M0247 — Sotrovimab Infusion
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SOTROVIMAB INFUSION (HCPCS M0247) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/M0247?code_type=HCPCS
MLA (9th ed.)
“SOTROVIMAB INFUSION (HCPCS M0247) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/M0247?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“SOTROVIMAB INFUSION (HCPCS M0247) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/M0247?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $416–$907 (25th–75th percentile) across 1,525 hospitals · 3,993 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS M0247 — 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 |
|---|---|---|---|---|---|---|---|
| CLINCH VALLEY MEDICAL CENTER Outpatient | First Health | First Health | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Medcost | Medcost | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Highlands | Highlands | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Cigna | Cigna | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Uhc | Uhc Onenet | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Aetna | Aetna | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Four Most | Four Most | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| CLINCH VALLEY MEDICAL CENTER Outpatient | Optima Health Plan | Optima | — | $0.01 | — | 2026-05-08 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | BCBS | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Pyramid Life | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | BCBS | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Ambetter | Commercial-Exchange | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Coventry | MedicareAdvantage | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Cigna | HealthspringMGMCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Celtic | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | MCRHMO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | MCRPPO | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Wellcare | MCR | — | — | — | 2025-01-01 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Inpatient | Humana | PFFS | — | — | — | 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 ↗ |
| 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 CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.69 | $1,497.00 | $494.61 | 2024-12-31 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | UnitedHealthcare | Commercial | $4.50 | $1,154.00 | — | 2026-04-08 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $5.09 | $957.00 | $957.00 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $5.09 | $957.00 | $957.00 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $5.09 | $957.00 | $957.00 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $6.67 | $1,804.00 | $1,713.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $6.67 | $1,804.00 | $1,713.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $6.67 | $1,804.00 | $1,713.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $6.86 | $1,804.00 | $1,713.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $7.04 | $1,804.00 | $1,713.80 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $7.22 | $1,804.00 | $1,713.80 | 2026-02-20 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $8.12 | — | — | 2026-01-13 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.55 | $815.85 | $489.51 | 2025-08-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL Both | Humana MCD Rep (Plan: Medicaid Replacement) | Humana MCD Rep (Plan: Medicaid Replacement) | $8.55 | $815.85 | $489.51 | 2025-08-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $8.83 | $1,803.00 | $1,712.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $8.83 | $1,803.00 | $1,712.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $9.02 | $1,803.00 | $1,712.85 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $9.38 | $1,803.00 | $1,712.85 | 2026-02-20 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Access 2 Healthcare Physicians | MGMCR | $9.59 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL SAN AUGUSTINE Inpatient | Aetna | Commercial|All Plans | $9.74 | $38.95 | $5.85 | 2026-02-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $9.74 | $1,803.00 | $1,712.85 | 2026-02-20 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Inpatient | Aetna | Commercial|All Plans | $9.74 | $38.95 | $5.85 | 2026-02-28 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $9.99 | $998.65 | $748.99 | 2026-07-31 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1432 | NY MEDICAID CLINIC EPISODE | $10.38 | $877.00 | $24.67 | 2026-03-22 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Keenan | Keenan | $12.00 | $2,252.50 | $531.00 | 2024-12-19 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Optimum Healthcare | PPO | $12.23 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Optimum Healthcare | PFFS | $12.23 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Freedom Health Care | MCR | $12.23 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $12.23 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $12.98 | $998.65 | $748.99 | 2026-08-01 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Blue Cross Blue Shield Of Va Anthem | Default | $14.00 | $850.00 | $297.50 | 2026-05-09 | MRF ↗ |
