J9380 — Inj Teclistamab Cqyv 0.5 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj teclistamab cqyv 0.5 mg (HCPCS J9380) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9380?code_type=HCPCS
MLA (9th ed.)
“Inj teclistamab cqyv 0.5 mg (HCPCS J9380) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9380?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj teclistamab cqyv 0.5 mg (HCPCS J9380) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9380?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $43–$9,248 (25th–75th percentile) across 1,404 hospitals · 3,713 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9380 — 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
$43
$656 typical
$9,248
The middle 50% of negotiated facility rates for this procedure, measured across 1,404 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $656 |
| Likely subtotal | $656 |
Facility charge (no separate professional fee)
$656
- 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $64,889.92 | $42,178.45 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $64,889.92 | $42,178.45 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $64,889.92 | $42,178.45 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | $1.00 | $32,301.18 | $24,225.88 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | $1.10 | $3,592.11 | $2,694.08 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | $1.15 | $32,301.18 | $24,225.88 | 2026-04-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $1.76 | — | — | 2026-01-13 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1.89 | — | — | 2026-03-18 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | San Diego Pace | San Diego Pace | $1.93 | $3,592.11 | $2,694.08 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | $1.93 | $3,592.11 | $2,694.08 | 2026-04-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $4.17 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $4.17 | — | — | 2024-10-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $5.20 | $104.00 | $104.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $5.20 | $104.00 | $104.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $5.20 | $104.00 | $104.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $5.20 | $104.00 | $104.00 | 2026-03-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $5.72 | — | — | 2026-03-31 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $5.80 | $145.00 | $145.00 | 2026-05-15 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $5.94 | $59.26 | $35.56 | 2025-12-30 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.94 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $5.94 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.94 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.10 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $6.19 | $145.00 | $145.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $6.19 | $145.00 | $145.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $6.19 | $145.00 | $145.00 | 2026-04-30 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $6.26 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $6.26 | $145.00 | $145.00 | 2026-05-15 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $6.31 | $145.00 | $145.00 | 2026-04-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $6.31 | $145.00 | $145.00 | 2026-04-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $6.42 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $6.48 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $6.48 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $6.48 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $7.32 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $7.32 | — | — | 2025-12-23 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $7.63 | $145.00 | $145.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $7.63 | $145.00 | $145.00 | 2026-04-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.70 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.70 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $7.83 | $145.00 | $145.00 | 2026-05-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.86 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.86 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $7.86 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $7.86 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $7.89 | $145.00 | $145.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $7.89 | $145.00 | $145.00 | 2026-04-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $8.02 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $8.18 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $8.32 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $8.32 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $8.34 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $8.66 | $1,604.51 | $1,524.28 | 2026-02-20 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $9.33 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $9.33 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $10.24 | $5,575.00 | $3,345.00 | 2026-03-06 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $10.57 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $11.07 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $11.07 | — | — | 2026-03-01 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $11.78 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $11.78 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $11.84 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $11.98 | $33.27 | $20.96 | 2026-01-27 | MRF ↗ |
| MCLAREN MACOMB Both | McLaren Commercial Ins | McLaren Commercial Ins | $12.00 | $44.00 | $22.00 | 2025-02-03 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $12.44 | $5,575.00 | $3,345.00 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | $103.00 | $61.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | $103.00 | $61.80 | 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 | $12.57 | $103.00 | $61.80 | 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 | $12.57 | $103.00 | $61.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | US Family Health Plan | Tricare Prime | — | $103.00 | $61.80 | 2026-03-06 | MRF ↗ |
