Q2042 — Tisagenlecleucel Car-pos T
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Tisagenlecleucel car-pos t (HCPCS Q2042) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q2042?code_type=HCPCS
MLA (9th ed.)
“Tisagenlecleucel car-pos t (HCPCS Q2042) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q2042?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Tisagenlecleucel car-pos t (HCPCS Q2042) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q2042?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $570,848–$1,325,456 (25th–75th percentile) across 1,381 hospitals · 2,248 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q2042 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$570,848
$740,758 typical
$1,325,456
The middle 50% of negotiated facility rates for this procedure, measured across 1,381 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $740,758 |
| Likely subtotal | $740,758 |
Facility charge (no separate professional fee)
$740,758
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $570,848–$1,325,456.
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,392,190.32 | $696,095.16 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $1,392,190.32 | $696,095.16 | 2024-12-15 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER OutpatientFacility | Bcbs | Hmo/Pos | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR PAULDING MEDICAL CENTER OutpatientFacility | Bcbs | Shbp Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR WEST GEORGIA MEDICAL CENTER OutpatientFacility | Bcbs | Shbp Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR WEST GEORGIA MEDICAL CENTER OutpatientFacility | Bcbs | Hmo/Pos | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SYLVAN GROVE MEDICAL CENTER OutpatientFacility | Bcbs | Hmo/Pos | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SYLVAN GROVE MEDICAL CENTER OutpatientFacility | Bcbs | Shbp Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Bcbs | Hmo/Pos | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Bcbs | Hmo/Pos | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR MCG HEALTH, AFFILIATED WITH MED COL OutpatientFacility | Bcbs | Anthem - Copps Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR PAULDING MEDICAL CENTER OutpatientFacility | Bcbs | Hmo/Pos | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Blue Cross | Anthem Mcs Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SPALDING MEDICAL CENTER OutpatientFacility | Bcbs | Hmo/Pos | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Wellstar Windy Hill Hospital OutpatientFacility | Bcbs | Shbp Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Shbp Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Hmo/Pos | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| LINCOLNHEALTH OutpatientFacility | Anthem | HMO/POS/PPO Pathway Enhanced | $0.03 | — | — | 2025-09-09 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Bcbs | Shbp Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER OutpatientFacility | Bcbs | Shbp Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SPALDING MEDICAL CENTER OutpatientFacility | Bcbs | Shbp Other Commercial Plan | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| Wellstar Windy Hill Hospital OutpatientFacility | Bcbs | Hmo/Pos | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR DOUGLAS MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR WEST GEORGIA MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Bcbs | Shbp Other Commercial Plan | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| Wellstar Windy Hill Hospital OutpatientFacility | Bcbs | Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR PAULDING MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR KENNESTONE REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR COBB MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SYLVAN GROVE MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR NORTH FULTON MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| WELLSTAR SPALDING MEDICAL CENTER OutpatientFacility | Bcbs | Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Hmo/Ppo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Traditional | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Hmo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Hospice And Community Care | Hospice And Community Care | $0.19 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Old Order Group | Old Order Group | $0.27 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.28 | — | — | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Cigna | PPO | $0.28 | — | — | 2026-05-11 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Lg Coresource/Lg Eliance | Lg Employee Insurance | $0.29 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Lancashire Hall | Lancashire Hall | $0.30 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Nursing Home Op Services | Nursing Home Op Services | $0.30 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Old Order Group | Old Order Group | $0.32 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Independence Blue Cross | Independence Blue Cross Commercial | $0.33 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Affilia Home Health | Affilia Home Health Lancaster | $0.40 