P9040 — Red Blood Cells, Leukocytes Reduced, Irradiated, Each Unit
Cite this view
HANK Price Transparency. (n.d.). RED BLOOD CELLS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT (CPT P9040) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/P9040?code_type=CPT
“RED BLOOD CELLS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT (CPT P9040) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/P9040?code_type=CPT. Accessed .
“RED BLOOD CELLS, LEUKOCYTES REDUCED, IRRADIATED, EACH UNIT (CPT P9040) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/P9040?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $266–$721 (25th–75th percentile) across 2,475 hospitals · 8,531 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS P9040 — 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $549.00 | $466.65 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $485.00 | $339.50 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $485.00 | $339.50 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $530.00 | $450.50 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $622.00 | $528.70 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,531.26 | $765.63 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,531.26 | $765.63 | 2024-12-15 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON NJ HEALTH [5021] | OMC HORIZON NJ HEALTH | — | $7,665.09 | $1,755.06 | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| HANCOCK COUNTY HEALTH SYSTEM Outpatient | WELLMARK HMO-ALL OTHER PLANS | WELLMARK HMO-ALL OTHER PLANS | $0.65 | $692.00 | $519.00 | 2026-03-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $920.00 | $754.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $920.00 | $754.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $920.00 | $754.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $920.00 | $754.40 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $992.22 | $644.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $920.00 | $754.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $920.00 | $754.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $920.00 | $754.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | $920.00 | $754.40 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $992.22 | $644.94 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $920.00 | $754.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $920.00 | $754.40 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $920.00 | $754.40 | 2025-11-26 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.81 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.81 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.81 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.85 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.90 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.95 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.09 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.09 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.09 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.15 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.20 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.26 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.34 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.34 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| MONMOUTH MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $2.38 | $1,320.00 | $284.49 | 2024-12-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.39 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.39 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.39 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $2.39 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.44 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.49 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.54 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.64 | $488.00 | $463.60 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.71 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.71 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.77 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.77 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.77 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $2.77 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.83 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.88 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.94 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $3.05 | $565.00 | $536.75 | 2026-02-20 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net Cal MediConnect | $4.73 | $686.00 | $514.50 | 2026-04-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.90 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.90 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $5.90 | — | — | 2026-03-18 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $6.21 | $630.00 | $315.00 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | $6.21 | $630.00 | $315.00 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $6.21 | $630.00 | $315.00 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $6.21 | $630.00 | $315.00 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | $6.21 | $630.00 | $315.00 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | $6.21 | $630.00 | $315.00 | 2024-12-10 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | STARHealth | $6.41 | $91.54 | $91.54 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | CHIP | $6.41 | $91.54 | $91.54 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | STARPLUS | $6.41 | $91.54 | $91.54 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | STARKids | $6.41 | $91.54 | $91.54 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | MCDSTAR | $6.41 | $91.54 | $91.54 | 2026-03-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $6.70 | $558.00 | $206.46 | 2026-03-31 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | HMO | $6.76 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | HMO | $6.76 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | HMO | $6.76 | — | — | 2026-03-18 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Optimum Group Members | MGMCR | $7.35 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.36 