Q5123 — Rituximab-arrx 10 Mg/ml Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION (HCPCS Q5123) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5123?code_type=HCPCS
MLA (9th ed.)
“RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION (HCPCS Q5123) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5123?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“RITUXIMAB-ARRX 10 MG/ML INTRAVENOUS SOLUTION (HCPCS Q5123) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5123?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $48–$3,331 (25th–75th percentile) across 1,874 hospitals · 4,371 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q5123 — 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
$48
$1,009 typical
$3,331
The middle 50% of negotiated facility rates for this procedure, measured across 1,874 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,009 |
| Likely subtotal | $1,009 |
Facility charge (no separate professional fee)
$1,009
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $48–$3,331.
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,977.96 | $1,681.27 | 2025-01-01 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $26,773.00 | $19,008.83 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $26,773.00 | $19,008.83 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $26,773.00 | $19,008.83 | 2026-07-15 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Bc State | $0.50 | — | — | 2026-10-03 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $360.87 | — | 2026-07-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-PPO | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-EPO | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Medicare-HMO | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Medicare-HMO | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-HMO | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-Indemnity | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-POS | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-PPO | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-POS | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-EPO | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-HMO | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-Indemnity | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.84 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.84 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.84 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.86 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.88 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.91 | $226.51 | $215.18 | 2026-02-20 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $0.99 | $197.47 | $197.47 | 2026-06-05 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $8,548.32 | $5,556.41 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $2,585.00 | $1,938.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $2,585.00 | $1,938.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $2,585.00 | $1,938.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $2,585.00 | $1,938.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $2,585.00 | $1,938.75 | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $8,548.32 | $5,556.41 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $2,585.00 | $1,938.75 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $2,585.00 | $1,938.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $2,585.00 | $1,938.75 | 2026-09-02 | 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 - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $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 ↗ |
| 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 | — | $8,548.32 | $5,556.41 | 2025-11-26 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $1.28 | $197.47 | $197.47 | 2026-06-05 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $1.34 | $43.25 | $43.25 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $1.34 | $43.25 | $43.25 | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $1.38 | $197.47 | $197.47 | 2026-06-05 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $3,357.31 | $3,357.31 | 2026-04-01 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $1.51 | $9,139.20 | $9,139.20 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $1.51 | $9,139.20 | $9,139.20 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $1.51 | $9,139.20 | $9,139.20 | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $1.51 | $9,139.20 | $9,139.20 | 2025-04-16 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $1.51 | $197.47 | $197.47 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $1.52 | $197.47 | $197.47 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $1.52 | $197.47 | $197.47 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $1.65 | $197.47 | $197.47 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $1.68 | $197.47 | $197.47 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $1.69 | $197.47 | $197.47 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $1.69 | $197.47 | $197.47 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $1.94 | $197.47 | $197.47 | 2026-06-05 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $2.03 | $28.98 | $28.98 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $2.03 | $28.98 | $28.98 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $2.03 | $28.98 | $28.98 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $2.03 | $28.98 | $28.98 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $2.03 | $28.98 | $28.98 | 2026-03-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $258.06 | $167.74 | 2026-06-15 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $3.24 | $43.25 | $43.25 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $3.24 | $43.25 | $43.25 | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $8,548.32 | $5,556.41 | 2025-11-26 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $3.73 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $3.73 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $3.77 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $3.77 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $3.94 | — | — | 2026-03-18 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $4.78 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $4.84 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $4.95 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $4.95 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | United | OptionsPPO | $5.10 | $28.98 | $28.98 | 2026-03-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $5.15 | — | — | 2026-03-31 | 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 | $5.36 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | PPO | — | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $5.36 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | PPO | — | — | — | 2024-10-01 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $5.37 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $5.43 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | MTA MA Retirees | $6.00 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $6.00 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | MTA