M0222 — Bebtelovimab Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BEBTELOVIMAB INJECTION (HCPCS M0222) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/M0222?code_type=HCPCS
MLA (9th ed.)
“BEBTELOVIMAB INJECTION (HCPCS M0222) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/M0222?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“BEBTELOVIMAB INJECTION (HCPCS M0222) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/M0222?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $325–$732 (25th–75th percentile) across 1,437 hospitals · 4,163 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS M0222 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $8,738.51 | $5,680.03 | 2025-11-26 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Wellcare | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | BCBS | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Coventry | MedicareAdvantage | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Cigna | HealthspringMGMCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Ambetter | Commercial-Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Pyramid Life | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | PFFS | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | BCBS | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Celtic | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $514.99 | $334.74 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $396.14 | $257.49 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.09 | $1,162.00 | $384.82 | 2024-12-31 | MRF ↗ |
| FRIEND COMMUNITY HEALTHCARE SYSTEM Both | Bcbs Ks | All Commercial Products | $3.80 | $1,428.00 | $856.80 | 2026-09-21 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | UnitedHealthcare | Commercial | $4.50 | $1,154.00 | — | 2026-04-08 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $5.19 | $1,404.00 | $1,333.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $5.19 | $1,404.00 | $1,333.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $5.19 | $1,404.00 | $1,333.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $5.34 | $1,404.00 | $1,333.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.48 | $1,404.00 | $1,333.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $5.62 | $1,404.00 | $1,333.80 | 2026-02-20 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $5.78 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $5.83 | $583.00 | $437.25 | 2026-07-31 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $6.60 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $6.80 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $6.80 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $6.80 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | HUMANA MEDICARE-ALL PLANS | HUMANA MEDICARE-ALL PLANS | $6.80 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC VA CCN | UHC VA CCN | $6.80 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $6.80 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $6.88 | $1,404.00 | $1,333.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $6.88 | $1,404.00 | $1,333.80 | 2026-02-20 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $7.00 | $583.00 | $437.25 | 2026-07-17 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $7.02 | $1,404.00 | $1,333.80 | 2026-02-20 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCAID/CHIP | MOLINA MCAID/CHIP | $7.14 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $7.14 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MEDICAID - ALL OTHER PLANS | AMERIGROUP MEDICAID - ALL OTHER PLANS | $7.28 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.30 | $1,404.00 | $1,333.80 | 2026-02-20 | MRF ↗ |
| ST LUKES HOSPITAL BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $7.39 | $1,068.80 | $534.40 | 2025-09-23 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $7.58 | $583.00 | $437.25 | 2026-08-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $7.58 | $1,404.00 | $1,333.80 | 2026-02-20 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $8.16 | $583.00 | $437.25 | 2026-08-01 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AETNA MCR ADV | AETNA MCR ADV | $8.33 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | COVENTRY MEDICARE | COVENTRY MEDICARE | $8.33 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| MONROE HOSPITAL Outpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $9.01 | $1,752.50 | $433.00 | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $9.01 | $1,752.50 | $433.00 | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Outpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $9.01 | $1,752.50 | $433.00 | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Outpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $9.01 | $1,752.50 | $433.00 | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Outpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $9.01 | $1,752.50 | $433.00 | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Outpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $9.01 | $1,752.50 | $433.00 | 2024-12-19 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $9.65 | $920.85 | $552.51 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $9.65 | $920.85 | $552.51 | 2025-08-11 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $877.00 | $24.67 | 2026-03-22 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $11.02 | $524.70 | $393.52 | 2026-08-01 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Keenan | Keenan | $12.00 | $40.00 | $413.00 | 2024-12-19 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MIDLANDS NEW PRODUCT | MIDLANDS NEW PRODUCT | $13.94 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | COVENTRY COMMERCIAL HMO | COVENTRY COMMERCIAL HMO | $14.45 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $15.00 | $350.00 | $98.00 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | GEHA | HMO/PPO | $15.00 | $350.00 | $98.00 | 2025-02-14 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $15.30 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | COVENTRY COMMERCIAL PPO - ALL OTHER PLANS | COVENTRY COMMERCIAL PPO - ALL OTHER PLANS | $15.30 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $15.30 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $15.30 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Medical Mutual of OH | Medical Mutual of OH Exchange HMO | $16.00 | $40.00 | $413.00 | 2024-12-19 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $16.00 | $350.00 | $98.00 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | United Healthcare | EPO/HMO/POS/PPO | $16.00 | $350.00 | $98.00 | 2025-02-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Donor Connect | Other | $16.91 | $583.00 | $437.25 | 2026-08-01 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MARKETPLACE - ALL OTHER PLANS | MOLINA MARKETPLACE - ALL OTHER PLANS | $17.00 | $17.00 | $10.20 | 2025-11-18 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, Non-City of LA, Vivity | — | $396.14 | $257.49 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Blue Cross of California, dba Anthem Blue Cross and its Affiliates | HMO, City of LA, Vivity | — | $396.14 | $257.49 | 2025-11-26 | MRF ↗ |
| WHITE PLAINS HOSPITAL CENTER Outpatient | Anthem | HARP | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Anthem Healthplus | Essential 1, 2, 3, 4 | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| WHITE PLAINS HOSPITAL CENTER Outpatient | Anthem | Essential 1, 2, 3, 4 | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Anthem Healthplus | Medicaid | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| WHITE PLAINS HOSPITAL CENTER Outpatient | Anthem | Child Health Plus | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Anthem Healthplus | Child Health Plus | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| WHITE PLAINS HOSPITAL CENTER Outpatient | Anthem | Medicaid | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Anthem Healthplus | HARP | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | HEALTH PARTNERS-ALL PLANS | HEALTH PARTNERS-ALL PLANS | $18.50 | $37.00 | $22.20 | 2026-01-09 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $877.00 | $24.67 | 2026-03-22 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | AETNA HMO/PPO - ALL PLANS | AETNA HMO/PPO - ALL PLANS | $19.24 | $37.00 | $22.20 | 2026-01-09 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $19.84 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | ANTHEM | ANTEHM MEDICAID | $19.84 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $19.84 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $19.84 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $19.84 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $19.84 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $19.84 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $19.84 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $19.84 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | ANTHEM | ANTEHM MEDICAID | $19.84 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $19.98 | $37.00 | $22.20 | 2026-01-09 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | ANTHEM | ANTEHM MEDICAID | $20.47 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $20.47 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $20.47 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $20.47 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $20.47 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $20.47 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $20.47 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | ANTHEM | ANTEHM MEDICAID | $20.47 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $20.47 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $20.47 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $20.50 | $402.00 | $201.00 | 2026-03-18 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | UHC VA CCN | UHC VA CCN | $20.50 | $531.00 | $265.50 | 2026-10-06 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Healthcare | Commercial | $21.00 | $1,052.00 | $526.00 | 2026-03-10 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | MOLINA HEALTHCARE | MOLINA MEDICAID | $21.03 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MOLINA HEALTHCARE | MOLINA MEDICAID | $21.03 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | TRIOLOGY | TRILOGY MEDICAID | $21.03 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | TRIOLOGY | TRILOGY MEDICAID | $21.03 | $613.00 | $404.58 | 2026-01-15 | MRF ↗ |
| ST VINCENT HOSPITAL Both | CONTINUUS MEDICAID MANAGED | CONTINUUS MEDICAID MANAGED | $21.23 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST VINCENT HOSPITAL Both | COMMUNITY CARE FAMILY CARE | COMMUNITY CARE FAMILY CARE MEDICAID MANAGED | $21.23 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST VINCENT HOSPITAL Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $21.23 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST VINCENT HOSPITAL Both | MANAGED HEALTH SERVICES | MANAGED HEALTH SERVICES MEDICAID | $21.23 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST VINCENT HOSPITAL Both | ANTHEM | ANTEHM MEDICAID | $21.23 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $21.35 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $21.35 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $21.35 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $21.35 | — | — | 2025-07-22 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $21.49 | — | — | 2026-03-18 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | MOLINA HEALTHCARE | MOLINA MEDICAID | $21.70 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | MOLINA HEALTHCARE | MOLINA MEDICAID | $21.70 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST NICHOLAS HOSPITAL Both | TRIOLOGY | TRILOGY MEDICAID | $21.70 