Q5112 — Inj Ontruzant 10 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj ontruzant 10 mg (HCPCS Q5112) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5112?code_type=HCPCS
MLA (9th ed.)
“Inj ontruzant 10 mg (HCPCS Q5112) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5112?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj ontruzant 10 mg (HCPCS Q5112) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5112?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $30–$2,240 (25th–75th percentile) across 1,572 hospitals · 2,455 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q5112 — 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
$30
$69 typical
$2,240
The middle 50% of negotiated facility rates for this procedure, measured across 1,572 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $69 |
| Likely subtotal | $69 |
Facility charge (no separate professional fee)
$69
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 $30–$2,240.
- 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 |
|---|---|---|---|---|---|---|---|
| Inspira Medical Center Woodbury InpatientFacility | United Healthcare | Commercial | $0.03 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | United Healthcare | Commercial | $0.03 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Oxford Health Plans | Commercial | $0.03 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | United Healthcare | Commercial | $0.03 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Oxford Health Plans | Commercial | $0.03 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | United Healthcare | Commercial | $0.03 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Oxford Health Plans | Commercial | $0.03 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | AmeriHealth | Commercial | $0.03 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Oxford Health Plans | Commercial | $0.03 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna | Commercial | $0.04 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Aetna | Commercial | $0.04 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Aetna | Commercial | $0.04 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Aetna | Commercial | $0.04 | $0.06 | $0.07 | 2026-03-24 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Advantage PPO | BCBS Advantage PPO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Blue Lincs HMO | BCBS Blue Lincs HMO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Preferred | BCBS Preferred | $0.18 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Choice | BCBS Choice | $0.21 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Traditional | BCBS Traditional | $0.24 | — | — | 2026-08-30 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $410.57 | — | 2026-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $353.24 | $176.62 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $353.24 | $176.62 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $353.24 | $176.62 | 2026-07-01 | 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 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $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 | AETNA | BETTER 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 | 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 | 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 | — | 2025-08-30 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $2.00 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $2.00 | $4.00 | — | 2026-02-27 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $17,803.40 | $11,572.21 | 2026-06-15 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $2.20 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $2.20 | $4.00 | — | 2026-02-27 | 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 ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $2.60 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $2.60 | $4.00 | — | 2026-02-27 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $2.68 | $6,065.96 | $5,762.66 | 2026-07-15 | 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 ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $2.72 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $2.72 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $3.00 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $3.00 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $3.20 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $3.20 | $4.00 | — | 2026-02-27 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $3.78 | — | — | 2026-03-31 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $4.28 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $4.28 | — | — | 2024-10-01 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $4.84 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $4.84 | — | — | 2025-12-23 | 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 | 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 | PPO | $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 | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $8.97 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $8.97 | — | — | 2026-03-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Blue Chip Direct Advance Other Commercial Plan | $9.41 | — | — | 2026-04-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $10.18 | — | — | 2026-10-16 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $10.18 | — | — | 2026-10-16 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $10.18 | — | — | 2026-10-16 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $10.18 | — | — | 2026-10-16 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $10.18 | — | — | 2026-10-16 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $10.18 | — | — | 2026-09-21 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $10.18 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $10.18 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $10.18 | — | — | 2026-09-21 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $10.18 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $10.18 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $10.18 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $10.18 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $10.18 | — | — | 2026-05-13 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Medicaid - Meridian | Medicaid - Meridian | $10.39 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $10.39 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Medicaid - United | Medicaid - United | $10.39 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Medicaid - Midwest | Medicaid - Midwest | $10.39 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $10.39 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - United | Medicaid - United | $10.39 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Midwest | Medicaid - Midwest | $10.39 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Meridian | Medicaid - Meridian | $10.39 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Medicaid - Molina | Medicaid - Molina | $10.71 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Molina | Medicaid - Molina | $10.71 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $10.91 | $4,661.73 | $3,030.12 | 2026-07-31 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LEBN DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $11.13 | $4,437.62 | $2,884.45 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LEBN DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $11.13 | $4,449.62 | $2,892.25 | 2026-06-10 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $11.39 | — | — | 2026-08-19 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $11.40 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $11.40 | — | — | 2026-05-24 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $11.64 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $11.64 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Highmark | Highmark Together Blue | $11.99 | — | — | 2026-04-14 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | UPMC Health Plan | Managed Medicaid | $12.00 | $549.00 | $329.40 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | Managed Medicaid | $12.00 | $809.00 | $485.40 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Health Plan | Managed Medicaid | $12.00 | $704.00 | $422.40 | 2026-03-07 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | Managed Medicaid | $12.00 | $809.00 | $485.40 | 2026-03-06 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Select Health | Medicare Managed Care Plan | $12.35 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Select Health | Medicare Managed Care Plan | $12.35 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Select Health | Medicare Managed Care Plan | $12.35 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Select Health | Medicare Managed Care Plan | $12.35 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Select Health | Medicare Managed Care Plan | $12.35 | — | — | 2026-04-01 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Highmark | Highmark Together Blue | $12.73 | — | — | 2026-04-14 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Affinity | Essential Plan 3&4 | $13.30 | $1.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Affinity | Medicaid/CHP/HARP | $13.30 | $1.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Affinity | Essential Plan 1&2 | $13.30 | $1.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Affinity | Medicaid/CHP/HARP | $13.30 | $1.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Affinity | Essential Plan 3&4 | $13.30 | $1.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Affinity | Essential Plan 1&2 | $13.30 | $1.00 | — | 2026-02-27 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicaid - Meridian | Medicaid - Meridian | $14.02 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicaid - Midwest | Medicaid - Midwest | $14.02 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $14.02 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - United | Medicaid - United | $14.02 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $14.02 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $14.02 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Midwest | Medicaid - Midwest | $14.02 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Meridian | Medicaid - Meridian | $14.02 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicaid - United | Medicaid - United | $14.02 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MCLAREN THUMB REGION Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $14.02 | $964.94 | $482.47 | 2025-12-31 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross PPO/Traditional/HMO/Blue Care Network | Commercial | $14.03 | $7,874.31 | $6,693.17 | 2026-04-17 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $14.13 | — | — | 2025-06-28 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Highmark | Highmark Together Blue | $14.20 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Highmark | Highmark Together Blue | $14.20 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Highmark | Highmark Together Blue | $14.20 | — | — | 2026-04-14 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | UnitedHealthcare | Quest | $14.25 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | UnitedHealthcare | Quest | $14.25 | — | — | 2026-02-12 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | UnitedHealthcare | Quest | $14.25 | — | — | 2026-02-12 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $14.25 | — | — | 2026-01-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE OutpatientFacility | Molina | Medicare Managed Care Plan | $14.25 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST MARY'S HOSPITAL - MADISON OutpatientFacility | Molina | Medicare Managed Care Plan | $14.25 | — | — | 2026-04-01 | MRF ↗ |
| SSM HEALTH ST CLARE HOSPITAL - BARABOO OutpatientFacility | Molina | Medicare Managed Care Plan | $14.25 | — | — | 2026-04-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $14.25 | — | — | 2026-01-01 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $14.26 | $7,874.31 | $6,693.17 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $14.26 | $7,874.31 | $6,693.17 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $14.26 | $7,874.31 | $6,693.17 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $14.26 | $7,874.31 | $6,693.17 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $14.26 | $7,874.31 | $6,693.17 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $14.26 | $7,874.31 | $6,693.17 | 2026-04-17 | 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.