Q5117 — Trastuzumab-anns 420 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION (CPT Q5117) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5117?code_type=CPT
MLA (9th ed.)
“TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION (CPT Q5117) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5117?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“TRASTUZUMAB-ANNS 420 MG INTRAVENOUS SOLUTION (CPT Q5117) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5117?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $61–$4,227 (25th–75th percentile) across 1,763 hospitals · 5,278 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q5117 — 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
$61
$808 typical
$4,227
The middle 50% of negotiated facility rates for this procedure, measured across 1,763 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $808 |
| Likely subtotal | $808 |
Facility charge (no separate professional fee)
$808
- 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 |
|---|---|---|---|---|---|---|---|
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $10,508.31 | $5,779.57 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $10,508.31 | $8,932.06 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $10,508.31 | $5,779.57 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $10,508.31 | $5,779.57 | 2025-01-01 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-03-31 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | WELL SENSE HEALTH PLAN | WELL SENSE HEALTH PLAN | $0.04 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | BEACON HEALTH | CARELON BEHAVIORAL HEALTH | $0.04 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH HEALTHY FAMILIES | NH HEALTHY FAMILIES | $0.05 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | CIGNA MEDICARE ADVANTAGE | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | VA CCN OPTUM | VA CCN OPTUM | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE | MEDICARE | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | OTHER INSURANCES | OTHER MANAGED CARE | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | TODAYS OPTIONS | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | TUFTS HEALTH MEDICARE HMO | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | OTHER MEDICARE HMO | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | HARVARD PILGRIM MEDICARE | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | SMART VALUE BLUE (MC HMO) | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | HUMANA CLAIMS CENTER | HUMANA CLAIMS CENTER | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | RAILROAD MEDICARE | RAILROAD MEDICARE | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | GENERATIONS ADVANTAGE | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AETNA MEDICARE SUPPLEMENT | AETNA MEDICARE SUPPLEMENT | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | TRICARE EAST | TRICARE EAST | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | HUMANA MEDICARE | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AMERIHEALTH CARITAS NH | AMERIHEALTH CARITAS NH | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | WELLCARE MEDICARE | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | MEDICARE ADV BC | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH BCBS ACA EXCHANGE | NH BCBS ACA EXCHANGE | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | HARVARD PILGRIM NHPAP | HARVARD NHPAP | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | CBA BLUE | CBA BLUE | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | VT BLUE MEDICARE | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | CHAMPVA | CHAMPVA | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | TRIWEST | TRIWEST | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | AETNA MEDICARE ADV | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE | MEDICARE | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICARE HMO | UNITED HEALTHCARE MEDICAR | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | US FAMILY HEALTH PLAN | US FAMILY HEALTH PLAN | $0.06 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | VR HEALTH PLANS INC | HEALTH PLANS INC | $0.07 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | SELF PAY DISCOUNT | SELF PAY DISCOUNT | $0.07 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID DISABILITY | $0.07 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID | $0.07 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH MEDICAID | NH MEDICAID PENDING | $0.07 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | HARVARD PILGRIM NHPAP | HARVARD NHPAP | $0.08 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AMBETTER | AMBETTER | $0.08 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AMBETTER | AMBETTER | $0.09 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | HEALTH PLANS INC | HEALTH PLANS INC | $0.09 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MVP SELECT CARE | MVP SELECT CARE | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | BCBS FEDERAL | BCBS FEDERAL | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | GWH CIGNA MED CLAIMS | GWH CIGNA MED CLAIMS | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | APWU | APWU | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HEALTHCARE | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | TUFTS HEALTH PLAN | TUFTS HEALTH PLN CARELINK | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH BCBCS HMO | NH BCBS HMO | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH BCBCS HMO | NH BCBS HMO | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NALC | NALC | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH BLUE CROSS | NH BCBS PPO | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | BCBS FEDERAL | BCBS FEDERAL | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | TUFTS HEALTH PLAN | TUFTS HEALTH PLAN | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | CIGNA HEALTHCARE | EVERNORTH BEHAVIORAL | $0.10 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | UMR | UMR | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AETNA HEALTHCARE | AETNA HEALTHCARE | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | TUFTS HEALTH PLAN | TUFTS HEALTH PLAN | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AETNA LIFE | AETNA LIFE | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | BCBS FEDERAL | BCBS FEDERAL | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NH BLUE CROSS | NH BCBS PPO | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | HEALTH PLANS INC | HEALTH PLANS INC | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AETNA HEALTHCARE | AETNA HEALTHCARE | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MAIL HANDLERS BENEFIT PLN | MAIL HANDLERS BENEFIT PLA | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | BCBS FEDERAL | BCBS FEDERAL | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MERITAIN HEALTH | MERITAIN HEALTH | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | UNITED BEHAVIORAL HEALTH | UNITED BEHAVIORAL HEALTH | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | GEHA | GEHA | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | GOLDEN RULE | GOLDEN RULE | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | VR HEALTH PLANS INC | HEALTH PLANS INC | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AETNA LIFE | AETNA LIFE | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | OXFORD HEALTH PLAN | OXFORD HEALTH PLAN | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MERITAIN HEALTH | MERITAIN HEALTH | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | GEHA | GEHA | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | TUFTS HEALTH PLAN | TUFTS HEALTH PLN CARELINK | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | OXFORD HEALTH PLAN | OXFORD HEALTH PLAN | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | UMR | UMR | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AARP | AARP | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | VT BLUE CROSS | VT BLUE CROSS | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | GOLDEN RULE | GOLDEN RULE | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | HARVARD PILGRIM HEALTHCRE | HARVARD PILGRIM HEALTHCAR | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AARP | AARP | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MAIL HANDLERS BENEFIT PLN | MAIL HANDLERS BENEFIT PLA | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | UNITED BEHAVIORAL HEALTH | UNITED BEHAVIORAL HEALTH | $0.11 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | FALLON HEALTHCARE | FALLON HEALTHCARE | $0.12 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | OTHER INSURANCES | OTHER TRICARE | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | OTHER INSURANCES | OTHER COMMERCIAL | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | OTHER INSURANCES | OTHER LIABILITY | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEGA LIFE AND HEALTH | MEGA LIFE AND HEALTH | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | OTHER MEDICAID | OTHER MEDICAID | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | OTHER WORKMANS COMP | OTHER WORKMANS COMP | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | TIME INSURANCE | TIME INSURANCE | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | HEALTH NET | HEALTH NET | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDCO | MEDCO | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | PATRIOT HEALTHCARE MVP | PATRIOT HEALTHCARE MVP | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | WAUSAU INS CO | WAUSAU INS CO | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | ULTRA BENEFITS NON VRH EP | ULTRA BENEFITS NON VRH EM | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | BENEFIT PLAN MANAGEMENT | BENEFIT PLAN MANAGEMENT | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | COMBINED | COMBINED | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | FIRST HEALTH CHESAPEAKE | FIRST HEALTH CHESAPEAKE | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | FORTIS INSURANCE | FORTIS INS | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | EBS RMSCO | EBS RMSCO | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | GROUP INSURANCE SERV CTR | GROUP INSURANCE SERVICE C | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | DEFINITY HEALTH | DEFINITY HEALTH | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | DIVERSIFIED GRP BROKERAGE | DIVERSIFIED GROUP BROKERA | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | EBPA HEALTHSOURCE PPO | EBPA HEALTHSOURCE PPO | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | GUARDIAN LIFE | GUARDIAN LIFE | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | FIRST HEALTH | FIRST HEALTH | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | PHYSICIANS MUTUAL | PHYSICIANS MUTUAL | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AMERICAN REPUBLIC | AMERICAN REPUBLIC | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MAINE COMMUNITY HEALTH | MAINE COMMUNITY HEALTH | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | ASSURANT HEALTH | ASSURANT HEALTH | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | ACE USA | ACE USA | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | ACADIA | ACADIA | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MEDICAL CLMS SERVICE CTR | MEDICAL CLAIMS SERVICE CE | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AETNA MEDICARE SUPPLEMENT | AETNA MEDICARE SUPPLEMENT | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | NASE | NASE | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | MINUTEMAN HEALTH | MINUTEMAN HEALTH | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | PRINCIPAL LIFE | PRINCIPAL LIFE | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | AMERICARE | AMERICARE | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | PRUDENTIAL | PRUDENTIAL | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | BANKERS LIFE | BANKERS LIFE | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | SECURE