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.36 | — | — | 2026-03-18 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | EPO/PPO/Out of State | $7.36 | — | — | 2026-03-18 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | MMC MEDICAID | $8.00 | $1,452.00 | $294.17 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | NMC MEDICAID | $8.00 | $7,962.98 | $898.57 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MEDICAID [5022] | MMC MEDICAID | $8.00 | $6,174.99 | $877.53 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MEDICAID [5022] | MMC MEDICAID | $8.00 | $1,452.00 | $294.17 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Both | MEDICAID [5022] | OMC MEDICAID | $8.00 | $1,427.00 | $294.17 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MEDICAID [5022] | HMC MEDICAID | $8.00 | $4,294.61 | $843.53 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | MEDICAID [5022] | CMC MEDICAID | $8.00 | $1,687.00 | $294.17 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | CMC MEDICAID | $8.00 | $1,687.00 | $294.17 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Both | MEDICAID [5022] | NMC MEDICAID | $8.00 | $1,437.00 | $255.80 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | MEDICAID [5022] | OMC MEDICAID | $8.00 | $1,427.00 | $294.17 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MEDICAID [5022] | HMC MEDICAID | $8.00 | $1,310.00 | $294.17 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $8.00 | $7,514.70 | $1,230.63 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MEDICAID [5022] | NMC MEDICAID | $8.00 | $7,962.98 | $898.57 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | MMC MEDICAID | $8.00 | $6,239.17 | $877.53 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $8.00 | $1,427.00 | $294.17 | 2026-01-01 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | Fidelis | Medicaid | $8.00 | $1,028.16 | $335.56 | 2026-03-10 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Both | MEDICAID [5022] | CSMC MEDICAID | $8.00 | $1,345.00 | $294.17 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Both | ANTHEM BCBSNY MEDICAID [5511] | CSMC MEDICAID | $8.00 | $1,345.00 | $294.17 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | CSMC MEDICAID | $8.00 | $5,017.00 | $850.65 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Both | ANTHEM BCBSNY MEDICAID [5511] | MMC MEDICAID | $8.00 | $1,452.00 | $294.17 | 2026-04-01 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | UHC | Medicaid | $8.00 | $1,028.16 | $335.56 | 2026-03-10 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MEDICAID [5022] | NMC MEDICAID | $8.00 | $1,437.00 | $255.80 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $8.00 | $4,319.64 | $843.53 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $8.00 | $4,319.64 | $843.53 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | MEDICAID [5022] | CSMC MEDICAID | $8.00 | $1,345.00 | $294.17 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | MEDICAID [5022] | MMC MEDICAID | $8.00 | $6,239.17 | $877.53 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MEDICAID [5022] | HMC MEDICAID | $8.00 | $1,310.00 | $294.17 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | MEDICAID [5022] | OMC MEDICAID | $8.00 | $7,514.70 | $1,230.63 | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $8.00 | — | — | 2026-03-18 | MRF ↗ |
| AHS HOSPITAL CORP Both | MEDICAID [5022] | HMC MEDICAID | $8.00 | $1,310.00 | $294.17 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | CSMC MEDICAID | $8.00 | $5,020.50 | $850.65 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Both | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $8.00 | $1,310.00 | $294.17 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Both | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $8.00 | $1,427.00 | $294.17 | 2026-04-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $8.00 | — | — | 2026-03-18 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $8.00 | $1,310.00 | $294.17 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $8.00 | $4,294.61 | $843.53 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MEDICAID [5022] | HMC MEDICAID | $8.00 | $4,319.64 | $843.53 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Both | ANTHEM BCBSNY MEDICAID [5511] | NMC MEDICAID | $8.00 | $1,437.00 | $255.80 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $8.00 | $1,427.00 | $294.17 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | MEDICAID [5022] | HMC MEDICAID | $8.00 | $4,319.64 | $843.53 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $8.00 | $1,310.00 | $294.17 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | NMC MEDICAID | $8.00 | $1,437.00 | $255.80 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | MEDICAID [5022] | OMC MEDICAID | $8.00 | $7,514.70 | $1,230.63 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Both | MEDICAID [5022] | CMC MEDICAID | $8.00 | $1,687.00 | $294.17 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | MEDICAID [5022] | NMC MEDICAID | $8.00 | $1,437.00 | $255.80 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $8.00 | $7,514.70 | $1,230.63 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | MEDICAID [5022] | CSMC MEDICAID | $8.00 | $5,017.00 | $850.65 | 2026-04-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | United Healthcare Community Plan | JNJ001_JNJ002_JNJ003 Medicaid | $8.00 | — | — | 2026-03-18 | MRF ↗ |
