Q2055 — Idecabtagene Vicleucel Car
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Idecabtagene vicleucel car (OTHER Q2055) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q2055?code_type=OTHER
MLA (9th ed.)
“Idecabtagene vicleucel car (OTHER Q2055) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q2055?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Idecabtagene vicleucel car (OTHER Q2055) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q2055?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $528,312–$616,008 (25th–75th percentile) across 120 hospitals · 165 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Q2055 — 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 |
|---|---|---|---|---|---|---|---|
| STAFFORD HOSPITAL, LLC Both | Bcbs | Ppo | $1.00 | — | — | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Bcbs | Hmo | $1.00 | — | — | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Bcbs | Hix | $1.00 | — | — | 2026-05-06 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $6,881.22 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $6,881.22 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $7,087.65 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $7,087.65 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $7,087.65 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $7,087.65 | — | — | 2026-05-27 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Bcbs | Ccc | $52,975.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Bcbs | Hk Plus | $52,975.00 | — | — | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Humana | Ccc | $52,975.00 | — | — | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Sentara | Community Care | $52,975.00 | — | — | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Aetna | Better Health Of Va | $52,975.00 | — | — | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Humana | Ccc | $52,975.00 | — | — | 2026-05-08 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Aetna | Better Health Of Va | $52,975.00 | — | — | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Uhc | Ccc Plus | $52,975.00 | — | — | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Sentara | Community Care | $52,975.00 | — | — | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Uhc | Ccc Plus | $52,975.00 | — | — | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Bcbs | Ccc | $52,975.00 | — | — | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Bcbs | Hk Plus | $52,975.00 | — | — | 2026-05-06 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Molina | Complete Mcd | $55,094.00 | — | — | 2026-05-06 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Molina | Complete Mcd | $55,094.00 | — | — | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $56,281.85 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $56,281.85 | — | — | 2026-05-24 | MRF ↗ |
| MARY WASHINGTON HOSPITAL Both | Kaiser | Kaiser Mcd | $56,684.00 | — | — | 2026-05-08 | MRF ↗ |
| STAFFORD HOSPITAL, LLC Both | Kaiser | Kaiser Mcd | $56,684.00 | — | — | 2026-05-06 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $57,764.63 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $73,766.97 | — | — | 2026-05-23 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $126,136.95 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $126,136.95 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $126,136.95 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $133,705.17 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $136,227.91 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $136,227.91 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $136,227.91 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $138,750.65 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $157,671.19 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $157,671.19 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $157,671.19 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $157,671.19 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $163,978.04 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $163,978.04 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $163,978.04 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $163,978.04 | — | — | 2026-05-06 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $176,591.73 | — | — | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $176,591.73 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $176,591.73 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $176,591.73 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $176,591.73 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $176,591.73 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $176,591.73 | — | — | 2026-05-14 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $176,591.73 | — | — | 2026-05-14 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Cigna | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $177,868.00 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $182,898.58 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $182,898.58 | — | — | 2026-05-09 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $182,898.58 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $182,898.58 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $192,989.53 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $192,989.53 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $192,989.53 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $192,989.53 | — | — | 2026-05-06 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $222,335.00 | — | — | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $298,722.41 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $298,722.41 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $298,722.41 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $298,722.41 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $298,722.41 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $298,722.41 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $298,722.41 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $298,722.41 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $298,722.41 | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $334,390.76 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $334,390.76 | — | — | 2026-05-14 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $390,122.55 | — | — | 2026-05-27 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Bcbs | Managed Medicaid | $419,500.00 | — | — | 2026-05-09 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Weber Human Services | Behavioral Health | $422,649.94 | — | — | 2026-05-18 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $434,707.99 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $434,707.99 | — | — | 2026-05-24 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Wellpoint | Medicaid | $436,221.27 | — | — | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Wellpoint Tci | Medicaid | $436,221.27 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Commercial | $444,670.00 | — | — | 2026-05-13 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Commercial | $444,670.00 | — | — | 2026-05-23 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $447,599.45 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $447,599.45 | — | — | 2026-05-24 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Davis Behavioral Health | Behavioral Health | $449,012.73 | — | — | 2026-05-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $460,071.38 | — | — | 2026-05-09 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $460,288.88 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $460,288.88 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $460,288.88 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $460,288.88 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $460,288.88 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $460,288.88 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $460,288.88 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $460,288.88 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $461,812.63 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $461,812.63 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $461,812.63 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $461,812.63 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $461,812.63 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $461,812.63 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $461,812.63 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $461,812.63 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $461,812.63 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $461,812.63 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $461,812.63 | — | — | 2026-05-22 | 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.