P9073 — Platelets Pheresis Path Redu
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PLATELETS PHERESIS PATH REDU (HCPCS P9073) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/P9073?code_type=HCPCS
MLA (9th ed.)
“PLATELETS PHERESIS PATH REDU (HCPCS P9073) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/P9073?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PLATELETS PHERESIS PATH REDU (HCPCS P9073) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/P9073?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $604–$1,498 (25th–75th percentile) across 2,389 hospitals · 6,716 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS P9073 — 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 |
|---|---|---|---|---|---|---|---|
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $915.00 | $640.50 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $3,293.05 | $1,646.52 | 2024-12-15 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Molina | Medicaid | — | $915.00 | $640.50 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,502.00 | $1,276.70 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $3,293.05 | $1,646.52 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,502.00 | $1,276.70 | 2025-01-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $2,701.00 | — | 2026-07-01 | MRF ↗ |
| CONEMAUGH MINERS MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $0.71 | $1,287.00 | $514.80 | 2026-07-18 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $2,348.70 | $1,526.65 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $9,522.00 | $7,141.50 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $1,355.00 | $1,111.10 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $9,522.00 | $7,141.50 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $2,348.70 | $1,526.65 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | HMO | — | $1,355.00 | $1,111.10 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $3,432.00 | $2,574.00 | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $1,355.00 | $1,111.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $1,355.00 | $1,111.10 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $3,419.00 | $2,564.25 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $3,432.00 | $2,574.00 | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $1,355.00 | $1,111.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $1,355.00 | $1,111.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | $1,355.00 | $1,111.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $1,355.00 | $1,111.10 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $3,419.00 | $2,564.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $3,419.00 | $2,564.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $3,432.00 | $2,574.00 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $3,419.00 | $2,564.25 | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $1,355.00 | $1,111.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | United Healthcare | POS | — | $1,355.00 | $1,111.10 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $1,355.00 | $1,111.10 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $3,419.00 | $2,564.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $3,432.00 | $2,574.00 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $3,432.00 | $2,574.00 | 2026-05-20 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $3.16 | $30.00 | $4.50 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $3.16 | $30.00 | $4.50 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $3.16 | $30.00 | $4.50 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARY Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $3.16 | $30.00 | $4.50 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $3.25 | $30.00 | $4.50 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $3.25 | $30.00 | $4.50 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $3.80 | $30.00 | $6.00 | 2026-08-17 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $3.80 | $30.00 | $6.00 | 2026-08-17 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $3.80 | $30.00 | $6.00 | 2026-08-17 | MRF ↗ |
| OCHSNER ST MARY Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $3.80 | $30.00 | $6.00 | 2026-08-17 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $3.91 | $30.00 | $6.00 | 2026-08-17 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $3.91 | $30.00 | $6.00 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $3.92 | $30.00 | $6.90 | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $3.92 | $30.00 | $6.90 | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $3.92 | $30.00 | $6.90 | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $3.92 | $30.00 | $6.90 | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $3.92 | $30.00 | $6.90 | 2026-10-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $3.92 | $30.00 | $6.90 | 2026-10-17 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $3.98 | $30.00 | $6.30 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $3.98 | $30.00 | $6.30 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $3.98 | $30.00 | $6.30 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $3.98 | $30.00 | $6.30 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $3.98 | $30.00 | $6.30 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $3.98 | $30.00 | $6.30 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $4.53 | $30.00 | $6.60 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $4.53 | $30.00 | $6.90 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $4.53 | $30.00 | $6.90 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $4.53 | $30.00 | $6.60 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $4.62 | $30.00 | $6.60 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $4.62 | $30.00 | $6.60 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $4.62 | $30.00 | $6.90 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $4.62 | $30.00 | $6.90 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $4.67 | $30.00 | $6.60 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $4.67 | $30.00 | $6.60 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $4.67 | $30.00 | $6.90 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $4.67 | $30.00 | $6.90 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $5.04 | $30.00 | $8.40 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $5.04 | $30.00 | $8.40 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $5.14 | $30.00 | $8.40 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $5.14 | $30.00 | $8.40 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $5.19 | $30.00 | $8.40 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $5.19 | $30.00 | $8.40 | 2026-09-28 | MRF ↗ |
