Q2057 — Afamitresgene Autoleucel
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Afamitresgene autoleucel (HCPCS Q2057) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q2057?code_type=HCPCS
MLA (9th ed.)
“Afamitresgene autoleucel (HCPCS Q2057) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q2057?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Afamitresgene autoleucel (HCPCS Q2057) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q2057?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $770,620–$1,155,930 (25th–75th percentile) across 701 hospitals · 727 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q2057 — 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 |
|---|---|---|---|---|---|---|---|
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI 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 ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE HOSPITAL OutpatientFacility | Bcbs | Anthem Hmo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA PRINCESS ANNE 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 LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA VIRGINIA BEACH GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA OBICI HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA CAREPLEX HOSPITAL OutpatientFacility | Bcbs | Anthem Exchange | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA NORFOLK GENERAL HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA LEIGH HOSPITAL OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Ppo | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER OutpatientFacility | Bcbs | Anthem Hmo | $0.04 | — | — | 2026-04-01 | 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 ↗ |
| 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 | CONSOCIATE [478] | BJC HB CONSOCIATE CARE D2E 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 | HOPE TRUST [806] | BJC HB HOPE TRUST | $0.58 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| BARNES JEWISH HOSPITAL Both | ALLIED BENEFITS [498] | BJC HB HOPE TRUST | $0.58 | $1.00 | $0.60 | 2025-12-15 | 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 ↗ |
| 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 | 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 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 | BCBS OOS [607] | BJC HB ANTHEM ACCESS BJH | $0.71 | $1.00 | $0.60 | 2025-12-15 | 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 ↗ |
| BARNES JEWISH HOSPITAL Both | MED-PAY [480] | BJC HB ST JOHNS HEALTH SYSTEM | $0.75 | $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 ↗ |
| 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 | 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 ↗ |
| BARNES JEWISH HOSPITAL Both | BLUE CROSS BLUE SHIELD [205] | BJC HB ANTHEM TRADITIONAL | $0.87 | $1.00 | $0.60 | 2025-12-15 | MRF ↗ |
| UNIVERSITY OF KANSAS HOSPITAL Both | WORKERS COMP [503999901] | Corvel | $5,112,995.00 | $5,382,100.00 | $1,076,420.00 | 2026-04-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | $7,342.70 | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Select Health | Medicaid | $7,342.70 | — | — | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Molina | Medicaid | $7,342.70 | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Select Health | Medicaid | $7,342.70 | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Humana | Medicaid | $7,342.70 | — | — | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $7,342.70 | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Medicaid | $7,342.70 | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $7,342.70 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Molina | Medicaid | $7,342.70 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | $7,709.84 | — | — | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Absolute Total Care | Medicaid | $7,709.84 | — | — | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Absolute Total Care | Medicaid | $7,709.84 | — | — | 2026-03-10 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $12,628.82 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $12,628.82 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | UHC | Managed Medicaid | $12,628.82 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid | $12,628.82 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid | $12,750.26 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $12,750.26 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $12,750.26 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $12,750.26 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $12,750.26 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $12,750.26 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Humana | Managed Medicaid | $12,750.26 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $12,750.26 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $15,862.03 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $15,862.03 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $15,862.03 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $15,862.03 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $16,179.27 | — | — | 2025-07-22 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Humana | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Caresource | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | UHC | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Anthem | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | BCHP | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Caresource | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | UHC | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Amerihealth | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Humana | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Molina | Managed Medicaid - Non-Cap | $17,159.44 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $17,289.61 | — | — | 2025-07-22 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Preferred | $17,855.71 | — | $2,176,338.78 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Advantage | $17,855.71 | — | $2,176,338.78 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Lincs | $17,855.71 | — | $2,176,338.78 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Choice | $17,855.71 | — | $2,176,338.78 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Lincs | $17,855.71 | — | $2,176,338.78 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Choice | $17,855.71 | — | $2,176,338.78 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Advantage | $17,855.71 | — | $2,176,338.78 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Preferred | $17,855.71 | — | $2,176,338.78 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Traditional | $17,855.71 | — | $2,176,338.78 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Traditional | $17,855.71 | — | $2,176,338.78 | 2026-03-31 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $25,395.70 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Daniel Memorial | Managed Medicaid | $25,395.70 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Nassaua County Sheriff's Office | Managed Medicaid | $25,395.70 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $25,395.70 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Daniel Memorial | Managed Medicaid | $25,395.70 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $25,395.70 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Daniel Memorial | Managed Medicaid | $25,395.70 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Humana | Managed Medicaid | $25,395.70 