Q5120 — Inj Pegfilgrastim-bmez 0.5mg
Cite this view
HANK Price Transparency. (n.d.). Inj pegfilgrastim-bmez 0.5mg (OTHER Q5120) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5120?code_type=OTHER
“Inj pegfilgrastim-bmez 0.5mg (OTHER Q5120) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5120?code_type=OTHER. Accessed .
“Inj pegfilgrastim-bmez 0.5mg (OTHER Q5120) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5120?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $31–$343 (25th–75th percentile) across 143 hospitals · 235 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Q5120 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $16.25 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $16.25 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $16.25 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $16.25 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $16.25 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $16.25 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $16.25 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $16.25 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $16.25 | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $18.19 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $18.19 | — | — | 2026-05-14 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Davis Behavioral Health | Behavioral Health | $21.00 | — | — | 2026-05-18 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $21.22 | — | — | 2026-05-27 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Freedom Blue Medicare | $22.02 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Freedom Blue Medicare | $22.02 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Community Blue Medicare Advantage | $23.00 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Community Blue Medicare Advantage | $23.00 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Community Blue Medicare Hmo | $23.00 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Complete Blue Medicare Advantage | $23.00 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Complete Blue Medicare | $23.00 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Complete Blue Medicare | $23.00 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Complete Blue Medicare Advantage | $23.00 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Community Blue Medicare Hmo | $23.00 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $23.31 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $23.31 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $23.31 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $23.31 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $23.31 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $23.31 | — | — | 2026-05-08 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicare Assured | $23.47 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicare Assured | $23.47 | — | — | 2026-05-23 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $23.58 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $23.58 | — | — | 2026-05-09 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $23.65 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $23.65 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $23.79 | — | — | 2026-05-09 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $24.70 | — | — | 2026-05-23 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Aetna | Medicare Ppo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Aetna | Medicare Ppo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Aetna | Medicare Ppo | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Baycareplus | Medicare Hmo | $24.71 | — | — | 2026-05-18 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | United Health Care Dual Complete Medicare | 36347772 | $24.71 | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Baycareplus | Medicare Hmo | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Pathway Ppo/Hmo | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Tricare | Tricare | $24.71 | — | — | 2026-05-15 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Blue Cross | Medicare Advantage | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uhc | Medicare Advantage | $24.71 | — | — | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-15 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Miscellaneous United Healthcare | 28186640 | — | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Miscellaneous Medicare | 28186619 | $24.71 | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Medicare Replacement | 29046253 | $24.71 | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-15 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Navigate | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Railroad Medicare | 30770134 | $24.71 | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Tiered Benefit Plans | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Baycareplus | Medicare Hmo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Tricare East | 30770242 | $24.71 | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Tricare | 29043841 | $24.71 | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Blue Cross | Medicare Hmo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| PENN HIGHLANDS CONNELLSVILLE Outpatient | Uhc | Commercial | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Blue Cross | Medicare Hmo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Blue Cross | Medicare Hmo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Cigna | Medicare Hmo | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Medicare Hmo | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Ppo/Hmo | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Medicare Hmo | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uhc | Medicare Advantage | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Tricare | Tricare | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Cigna | Medicare Hmo | $24.71 | — | — | 2026-05-18 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Blue Cross | Medicare Hmo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Traditional | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Aetna | Medicare Ppo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Uhc | Medicare Advantage | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Baycareplus | Medicare Hmo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Baycareplus | Medicare Hmo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-18 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Ppo/Hmo | $24.71 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Anthem | Pathway Ppo/Hmo | $24.71 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Anthem | Traditional | $24.71 | — | — | 2026-05-14 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Aetna | Medicare Ppo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| AVERA MERRILL PIONEER HOSPITAL Outpatient | Wellmark Insurance | Hmo | $24.71 | $17,813.00 | $17,279.13 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Ky Pathway Ppo/Hmo | $24.71 | — | — | 2026-05-14 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Cc Medicare | 29046303 | $24.71 | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Baycareplus | Medicare Hmo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Traditional | $24.71 | — | — | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-18 