Q2043 — Sipuleucel-t Auto Cd54+
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Sipuleucel-t auto cd54+ (CPT Q2043) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q2043?code_type=CPT
MLA (9th ed.)
“Sipuleucel-t auto cd54+ (CPT Q2043) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q2043?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Sipuleucel-t auto cd54+ (CPT Q2043) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q2043?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $55,272–$110,646 (25th–75th percentile) across 1,365 hospitals · 2,363 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q2043 — 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 |
|---|---|---|---|---|---|---|---|
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | $71,659.78 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | $71,659.78 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | $71,659.78 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | $71,659.78 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | $71,659.78 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | $71,659.78 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | $71,659.78 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | $71,659.78 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | $71,659.78 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | $71,659.78 | 2025-08-30 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.01 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.01 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.01 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.06 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.11 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.17 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.60 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.60 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.66 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.66 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $2.66 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.66 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.71 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.76 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.82 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.93 | $541.98 | $514.88 | 2026-02-20 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| DAVIESS COMMUNITY HOSPITAL Outpatient | PATOKA VALLEY-ALL PLANS | PATOKA VALLEY-ALL PLANS | $10.00 | $20.00 | $14.00 | 2026-01-10 | MRF ↗ |
| DAVIESS COMMUNITY HOSPITAL Outpatient | ST. VINCENT HEALTH - ALL PLANS | ST. VINCENT HEALTH - ALL PLANS | $13.00 | $20.00 | $14.00 | 2026-01-10 | MRF ↗ |
| DAVIESS COMMUNITY HOSPITAL Outpatient | AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $16.00 | $20.00 | $14.00 | 2026-01-10 | MRF ↗ |
| DAVIESS COMMUNITY HOSPITAL Outpatient | ENCORE PPO-ALL PLANS | ENCORE PPO-ALL PLANS | $16.50 | $20.00 | $14.00 | 2026-01-10 | MRF ↗ |
| DAVIESS COMMUNITY HOSPITAL Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $16.80 | $20.00 | $14.00 | 2026-01-10 | MRF ↗ |
| DAVIESS COMMUNITY HOSPITAL Outpatient | SIHO-ALL PLANS | SIHO-ALL PLANS | $18.00 | $20.00 | $14.00 | 2026-01-10 | MRF ↗ |
| DAVIESS COMMUNITY HOSPITAL Outpatient | SAGAMORE VALLEY-ALL PLANS | SAGAMORE VALLEY-ALL PLANS | $19.40 | $20.00 | $14.00 | 2026-01-10 | MRF ↗ |
| DAVIESS COMMUNITY HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $20.00 | $20.00 | $14.00 | 2026-01-10 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $26.88 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $26.88 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $26.88 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $26.88 | — | — | 2025-04-16 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $33.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $34.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $34.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| Tyler Memorial Hospital OutpatientFacility | None | — | — | — | — | 2026-01-01 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $41.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | New Business | $46.06 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $46.06 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $46.06 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $46.06 | — | — | 2026-01-12 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $47.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $47.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $47.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $47.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Humana | Humana Commercial | $48.55 | $227,857.95 | — | 2026-04-01 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $50.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Capital Blue Cross | Medicare Advantage | $50.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $50.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Capital Blue Cross | Medicare Advantage | $50.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Keystone Health Plan | Medicare Advantage | $50.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $50.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Keystone Health Plan | Medicare Advantage | $50.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $50.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Capital Blue Cross | Medicare Advantage | $50.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Keystone Health Plan | Medicare Advantage | $50.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $54.39 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $60.10 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | LLUH Dept of Risk Management | WC | $60.10 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $60.10 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $60.10 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Adventist Health | Commercial | $60.10 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $60.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $60.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Prime Net | Managed Medicare | $60.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $60.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $60.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $60.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $60.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | UPMC Work Partners | Workers Comp | $61.55 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| Memorial Hospital at Stone County BothFacility | SAS MHG | HDHP | $63.24 | $421.60 | $295.12 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL AT GULFPORT BothFacility | SAS MHG | HDHP | $63.24 | $421.60 | $295.12 | 2026-02-18 | MRF ↗ |
| Memorial Hospital Biloxi BothFacility | SAS MHG | HDHP | $63.24 | $421.60 | $295.12 | 2026-02-18 | MRF ↗ |
| UPMC LITITZ InpatientFacility | UPMC Work Partners | Workers Comp | $65.45 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $72.12 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $72.12 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | LLUH Dept of Risk Management | WC | $75.12 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $78.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $78.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Capital Blue Cross | Commercial | $80.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Capital Blue Cross | CHIP | $80.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Keystone Health Plan | Commercial | $80.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Keystone Health Plan | Commercial | $80.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Capital Blue Cross | CHIP | $80.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Capital Blue Cross | Commercial | $80.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Work Partners | Workers Comp | $84.17 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | Aetna | ACO | $85.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | UPMC Work Partners | Workers Comp | $89.47 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | UPMC Work Partners | Workers Comp | $89.72 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | Aetna | PEBTF ACO | $90.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | Legacy Commercial | $92.75 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Aetna | ACO | $93.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | ACO | $93.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $95.38 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $96.21 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | PPO | $96.21 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $96.21 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $96.21 | — | — | 2026-01-12 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Legacy Commercial | $97.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Legacy Commercial | $97.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Legacy Commercial | $97.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | ACO | $98.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | ACO | $98.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Aetna | ACO | $98.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | ACO | $98.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | ACO | $98.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | ACO | $98.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | Select/Navigate/Core | $98.41 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Select/Navigate/Core | $98.41 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | Select/Navigate/Core | $98.41 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Geisinger | Commercial | $98.45 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | United Healthcare | Navigate/Select/Select+ | $99.49 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Aetna of PA | TPA/Carrier | $100.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $101.23 | — | — | 2026-01-13 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | UPMC Work Partners | Workers Comp | $101.80 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | UPMC Work Partners | Workers Comp | $101.80 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | Legacy Commercial | $102.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | Legacy Commercial | $102.00 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | ACO/Legacy Commercial | $102.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Aetna | ACO | $102.75 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | ACO | $102.75 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | ACO | $102.75 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Aetna | ACO | $102.75 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Aetna | ACO | $103.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | Aetna | Commercial | $106.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | UPMC Work Partners | Workers Comp | $106.97 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | HMO Rider | $107.40 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | HMO Rider | $107.40 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | HMO Rider | $107.40 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $108.17 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $108.17 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | United Healthcare | All Other HMO/non HMO | $108.57 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AmeriChoice | Managed Medicaid | $108.82 | $842.95 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | UHC COMMUNITY | ALL PRODUCTS | $108.82 | $842.95 | — | 2026-03-18 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other HMO | $109.77 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | All Other HMO | $109.77 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other HMO | $109.77 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | NonGateKeeper | $110.50 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | GateKeeper | $111.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Aetna | Commercial | $111.25 | $250.00 | $150.00 | 2026-03-06 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other Commercial | $112.77 | $300.49 | $165.27 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other Commercial | $112.77 | $300.49 | $165.27 | 2026-02-19 | 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.