| BUCHANAN GENERAL HOSPITAL Both | Blue Cross Blue Shield Of Va Anthem | All Commercial Plans | $14.00 | $850.00 | $297.50 | 2026-09-21 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY SILVER PLAN TMC | $14.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP SUBSIDIZED TMC | $15.34 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | BCBS | MBN | $15.42 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | BCBS | BSL | $15.42 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | BCBS | SBN | $15.42 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| EAST LIVERPOOL CITY HOSPITAL Outpatient | Medical Mutual of OH | Medical Mutual of OH Exchange HMO | $16.00 | $2,252.50 | $531.00 | 2024-12-19 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | AvMed | HIX | $16.93 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Anthem Healthplus | Medicaid | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MOUNT VERNON HOSPITAL Outpatient | Anthem Healthplus | 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 | HARP | $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 | Child Health Plus | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| WHITE PLAINS HOSPITAL CENTER Outpatient | Anthem | Essential 1, 2, 3, 4 | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| WHITE PLAINS HOSPITAL CENTER Outpatient | Anthem | Medicaid | $17.85 | — | — | 2026-04-01 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Humana | Commercial|All Plans | $18.70 | $38.95 | $5.85 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Humana | Commercial|All Plans | $18.70 | $38.95 | $5.85 | 2026-02-28 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MEDICAID_1402 | NY MEDICAID EMERGENCY ROOM | $18.82 | $877.00 | $24.67 | 2026-03-22 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | ULTRA BENEFITS [100280] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | AVMED HEALTH PLAN [100247] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | NORTHWOOD REHABILITATION & HEALTH [950004] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | PALM MANOR [950005] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | COMPSYCH [100027] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | SPECTERA [100291] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | GROUP AND PENSION ADMINISTRATORS [100043] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | UMASS DISABILITY [500017] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | NOVA HEALTHCARE ADMINISTRATORS [100270] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | ALLIED BENEFIT SYSTEMS [100015] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | D'YOUVILLE SENIOR CARE [950003] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | TALL TREE ADMINISTRATORS [100271] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | CARECENTRIX ALTERNATE [100257] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | SENIOR WHOLE HEALTH MEDICAID REPLACEMENT [350023] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | AMERIHEALTH CARITAS NH [350007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | MAGELLAN BEHAVIORAL HEALTH [100288] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | ALLIED NATIONAL GLOBAL CARE [100107] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | ASSURANT [100020] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | NATIONAL ASSOCIATION OF LETTER CARRIERS [100067] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | EMPLOYEE BENEFIT MANAGEMENT [100033] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | PLYMOUTH COUNTY [500019] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | BENEMAX [100276] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | GENERIC COMMERCIAL [109999] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | CARE ONE [950007] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WELLSENSE NH [350010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | CORESOURCE [100285] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | NATIONAL ELEVATOR IND HLTH BENEFITS [100273] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | FIRST HEALTH [100278] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | IBEW LOCAL 103 [100272] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | COVENTRY [100010] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | GEHA [100039] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | LOWELL COMM HEALTH CENTER [950009] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | SUNNY ACRES NURSING HOME [950006] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | MUTUAL OF OMAHA [100074] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | NORFOLK COUNTY [500013] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | AMERICAN POSTAL WORKERS [100089] | HB XR NON-CONTRACTED 35% OF BILLED CHARGES TMC | $18.90 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WELLSENSE CLARITY CONNECTORCARE [100256] | HB XR WELLSENSE CLARITY NON-SILVER TMC | $19.25 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PHO | AETNA/FIRST HEALTH PHO | $19.59 | $1,014.00 | $709.80 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH HMO | AETNA/FIRST HEALTH HMO | $19.59 | $1,014.00 | $709.80 | 2026-07-14 | MRF ↗ |
| WINNMED Outpatient | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | AETNA/FIRST HEALTH PPO-ALL OTHER PLANS | $19.59 | $1,014.00 | $709.80 | 2026-07-14 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN Inpatient | Humana | Commercial|All Plans | $19.87 | $38.95 | $5.85 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN Inpatient | Humana | Commercial|All Plans | $19.87 | $38.95 | $5.85 | 2026-02-28 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | ALLARACARE [100163] | HB XR ALLARACARE TMC | $20.36 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana Choicecare | Medicare Advantage | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Optum Veterans Affairs Community Care Network | Optum Veterans Affairs Community Care Network | $20.50 | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | First Carolina Care | Medicare Advantage | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Commercial | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | United Healthcare | Compass | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Longevity | Medicare Advantage | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Liberty Advantage | Medicare Advantage | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Troy | Medicare Advantage | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | New Hanover | Medicare Advantage | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Commercial | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Tricare | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Commercial | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Multiplan | Commercial | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Medcost | Commercial | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Cigna | Commercial | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Humana | Medicare Advantage | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| CAPE FEAR VALLEY-BLADEN COUNTY HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $805.00 | $483.00 | 2026-07-31 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $20.74 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Healthcare | Commercial | $21.00 | $1,350.00 | $675.00 | 2026-03-10 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | TUFTS HEALTH PUBLIC PLAN CONNECTORCARE [100264] | HB XR THPP CONNECTOR PLANS QHP NON SUBSIDIZED TMC | $21.38 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | BCBS | HMO | $21.63 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| UT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR. OutpatientFacility | United Options Nexus | Commercial | $22.00 | $1,350.00 | $675.00 | 2026-03-10 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1400 | NY MEDICAID CLINIC EPISODE | $22.22 | $1,158.85 | $146.29 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1400 | FIDELIS CLINIC | $22.22 | $1,158.85 | $146.29 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | UNITED_1400 | UNITED COMMUNITY CLINIC | $23.33 | $1,158.85 | $146.29 | 2025-01-19 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $23.67 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Aetna | Commercial|All Plans | $23.76 | $38.95 | $5.85 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Aetna | Commercial|All Plans | $23.76 | $38.95 | $5.85 | 2026-02-28 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $23.90 | $1,991.31 | $1,493.48 | 2026-07-17 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | BCBS | PPO | $24.26 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | BCBS | NWB | $24.26 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $24.40 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $24.40 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | HUMANA MEDICARE-ALL PLANS | HUMANA MEDICARE-ALL PLANS | $24.40 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $24.40 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | UHC VA CCN | UHC VA CCN | $24.40 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $24.40 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | Oscar | HIX | $24.45 | $188.10 | $188.10 | 2024-10-01 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN Inpatient | Aetna | Commercial|All Plans | $24.54 | $38.95 | $5.85 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LUFKIN Inpatient | Aetna | Commercial|All Plans | $24.54 | $38.95 | $5.85 | 2026-02-28 | MRF ↗ |
| OCHSNER AMERICAN LEGION HOSPITAL Outpatient | United Healthcare � Commercial Hmo Ppo | All Plans | $25.00 | $500.00 | $170.00 | 2026-07-15 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | FIDELIS_1402 | FIDELIS EMERGENCY ROOM | $25.44 | $1,158.85 | $146.29 | 2025-01-19 | MRF ↗ |
| AUBURN COMMUNITY HOSPITAL Outpatient | NYSDOH_1402 | NY MEDICAID EMERGENCY ROOM | $25.44 | $1,158.85 | $146.29 | 2025-01-19 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | MOLINA MCAID/CHIP | MOLINA MCAID/CHIP | $25.62 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | IOWA TOTAL CARE MCAID | IOWA TOTAL CARE MCAID | $25.62 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| JEFFERSON COUNTY HEALTH CENTER Outpatient | AMERIGROUP MEDICAID - ALL OTHER PLANS | AMERIGROUP MEDICAID - ALL OTHER PLANS | $26.13 | $61.00 | $36.60 | 2025-11-18 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC MEMIC [700117] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC FEDERATED WORK COMP [700012] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC FUTURE COMP [700116] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC GALLAGHER BASSETT WORK COMP [700013] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC ONE CALL MEDICAL [700060] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC TOWN OF ARLINGTON [700104] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC ESIS [700010] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC GEICO [700057] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC RETAIL BUSINESS SERVICES LLC [700100] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC TOWN OF ANDOVER FIRE DEPT [700103] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC GENERIC WORKERS' COMP [709999] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC HRD/WORKERS COMPENSATION UNIT [700087] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC ENERGY OF ENVIRONMENTAL AFFAIRS [700085] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC CNA [700048] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC CHUBB GROUP [700067] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC METLIFE [700094] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC CCMSI [700055] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC HARTFORD INSURANCE [700058] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC EMC INSURANCE COMPANY [700084] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC DEMOULAS SUPERMARKET [700083] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC PMA WORK COMP [700031] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC MASS STATE POLICE [700091] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC CAREWORKS [700109] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC LIBERTY MUTUAL WORK COMP [700016] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC PLUMBERS UNION LOCAL NO 12 [700098] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC COVE RISK SERVICES [700080] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC CREATIVE RISK SOLUTIONS [700081] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC CONTINENTAL INDEMNITY CO [700078] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | MRF ↗ |
| TUFTS MEDICAL CENTER Both | WC CITY OF EVERETT [700071] | HB XR WC TMC | $26.18 | $54.00 | $37.80 | 2026-04-01 | 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.