J9332 — Inj Efgartigimod 2mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj efgartigimod 2mg (CPT J9332) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9332?code_type=CPT
MLA (9th ed.)
“Inj efgartigimod 2mg (CPT J9332) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9332?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Inj efgartigimod 2mg (CPT J9332) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9332?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $35–$13,625 (25th–75th percentile) across 1,579 hospitals · 4,448 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9332 — 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 |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $18,571.14 | $10,214.13 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $18,571.14 | $15,785.47 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $55,713.42 | $36,213.72 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $55,713.42 | $36,213.72 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $55,713.42 | $36,213.72 | 2025-11-26 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $29,924.54 | $29,924.54 | 2026-04-01 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $1.69 | — | — | 2026-01-13 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1.93 | — | — | 2026-03-18 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | UPMC Health Plan | Managed Medicare | $2.04 | $6.00 | $1.80 | 2025-08-06 | MRF ↗ |
| UPMC GREENE InpatientFacility | United Healthcare | Commercial | $2.24 | $6.40 | $3.84 | 2026-03-06 | MRF ↗ |
| UPMC GREENE InpatientFacility | United Healthcare | Commercial | $2.24 | $6.40 | $3.84 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $2.56 | $6.40 | $4.48 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna | Advantra Washington Prime | $2.56 | $6.40 | $4.48 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $2.56 | $6.40 | $4.48 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Medicare | $2.56 | $6.40 | $4.48 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $2.75 | $6.40 | $4.48 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicaid | $2.75 | $6.40 | $4.48 | 2026-03-06 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.85 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.85 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.85 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.93 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.01 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.08 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $3.20 | $6.00 | $1.80 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $3.20 | $6.00 | $1.80 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $3.30 | $6.00 | $1.80 | 2025-08-06 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $3.30 | $6.00 | $1.80 | 2025-08-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $3.41 | $6.40 | $4.48 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $3.41 | $6.40 | $4.48 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $3.52 | $6.40 | $4.48 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Cofinity/FirstHealth | $3.52 | $6.40 | $4.48 | 2026-03-06 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $55,713.42 | $36,213.72 | 2025-11-26 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Cigna | Commercial | $3.60 | $6.00 | $1.80 | 2025-08-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.70 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.70 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.78 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $3.78 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $3.78 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $3.78 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Senior Life | All | $3.84 | $6.40 | $4.48 | 2026-03-06 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Senior Life | All | $3.84 | $6.40 | $4.48 | 2026-03-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.85 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.93 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $4.01 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $4.16 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $4.17 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $4.17 | — | — | 2024-10-01 | MRF ↗ |
| WASHINGTON HOSPITAL, THE OutpatientFacility | Coventry/First Health | Commercial | $4.32 | $6.00 | $1.80 | 2025-08-06 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $5.57 | — | — | 2026-03-31 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $5.64 | $132.00 | $132.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $5.64 | $132.00 | $132.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $5.74 | $132.00 | $132.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $5.74 | $132.00 | $132.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $5.80 | $145.00 | $145.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $6.19 | $145.00 | $145.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $6.26 | $145.00 | $145.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $6.94 | $132.00 | $132.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $6.94 | $132.00 | $132.00 | 2026-04-30 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $7.13 | $30,345.00 | $4,551.75 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $7.13 | $30,345.00 | $4,551.75 | 2025-12-23 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $7.18 | $132.00 | $132.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $7.18 | $132.00 | $132.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $7.83 | $145.00 | $145.00 | 2026-05-15 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $7.91 | $27,372.00 | $24,635.03 | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $7.91 | $27,372.00 | $24,635.03 | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $7.91 | $27,372.00 | $24,635.03 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $7.91 | $27,372.00 | $24,635.03 | 2026-05-13 | MRF ↗ |
| AVERA ST ANTHONY'S HOSPITAL Outpatient | Medica Insurance | Com | $7.91 | $27,360.00 | $26,539.69 | 2026-05-09 | MRF ↗ |
| AVERA ST ANTHONY'S HOSPITAL Outpatient | Medica Insurance | Ind | $7.91 | $27,360.00 | $26,539.69 | 2026-05-09 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Plain Church | All Products | $8.66 | $18,571.14 | $15,414.05 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Plain Church | All Products | $8.66 | $18,571.14 | $15,414.05 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Plain Church | All Products | $8.66 | $18,571.14 | $15,414.05 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO BothFacility | Borderland | Medicaid | $9.62 | $18,571.14 | $12,999.80 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO BothFacility | Borderland | Medicaid | $9.62 | $18,571.14 | $12,999.80 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $55,713.42 | $36,213.72 | 2025-11-26 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $11.01 | $309.00 | $185.40 | 2026-03-06 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $11.03 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $11.03 | — | — | 2026-03-01 | MRF ↗ |
| FINLEY HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $11.39 | $30.95 | $24.76 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $11.48 | $30.95 | $24.76 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $11.48 | $30.95 | $24.76 | 2026-01-28 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $11.66 | $32.40 | $20.41 | 2026-01-27 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | GLOBAL EXCEL [1712] | CDH MEDICARE | — | $84,954.75 | $59,468.32 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | CDH MEDICARE | — | $84,954.75 | $59,468.32 | 2026-04-01 | MRF ↗ |