| UPMC ALTOONA OutpatientFacility | Tricare | East Region | — | $103.00 | $61.80 | 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 | $12.69 | $142.00 | $85.20 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $142.00 | $85.20 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $12.69 | $142.00 | $85.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $142.00 | $85.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Tricare | East Region | — | $142.00 | $85.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $12.69 | $142.00 | $85.20 | 2026-03-07 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $12.69 | $93.00 | $55.80 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | US Family Health Plan | Tricare Prime | — | $93.00 | $55.80 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | US Family Health Plan | Tricare Prime | — | $142.00 | $85.20 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Tricare | East Region | — | $142.00 | $85.20 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $142.00 | $85.20 | 2026-03-07 | 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 | $12.69 | $142.00 | $85.20 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Tricare | East Region | — | $93.00 | $55.80 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Tricare | East Region | — | $142.00 | $85.20 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $12.69 | $142.00 | $85.20 | 2026-03-06 | MRF ↗ |
| Upmc Presbyterian Shadyside OutpatientFacility | US Family Health Plan | Tricare Prime | — | $142.00 | $85.20 | 2026-03-06 | MRF ↗ |
| MCLAREN BAY REGION Both | McLaren Commercial Ins | McLaren Commercial Ins | $13.00 | $48.00 | $24.00 | 2025-02-03 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $13.25 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $13.25 | — | — | 2025-12-31 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARHealth | $13.28 | $189.73 | $189.73 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $13.28 | $189.73 | $189.73 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARKids | $13.28 | $189.73 | $189.73 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $13.28 | $189.73 | $189.73 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | CHIP | $13.28 | $189.73 | $189.73 | 2026-03-01 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Iowa Total Care | Managed Medicaid | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Medica Exchange Inspire | Commercial | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Amerivantage | Medicare Advantage | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Molina | Medicare Advantage | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Medica Exchange Insure | Commercial | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Aetna | HMO | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | United Healthcare | Medicare Advantage | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Aetna | PPO | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Aetna | Medicare Advantage | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Cigna/Midlands | Commercial | $13.75 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Aetna | Medicare Advantage | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | United Healthcare | PPO | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Humana | Medicare Advantage | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Molina | Medicare Advantage | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Amerivantage | Medicare Advantage | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Iowa Total Care | Managed Medicaid | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Medica Exchange Inspire | Commercial | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Medica Exchange Insure | Commercial | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | United Healthcare | HMO | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Aetna | HMO | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Aetna | PPO | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Health Partners Open Network | Commercial | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $13.75 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Amerigroup | Managed Medicaid | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $13.75 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | ALL PRODUCTS | $13.75 | — | — | 2025-07-01 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Health Partners Open Network | Commercial | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Humana | Medicare Advantage | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $13.75 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | United Healthcare | Medicare Advantage | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | United Healthcare | HMO | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | United Healthcare | PPO | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Amerigroup | Managed Medicaid | — | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $13.77 | $67.48 | $53.99 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $13.77 | $67.48 | $53.99 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $13.77 | $67.48 | $53.99 | 2026-01-28 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $13.83 | $680.71 | $680.71 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $13.83 | $680.71 | $680.71 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $13.83 | $680.71 | $680.71 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $13.83 | $680.71 | $680.71 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $13.83 | $680.71 | $680.71 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $14.11 | $680.71 | $680.71 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $14.18 | $680.71 | $680.71 | 2026-04-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | All Products | $14.81 | — | — | 2025-07-01 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $14.95 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $14.95 | $31.75 | $25.40 | 2026-01-28 | MRF ↗ |
| MCLAREN BAY REGION Both | WC - Workers Compensation | WC - Workers Compensation | $15.00 | $48.00 | $24.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | WC - Workers Compensation | WC - Workers Compensation | $15.00 | $44.00 | $22.00 | 2025-02-03 | MRF ↗ |
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | Health New England | All Products | $15.38 | — | — | 2025-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Employers Choice Network | EmployersChoiceNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Encompass Health Lab | EncompassHealthLab | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Clover Insurance Co | CloverMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Memorial Health Partners/GHP | MemorialHealthPartnersGHP | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Medical Development International | MedicalDevelopmentInternational | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Anthem | BlueCrossofGeorgia | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedOptions | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedNonOptions | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedExchange | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Multiplan | BeechStreetWC | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Humana | HumanaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Medcost | MedCostPPO | — | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | Centene | AbsoluteMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.