J9358 — Fam-trastuzumab Deruxtecan-nxki 100 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION (HCPCS J9358) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9358?code_type=HCPCS
MLA (9th ed.)
“FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION (HCPCS J9358) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9358?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“FAM-TRASTUZUMAB DERUXTECAN-NXKI 100 MG INTRAVENOUS SOLUTION (HCPCS J9358) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9358?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $33–$6,096 (25th–75th percentile) across 2,098 hospitals · 5,323 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9358 — 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
$33
$95 typical
$6,096
The middle 50% of negotiated facility rates for this procedure, measured across 2,098 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $95 |
| Likely subtotal | $95 |
Facility charge (no separate professional fee)
$95
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 $33–$6,096.
- 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 |
|---|---|---|---|---|---|---|---|
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon BCBS Indemnity | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon BCBS Managed Care | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon BCBS Managed Care | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Jefferson Health Plan | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Clover Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon BCBS OMNIA | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon BCBS PPO | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Healthspring | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Ambetter | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Jefferson Health Plan | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | AmeriHealth | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon BCBS OMNIA | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Aetna Better Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Ambetter | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Ambetter | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Humana | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon BCBS OMNIA | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Wellpoint | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Healthspring | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $8,105.61 | $4,458.09 | 2025-01-01 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Braven Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon BCBS SHBP | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon BCBS PPO | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Fidelis Care of NJ | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | AmeriHealth | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon BCBS OMNIA | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon BCBS Indemnity | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Ambetter | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon BCBS Indemnity | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Clover Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Healthspring | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Braven Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Fidelis Care of NJ | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon BCBS Indemnity | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Aetna Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | AmeriHealth Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | AmeriHealth | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon BCBS SHBP | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Braven Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Wellpoint | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Wellpoint | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | AmeriHealth | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Clover Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Healthspring | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | AmeriHealth Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Clover Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Humana | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Wellpoint | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Independence Blue Cross | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Fidelis Care of NJ | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Humana | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon BCBS Managed Care | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon BCBS PPO | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Jefferson Health Plan | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Aetna Better Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Braven Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon BCBS Managed Care | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Aetna | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Independence Blue Cross | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Aetna Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna Better Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Jefferson Health Plan | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon BCBS SHBP | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Aetna | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon BCBS PPO | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | AmeriHealth Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $8,105.61 | $6,889.77 | 2025-01-01 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | AmeriHealth Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon BCBS SHBP | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Fidelis Care of NJ | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Aetna | Commercial | $0.03 | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna | Commercial | $0.03 | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Aetna | Commercial | $0.03 | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Aetna | Commercial | $0.03 | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $26,412.75 | $17,168.29 | 2025-11-26 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Medicare-HMO | Community Insurance Company | — | $408.00 | $224.40 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Medicare-HMO | Community Insurance Company | — | $408.00 | $224.40 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-EPO | Community Insurance Company | — | $408.00 | $224.40 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-POS | Community Insurance Company | — | $408.00 | $224.40 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-PPO | Community Insurance Company | — | $408.00 | $224.40 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-POS | Community Insurance Company | — | $408.00 | $224.40 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-PPO | Community Insurance Company | — | $408.00 | $224.40 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-Indemnity | Community Insurance Company | — | $408.00 | $224.40 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-HMO | Community Insurance Company | — | $408.00 | $224.40 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-EPO | Community Insurance Company | — | $408.00 | $224.40 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-HMO | Community Insurance Company | — | $408.00 | $224.40 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-Indemnity | Community Insurance Company | — | $408.00 | $224.40 | 2026-01-01 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $47,199.00 | $33,511.29 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $6,450.00 | $4,579.50 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $8,755.00 | $6,216.05 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $8,755.00 | $6,216.05 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $42,530.00 | $30,196.30 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $42,530.00 | $30,196.30 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $53,401.00 | $37,914.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $53,401.00 | $37,914.71 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $47,199.00 | $33,511.29 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $8,755.00 | $6,216.05 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $46,605.00 | $33,089.55 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $53,401.00 | $37,914.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $47,199.00 | $33,511.29 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $46,605.00 | $33,089.55 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $42,530.00 | $30,196.30 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $6,450.00 | $4,579.50 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $46,605.00 | $33,089.55 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $6,450.00 | $4,579.50 | 2026-07-15 | MRF ↗ |
| DOCTORS HOSPITAL 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 ↗ |
| MARION GENERAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.24 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.25 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | United | OptionsPPO | $0.33 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Virginia Health Network | ULTRA | $0.35 | $1.00 | $1.00 | 2026-03-07 | 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 ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $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 ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $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 ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $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 MEDBEN [540425] | $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 ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $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 ↗ |
| RIVERSIDE METHODIST 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] | AVALON HEALTHREACH OH [540410] | $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 ↗ |
| DOCTORS HOSPITAL 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 ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $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 ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $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 ↗ |
| MARION GENERAL 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 ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $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 ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $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 ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO STATE OF OH [485255] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MUTUAL HEALTH SERVICES MMO [485260] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED HMO [485235] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED SEL POS [485215] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MUTUAL HEALTH SERVICES MMO [485260] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED PPO [485210] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Cigna | PPO | $0.41 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED CLASSIC [485205] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED PPO [485210] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | UPMC MMO [485245] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO STATE OF OH [485255] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED HMO [485235] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED CLASSIC [485205] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED SEL POS [485215] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Cigna | HMO | $0.41 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | UPMC MMO [485245] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | HEALTHPARTNERS CIGNA [370240] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA BEHAVIORAL HEALTH [370200] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA HEALTHREACH PREFERRED [310203] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | MVP CIGNA [370425] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA HMO/NTWK/OACCESS/OA+/POS [370225] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA CHOICE FUND-ANY CHOICE FUND [370220] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA OPEN ACCESS ELECT CHOICE [310200] | $0.42 | $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.