J9355 — Trastuzumab 150 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION (HCPCS J9355) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9355?code_type=HCPCS
MLA (9th ed.)
“TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION (HCPCS J9355) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9355?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TRASTUZUMAB 150 MG INTRAVENOUS SOLUTION (HCPCS J9355) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9355?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $95–$3,413 (25th–75th percentile) across 2,380 hospitals · 6,649 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9355 — 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
$95
$566 typical
$3,413
The middle 50% of negotiated facility rates for this procedure, measured across 2,380 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $566 |
| Likely subtotal | $566 |
Facility charge (no separate professional fee)
$566
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 $95–$3,413.
- 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 |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $4,675.26 | $2,571.39 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $4,675.26 | $3,973.97 | 2025-01-01 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $0.03 | $0.03 | $0.01 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Wellcare | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Wellcare | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Trillium | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Alliance | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Partners | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Vaya Health | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | United Healthcare | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Carolina Complete Health | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Trillium | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Alliance | Managed Medicaid | $0.04 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Partners | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | United Healthcare | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Vaya Health | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Trillium | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Vaya Health | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Alliance | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Partners | Managed Medicaid | $0.05 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $0.06 | $0.06 | $0.02 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Blue Home | $0.06 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Contigo | — | $0.08 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Contigo | — | $0.09 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Aetna | State Health Plan | $0.09 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Medcost | Ultra | $0.10 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Aetna | Choice Pos | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Medcost | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Medcost | Ultra | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Contigo | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Medcost | Ppo | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Medcost | — | $0.12 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | First Carolina Care | — | $0.12 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Medcost | Ppo | $0.12 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Medcost | Ultra | $0.13 | $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 ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $1,425.00 | $1,068.75 | 2026-09-01 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $1,425.00 | $1,068.75 | 2026-09-01 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Medcost | — | $0.16 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Medcost | Ppo | $0.16 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.18 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.18 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.18 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| REX HOSPITAL Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | United Healthcare | Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Tricare | Select | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Humana | Medicare Advantage Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Health Team Advantage | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Nalc Health Benefit Plan | Hmo/Ppo | $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 ↗ |
| MCLEOD HEALTH CLARENDON Both | Bcbs | Hix | $0.20 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Preferred Plus Hmo | $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 ↗ |
| REX HOSPITAL Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Partners | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | Alignment | Smart Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Bcbs | Hix | $0.20 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Bcbs | Blue Value | $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 | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Bcbs | Hix | $0.20 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Bcbs | Hix | $0.20 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Wellcare | Medicare Advantage | $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 ↗ |
| REX HOSPITAL Outpatient | Alignment | Medicare Advantage | $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 HEALTH NASH Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Alignment | Preferred Plus Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| REX HOSPITAL Outpatient | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Bcbs | Blue Value | $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 | Aetna | Choice Pos | $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 ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Carolina Complete Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Aetna | Choice Pos | $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 | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Aetna | 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 | Cigna | Choice | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Bcbs | Medicare Advantage | $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 | United Healthcare | Exchange | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | — | $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 HEALTH NASH Outpatient | First Health Network | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Vaya Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Trillium | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PARDEE HOSPITAL HENDERSON COUNTY Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HEALTH NASH Outpatient | Alignment | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Hix | $0.24 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Hix | $0.24 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Hix | $0.24 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Hix | $0.24 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.24 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | CARE WISCONSIN | MEDICARE ADVANTAGE | $0.30 | $1.00 | $0.75 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | ANTHEM BLUE CROSS | MEDICARE ADVANTAGE | $0.30 | $1.00 | $0.75 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $0.31 | $1.00 | $0.75 | 2026-03-27 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Both | Bcbs | Hix | $0.36 | $1.00 | $0.71 | 2026-08-13 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Both | Bcbs | Hix | $0.36 | $1.00 | $0.71 | 2026-08-13 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| GRANT MEDICAL CENTER Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | 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.