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST MARYS HOSPITAL MEDICAL CTR Both | TRIOLOGY | TRILOGY MEDICAID | $21.70 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $21.78 | — | — | 2025-07-22 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $21.88 | $437.50 | $437.50 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $21.88 | $437.50 | $437.50 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $21.88 | $437.50 | $437.50 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $21.88 | $437.50 | $437.50 | 2026-03-01 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Options Nexus | Commercial | $22.00 | $1,052.00 | $526.00 | 2026-03-10 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $552.04 | $677.92 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $552.04 | $677.92 | 2025-01-19 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $22.23 | $638.00 | $322.83 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $22.23 | $833.00 | $500.63 | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $22.23 | $819.00 | $420.15 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health of South Central | Medicaid HMO | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $22.23 | $638.00 | $322.83 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Group Health Eau Claire | Medicaid HMO | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Iowa Total Care | Medicaid | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $22.23 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $22.23 | $875.00 | $508.38 | 2025-06-27 | MRF ↗ |
| ST VINCENT HOSPITAL Both | TRIOLOGY | TRILOGY MEDICAID | $22.50 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| ST VINCENT HOSPITAL Both | MOLINA HEALTHCARE | MOLINA MEDICAID | $22.50 | $613.00 | $404.58 | 2026-03-24 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $23.27 | — | — | 2025-07-22 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $552.04 | $677.92 | 2025-01-19 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $23.90 | $583.00 | $437.25 | 2026-07-31 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | STARPLUS | $24.75 | $495.00 | $495.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | CHIP | $24.75 | $495.00 | $495.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | STAR | $24.75 | $495.00 | $495.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | CHPFC | $24.75 | $495.00 | $495.00 | 2026-03-01 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Community Bluee | Node Community Blue Medicare Advantage | $25.23 | $315.00 | $75.60 | 2026-07-15 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1402 | FIDELIS EMERGENCY ROOM | $25.44 | $552.04 | $677.92 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1402 | NY MEDICAID EMERGENCY ROOM | $25.44 | $552.04 | $677.92 | 2025-01-19 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | HEALTH SMART INTERPLAN-ALL PLANS | HEALTH SMART INTERPLAN-ALL PLANS | $25.90 | $37.00 | $22.20 | 2026-01-09 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | HEALTH ALLIANCE COMM- ALL OTHER PLANS | HEALTH ALLIANCE COMM- ALL OTHER PLANS | $25.90 | $37.00 | $22.20 | 2026-01-09 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Node Hm Freedom Blue Mcr Adv | Node Hm Freedom Blue Mcr Adv | $26.30 | $315.00 | $75.60 | 2026-07-15 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $26.70 | $534.00 | $534.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $26.70 | $534.00 | $534.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $26.70 | $534.00 | $534.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $26.70 | $534.00 | $534.00 | 2026-03-01 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1402 | UNITED COMMUNITY EMERGENCY ROOM | $26.71 | $552.04 | $677.92 | 2025-01-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Commercial | $27.00 | $2,089.03 | $323.00 | 2026-03-17 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Commercial | $27.00 | $1,859.23 | $424.00 | 2024-12-19 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC | UHC Commercial | $27.00 | $1,859.23 | $424.00 | 2024-12-19 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $27.03 | $315.00 | $85.05 | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $27.03 | $315.00 | $85.05 | 2026-07-15 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | IOWA TOTAL CARE-ALL PLANS | IOWA TOTAL CARE-ALL PLANS | $27.59 | $37.00 | $22.20 | 2026-01-09 | MRF ↗ |
| PROVIDENCE MEDICAL CENTER Outpatient | UHC Ad-hoc | UHC Commercial | $28.00 | $2,089.03 | $323.00 | 2026-03-17 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $28.06 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $28.06 | — | — | 2026-07-31 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $28.16 | $315.00 | $85.05 | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $28.16 | $315.00 | $85.05 | 2026-07-15 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $28.90 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $28.90 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $28.90 | — | — | 2026-07-31 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $28.90 | — | — | 2026-07-31 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHPFC | $28.93 | $578.69 | $578.69 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARKids | $28.93 | $578.69 | $578.69 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARPLUS | $28.93 | $578.69 | $578.69 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STAR | $28.93 | $578.69 | $578.69 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHIP | $28.93 | $578.69 | $578.69 | 2026-03-01 | MRF ↗ |
| NORTHWEST FLORIDA COMMUNITY HOSPITAL Outpatient | Humana | Medicare | $29.55 | $154.00 | $123.20 | 2026-07-15 | MRF ↗ |
| MERCY MEDICAL CENTER - CEDAR RAPIDS Outpatient | HUMANA/CHOICECARE COMM-ALL OTHER PLANS | HUMANA/CHOICECARE COMM-ALL OTHER PLANS | $29.60 | $37.00 | $22.20 | 2026-01-09 | 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.