Q5121 — Inj. Avsola 10 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj. avsola 10 mg (OTHER Q5121) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5121?code_type=OTHER
MLA (9th ed.)
“Inj. avsola 10 mg (OTHER Q5121) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5121?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Inj. avsola 10 mg (OTHER Q5121) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5121?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $22–$52 (25th–75th percentile) across 156 hospitals · 370 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER Q5121 — 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 |
|---|---|---|---|---|---|---|---|
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Local 1199 | Medicare | $10.64 | $386.39 | $50.23 | 2026-05-06 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $10.94 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $10.94 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $10.94 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $10.94 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $10.94 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $10.94 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $10.94 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $10.94 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $10.94 | — | — | 2026-05-13 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $12.24 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $12.24 | — | — | 2026-05-14 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Multiplan | Phcs - Beech Street | $13.84 | $386.39 | $50.23 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Magellan | Medicare | $13.84 | $386.39 | $50.23 | 2026-05-06 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $14.29 | — | — | 2026-05-27 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Oscar Health Exchange | Medicare | $14.48 | $386.39 | $50.23 | 2026-05-06 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Molina Oh | Managed Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | University Of Pennsylvania Health Plan | University Of Pennsylvania Health Plan | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna Rental | First Health | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye | Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Aetna | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Healthcare | United Healthcare | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource Oh | Managed Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Partners Pennsylvania Medicaid | Health Partners Pennsylvania Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Humana | Managed Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource Oh | Managed Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Maryland Physician Care | Maryland Physician Care | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Student Health | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Maryland Physician Care | Maryland Physician Care | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Peak Health | Peak Health | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Geisinger Pa Medicaid | Geisinger Pa Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $15.48 | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Healthcare | United Healthcare | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Partners Pennsylvania Medicaid | Health Partners Pennsylvania Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Cigna | Cigna | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health Mgd Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Humana | Managed Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Student Health | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye Oh | Managed Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Peak Health | Peak Health | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Molina Oh | Managed Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $15.48 | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | University Of Pennsylvania Health Plan | University Of Pennsylvania Health Plan | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Cigna | Cigna | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Aetna | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye | Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Geisinger Pa Medicaid | Geisinger Pa Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Multiplan | Multiplan | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna Rental | First Health | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna | Better Health | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Multiplan | Multiplan | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | United Mine Workers Of America | United Mine Workers Of America | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Pa | Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-24 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Pa | Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $18,852.75 | $9,426.38 | 2026-05-14 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Coventry | Medicare | $15.75 | $386.39 | $50.23 | 2026-05-06 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $15.92 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $15.92 | — | — | 2026-05-24 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Davis Behavioral Health | Behavioral Health | $16.85 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $16.86 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $16.86 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $16.86 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $16.86 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $16.86 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $16.86 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $16.86 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $16.86 | — | — | 2026-05-22 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Longevity Health | Medicare | $17.03 | $386.39 | $50.23 | 2026-05-06 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $17.35 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Healthy U | Medicaid | $17.35 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $17.35 | — | — | 2026-05-13 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $17.35 | — | — | 2026-05-22 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Regence | Medicare Advantage | $17.35 | — | — | 2026-05-27 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Medicaid | $17.35 | — | — | 2026-05-09 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $17.35 | — | — | 2026-05-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $17.45 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $17.45 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $17.45 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $17.45 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $17.45 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $17.45 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Freedom Blue Medicare | $17.67 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Freedom Blue Medicare | $17.67 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $17.76 | — | — | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $18.05 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $18.10 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $18.10 | — | — | 2026-05-24 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Freedom Blue Medicare | $18.18 | $115.26 | $28.60 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Freedom Blue Medicare | $18.18 | $115.26 | $28.60 