| MONROE HOSPITAL Outpatient | Keenan | Keenan | $5.40 | $819.10 | $716.00 | 2024-12-19 | MRF ↗ |
| EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL Both | Highmark Advantage Freedom Blue | Medicare | $5.81 | $1,562.00 | $937.20 | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $5.99 | $30.00 | $7.80 | 2026-08-17 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $5.99 | $30.00 | $7.80 | 2026-08-17 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $5.99 | $30.00 | $7.80 | 2026-08-17 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $5.99 | $30.00 | $7.80 | 2026-08-17 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $5.99 | $30.00 | $7.80 | 2026-08-17 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $5.99 | $30.00 | $7.80 | 2026-08-17 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Optum Va Ccn | All Plans | $6.00 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $6.44 | $30.00 | $7.50 | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $6.44 | $30.00 | $7.50 | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $6.44 | $30.00 | $7.50 | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $6.44 | $30.00 | $7.50 | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $6.44 | $30.00 | $7.50 | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $6.44 | $30.00 | $7.50 | 2026-07-15 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Outpatient | Highmark Medicare | Highmark Medicare | $6.45 | $1,909.25 | $1,909.25 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $6.53 | $3,630.00 | $634.48 | 2024-12-31 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Peoples Health Network � Medicare Advantage | All Payor | $6.60 | $30.00 | $9.00 | 2026-10-19 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | United Healthcare - Medicare Advantage | All Payor | $6.60 | $30.00 | $9.00 | 2026-10-19 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Wellcare Of Louisiana | All Payor | $6.60 | $30.00 | $9.00 | 2026-10-19 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Aetna Health Inc. - Medicare Advantage | All Payor | $6.60 | $30.00 | $9.00 | 2026-10-19 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Optum Va Ccn | All Payor | $6.60 | $30.00 | $9.00 | 2026-10-19 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Payor | $6.60 | $30.00 | $9.00 | 2026-10-19 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Humana � Medicare Advantage | All Payor | $6.60 | $30.00 | $9.00 | 2026-10-19 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Payor | $6.60 | $30.00 | $9.00 | 2026-10-19 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Ochsner Health Plan | All Payor | $6.60 | $30.00 | $9.00 | 2026-10-19 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.65 | $2,457.00 | $1,474.20 | 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 | $6.65 | $2,343.00 | $1,405.80 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.65 | $2,457.00 | $1,474.20 | 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 | $6.65 | $2,343.00 | $1,405.80 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.65 | $3,229.00 | $1,937.40 | 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 | $6.72 | $2,457.00 | $1,474.20 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.72 | $2,457.00 | $1,474.20 | 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 | $6.72 | $2,457.00 | $1,474.20 | 2026-03-06 | MRF ↗ |
| UPMC MCKEESPORT HOSPITAL OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.72 | $2,457.00 | $1,474.20 | 2026-03-06 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $6.72 | $3,130.00 | $1,878.00 | 2026-03-06 | MRF ↗ |
| UPMC EAST OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.72 | $2,457.00 | $1,474.20 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.72 | $2,604.00 | $1,562.40 | 2026-03-07 | MRF ↗ |
| UPMC JAMESON 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 | $6.77 | $2,457.00 | $1,474.20 | 2026-03-06 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | All Payor | $6.80 | $30.00 | $9.00 | 2026-10-19 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Ochsner Health Plan | All Plans | $6.90 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Plans | $6.90 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Wellcare Of Louisiana | All Plans | $6.90 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Aetna Health Inc. - Medicare Advantage | All Plans | $6.90 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Peoples Health Network � Medicare Advantage | All Plans | $6.90 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | $6.90 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Plans | $6.90 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $6.92 | $2,373.00 | $949.20 | 2026-07-15 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $6.92 | $2,157.00 | $862.80 | 2026-07-15 | MRF ↗ |
| EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL Both | Highmark Advantage Security Blue | Medicare | $7.10 | $1,562.00 | $937.20 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | All Plans | $7.11 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $7.52 | $42.00 | $31.09 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $7.52 | $42.00 | $31.09 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $7.52 | $42.00 | $31.09 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Triwest Military - Tricare | All Payor | $7.65 | $30.00 | $9.00 | 2026-10-19 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $7.67 | $42.00 | $31.09 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $7.74 | $42.00 | $31.09 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | United Healthcare - Medicare Advantage | All Plans | $7.80 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $7.89 | $42.00 | $31.09 | 2026-07-15 | MRF ↗ |
