Q5103 — Infliximab-dyyb 100 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION (HCPCS Q5103) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5103?code_type=HCPCS
MLA (9th ed.)
“INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION (HCPCS Q5103) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5103?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION (HCPCS Q5103) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5103?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $26–$1,463 (25th–75th percentile) across 2,642 hospitals · 7,652 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q5103 — 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
$26
$285 typical
$1,463
The middle 50% of negotiated facility rates for this procedure, measured across 2,642 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $285 |
| Likely subtotal | $285 |
Facility charge (no separate professional fee)
$285
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 $26–$1,463.
- 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 |
|---|---|---|---|---|---|---|---|
| BATON ROUGE GENERAL MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS PPO | — | — | — | 2026-03-26 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | FIDELIS MEDICAID [1049] | FIDELIS MEDICAID [104900] | — | $2,071.00 | $1,604.51 | 2026-04-01 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna C | 16 | — | $1,453.49 | $872.09 | 2026-05-08 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $2,739.51 | $2,328.58 | 2025-01-01 | MRF ↗ |
| BATON ROUGE GENERAL MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS PPO | — | — | — | 2026-03-26 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $2,739.51 | $1,506.73 | 2025-01-01 | MRF ↗ |
| BATON ROUGE GENERAL MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS PPO | — | — | — | 2026-03-26 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | HEALTHFIRST MEDICAID [1059] | HEALTHFIRST MEDICAID MANAGED CARE [105900] | — | $2,071.00 | $1,604.51 | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Senior Whole Health-Behavioral Health | Senior Whole Health-Behavioral Health | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | United Medicare Advantage | United Medicare Advantage | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Eternal Health Medicare Advantage | Eternal Health Medicare Advantage | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Bmc Wellsense Senior Care Options | Bmc Wellsense Senior Care Options | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Mbhp | Mbhp | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Senior Whole Health-Behavioral Health | Senior Whole Health-Behavioral Health | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Unicare | Unicare | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Tufts Select | Tufts Select | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Single Case Agreement | Single Case Agreement | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Mbhp | Mbhp | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Mbhp Steward Aco | Mbhp Steward Aco | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Wellcare Medicare Managed Care | Wellcare Medicare Managed Care | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Mass Doc - Correct Care | Mass Doc - Correct Care | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Tufts Hmo | Tufts Hmo | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Self-Pay Other Facility | Self-Pay Other Facility | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Tufts Select | Tufts Select | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Fallon | Fallon | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | United Behavioral Health Medicare | United Behavioral Health Medicare | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Elder Services | Elder Services | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Cenpatico Behavioral Health | Cenpatico Behavioral Health | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Us Family Health Plan | Us Family Health Plan | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Harvard Pilgrim Managed Care | Harvard Pilgrim Managed Care | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | United Behavioral Health Medicaid | United Behavioral Health Medicaid | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | United Health Secure Horizons | United Health Secure Horizons | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Tufts Ppo | Tufts Ppo | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Harvard Pilgrim Managed Care-Limited/Tiered | Harvard Pilgrim Managed Care-Limited/Tiered | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Va Community Care | Va Community Care | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Harvard Pilgrim Managed Care-Self Insured | Harvard Pilgrim Managed Care-Self Insured | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Island | Hospice | $0.03 | $0.03 | $0.02 | 2026-10-03 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Bmc Healthnet Well Sense | Bmc Healthnet Well Sense | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Medicare Managed Miscellaneous | Medicare Managed Miscellaneous | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Aetna | Aetna | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Hospice | Hospice | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Champus | Champus | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Assurant | Assurant | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Humana | Humana | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Mass Doc - Correct Care | Mass Doc - Correct Care | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Mbhp Steward Aco | Mbhp Steward Aco | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Thpp Medicare Managed Care | Thpp Medicare Managed Care | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Commonwealth Care Alliance | Commonwealth Care Alliance | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Self Pay | Self Pay | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $0.03 | $0.03 | $0.01 | 2026-07-15 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | United | Hospice | $0.03 | $0.03 | $0.02 | 2026-10-03 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Tufts Plan Spirit | Tufts Plan Spirit | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Tufts Plan Spirit | Tufts Plan Spirit | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Network Health Qhp Non-Subsidized | Network Health Qhp Non-Subsidized | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Carolina | Hospice | $0.03 | $0.03 | $0.02 | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Tidewater | Hospice | $0.03 | $0.03 | $0.02 | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Hospice Care Of America | Hospice | $0.03 | $0.03 | $0.02 | 2026-10-03 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Heartland | Hospice | $0.03 | $0.03 | $0.02 | 2026-10-03 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Network Health Qhp Subsidized | Network Health Qhp Subsidized | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | United Medicare Sco/Onecare | United Medicare Sco/Onecare | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Cigna Healthcare | Cigna Healthcare | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Champus | Champus | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Commercial Non-Contracted | Commercial Non-Contracted | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Self Pay Emergent | Self Pay Emergent | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Tufts Ppo | Tufts Ppo | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Harvard Pilgrim Medicare Managed Care | Harvard Pilgrim Medicare Managed Care | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Ri Blue Cross Medicare Advantage | Ri Blue Cross Medicare Advantage | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Fallon | Fallon | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Bcbs Medicare | Bcbs Medicare | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Neighborhood Health Medicare Advantage | Neighborhood Health Medicare Advantage | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Tufts Hmo | Tufts Hmo | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Longevity Health Plan Medicare Advantage | Longevity Health Plan Medicare Advantage | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Hospice Care Of Lowcountry | Hospice | $0.03 | $0.03 | $0.02 | 2026-10-03 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Cigna Medicare | Cigna Medicare | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Senior Whole Health | Senior Whole Health | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Commonwealth Care Alliance-Ppo | Commonwealth Care Alliance-Ppo | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Fallon Medicare Managed Care | Fallon Medicare Managed Care | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Tufts Medicare Managed Care-Steward Pcp | Tufts Medicare Managed Care-Steward Pcp | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Humana Medicare | Humana Medicare | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Self-Pay Other | Self-Pay Other | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Celticare Choice | Celticare Choice | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Health Safety Net (Hsn) | Health Safety Net (Hsn) | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | United Behavioral Health Commercial | United Behavioral Health Commercial | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Medicare | Medicare | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Self Pay Elective | Self Pay Elective | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Inpatient | Hsn-Er Bad Debt | Hsn-Er Bad Debt | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Tufts Medicare Managed Care | Tufts Medicare Managed Care | $0.03 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| SAINT ANNE'S HOSPITAL Outpatient | Employer Direct Healthcare | Employer Direct Healthcare | $0.04 | $0.03 | $0.03 | 2026-07-17 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | HEALTHFIRST MEDICAID [1059] | HEALTHFIRST CHILD HEALTH PLUS [105901] | — | $2,071.00 | $1,604.51 | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $1,623.00 | $1,217.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $1,623.00 | $1,217.25 | 2026-09-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $13,878.87 | $9,854.00 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $18,573.00 | $13,186.83 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $16,225.65 | $11,520.21 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $13,878.87 | $9,854.00 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $3,232.00 | $2,294.72 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $25,992.00 | $18,454.32 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $3,232.00 | $2,294.72 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $18,573.00 | $13,186.83 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $18,573.00 | $13,186.83 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $13,878.87 | $9,854.00 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $3,232.00 | $2,294.72 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $25,992.00 | $18,454.32 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $16,225.65 | $11,520.21 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $25,992.00 | $18,454.32 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $16,225.65 | $11,520.21 | 2026-07-15 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-POS | Aetna | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-Indemnity | Aetna | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-HMO | Aetna | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-Indemnity | Aetna | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-POS | Aetna | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-HMO | Aetna | — | — | — | 2026-01-01 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $0.41 | $568.00 | $114.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $0.41 | $568.00 | $114.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $0.41 | $568.00 | $114.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $0.41 | $568.00 | $114.00 | 2026-07-18 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.44 | $246.33 | $20.59 | 2024-12-31 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.46 | $1.18 | $0.94 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.47 | $1.18 | $0.94 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.47 | $1.18 | $0.94 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.47 | $1.18 | $0.94 | 2026-09-25 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Bc State | $0.50 | — | — | 2026-10-03 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $520.46 | — | 2026-07-01 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Absolute Total Care Hix | Hmo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Molina Healthcare Of Sc Qhp | Hmo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Select Health Of Sc Qhp | Hmo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Allwell Medicare Advantage | Hmo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Medicare Advantage | Hmo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bluechoice Blueoption Hix | Ppo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bardavon Health Innovations, Llc | Wc | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Medicare Advantage | Hmo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicare Advantage | Hmo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Medicare Advantage | Hmo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Upmc Medicare Advantage | Hmo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Essentials Hix | Hmo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medcost | Ppo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Medicare Advantage | Hmo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Commercial Choice | Ppo | — | $7,416.00 | $4,820.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Medrisk | Wc | $0.79 | $7,416.00 | $4,820.00 | 2026-09-21 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Empower Healthcare Solutions | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Covenant Healthcare | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Arkansas Superior Select | Dual Eligible Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Provider Partners Health Plans | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Cigna Healthspring | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | QualChoice of Arkansas | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Ambetter | Marketplace Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Covenant | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Wellcare by Allwell | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Empower Healthcare Solutions | Managed Medicaid | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Assured Benefits Administrators | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Arkansas Total Care | Managed Medicaid | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $0.89 | $1.18 | $0.94 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $0.90 | $1.18 | $0.94 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $0.93 | $1.18 | $0.94 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $0.94 | $1.18 | $0.94 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $0.94 | $1.18 | $0.94 | 2026-09-25 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ThedaCare Fond du Lac BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.97 | $986.84 | $552.63 | 2026-03-02 | MRF ↗ |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.97 | $986.84 | $552.63 | 2026-03-02 | MRF ↗ |
| ThedaCare Oshkosh BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.97 | $986.84 | $552.63 | 2026-03-02 | MRF ↗ |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.97 | $986.84 | $552.63 | 2026-03-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Alignment Health Plan | AlignmentHealthPlanMedicare | — | $8,656.00 | $6,492.00 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | $8,656.00 | $6,492.00 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCaidDOHC | — | $8,656.00 | $6,492.00 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | $8,656.00 | $6,492.00 | 2025-01-31 | 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.