HORIZONS DIRECT | SECURE HORIZONS DIRECT | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | SISCO (SELF INS SVS CO) | SISCO | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | SHASTA ADM SERVICES | SHASTA ADM SERVICES | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| VALLEY REGIONAL HOSPITAL Both | RURAL CARRIERS BENEFIT PN | RURAL CARRIERS BENEFIT PL | $0.13 | $0.13 | $0.07 | 2026-04-10 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | San Diego Pace | San Diego Pace | $0.25 | $28,495.82 | $21,371.87 | 2026-04-01 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Humana ChoiceCare | Commercial | $0.30 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Coventry | Commercial | $0.30 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Medicare Advantage | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Essential Medicaid 3-4 | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Emblem/GHI | Commercial | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Essential Medicaid 1-2/5-6 | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Commercial | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Medicare Advantage | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | HUM Healthcare Systems Inc. (HHS)/Partners Health Plan | Managed Medicaid | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Individual Commercial | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Managed Medicaid | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Commercial | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Cigna/MVP | Group Commercial | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Blue Cross Blue Shield/Excellus | Medicare Advantage | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Telemedicine Program | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Medicare Advantage | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Commercial | $0.33 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Beacon Health Options | Behavioral Health/All Products | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Commercial | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Managed Medicaid | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | United Healthcare | Medicare Advantage | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Fidelis | Managed Medicaid | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Fidelis | Medicare Advantage | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Wellcare | Medicare Advantage | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Department of Correctional Services DOCCCS | Managed Medicaid | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | St. Lawrence-Lewis Program/STLLC | School Employee Program | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Nascentia/VNA Homecare Options Inc. | Medicare Advantage/Medicaid Long Term Care | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Logistic Health Inc. | Commercial | — | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Blue Cross Blue Shield/Excellus | Managed Medicaid | $0.45 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Multiplan/PHCS | Commercial | $0.77 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Managed Medicaid | $0.97 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $11,176.56 | $7,264.76 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $11,176.56 | $7,264.76 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | $1.00 | $29,109.76 | $21,832.32 | 2026-04-01 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Prime Health Services | Commercial/Group Health | $1.04 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - Medicare | $1.10 | $28,495.82 | $21,371.87 | 2026-04-01 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | United Healthcare | Commercial | $1.12 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | $1.15 | $28,495.82 | $21,371.87 | 2026-04-01 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Department of Correctional Services DOCCCS | Managed Medicaid | $1.19 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $11,176.56 | $7,264.76 | 2025-11-26 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Blue Cross Blue Shield/Excellus | Commercial | $1.23 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Cigna/MVP | Group Commercial | $1.24 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center InpatientFacility | Coventry | Commercial | $1.34 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | St. Lawrence-Lewis Program/STLLC | School Employee Program | $1.37 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Emblem/GHI | Commercial | $1.39 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| Claxton-hepburn Medical Center OutpatientFacility | Multiplan/PHCS | Commercial | $1.42 | $1.49 | $1.19 | 2025-01-28 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | $35.08 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | $35.08 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | $35.08 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | $35.08 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | $35.08 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | $35.08 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | $35.08 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | $35.08 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | $35.08 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | $35.08 | 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $2.12 | $5.00 | $4.00 | 2025-12-16 | 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 ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $2.50 | — | — | 2024-10-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $2.50 | $5.00 | $4.00 | 2025-12-16 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | PPO | — | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | HMO | — | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $2.50 | — | — | 2024-10-01 | 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.