| CHILTON MEDICAL CENTER Both | ANTHEM BCBSNY MEDICAID [5511] | CMC MEDICAID | $8.00 | $1,687.00 | $294.17 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | MMC MEDICAID | $8.00 | $6,174.99 | $877.53 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | MEDICAID [5022] | OMC MEDICAID | $8.00 | $1,427.00 | $294.17 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | MEDICAID [5022] | CSMC MEDICAID | $8.00 | $5,020.50 | $850.65 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | NMC MEDICAID | $8.00 | $1,437.00 | $255.80 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Both | MEDICAID [5022] | MMC MEDICAID | $8.00 | $1,452.00 | $294.17 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICAID [5511] | CSMC MEDICAID | $8.00 | $1,345.00 | $294.17 | 2026-01-01 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $8.16 | $682.00 | $128.01 | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $8.64 | $954.00 | $161.22 | 2026-03-04 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | CSMC UNITED HEALTH COMMUNITY | $8.80 | $5,020.50 | $850.65 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | CSMC UNITED HEALTH COMMUNITY | $8.80 | $5,020.50 | $850.65 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | CSMC UNITED HEALTH COMMUNITY | $8.80 | $1,345.00 | $294.17 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | CSMC UNITED HEALTH COMMUNITY | $8.80 | $1,345.00 | $294.17 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Both | UNTD HLTH COMMUNITY PLAN [5034] | CSMC UNITED HEALTH COMMUNITY | $8.80 | $1,345.00 | $294.17 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Both | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | CSMC UNITED HEALTH COMMUNITY | $8.80 | $1,345.00 | $294.17 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | CSMC UNITED HEALTH COMMUNITY | $8.80 | $5,017.00 | $850.65 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | CSMC UNITED HEALTH COMMUNITY | $8.80 | $5,017.00 | $850.65 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | FIDELIS CARE MEDICAID [5509] | CSMC FEDELIS CARE MANAGED MEDICAID | $9.20 | $1,345.00 | $294.17 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $9.20 | $4,294.61 | $843.53 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | FIDELIS CARE MEDICAID [5509] | CSMC FEDELIS CARE MANAGED MEDICAID | $9.20 | $5,020.50 | $850.65 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $9.20 | $4,319.64 | $843.53 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $9.20 | $4,319.64 | $843.53 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Both | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $9.20 | $1,310.00 | $294.17 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $9.20 | $1,310.00 | $294.17 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | FIDELIS CARE MEDICAID [5509] | HMC FEDELIS CARE MANAGED MEDICAID | $9.20 | $1,310.00 | $294.17 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | FIDELIS CARE MEDICAID [5509] | CSMC FEDELIS CARE MANAGED MEDICAID | $9.20 | $5,017.00 | $850.65 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Both | FIDELIS CARE MEDICAID [5509] | CSMC FEDELIS CARE MANAGED MEDICAID | $9.20 | $1,345.00 | $294.17 | 2026-04-01 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $9.30 | $586.25 | $351.75 | 2025-12-30 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Auto | $9.35 | $399.05 | $399.05 | 2026-05-26 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | CSMC AETNA BETTER HEALTH | $9.60 | $5,020.50 | $850.65 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | AETNA BETTER HEALTH [5005] | CSMC AETNA BETTER HEALTH | $9.60 | $1,345.00 | $294.17 | 2026-01-01 | MRF ↗ |
| NORTH MEMORIAL HEALTH HOSPITAL BothFacility | MEDICAID [1087] | NMH MEDICAID MN | $9.79 | $622.00 | $327.79 | 2026-04-30 | MRF ↗ |
| MAPLE GROVE HOSPITAL Both | MEDICAID [1087] | MGH MEDICAID MN | $9.79 | $622.00 | $327.79 | 2026-04-30 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $10.43 | $1,023.00 | $664.95 | 2026-03-14 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $10.56 | $682.00 | $141.71 | 2026-03-04 | MRF ↗ |
| UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Both | HARVARD PILGRIM [10701] | All HARVARD PILGRIM BETH ISRAEL LAHEY HR [297] Plans | $10.91 | $459.00 | $459.00 | 2026-04-03 | MRF ↗ |
| UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Both | HARVARD PILGRIM [10701] | All HARVARD PILGRIM PPO HR [118] Plans | $10.91 | $459.00 | $459.00 | 2026-04-03 | MRF ↗ |
| UMASS MEMORIAL HEALTH - HARRINGTON HOSPITAL Both | HARVARD PILGRIM [10701] | All HARVARD PILGRIM HMO HR [117] Plans | $10.91 | $459.00 | $459.00 | 2026-04-03 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $11.25 | $25.00 | $22.50 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $11.25 | $25.00 | $22.50 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $11.25 | $25.00 | $22.50 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $11.25 | $25.00 | $22.50 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $11.25 | $25.00 | $22.50 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $11.25 | $25.00 | $22.50 | 2026-04-05 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Optimum | MGMCR | $11.27 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Access 2 Healthcare Physicians Freedom Health | MGMCR | $11.27 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Freedom Health Care | MGMGR | $12.21 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Optimum Healthcare | MCRPPO | $12.21 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Optimum Healthcare | MCRHMO | $12.21 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Optimum Healthcare | PFFS | $12.21 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | IFP | $12.36 | $91.54 | $91.54 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | AvMed | HIX | $12.52 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Suncoast Neighborly Care | MedicarePACE | $12.52 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Cigna | QHP | $12.82 | $91.54 | $91.54 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | SBN | $13.61 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | BSL | $13.61 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | MBN | $13.61 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Truli | BSL | $13.61 | $156.48 | $156.48 | 2026-03-01 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $13.95 | $954.00 | $203.48 | 2026-03-04 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | HEALTHNET | ALL PRODUCTS | $14.42 | $51.50 | $36.05 | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | HEALTHNET | MEDI-CAL | $14.42 | $51.50 | $36.05 | 2026-04-01 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | Commercial | $15.00 | $25.00 | $22.50 | 2026-04-05 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | STAR | $15.05 | $250.86 | $250.86 | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | Superior Health Plan | CHPFC | $15.05 | $250.86 | $250.86 | 2026-03-01 | 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.