MA Retirees | $6.00 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $6.00 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $6.00 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $6.00 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | MTA MA Retirees | $6.00 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | Aetna | MTA MA Retirees | $6.00 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HEALTHFIRST | MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP) | $6.00 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | MTA MA Retirees | $6.00 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $6.08 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $6.15 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $6.39 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $6.58 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $6.58 | — | — | 2025-12-23 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $6.81 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $6.86 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $6.89 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Texas Workforce Commission | WORKERSCOMP | $6.96 | $28.98 | $28.98 | 2026-03-01 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $7.16 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $7.19 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| TRINITY REGIONAL MEDICAL CENTER OutpatientFacility | Health Partners Open Network | Commercial | $7.24 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Healthcare Highways | NarrowNetwork | $7.39 | $28.98 | $28.98 | 2026-03-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | HORIZON | All Plans | $7.52 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | HORIZON | All Plans | $7.52 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | HIP | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | EMBLEM | CBP | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | SELECT CARE/MILLENNIUM NETWORK | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | CBP | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | GHI | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | HIP | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | SELECT CARE/MILLENNIUM NETWORK | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | CBP | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | HIP | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | EMBLEM | SELECT CARE/MILLENNIUM NETWORK | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | GHI | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | HIP | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | CBP | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | EMBLEM | HIP | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | GHI | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | CBP | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | GHI | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | EMBLEM | GHI | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | SELECT CARE/MILLENNIUM NETWORK | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | EMBLEM | SELECT CARE/MILLENNIUM NETWORK | $7.80 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $7.91 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $7.91 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| CHRIST HOSPITAL Outpatient | ANTHEM MEDICAID OHIO [2192] | HB XR ANTHEM OH MEDICAID 103% | $7.96 | $1,718.11 | $1,718.11 | 2025-12-19 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $8.00 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $8.00 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Insure | Commercial | $8.05 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | UNITED | UNITED MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | ANTHEM | ANTHEM MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | TUFTS | TUFTS MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | UNITED | UNITED MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | TUFTS | TUFTS MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $8.36 | $1,334.43 | $867.38 | 2026-07-31 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | ANTHEM | ANTHEM MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $8.53 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $8.53 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | WELLCARE | WELLCARE MEDICARE | $8.53 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LEBN DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $8.53 | $2,401.28 | $1,560.83 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LEBN DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $8.53 | $12,018.40 | $7,811.96 | 2026-06-10 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | WELLCARE | WELLCARE MEDICARE | $8.53 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| TRINITY REGIONAL MEDICAL CENTER OutpatientFacility | Medica Exchange Insure | Commercial | $8.56 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | AETNA | AETNA MEDICARE | $8.57 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $8.57 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $8.57 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | AETNA | AETNA MEDICARE | $8.57 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $8.70 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | METROPLUS | GOLD AND GOLD PLUS | $8.89 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | METROPLUS | GOLD AND GOLD PLUS | $8.89 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | METROPLUS | GOLD AND GOLD PLUS | $8.89 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | METROPLUS | GOLD AND GOLD PLUS | $8.89 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | METROPLUS | GOLD AND GOLD PLUS | $8.89 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Medicaid | Node Tx Medicaid | $8.99 | $178.29 | $42.79 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $8.99 | $178.29 | $42.79 | 2026-07-15 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | FreedomBenefitPlans | $9.08 | $43.25 | $43.25 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | United | FreedomBenefitPlans | $9.08 | $43.25 | $43.25 | 2026-03-01 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $9.44 | $178.29 | $42.79 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Amerigroup | Node Wellpoint Star Plus Medicaid Tx | $9.44 | $178.29 | $42.79 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $9.44 | $178.29 | $42.79 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Star Medicaid Tx | Node Wellpoint Star Medicaid Tx | $9.44 | $178.29 | $42.79 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $9.44 | $178.29 | $42.79 | 2026-07-15 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $9.51 | $71.00 | $42.60 | 2026-03-06 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Averde Health | COMM | $9.56 | $28.98 | $28.98 | 2026-03-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | Whole Health/APCN+, Premier Care Network, and NY Preferred | $9.58 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | Aetna | Whole Health/APCN+, Premier Care Network, and NY Preferred | $9.58 | $13.68 | $13.68 | 2025-12-01 | 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.