J9332 — Inj Efgartigimod 2mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj efgartigimod 2mg (HCPCS J9332) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9332?code_type=HCPCS
MLA (9th ed.)
“Inj efgartigimod 2mg (HCPCS J9332) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9332?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj efgartigimod 2mg (HCPCS J9332) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9332?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $35–$14,096 (25th–75th percentile) across 1,824 hospitals · 4,327 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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.
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
$35
$112 typical
$14,096
The middle 50% of negotiated facility rates for this procedure, measured across 1,824 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $112 |
| Likely subtotal | $112 |
Facility charge (no separate professional fee)
$112
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 $35–$14,096.
- 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 | — | $18,571.14 | $15,785.47 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $18,571.14 | $10,214.13 | 2025-01-01 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $0.03 | $0.03 | $0.01 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Contigo | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | 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 ↗ |
| 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 ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $48,325.00 | $34,310.75 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $12,282.00 | $8,720.22 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $40,134.45 | $28,495.46 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $48,325.00 | $34,310.75 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $66,069.05 | $46,909.03 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $40,134.45 | $28,495.46 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $48,325.00 | $34,310.75 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $66,069.05 | $46,909.03 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $66,069.05 | $46,909.03 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $12,282.00 | $8,720.22 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $40,134.45 | $28,495.46 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $12,282.00 | $8,720.22 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $23,028.21 | $16,350.03 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $23,028.21 | $16,350.03 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $23,028.21 | $16,350.03 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Home | $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 ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $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 | Bcbs | Medicare Advantage | $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 | Bcbs | Option Ppo | $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 | Trillium | 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 | Umr | — | $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 ↗ |
| UNC HOSPITALS Outpatient | Carolina Complete Health | 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 | Cigna | Medicare Advantage | $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 | — | $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 | Cigna | Choice | $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 | Wellcare | Managed Medicaid | $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 | First Health Network | — | $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 HOSPITALS Outpatient | Healthy Blue North Carolina | Managed Medicaid | $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 | Aetna | 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 | Surest | — | $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 | Vaya Health | Managed Medicaid | $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 | United Healthcare | Managed Medicaid | $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 | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.29 | $159.01 | $31.52 | 2024-12-31 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $279.24 | — | 2026-07-01 | 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 | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $55,713.42 | $36,213.72 | 2025-11-26 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University 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 TRUST PPO | $1.00 | $360.00 | $270.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $360.00 | $270.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $360.00 | $270.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $360.00 | $270.00 | 2026-05-20 | 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 ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Both | Promise Health | Commerical | $1.48 | $48,325.00 | $34,310.75 | 2026-08-13 | 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 ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $1,136.55 | $738.76 | 2026-06-15 | MRF ↗ |
| UPMC GREENE InpatientFacility | United Healthcare | Commercial | $2.24 | $6.40 | $3.84 | 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 | Advantra Washington Prime | $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 ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.85 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.85 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.85 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.93 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.01 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $3.08 | $770.52 | $732.00 | 2026-02-20 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $3.17 | $18,115.61 | $17,209.83 | 2026-07-15 | MRF ↗ |