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Aetna | Medicare Ppo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Blue Cross | Medicare Hmo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Pace Eldercare | 29046164 | $24.71 | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Blue Cross | Medicare Hmo | $24.71 | — | — | 2026-05-17 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| AVERA MERRILL PIONEER HOSPITAL Outpatient | Wellmark Insurance | Ppo | $24.71 | $17,813.00 | $17,279.13 | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Aetna | Commercial | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Cigna | Commercial | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Humana | Medicare Advantage | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Clover | Medicare Advantage | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Simpra | Medicare Advantage | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Medicare Advantage | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Outpatient | Viva | Commercial | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | Pa Uhc Care Advantage | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | All Savers Health Plan | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Catalyst | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | Commercial | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Cigna | Medicare Advantage | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | Pa Erickson Advantage Freedom/Liberty/Signature Plans | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Options Ppo Plans | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Choice And Choice Plus | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Nexusaco | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Blue Cross | Medicare Hmo | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Blue Cross | Medicare Hmo | $24.71 | — | — | 2026-05-18 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | Mid-Atlantic Health Plan � United Healthcare M.D.Ipa Plan And Optimum Choice, Inc. | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | United Healthcare Choice Advanced And Choice Plus Advanced | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | Pa Erickson Advantage Champion/Guardian Plans | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | Pa Dual Complete Special Needs Plans | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | Umr (A United Healthcare Company) | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Medicare | 29046131 | $24.71 | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare | Medicare Advantage | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-14 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Pathway Ppo/Hmo | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Baycareplus | Medicare Hmo | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Veterans Administration | 29042596 | $24.71 | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Aetna | Medicare Ppo | $24.71 | — | — | 2026-05-18 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl United Healthcare | 29045755 | — | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Anthem | Pathway Ppo/Hmo | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Ky Pathway Ppo/Hmo | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Outpatient | Anthem | Traditional | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Uhc Shared Services | 29042477 | — | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Outpatient | Anthem | Traditional | $24.71 | — | — | 2026-05-14 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Usaa | Medicare Advantage | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Baycareplus | Medicare Hmo | $24.71 | — | — | 2026-05-15 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Outpatient | Anthem | Traditional | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-22 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Blue Cross | Medicare Hmo | $24.71 | — | — | 2026-05-15 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | Medicare | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Nexus Aco Oap | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Heritage Select | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Commercial | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Core | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Tn Individual Exchange Benefit | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Baycareplus | Medicare Hmo | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Medicare Advantage | 29739437 | $24.71 | $8,479.15 | $4,239.58 | 2026-05-14 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare Ppo | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Blue Cross | Medicare Hmo | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Geisinger | Mcd Advantage | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo - Dhpn | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo - Dhps | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth - Dhpn | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange - Dhpn | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange - Dhps | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhpn | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange - Dhps | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo - Dhps | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo - Dhpn | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan - Dhp | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity/Federal Employee Program | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch - Dhp | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Triwest | Veterans Choice | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Uhc | Medicare Advantage | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Tricare | Tricare | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| JASPER MEMORIAL HOSPITAL Outpatient | Ambetter | Marketplace | $24.71 | — | — | 2026-05-06 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Aetna | Medicare Ppo | $24.71 | — | — | 2026-05-09 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Amerihealth | Amerihealth Caritas Medicare Advantage | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Life Medicare | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Life Hmo Premier Rx Western Pa; Medicare Advantage | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Upmc | Upmc For Life Dual/Upmc For Life Complete Care | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicaid | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL Outpatient | Ambetter | Marketplace | $24.71 | — | — | 2026-05-07 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Health Partners | Health Partners Medicaid | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Humana | Humana Medicare Plans | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | Pa Aarp Medicare Advantage Plans | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | Surest | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | United Healthcare | Pa Group Medicare Advantage Plans | $24.71 | — | — | 2026-05-13 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $24.71 | — | — | 2026-05-08 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Aetna | Medicare Ppo | $24.71 | — | — | 2026-05-15 | 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.