HEALTH MEDICAID NEW HAMPSHIRE | $8.94 | $24.83 | $11.17 | 2026-03-13 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $9.00 | $78.35 | $39.17 | 2024-12-15 | 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 | $9.28 | — | — | 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 | — | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $9.28 | — | — | 2024-10-01 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $9.81 | $64.94 | $14.94 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $9.81 | $64.94 | $14.94 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $9.81 | $64.94 | $14.29 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $9.81 | $64.94 | $14.29 | 2026-08-17 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | UPHAMS CORNER ESP [1213] | BMC HB UPHAMS - ELDER SERVICE PLAN | $9.93 | $24.83 | $11.17 | 2026-03-13 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $10.00 | $78.35 | $39.17 | 2024-12-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $10.01 | $64.94 | $14.94 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $10.01 | $64.94 | $14.29 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $10.01 | $64.94 | $14.29 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $10.01 | $64.94 | $14.94 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $10.11 | $64.94 | $14.94 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $10.11 | $64.94 | $14.94 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $10.11 | $64.94 | $14.29 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $10.11 | $64.94 | $14.29 | 2026-08-17 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZBU EMPLOYEE WORK COMP [5004] | BMC HB WORKERS COMP | $10.64 | $24.83 | $11.17 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | WORKERS COMP [5002] | BMC HB WORKERS COMP | $10.64 | $24.83 | $11.17 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZCITY OF BOSTON WORK COMP [5003] | BMC HB WORKERS COMP | $10.64 | $24.83 | $11.17 | 2026-03-13 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $10.68 | $27.38 | $10.68 | 2026-07-31 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $11.58 | $68.93 | $19.30 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $11.58 | $68.93 | $19.30 | 2026-09-28 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $11.68 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | SIHO | Commercial | $11.68 | $33.36 | $6.68 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $11.68 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $11.68 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $11.68 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| Temple University Hospital - Northeastern Campus InpatientFacility | UnitedHealthcare | Commercial | $11.71 | $95.20 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus InpatientFacility | UnitedHealthcare | Commercial | $11.71 | $95.20 | — | 2026-04-13 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $11.81 | $68.93 | $19.30 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $11.81 | $68.93 | $19.30 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $11.93 | $68.93 | $19.30 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $11.93 | $68.93 | $19.30 | 2026-09-28 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $11.94 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Adult | Commercial | $11.94 | $33.36 | $6.68 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $11.94 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $11.94 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $11.94 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $11.98 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $11.98 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $11.98 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $11.98 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Alternative | Commercial | $11.98 | $33.36 | $6.68 | 2026-02-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | AETNA [2022] | BMC HB AETNA STUDENT HEALTH | $12.14 | $24.83 | $11.17 | 2026-03-13 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | ZZZAETNA [1001] | BMC HB AETNA STUDENT HEALTH | $12.14 | $24.83 | $11.17 | 2026-03-13 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $12.25 | $68.93 | $18.61 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $12.25 | $68.93 | $18.61 | 2026-07-15 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Outpatient | PA HLTH and WELLNESS MA TUH | PA HLTH and WELLNESS MA TUH | $12.32 | $90.66 | $70.36 | 2025-01-01 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $12.49 | $68.93 | $18.61 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $12.49 | $68.93 | $18.61 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | Quest | $12.54 | $32.15 | $13.00 | 2026-07-15 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Pediatric | Commercial | $12.58 | $33.36 | $6.68 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $12.58 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $12.58 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $12.58 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $12.58 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $12.62 | $68.93 | $18.61 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $12.62 | $68.93 | $18.61 | 2026-07-15 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $12.65 | — | — | 2026-03-31 | MRF ↗ |
| GLENS FALLS HOSPITAL InpatientFacility | Fidelis | Medicare Advantage | $12.65 | $21.08 | $10.54 | 2025-12-31 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Outpatient | PA HEALTH AND WELLNESS MA FCCC | PA HEALTH AND WELLNESS MA FCCC | $12.69 | $90.66 | $70.36 | 2025-01-01 | MRF ↗ |