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Masonic Homes | Masonic Homes | $0.42 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Cigna | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Highmark | Highmark Chip | $0.48 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | CIGNA [202] | BJC HB CIGNA LOCAL PLUS SLC | $0.49 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | CONSOCIATE [478] | BJC HB CONSOCIATE CARE COE SLC | $0.54 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | SARAH BUSH LINCOLN [636] | BJC HB CONSOCIATE CARE COE SLC | $0.54 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB WASH U STUDENT HEALTH | $0.55 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | COX HEALTH SYSTEMS INSURANCE COMPANY [220] | BJC HB COX HEALTH NETWORK EPO | $0.55 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB WASH U STUDENT HEALTH | $0.55 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | COX HEALTH SYSTEMS INSURANCE COMPANY [220] | BJC HB COX HEALTH NETWORK EPO | $0.55 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CONSOCIATE [478] | BJC HB CONSOCIATE CARE COE BJH | $0.57 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | SARAH BUSH LINCOLN [636] | BJC HB CONSOCIATE CARE COE BJH | $0.57 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | CONSOCIATE [478] | BJC HB CONSOCIATE CARE D2E BJH | $0.57 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | HOPE TRUST [806] | BJC HB HOPE TRUST | $0.58 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HOPE TRUST [806] | BJC HB HOPE TRUST | $0.58 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | ALLIED BENEFITS [498] | BJC HB HOPE TRUST | $0.58 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Highmark | Highmark Aca | $0.58 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | ALLIED BENEFITS [498] | BJC HB HOPE TRUST | $0.58 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Eliance Health Solutions | Eliance Commercial | $0.64 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHSCOPE BENEFITS [258] | BJC HB HEALTHSCOPE EGYPTIAN TRUST MHS PHC BJH | $0.65 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HUMANA [203] | BJC HB HUMANA CHOICECARE BJH | $0.66 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Highmark Commercial Preferred | Highmark Commercial Preferred | $0.67 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB ANTHEM CHOICE BJH | $0.70 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BCBS OOS [607] | BJC HB ANTHEM CHOICE BJH | $0.70 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD TRADITIONAL [500] | BJC HB ANTHEM CHOICE BJH | $0.70 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BCBS OOS [607] | BJC HB ANTHEM ACCESS BJH | $0.71 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB ANTHEM ACCESS BJH | $0.71 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD TRADITIONAL [500] | BJC HB ANTHEM ACCESS BJH | $0.71 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | HEALTHCARE SOL MERCY [609] | BJC HB ST JOHNS HEALTH SYSTEM | $0.75 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | MED-PAY [480] | BJC HB ST JOHNS HEALTH SYSTEM | $0.75 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | MED-PAY [480] | BJC HB ST JOHNS HEALTH SYSTEM | $0.75 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Cigna | Cigna | $0.75 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | HEALTHCARE SOL MERCY [609] | BJC HB ST JOHNS HEALTH SYSTEM | $0.75 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | HUMANA [203] | BJC HB HUMANA CHOICECARE SLC | $0.75 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | HEALTHSCOPE BENEFITS [258] | BJC HB HEALTHSCOPE EGYPTIAN TRUST SLC | $0.80 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | MEDICA [661] | BJC HB WELLFIRST FIRST HEALTH SLC | $0.80 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | MEDICA [661] | BJC HB WELLFIRST FIRST HEALTH BJH | $0.80 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | PHCS [244] | BJC HB WELLFIRST FIRST HEALTH BJH | $0.80 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| ST LOUIS CHILDRENS HOSPITAL Both | PHCS [244] | BJC HB WELLFIRST FIRST HEALTH SLC | $0.80 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Cigna | Cigna New Business | $0.81 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Ehp | Ehp | $0.82 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Upmc Commercial | Upmc Commercial | $0.82 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Highmark | Highmark Commercial | $0.83 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Cigna | Cigna | $0.84 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Intergroup Services | Intergroup Services | $0.85 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Devon | Devon | $0.85 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Independence Blue Cross | Independence Blue Cross Commercial | $0.85 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Preferred Healthcare | Phc | $0.85 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | United Healthcare | United Healthcare Commercial | $0.85 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB ANTHEM TRADITIONAL | $0.87 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BCBS OOS [607] | BJC HB ANTHEM TRADITIONAL | $0.87 