Q5113 — Inj Herzuma 10 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj herzuma 10 mg (HCPCS Q5113) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5113?code_type=HCPCS
MLA (9th ed.)
“Inj herzuma 10 mg (HCPCS Q5113) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5113?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj herzuma 10 mg (HCPCS Q5113) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5113?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $73–$3,023 (25th–75th percentile) across 1,568 hospitals · 3,053 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q5113 — 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
$73
$218 typical
$3,023
The middle 50% of negotiated facility rates for this procedure, measured across 1,568 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $218 |
| Likely subtotal | $218 |
Facility charge (no separate professional fee)
$218
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 $73–$3,023.
- 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 |
|---|---|---|---|---|---|---|---|
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | BCBS BLUELINCS HMO | BCBS BLUELINCS HMO | $0.13 | $15,315.50 | $12,252.40 | 2026-01-05 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | BCBS ADV PPO | BCBS ADV PPO | $0.13 | $15,315.50 | $12,252.40 | 2026-01-05 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | BCBS NATIVE BLUE | BCBS NATIVE BLUE | $0.13 | $15,315.50 | $12,252.40 | 2026-01-05 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.14 | $168.30 | $100.98 | 2025-12-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Blue Lincs HMO | BCBS Blue Lincs HMO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | BCBS PREF PPO | BCBS PREF PPO | $0.15 | $15,315.50 | $12,252.40 | 2026-01-05 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Advantage PPO | BCBS Advantage PPO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.18 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | BCBS CHOICE PPO | BCBS CHOICE PPO | $0.18 | $15,315.50 | $12,252.40 | 2026-01-05 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.18 | $0.65 | $0.42 | 2025-01-22 | 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 ↗ |
| WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD Outpatient | BCBS TRAD-ALL OTHER PLANS | BCBS TRAD-ALL OTHER PLANS | $0.21 | $15,315.50 | $12,252.40 | 2026-01-05 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.24 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Traditional | BCBS Traditional | $0.24 | — | — | 2026-08-30 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Standard | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Interplan | Interplan | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | $0.25 | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | $0.25 | $6,160.38 | $4,620.28 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - Medicare | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - MCS | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medicare | Medicare | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medicare | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $6,160.38 | $4,620.28 | 2025-07-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | OHIOHEALTHY MEDICAL PLAN [556] | GENESIS HC SYSTEM-OHHEALTHYNETWORK [556210] | $0.25 | $0.65 | $0.42 | 2025-01-31 | 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 OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AULTCARE HEALTHREACH [540405] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH OH [540410] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH EBSC [540420] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HEALTHREACH [540] | MIDWEST HEALTH/PARAMOUNT EMP ONLY PROMED [540400] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH MEDBEN [540425] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHREACH [540] | AVALON HEALTHREACH WV [540415] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHREACH [540] | HEALTHREACH* [540240] | $0.36 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED PPO [485210] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MUTUAL HEALTH SERVICES MMO [485260] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO STATE OF OH [485255] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED HMO [485235] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED CLASSIC [485205] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO STATE OF OH [485255] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED HMO [485235] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED PPO [485210] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MUTUAL HEALTH SERVICES MMO [485260] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | UPMC MMO [485245] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED CLASSIC [485205] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | UPMC MMO [485245] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MMO SUPERMED PPO MANSFIELD CITY SCHOOLS [485250] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED SEL POS [485215] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED SEL POS [485215] | $0.41 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA HEALTH NETWORK OPTION [310290] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA TRADITIONAL CHOICE INDEMNIT [310245] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA OPEN ACCESS ELECT CHOICE [310200] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA HMO QPOS/SELECT [310215] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA OPEN CHOICE PPO [310210] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA OSU STUDENT HEALTH INSRNCE [310206] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| MARION GENERAL HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA HMO QPOS/SELECT [310215] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA OPEN ACCESS MANAGED CHOICE [310201] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | CIGNA [370] | MVP CIGNA [370425] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA HEALTH FUND [310250] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA HMO/NTWK/OACCESS/OA+/POS [370225] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | CIGNA [370] | CIGNA HMO/NTWK/OACCESS/OA+/POS [370225] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | SRC/AETNA AFF HEALTH CH/PPO INDEM [310270] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | CIGNA [370] | HEALTHPARTNERS CIGNA [370240] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | HEALTHPARTNERS CIGNA [370240] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | MERITAIN AETNA [310325] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA OSU STUDENT HEALTH INSRNCE [310206] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA HEALTHREACH PREFERRED [310203] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA HEALTH FUND [310250] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA TRADITIONAL CHOICE INDEMNIT [310245] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | SRC/AETNA AFF HEALTH CH/PPO INDEM [310270] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA OPEN ACCESS MANAGED CHOICE [310201] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA OPEN CHOICE PPO [310210] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA OPEN ACCESS ELECT CHOICE [310200] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA CHOICE FUND-ANY CHOICE FUND [370220] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | MVP CIGNA [370425] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | CIGNA [370] | CIGNA BEHAVIORAL HEALTH [370200] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA HEALTHREACH PREFERRED [310203] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA BEHAVIORAL HEALTH [370200] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA HEALTH NETWORK OPTION [310290] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | CIGNA [370] | CIGNA CHOICE FUND-ANY CHOICE FUND [370220] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | MERITAIN AETNA [310325] | $0.42 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | SEORMC [545] | SEORMC MEDBEN [545100] | $0.43 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | SEORMC [545] | SEORMC MEDBEN [545100] | $0.43 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | ANTHEM FEDERAL GOVT [335205] | $0.45 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BC TRADITIONAL [335200] | $0.45 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | BCBS OUT OF STATE MISC [335690] | $0.45 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | ANTHEM DIRECTACCESS BLUE (JWQ/JWJ) [335300] | $0.45 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | ANTHEM [335] | ANTHEM BLUE/PREF/HMO/PPO [335230] | $0.45 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | HUMANA [465] | HUMANA/PPO/POS/HMO-NON CHOICE CARE NTWK [465210] | $0.46 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OSU [553] | OSU BASIC OUT OF AREA OHC [553300] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE ADVANTAGE OHC [553225] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OSU [553] | OSU BASIC PPO OHC [553305] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE ADVANTAGE OHC [553225] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OSU [553] | OSU BASIC OUT OF AREA OHC [553300] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OSU [553] | OSU OUT OF AREA OHC [553310] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE CONNECT OHC [553245] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OSU [553] | OSU OUT OF AREA OHC [553310] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE CONNECT OHC [553245] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE CHOICE [553315] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OSU [553] | OSU BASIC PPO OHC [553305] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OSU [553] | OSU PRIME CARE CHOICE [553315] | $0.47 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED SEL POS [485215] | $0.49 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHLINK [443] | HEALTH LINK PPO [443200] | $0.49 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED HMO [485235] | $0.49 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHLINK [443] | HEALTH LINK OPEN ACCESS [443205] | $0.49 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | HEALTHLINK [443] | HEALTH LINK PPO [443200] | $0.49 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | HEALTHLINK [443] | HEALTH LINK OPEN ACCESS [443205] | $0.49 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL SUPERMED CLASSIC [485205] | $0.49 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | HEALTHLINK [443] | HEALTH LINK PPO [443200] | $0.49 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | INHEALTH MUTUAL [494] | INHEALTH MUTUAL PPO [494200] | $0.49 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | MMO [485] | MED MUTUAL SUPERMED