| GLENS FALLS HOSPITAL InpatientFacility | MVP Commercial | Small_Large Group_CIGNA | $12.86 | $21.08 | $10.54 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL InpatientFacility | MVP Commercial | Individual_Student Health Plan | $12.86 | $21.08 | $10.54 | 2025-12-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $13.00 | $78.35 | $39.17 | 2024-12-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $13.02 | $305.00 | $305.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $13.02 | $305.00 | $305.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $13.27 | $305.00 | $305.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $13.27 | $305.00 | $305.00 | 2026-04-30 | MRF ↗ |
| BOSTON MEDICAL CENTER Both | MASS GENERAL BRIGHAM HEALTH PLAN COMMERCIAL [8009] | BMC HB MASS GENERAL BRIGHAM HEALTH HMO/PPO/UNSUBSIDIZED QHP | $13.39 | $24.83 | $11.17 | 2026-03-13 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $13.44 | $336.00 | $336.00 | 2026-06-24 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Optimum | MGMCR | $13.62 | $158.43 | $158.43 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Freedom Health | MGMCR | $13.62 | $158.43 | $158.43 | 2026-03-01 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $13.69 | $27.38 | $10.68 | 2026-07-31 | MRF ↗ |
| GLENS FALLS HOSPITAL InpatientFacility | Nascentia Health Options | Medicare Advantage | $13.70 | $21.08 | $10.54 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL InpatientFacility | Empire Plan NYSHIP | All Products | $13.70 | $21.08 | $10.54 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL InpatientFacility | BCBS_Empire HealthChoice | Blue Access Large Group | $13.70 | $21.08 | $10.54 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL InpatientFacility | Hamaspik | Medicaid Managed Care | $13.70 | $21.08 | $10.54 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL InpatientFacility | BCBS_Empire HealthChoice | Commercial All Products | $13.70 | $21.08 | $10.54 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL InpatientFacility | BCBS_Empire HealthChoice | Blue Access Small Group | $13.70 | $21.08 | $10.54 | 2025-12-31 | MRF ↗ |
| GLENS FALLS HOSPITAL InpatientFacility | Hamaspik | Medicare Advantage | $13.70 | $21.08 | $10.54 | 2025-12-31 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Outpatient | FCCC Geisinger Medicare | FCCC Geisinger Medicare | $14.10 | $90.66 | $70.36 | 2025-01-01 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center Outpatient | Cigna FCCC | Cigna FCCC | $14.14 | $90.66 | $70.36 | 2025-01-01 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $14.17 | $33.36 | $6.68 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $14.17 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $14.17 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $14.17 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $14.35 | $336.00 | $336.00 | 2026-06-24 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $14.40 | $37,548.62 | $23,280.15 | 2025-07-01 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $14.51 | $27.38 | $10.68 | 2026-07-31 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $14.52 | $336.00 | $336.00 | 2026-06-24 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $14.71 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $14.71 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $14.71 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $14.71 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $14.71 | $33.36 | $6.68 | 2026-02-13 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Optimum | MGMCR | $14.73 | $158.43 | $158.43 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA KENDALL HOSPITAL Outpatient | Freedom Health | MGMCR | $14.73 | $158.43 | $158.43 | 2024-10-01 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $15.01 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $15.01 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $15.01 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $15.01 | $33.36 | $6.68 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $15.01 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Medica with MU Health | Exchange | $15.09 | $44.00 | $26.40 | 2025-12-15 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $15.18 | $83.84 | $46.11 | 2026-02-19 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | UnitedHealthcare | VACCN | $15.23 | $95.20 | — | 2026-04-08 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Optum | Behavioral Medicare | — | $283.18 | $120.36 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $15.38 | $283.18 | $120.36 | 2026-01-29 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Immergun | Direct | $15.40 | $44.00 | $26.40 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Medica with MU Health | Exchange | $15.40 | $44.00 | $26.40 | 2025-12-15 | MRF ↗ |
| SHANNON MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $15.42 | $110.92 | $55.46 | 2025-12-08 | MRF ↗ |
| SCENIC MOUNTAIN MEDICAL CENTER OutpatientFacility | City of San Angelo | PPO | $15.42 | $110.92 | $55.46 | 2026-04-08 | MRF ↗ |
| RIVER CREST HOSP OutpatientFacility | City of San Angelo | PPO | $15.42 | $110.92 | $55.46 | 2025-12-08 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $15.59 | $33.36 | $6.68 | 2026-02-11 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2024-12-08 | 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.