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Complete Blue Medicare | $18.45 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Complete Blue Medicare Advantage | $18.45 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Community Blue Medicare Hmo | $18.45 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Complete Blue Medicare | $18.45 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Community Blue Medicare Advantage | $18.45 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Community Blue Medicare Advantage | $18.45 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Complete Blue Medicare Advantage | $18.45 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Community Blue Medicare Hmo | $18.45 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicare Assured | $18.84 | — | — | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicare Assured | $18.84 | — | — | 2026-05-13 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Community Blue Medicare Advantage | $18.99 | $115.26 | $28.60 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Community Blue Medicare Hmo | $18.99 | $115.26 | $28.60 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Complete Blue | $18.99 | $115.26 | $28.60 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Complete Blue Medicare Advantage | $18.99 | $115.26 | $28.60 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Complete Blue Medicare Advantage | $18.99 | $115.26 | $28.60 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Community Blue Medicare Advantage | $18.99 | $115.26 | $28.60 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Community Blue Medicare Hmo | $18.99 | $115.26 | $28.60 | 2026-05-14 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Complete Blue | $18.99 | $115.26 | $28.60 | 2026-05-14 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Galaxy | Medicare | $19.16 | $386.39 | $50.23 | 2026-05-06 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicare Assured/Gateway Medicare | $19.38 | $115.26 | $28.60 | 2026-05-23 | MRF ↗ |
| ST CLAIR HOSPITAL Both | Highmark | Wholecare Medicare Assured/Gateway Medicare | $19.38 | $115.26 | $28.60 | 2026-05-14 | MRF ↗ |
| KIT CARSON COUNTY MEMORIAL HOSPITAL Both | Medicare B Co Jh | Default | $19.42 | $1,143.74 | $972.18 | 2026-05-14 | MRF ↗ |
| KIT CARSON COUNTY MEMORIAL HOSPITAL Both | Medicare B Co Jh | Default | $19.42 | $1,143.74 | $972.18 | 2026-05-22 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Humana | Tricare | $19.43 | $2,306.62 | $1,037.98 | 2026-05-06 | MRF ↗ |
| MANATEE MEMORIAL HOSPITAL Both | Cigna | Managed Care | $19.50 | $1,513.00 | $605.20 | 2026-05-06 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $19.63 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $19.63 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $19.63 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $19.63 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $19.64 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $19.64 | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Community Blue Mcr Adv | $19.64 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Blue Cross | Complete Blue Mcr Adv | $19.64 | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | — | — | — | 2026-05-23 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $19.70 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $19.70 | — | — | 2026-05-14 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $19.70 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Healthy U | Medicaid | $19.70 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Choice | Medicaid | $19.70 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $19.70 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $19.70 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $19.70 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicaid | $19.70 | — | — | 2026-05-09 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $19.70 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $19.70 | — | — | 2026-05-14 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $19.70 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $19.70 | — | — | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $19.70 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $19.70 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $19.70 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $19.70 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $19.70 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $19.70 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $19.70 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $19.70 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $19.70 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $19.70 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $19.70 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $19.70 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $19.70 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $19.70 | — | — | 2026-05-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $19.75 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $19.75 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $19.75 | — | — | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Geisinger | Managed Medicare 100% | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $19.75 | — | — | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | — | — | — | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Senior Life | Managed Medicare 100% | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $19.75 | — | — | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Uhc | Managed Medicare 100% | — | — | — | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Tricare | Tricare | — | — | — | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Centene | Centene | — | — | — | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Gateway | Gateway Medicare Advantage | — | — | — | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Amerihealth Caritas Health Plan | Amerihealth | — | — | — | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Upmc Health Plan | Upmc For Life | — | — | — | 2026-05-23 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | American Progressive | Managed Medicare 100% | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $19.75 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $19.75 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop - Exchange - Dhp | $19.75 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $19.75 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange - Dhp | $19.75 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity/Federal Employee Program | $19.75 | — | — | 2026-05-08 | MRF ↗ |
| CONEMAUGH NASON MEDICAL CENTER Outpatient | Cigna | Managed Medicare 100% | — | — | — | 2026-05-23 | 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 | $19.75 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $19.75 | — | — | 2026-05-08 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Nexus Aco Oap | $19.75 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Heritage Select | $19.75 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Core | $19.75 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Tn Individual Exchange Benefit | $19.75 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | United Healthcare | Commercial | $19.75 | — | — | 2026-05-09 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $19.75 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $19.75 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Ppo - Dhp | $19.75 | — | — | 2026-05-08 | 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.