| UPMC GREENE OutpatientFacility | Aetna of PA | Auto/Workers Compensation | $3.20 | $6.00 | $1.80 | 2025-08-06 | 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 | 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 | 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 - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $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 ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $3.85 | $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 ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Both | Promise Health | Commerical | $4.48 | $21,493.00 | $15,260.03 | 2026-08-13 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso First Health Plan | Commercial | $5.46 | $36.41 | $7.28 | 2026-07-15 | 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 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $6.19 | $145.00 | $145.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $6.26 | $145.00 | $145.00 | 2026-06-24 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso Health Plans | Medicaid | $6.55 | $36.41 | $7.28 | 2026-07-15 | 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 | 2026-06-24 | MRF ↗ |
| WAGNER COMMUNITY MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Com | $7.91 | $23,382.00 | $21,043.94 | 2026-07-15 | MRF ↗ |
| AVERA ST ANTHONY'S HOSPITAL Outpatient | Medica Insurance | Ind | $7.91 | $27,360.00 | $26,539.69 | 2026-05-09 | MRF ↗ |
| WAGNER COMMUNITY MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Ind | $7.91 | $23,382.00 | $21,043.94 | 2026-07-15 | MRF ↗ |
| AVERA ST ANTHONY'S HOSPITAL Outpatient | Medica Insurance | Com | $7.91 | $27,360.00 | $26,539.69 | 2026-05-09 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Platform Health Insurance | Ppo | $8.18 | $17,296.65 | $10,377.99 | 2026-07-15 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Blue Cross Blue Shield Completecaresource Michigan Medicaidmeridian Health Healthy Michigan Planmeridian Health Medicaid Hmomeridian Health Mi Childmeridian Health Plan | Hmo | $8.18 | $17,296.65 | $10,377.99 | 2026-07-15 | 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 JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Plain Church | All Products | $8.66 | $18,571.14 | $15,414.05 | 2025-01-01 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Mclaren Health Healthy Michigan Planmclaren Health Medicaid Hmomclaren Health Mi Child | Hmo | $9.41 | $17,296.65 | $10,377.99 | 2026-07-15 | 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 ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | NPR | $9.92 | $57.00 | $57.00 | 2026-03-07 | 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 ↗ |
| EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL Both | Highmark Advantage Freedom Blue | Medicare | $11.80 | $1,207.12 | $724.27 | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $12.61 | — | — | 2026-07-15 | MRF ↗ |
| FINLEY HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $12.75 | $30.95 | $24.76 | 2026-01-28 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $21,370.00 | $13,890.50 | 2026-07-31 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $29,934.55 | $19,457.46 | 2026-07-31 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $12.89 | $309.52 | $309.52 | 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 ↗ |
| MIDSTATE MEDICAL CENTER Outpatient | UNITED | UNITED MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $29,934.55 | $19,457.46 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $10,170.20 | $6,610.63 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $5,558.50 | $3,613.03 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $5,558.50 | $3,613.03 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $21,370.00 | $13,890.50 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $10,170.20 | $6,610.63 | 2026-07-31 | 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 | ANTHEM | ANTHEM MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $12.89 | $29,934.55 | $19,457.46 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $29,934.55 | $19,457.46 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $12.89 | $10,170.20 | $6,610.63 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $5,558.50 | $3,613.03 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $12.89 | $21,370.00 | $13,890.50 | 2026-07-31 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $12.89 | $5,558.50 | $3,613.03 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $10,170.20 | $6,610.63 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $29,934.55 | $19,457.46 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $10,170.20 | $6,610.63 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $21,370.00 | $13,890.50 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $5,558.50 | $3,613.03 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $21,370.00 | $13,890.50 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $10,170.20 | $6,610.63 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $5,558.50 | $3,613.03 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Aetna Health | Commercial | — | $10,170.20 | $6,610.63 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $21,370.00 | $13,890.50 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $5,558.50 | $3,613.03 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $29,934.55 | $19,457.46 | 2026-07-31 | MRF ↗ |
| CHARLOTTE HUNGERFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $12.89 | $309.52 | $309.52 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $21,370.00 | $13,890.50 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $10,170.20 | $6,610.63 | 2026-07-31 | 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 | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Aetna Health | Commercial | — | $5,558.50 | $3,613.03 | 2026-07-31 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | ANTHEM | ANTHEM 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 ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $5,558.50 | $3,613.03 | 2026-07-31 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $21,370.00 | $13,890.50 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $5,558.50 | $3,613.03 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $10,170.20 | $6,610.63 | 2026-07-31 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $12.89 | $331.80 | $331.80 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $29,934.55 | $19,457.46 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $5,558.50 | $3,613.03 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $5,558.50 | $3,613.03 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $29,934.55 | $19,457.46 | 2026-07-31 | 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.