| MONROE HOSPITAL Outpatient | United Healthcare | UHC Commercial Test OP | $7.92 | $819.10 | $716.00 | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Outpatient | United Healthcare | UHC Commercial | $7.92 | $819.10 | $716.00 | 2024-12-19 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $8.00 | $30.00 | $14.10 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $8.00 | $30.00 | $14.10 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $8.00 | $30.00 | $14.10 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $8.00 | $30.00 | $14.10 | 2026-07-31 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $8.12 | $42.00 | $29.83 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $8.12 | $42.00 | $29.83 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $8.12 | $42.00 | $29.83 | 2026-07-15 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $8.23 | $30.00 | $14.10 | 2026-07-31 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $8.23 | $30.00 | $14.10 | 2026-07-31 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $8.29 | $42.00 | $29.83 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Triwest Military � Tricare - Behavioral Health | All Payor | $8.35 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $8.37 | $42.00 | $29.83 | 2026-07-15 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $8.53 | $42.00 | $29.83 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Highmark | Highmark Aca / My Direct Blue / My Blue Access Ppo | $8.82 | $3,105.00 | $993.60 | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Highmark | Highmark Chip / Social Mission | $8.82 | $3,105.00 | $993.60 | 2026-07-17 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Bcbs | Bcwyn Medicare Managed Care Plan | $8.90 | — | — | 2026-04-01 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $8.94 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $8.94 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| MONROE HOSPITAL Outpatient | Southeastern Indiana Health Operations | SIHO Fully Insured | $9.00 | $819.10 | $716.00 | 2024-12-19 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Highmark | Highmark Chip / Social Mission | $9.08 | $3,230.00 | $1,162.80 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $9.12 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $9.12 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $9.21 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $9.21 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Triwest Military - Tricare | All Payor | $9.28 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Optum Va Ccn | All Payor | $9.30 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Ochsner Health Plan | All Payor | $9.30 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Medicare Advantage | All Payor | $9.30 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Medicare Advantage Humana Select Partner Plan | All Payor | $9.30 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Peoples Health Network � Medicare Advantage | All Payor | $9.30 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Payor | $9.30 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Payor | $9.30 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | All Payor | $9.30 | $30.00 | $13.20 | 2026-08-17 | MRF ↗ |
| SAMPSON REGIONAL MEDICAL CENTER Outpatient | WELLCARE MCAID - ALL PLANS | WELLCARE MCAID - ALL PLANS | $9.34 | $47.00 | $32.90 | 2026-05-07 | MRF ↗ |
| SAMPSON REGIONAL MEDICAL CENTER Outpatient | HEALTHY BLUE MCAID - ALL PLANS | HEALTHY BLUE MCAID - ALL PLANS | $9.34 | $47.00 | $32.90 | 2026-05-07 | MRF ↗ |
| SAMPSON REGIONAL MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $9.43 | $47.00 | $32.90 | 2026-05-07 | MRF ↗ |
| MONROE HOSPITAL Outpatient | Southeastern Indiana Health Operations | SIHO Self Funded | $9.90 | $819.10 | $716.00 | 2024-12-19 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $10.05 | $2,457.00 | $1,474.20 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $10.05 | $2,457.00 | $1,474.20 | 2026-03-06 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $10.26 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $10.26 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $10.26 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $10.26 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $10.26 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $10.26 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Verity Commercial And First Choice Network | All Payor | $10.50 | $30.00 | $7.80 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Verity Commercial And First Choice Network | All Payor | $10.50 | $30.00 | $13.50 | 2026-08-17 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Verity Commercial And First Choice Network | All Payor | $10.50 | $30.00 | $9.00 | 2026-10-19 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Verity Commercial And First Choice Network | All Payor | $10.50 | $30.00 | $6.90 | 2026-10-17 | MRF ↗ |
| OCHSNER ST MARTIN HOSPITAL Outpatient | Verity Commercial | All Plans | $10.50 | $30.00 | $9.60 | 2026-07-15 | MRF ↗ |
| OCHSNER LAFAYETTE GENERAL MEDICAL CENTER Outpatient | Verity Commercial | All Plans | $10.50 | $30.00 | $6.30 | 2026-07-15 | MRF ↗ |
| ABROM KAPLAN MEMORIAL HOSPITAL Outpatient | Verity Commercial | All Plans | $10.50 | $30.00 | $14.10 | 2026-07-15 | MRF ↗ |
| OCHSNER UNIVERSITY HOSPITAL AND CLINICS Outpatient | Verity Commercial | All Plans | $10.50 | $30.00 | $7.50 | 2026-07-15 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Outpatient | UNITED HEALTHCARE [101] | UNITED HEALTHCARE|UHC EMPIRE PLAN (KINGSTON)|UNITEDHEALTHCARE OXFORD|UNITED MEDICAL RESOURCES (UMR)|UHC STUDENT RESOURCES|UHC SUREST|UNITED HEALTHCARE SHARED SERVICES | — | $1,238.04 | $804.73 | 2024-12-30 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | MVP [109] | MVP EXCHANGE-INDIVIDUAL | — | $1,238.04 | $804.73 | 2024-12-30 | MRF ↗ |
| CLIFTON SPRINGS HOSPITAL AND CLINIC Inpatient | EXCELLUS HMO [104] | MEDICARE BLUE CHOICE|MEDICARE BLUE DUAL|UNIVERA SENIOR | — | $1,238.04 | $804.73 | 2024-12-30 | 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.