PPO [485210] | $0.49 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | HEALTHLINK [443] | HEALTH LINK OPEN ACCESS [443205] | $0.49 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | INHEALTH MUTUAL [494] | INHEALTH MUTUAL PPO [494200] | $0.49 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | MMO [485] | MEDICAL MUTUAL OF OH TRADITIONAL [485200] | $0.49 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | TRUSTMARK AETNA [310335] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | TRUSTMARK AETNA [310335] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | HEALTHSCOPE AETNA [310320] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | TRUSTMARK/CORESOURCE AETNA [310340] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | AETNA SIGNATURE PPO*/TPA [310202] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | NIPPON AETNA [310330] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | NIPPON AETNA [310330] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | HEALTHSCOPE AETNA [310320] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | TRUSTMARK/CORESOURCE AETNA [310310] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | AETNA [310] | TRUSTMARK/CORESOURCE AETNA [310310] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | TRUSTMARK/CORESOURCE AETNA [310340] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | AETNA [310] | AETNA SIGNATURE PPO*/TPA [310202] | $0.50 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | CIGNA [370] | HEALTHPARTNERS CIGNA [370240] | $0.51 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | CIGNA [370] | CIGNA CHOICE FUND-ANY CHOICE FUND [370220] | $0.51 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | CIGNA [370] | CIGNA BEHAVIORAL HEALTH [370200] | $0.51 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | CIGNA [370] | CIGNA HMO/NTWK/OACCESS/OA+/POS [370225] | $0.51 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | CIGNA [370] | MVP CIGNA [370425] | $0.51 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | CIGNA [370] | CIGNA TPA* [370230] | $0.51 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | CIGNA [370] | CIGNA PPO/EPO/FUNDAMENTAL CARE [370210] | $0.51 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | GREATWEST [550] | GREAT WEST CONSUMER ADVANTAGE* [550210] | $0.52 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | GREATWEST [550] | GREAT WEST HEALTHCARE PPO [550205] | $0.52 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | GREATWEST [550] | CIGNA SELECT/GREAT WEST HEALTH [550200] | $0.52 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | AETNA OPEN CHOICE PPO [310210] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | HEALTHSCOPE AETNA [310320] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | AETNA TRADITIONAL CHOICE INDEMNIT [310245] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | SRC/AETNA AFF HEALTH CH/PPO INDEM [310270] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | AETNA HEALTH NETWORK OPTION [310290] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | GENERAL AMERICAN LIFE OHCP [535220] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | AETNA OPEN ACCESS MANAGED CHOICE [310201] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHIO HEALTH CHOICE PLAN (OHCP) [535200] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | AETNA CHOICE POS/POSII/PREMIER CARE/PREMIER CARE PLUS [310205] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | FRONTPATH HEALTH COALITION OHCP [535215] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | TRUSTMARK/CORESOURCE OHCP [535345] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHCP MEDBEN [535205] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA TPA* [370230] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | CIGNA [370] | CIGNA PPO/EPO/FUNDAMENTAL CARE [370210] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | AETNA SIGNATURE PPO*/TPA [310202] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | NIPPON AETNA [310330] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | AETNA HEALTHREACH PREFERRED [310203] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHCP MEDBEN [535205] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHIO PPO CONNECT [535225] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | TRUSTMARK/CORESOURCE AETNA [310310] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHIO PPO CONNECT [535225] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | AULTCARE PPO CONNECT [535355] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | MERITAIN AETNA [310325] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | AETNA HMO QPOS/SELECT [310215] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | OHIO HEALTH CHOICE PLAN (OHCP) [535200] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | AETNA OSU STUDENT HEALTH INSRNCE [310206] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL Outpatient | AETNA [310] | AETNA HEALTH FUND [310250] | $0.53 | $0.65 | $0.42 | 2025-01-31 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | GENERAL AMERICAN LIFE OHCP [535220] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| DOCTORS HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | AULTCARE PPO CONNECT [535355] | $0.53 | $0.65 | $0.42 | 2025-01-22 | MRF ↗ |
| RIVERSIDE METHODIST HOSPITAL Outpatient | OHIO HEALTH CHOICE [535] | SEORMC MEDBEN [535350] | $0.53 | $0.65 | $0.42 | 2025-01-22 | 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.