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 $45–$2,939 (25th–75th percentile) across 1,593 hospitals · 4,584 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/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
$45
$753 typical
$2,939
The middle 50% of negotiated facility rates for this procedure, measured across 1,593 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $753 |
| Likely subtotal | $753 |
Facility charge (no separate professional fee)
$753
- 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 ↗ |
| 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-EPO | 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-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 - Commercial-PPO | 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-HMO | 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 - Medicare-HMO | 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-POS | Community Insurance Company | — | $646.00 | $355.30 | 2026-01-01 | 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $8,548.32 | $5,556.41 | 2025-11-26 | 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 ↗ |
| 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 | Security Health Plan (SHP) | 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 | Veteran's Administration (VA CCN) | VA Network | $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 - 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $1.27 | $3.00 | $2.40 | 2025-12-16 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $3,357.31 | $3,357.31 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $1.65 | $3.00 | $2.40 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $1.89 | $3.00 | $2.40 | 2025-12-16 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $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 | 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 | STARKids | $2.03 | $28.98 | $28.98 | 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 ↗ |
| TRINITY MUSCATINE 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 ↗ |
| TRINITY MUSCATINE 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 ↗ |
| TRINITY MUSCATINE 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 ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $4.84 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $4.95 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline 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 | Aetna | PPO | — | — | — | 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 ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $5.37 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $5.37 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $5.43 | $18.48 | $14.79 | 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $5.94 | $14.00 | $11.20 | 2025-12-16 | 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 | Aetna | MTA MA Retirees | $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 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 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 Sloan Kettering Monmouth 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 ↗ |
| 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $7.00 | $14.00 | $11.20 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $7.00 | $14.00 | $11.20 | 2025-12-16 | 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 ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $7.70 | $14.00 | $11.20 | 2025-12-16 | 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 | 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 | 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 | CBP | $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 | SELECT CARE/MILLENNIUM NETWORK | $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 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 | 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 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 | 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 | 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 | 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 ↗ |
| 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 ↗ |
| TRINITY MUSCATINE 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 ↗ |
| TRINITY MUSCATINE 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 - Iowa Lutheran Hospital 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 ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE 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 ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | TUFTS | TUFTS 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 ↗ |
| 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 ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | ANTHEM | ANTHEM MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL 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 ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | TUFTS | TUFTS 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 ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | ANTHEM | ANTHEM MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND 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 ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | TUFTS | TUFTS 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 ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | UNITED | UNITED MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| ST VINCENT'S MEDICAL CENTER Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $8.36 | $100.48 | $100.48 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE 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 ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT 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 ↗ |
| 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 ↗ |
| ST VINCENT'S MEDICAL CENTER 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 ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $8.70 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $8.70 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $8.82 | $14.00 | $11.20 | 2025-12-16 | 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 ↗ |
| 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 ↗ |
| 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 Sloan Kettering Monmouth 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| TRINITY - BETTENDORF InpatientFacility | Cigna/Midlands | Commercial | $9.62 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Cigna/Midlands | Commercial | $9.62 | $18.26 | $14.61 | 2026-01-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $8,548.32 | $5,556.41 | 2025-11-26 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | URN | COMM | $9.71 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | URN | COMM | $9.71 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | URN | COMM | $9.71 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | URN | COMM | $9.71 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | URN | COMM | $9.71 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $9.73 | $71.00 | $42.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $9.73 | $71.00 | $42.60 | 2026-03-06 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $9.74 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $9.74 | $18.48 | $14.79 | 2026-01-28 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $10.00 | $1,340.27 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $10.00 | $1,340.27 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $10.00 | $1,340.27 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $10.00 | $1,340.27 | — | 2026-04-01 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $10.58 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $10.59 | $1,549.44 | $1,317.03 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $10.59 | $1,549.44 | $1,317.03 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $10.59 | $1,549.44 | $1,317.03 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $10.59 | $1,549.44 | $1,317.03 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $10.59 | $1,549.44 | $1,317.03 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $10.59 | $1,549.44 | $1,317.03 | 2026-04-17 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | 6 Degrees Health | COMM | $10.67 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | Aetna | Gatekeeper & Non-Gatekeeper | $10.67 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | MAGNACARE | JIB/MCARE/MCAID/FIDA | $10.67 | $13.68 | $13.68 | 2025-12-01 | MRF ↗ |
| Memorial Sloan Kettering Monmouth Outpatient | MAGNACARE | JIB/MCARE/MCAID/FIDA | $10.67 | $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.