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $25,395.71 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $25,395.71 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Healthy Kids | $25,395.71 | — | — | 2025-08-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $26,665.49 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Sunshine State | Medicaid HMO | $26,665.49 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Medicaid HMO | $26,665.49 | — | — | 2025-08-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $26,665.49 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $26,665.49 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $26,665.49 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Medicaid HMO | $26,665.49 | — | — | 2025-08-01 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $26,665.49 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State | Medicaid HMO | $26,665.49 | — | — | 2025-08-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $26,665.49 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Medicaid HMO | $26,665.49 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Sunshine State | Medicaid HMO | $26,665.49 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Molina | Healthy Kids | $27,427.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Molina | Medicaid HMO | $27,427.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Molina | Medicaid HMO | $27,427.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina | Medicaid HMO | $27,427.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Molina | Healthy Kids | $27,427.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Molina | Healthy Kids | $27,427.36 | — | — | 2025-08-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Vivida Health | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | United Community Plan | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | United Community Plan | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Vivida Health | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Florida Community Care | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Vivida Health | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Florida Community Care | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Florida Community Care | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | United Community Plan | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Humana | Managed Medicaid | $27,935.27 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Community Care Plan | Medicaid HMO | $27,935.28 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Florida Community Care | Medicaid HMO | $27,935.28 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Community Care Plan | Medicaid HMO | $27,935.28 | — | — | 2025-08-01 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Sunshine State Health Plan | Managed Medicaid | $27,935.28 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Amerihealth Caritas | Medicaid HMO | $27,935.28 | — | — | 2025-08-01 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Sunshine State Health Plan | Managed Medicaid | $27,935.28 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Sunshine State Health Plan | Managed Medicaid | $27,935.28 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Florida Community Care | Medicaid HMO | $27,935.28 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Community Care Plan | Medicaid HMO | $27,935.28 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Florida Community Care | Medicaid HMO | $27,935.28 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas | Medicaid HMO | $27,935.28 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Amerihealth Caritas | Medicaid HMO | $27,935.28 | — | — | 2025-08-01 | MRF ↗ |
| BEAVER COUNTY MEMORIAL HOSPITAL OutpatientFacility | BCBS | MEDICARE ADVANTAGE | $29,350.36 | — | — | 2025-12-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Molina Healthcare of Florida | Managed Medicaid | $30,220.88 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Molina Healthcare of Florida | Managed Medicaid | $30,220.88 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Molina Healthcare of Florida | Managed Medicaid | $30,220.88 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Simply Healthcare Plans | Florida Healthy Kids | $30,474.84 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna Better Health | Healthy Kids | $30,474.84 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Simply Healthcare Plans | Florida Healthy Kids | $30,474.84 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna Better Health | Healthy Kids | $30,474.84 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna Better Health | Managed Medicaid | $30,474.84 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Simply Healthcare Plans | Florida Healthy Kids | $30,474.84 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna Better Health | Managed Medicaid | $30,474.84 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna Better Health | Healthy Kids | $30,474.84 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna Better Health | Managed Medicaid | $30,474.84 | — | — | 2026-02-06 | MRF ↗ |
| ISLAND HOSPITAL OutpatientFacility | Wellpoint | Medicaid | $31,861.98 | — | — | 2026-05-04 | MRF ↗ |
| ISLAND HOSPITAL OutpatientFacility | Molina | Healthy Options | $33,064.50 | — | — | 2026-05-04 | MRF ↗ |
| BEAVER COUNTY MEMORIAL HOSPITAL OutpatientFacility | BCBS | PREFERRED | $33,774.87 | — | — | 2025-12-30 | MRF ↗ |
| ISLAND HOSPITAL OutpatientFacility | Coordinated Care | Medicaid | $34,567.47 | — | — | 2026-05-04 | MRF ↗ |
| ISLAND HOSPITAL OutpatientFacility | Community Health Plan of Washington | Health Options | $36,070.43 | — | — | 2026-05-04 | MRF ↗ |
| BEAVER COUNTY MEMORIAL HOSPITAL OutpatientFacility | BCBS | BLUE CHOICE | $40,124.55 | — | — | 2025-12-30 | MRF ↗ |
| BEAVER COUNTY MEMORIAL HOSPITAL OutpatientFacility | BCBS | ALL PRODUCTS | $45,427.20 | — | — | 2025-12-30 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Aetna | Managed Medicaid | $51,775.08 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Molina | Managed Medicaid | $51,775.08 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Managed Medicaid | $51,775.08 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | United Healthcare | Managed Medicaid | $51,775.08 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Aetna | Managed Medicaid | $51,775.08 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Molina | Managed Medicaid | $51,775.08 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $51,775.08 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Aetna | Managed Medicaid | $51,775.08 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Anthem | Managed Medicaid | $51,775.08 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Aetna | Managed Medicaid | $51,775.08 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $51,775.08 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Molina | Managed Medicaid | $51,775.08 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | Managed Medicaid | $52,100.68 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Aetna | Managed Medicaid | $52,100.68 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $52,100.68 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Anthem | Managed Medicaid | $52,100.68 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | United Healthcare | Managed Medicaid | $52,100.68 | — | — | 2026-01-02 | 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.