Q5119 — Rituximab-pvvr 10 Mg/ml Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION (HCPCS Q5119) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5119?code_type=HCPCS
MLA (9th ed.)
“RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION (HCPCS Q5119) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5119?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“RITUXIMAB-PVVR 10 MG/ML INTRAVENOUS SOLUTION (HCPCS Q5119) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5119?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $50–$2,939 (25th–75th percentile) across 1,990 hospitals · 6,767 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q5119 — 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
$50
$869 typical
$2,939
The middle 50% of negotiated facility rates for this procedure, measured across 1,990 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $869 |
| Likely subtotal | $869 |
Facility charge (no separate professional fee)
$869
- 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $9,889.65 | $8,406.20 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,977.96 | $1,681.27 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,977.96 | $1,087.88 | 2025-01-01 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Exclusive Network | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Occunet Network | Commercial | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | National | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Exclusive | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Occunet Network | Commercial | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Non-Exclusive | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | Local | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Non-Exclusive | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Exclusive Network | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Centivo | Commercial | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | Local | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | National | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Exclusive | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Molina | Molina - Cal Medi-Connect | $0.04 | $527.52 | $395.64 | 2026-04-01 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Centivo | Commercial | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Non-Exclusive Network | $0.05 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Cigna | Commercial | $0.05 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Cigna | Commercial | $0.05 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Non-Exclusive Network | $0.05 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.06 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.06 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.06 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.06 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.06 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.06 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.07 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.07 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.07 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.07 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.08 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.08 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.08 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.08 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Exclusive | $0.18 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Exclusive Network | $0.18 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Occunet Network | Commercial | $0.18 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Centivo | Commercial | $0.18 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Exclusive | $0.18 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Occunet Network | Commercial | $0.18 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Centivo | Commercial | $0.18 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Exclusive Network | $0.18 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | National | $0.20 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | National | $0.20 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | Local | $0.20 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | Local | $0.20 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Non-Exclusive | $0.22 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Non-Exclusive | $0.22 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Non-Exclusive Network | $0.23 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Cigna | Commercial | $0.23 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Non-Exclusive Network | $0.23 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Cigna | Commercial | $0.23 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.30 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.30 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.30 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.30 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.32 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.32 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.34 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.34 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.35 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-PPO | 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-POS | Aetna | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-HMO | Aetna | — | — | — | 2026-01-01 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.35 | $0.50 | $0.14 | 2026-03-06 | 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 ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.40 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.40 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.41 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.41 | $0.50 | $0.14 | 2026-03-06 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UMR - Commercial-PPO | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO INC - Medicaid | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO INC - Medicaid | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-PPO | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-PPO | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-PPO | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-HMO | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-HMO | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UMR - Commercial-PPO | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-PPO | United Healthcare | — | — | — | 2026-01-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.84 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.84 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.84 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.86 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.88 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.91 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.92 | $129.02 | $77.41 | 2025-12-30 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | $1.00 | $451.48 | $338.61 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | $1.00 | $527.52 | $395.64 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $8,120.96 | $5,278.62 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $8,120.96 | $5,278.62 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.09 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.09 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.11 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.11 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.11 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.11 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.13 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | $1.15 | $451.48 | $338.61 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.18 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.22 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $8,120.96 | $5,278.62 | 2025-11-26 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $1.27 | $3.00 | $2.40 | 2025-12-16 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $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 | UNITED HEALTHCARE | 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 | FIDELIS CARE | 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 | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $2,984.10 | $2,984.10 | 2026-04-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $1.50 | $3.00 | $2.40 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $1.50 | $3.00 | $2.40 | 2025-12-16 | 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 ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $1.83 | $8.97 | $7.18 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $1.83 | $8.97 | $7.18 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $1.83 | $8.97 | $7.18 | 2026-01-28 | 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $1.89 | $3.00 | $2.40 | 2025-12-16 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $1.93 | $1,977.96 | $1,285.67 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $1.93 | $1,977.96 | $1,285.67 | 2025-01-01 | 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $2.10 | $3.00 | $2.40 | 2025-12-16 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Nebraska Total Care | Managed Medicaid | $2.20 | $8.48 | $6.79 | 2026-01-28 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER OutpatientFacility | IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $2.28 | — | $22,301.75 | 2026-03-31 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $2.35 | $8.97 | $7.18 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $2.35 | $8.97 | $7.18 | 2026-01-28 | 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 ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL 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.