| FINLEY HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $12.75 | $30.95 | $24.76 | 2026-01-28 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | UNITED | UNITED MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | TUFTS | TUFTS MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | ANTHEM | ANTHEM MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $12.89 | $309.52 | $309.52 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $12.89 | $309.52 | $309.52 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $12.89 | $309.52 | $309.52 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $12.89 | $309.52 | $309.52 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $12.89 | $309.52 | $309.52 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | TUFTS | TUFTS MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | ANTHEM | ANTHEM MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | UNITED | UNITED MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | WELLCARE | WELLCARE MEDICARE | $13.15 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $13.15 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $13.15 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $13.15 | $309.52 | $309.52 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | WELLCARE | WELLCARE MEDICARE | $13.15 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $13.21 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | AETNA | AETNA MEDICARE | $13.21 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | AETNA | AETNA MEDICARE | $13.21 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $13.21 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $13.21 | $309.52 | $309.52 | 2026-04-01 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $13.38 | $309.00 | $185.40 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | US Family Health Plan | Tricare Prime | — | $309.00 | $185.40 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Tricare | East Region | — | $309.00 | $185.40 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | $99.00 | $59.40 | 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 | $13.51 | $99.00 | $59.40 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | $99.00 | $59.40 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | $99.00 | $59.40 | 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 | $13.51 | $99.00 | $59.40 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | $99.00 | $59.40 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $13.51 | $107.00 | $85.60 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $107.00 | $85.60 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $13.64 | $107.00 | $85.60 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Tricare | East Region | — | $107.00 | $85.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Tricare | East Region | — | $112.00 | $67.20 | 2026-03-07 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | US Family Health Plan | Tricare Prime | — | $107.00 | $85.60 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $143.00 | $85.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $13.64 | $112.00 | $67.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $112.00 | $67.20 | 2026-03-07 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Tricare | East Region | — | $143.00 | $85.80 | 2026-03-06 | 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 | $13.64 | $143.00 | $85.80 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | US Family Health Plan | Tricare Prime | — | $143.00 | $85.80 | 2026-03-06 | 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 | $13.64 | $143.00 | $85.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $143.00 | $85.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $112.00 | $67.20 | 2026-03-07 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Tricare | East Region | — | $107.00 | $85.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Tricare | East Region | — | $112.00 | $67.20 | 2026-03-07 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $13.64 | $107.00 | $85.60 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | US Family Health Plan | Tricare Prime | — | $107.00 | $85.60 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Tricare | East Region | — | $101.00 | $80.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $13.64 | $112.00 | $67.20 | 2026-03-07 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $13.64 | $101.00 | $80.80 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | US Family Health Plan | Tricare Prime | — | $101.00 | $80.80 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $13.64 | $143.00 | $85.80 | 2026-03-06 | MRF ↗ |
| FINLEY HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $13.77 | $30.95 | $24.76 | 2026-01-28 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | ALL PRODUCTS | $14.01 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $14.01 | — | — | 2025-07-01 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Aetna | Aetna | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Gateway | Gateway Medicare Advantage | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Uhc | Uhc All Payer | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Centene | Centene | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Senior Life | Managed Medicare 100% | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Tricare | Tricare | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Uhc | Uhc Onenet | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Upmc Health Plan | Upmc For Life | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Cigna | Managed Medicare 100% | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Devoted Health | Devoted | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Uhc | Managed Medicare 100% | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Geisinger | Geisinger | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Geisinger | Managed Medicare 100% | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Cigna | Cigna | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Amerihealth Caritas Health Plan | Amerihealth | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Bcbs Traditional | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $14.05 | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | American Progressive | Managed Medicare 100% | — | $128.00 | $51.20 | 2026-05-18 | MRF ↗ |
| ST. ALPHONSUS MEDICAL CENTER - BAKER CITY BothFacility | Borderland | Medicaid | $14.11 | $12,380.76 | $8,666.53 | 2025-01-01 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Prevea 360 | Medicare Advantage | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | MeridianCare | Medicare Advantage | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - South Central WI | Managed Medicaid | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | HMO/POS | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | PPO | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - Eau Claire | Managed Medicaid | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Medicare Advantage | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - South Central WI | Managed Medicaid | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Managed Medicaid | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Blue Priority/Pathway | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | IlliniCare | Medicare Advantage | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $14.28 | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Quartz | HMO | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Health Partners Open Network | Commercial | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Humana | Medicare Advantage | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Dean Health Plan | Managed Medicaid | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | My Choice | Managed Medicaid | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Managed Medicaid | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Commercial | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Cigna | Commercial | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Medicare Advantage | — | $62.08 | $49.67 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC | HMO | — | $62.08 | $49.67 | 2026-01-28 | 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.