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD TRADITIONAL [500] | BJC HB ANTHEM TRADITIONAL | $0.87 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Medi-Share Christian Care | Phcs Multiplan | $0.95 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Lancashire Hall | Lancashire Hall | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Masonic Homes | Masonic Homes | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Highmark Commercial Non-Preferred | Highmark Commercial Non-Preferred | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Bcbs | Ppo | $1.00 | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Highmark Commercial Preferred | Highmark Commercial Preferred | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Commercial Generic | Commercial Generic | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Affilia Home Health | Affilia Home Health Lancaster | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Bcbs | Hix | $1.00 | — | — | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Workers Compensation | Workers Compensation | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Capital Blue Cross | Cbc Commercial | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Value Options | Value Options | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Aetna | Aetna Commercial | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Geisinger Medicaid | Geisinger Medicaid | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Bcbs | Hmo | $1.00 | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Magellan | Magellan | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | United Behavioral Health | United Behavioral Health | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Gateway | Highmark Wholecare Medicaid (Fka Gateway Medicaid) | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Highmark | Highmark Chip | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Highmark | Highmark Aca | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Highmark | Highmark Commercial | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Both | SCAN Health Plan | Medicare Advantage | — | $1,542,630.00 | $1,002,709.50 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,542,630.00 | $1,002,709.50 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE SHIELD - MANTECA SURGERY CENTER MEDICARE ADVANTAGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Penn Medicine Lancaster General Health Outpatient | Highmark Commercial Non-Preferred | Highmark Commercial Non-Preferred | $1.01 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | CIGNA [3] | CIGNA HMO/POS & PPO: CHILDREN'S | $1.98 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | UNITED [5] | UNITED HEALTHCARE HMO/POS & PPO: CHILDREN'S | $1.99 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | BLUE CROSS [2] | BCBS HMO/PPO/POS: CHILDREN'S | $1.99 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Inpatient | UNITED [5] | UNITED HEALTHCARE HMO/POS & PPO: CHILDREN'S | $1.99 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | OSCAR [228] | OSCAR HEALTH PLAN: CHILDREN'S | $2.01 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | AMBETTER PEACHSTATE [227] | AMBETTER: CHILDREN'S | $2.01 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | AETNA [1] | AETNA HMO/POS & PPO: CHILDREN'S | $2.02 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | KAISER [6] | KAISER HMO/POS PPO & EPO: CHILDREN'S | $2.04 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | CARESOURCE MARKETPLACE BRONZE/SILVER/GOLD [60] | CARESOURCE MARKETPLACE: CHILDREN'S | $2.04 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | SIDECAR HEALTH [236] | SIDECAR HEALTH: CHILDREN'S | $2.07 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | DIRECT EMPLOYER AGREEMENTS [72] | CHEROKEE COUNTY: CHILDREN'S | $2.10 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | DIRECT EMPLOYER AGREEMENTS [72] | NORTHSIDE DIRECT: CHILDREN'S | $2.10 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $2.10 | — | — | 2026-04-01 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | COVENTRY [9] | COVENTRY NATIONAL NETWORK: CHILDREN'S | $2.11 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $2,905,939.24 | $1,888,860.51 | 2026-06-15 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | NORTHEAST GEORGIA HEATLH SYSTEM [808] | NORTHEAST GEORGIA HEALTH PARTNERS PPO: CHILDREN'S | $2.25 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | VERACITY BENEFITS [809] | VERACITY BENEFITS: CHILDREN'S | $2.25 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | FIRST HEALTH [74] | COVENTRY FIRST HEALTH NETWORK: CHILDREN'S | $2.25 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $2.38 | — | — | 2026-09-01 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | PHCS [93] | PHCS PPO: CHILDREN'S | $2.55 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | SECURE HEALTH [340] | SECURE HEALTH: CHILDREN'S | $2.55 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | DIRECT EMPLOYER AGREEMENTS [72] | QUIKTRIP: CHILDREN'S | $2.55 | $3.00 | $3.00 | 2026-05-14 | MRF ↗ |
| ATHUR M BLANK HOSPITAL Outpatient | BEECH STREET [71] | BEECH STREET PPO: CHILDREN'S | $2.70 | $3.00 | $3.00 | 2026-05-14 | 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.