Q5136 — Denosumab-bbdz 120 Mg/1.7 Ml (70 Mg/ml) Subcutaneous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DENOSUMAB-BBDZ 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION (HCPCS Q5136) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5136?code_type=HCPCS
MLA (9th ed.)
“DENOSUMAB-BBDZ 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION (HCPCS Q5136) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5136?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DENOSUMAB-BBDZ 120 MG/1.7 ML (70 MG/ML) SUBCUTANEOUS SOLUTION (HCPCS Q5136) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5136?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $47–$6,064 (25th–75th percentile) across 811 hospitals · 2,740 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q5136 — 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
$47
$2,554 typical
$6,064
The middle 50% of negotiated facility rates for this procedure, measured across 811 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,554 |
| Likely subtotal | $2,554 |
Facility charge (no separate professional fee)
$2,554
- 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 |
|---|---|---|---|---|---|---|---|
| REGIONAL WEST MEDICAL CENTER Outpatient | Blue Cross Blue Shield | All Commercial Plans | $0.03 | $15,928.76 | $7,167.95 | 2026-03-27 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Blue Cross Ri | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | Medicare HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Community Care | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | Savility | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Healthcare Highways | Sync | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | WebTPA | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Healthchoice | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Generations Healthcare | Medicare Adv | — | — | — | 2026-03-12 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.32 | $48.12 | $28.87 | 2025-12-30 | MRF ↗ |
| COX MONETT HOSPITAL OutpatientFacility | None | — | — | $1.00 | $0.31 | 2026-04-24 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | United Healthcare | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Christus Health | Med Adv MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Amerigroup | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Amerigroup | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Healthsmart | Preferred | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Texas Childrens Health Plan | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Humana | Choicecare | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Coventry | First Health | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Christus Health | HIX | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Molina | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Molina | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Naphcare Inc. | RRMB | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Superior | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Molina | Healthspring Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | United Healthcare | Star Kids KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Cigna | New Business | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Imperial Health Plan | MM | $4.27 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Christus Health | Med Adv MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Texas Childrens Health Plan | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | United Healthcare | Star Kids KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Naphcare Inc. | RRMB | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | United Healthcare | VA CCN MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Healthsmart | Preferred | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Christus Health | HIX | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Aetna | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Christus Health | Med Adv MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Coventry | First Health | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Molina | Healthspring Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Superior | Star Kids KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Coventry | First Health | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Imperial Health Plan | MM | $4.27 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Triwest | VA MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | United Healthcare | VA CCN MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Amerigroup | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Molina | Healthspring Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Phcs | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Amerigroup | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Humana | Choicecare | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Phcs | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Healthcare Highways | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Aetna | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Molina | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Superior | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Triwest | VA MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | United Healthcare | VA CCN MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | United Healthcare | Star Kids KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | United Healthcare | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Superior | Star Kids KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Molina | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Molina | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Superior | Star Kids KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Cigna | New Business | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Superior | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Texas Childrens Health Plan | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Aetna | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Superior | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Triwest | VA MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Humana | Choicecare | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Christus Health | HIX | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Healthcare Highways | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Imperial Health Plan | MM | $4.27 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Naphcare Inc. | RRMB | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Cigna | New Business | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | United Healthcare | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Phcs | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Superior | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Superior | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Amerigroup | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Amerigroup | Star KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Molina | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Healthcare Highways | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Healthsmart | Preferred | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-01-12 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $4.74 | — | — | 2026-03-31 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $6.06 | $17,325.00 | $2,598.75 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $6.06 | $17,325.00 | $2,598.75 | 2025-12-23 | MRF ↗ |
| RUSSELL MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $7.87 | $32.00 | $11.52 | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $12.32 | $80.00 | $52.00 | 2026-03-01 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | PENSACOLA | CHRISTIAN COLL | $12.75 | $85.00 | $12.75 | 2025-12-23 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $14.60 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $14.60 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $14.60 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $14.60 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $14.60 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $14.60 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | BWC PENDING ENABLECOMP [100544] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO ADVOCARE [100525] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO 3 HAB [100522] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | GENERIC WORKERS' COMP [10051] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CONDUENT [100545] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CORVEL GROUP [100124] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO COMP ONE [100527] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO GATES MCDONALD [100125] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO FRANK GATES MANAGED CARE [100528] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO COMP MANAGEMENT HEALTH [100123] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO MINUTE MEN OHIOCOMP [100524] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO HUNTER CONSULTING [100546] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO GENEX CARE OF OHIO [100529] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO PROMEDICA MEDICAL MGMT [100531] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO OCCUPATIONAL HEALTH LINK, INC [100521] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO CAREWORKS OF OHIO [100122] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO TRANSPORTATION CLAIMS [100547] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO THE HEALTH PLAN [100176] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO SHEAKLEY UNICARE [100127] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO UNIVERSITY HOSPITALS COMPCARE [100532] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO TRAVELERS INSURANCE [100548] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO SEDGWICK [100206] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC 888 OHIO COMP LCHN [100535] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | SPOONER MEDICAL ADMINISTRATORS INC [100126] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO WORKSTAR HEALTH SRV [100533] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | MCO AULTCOMP [100526] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC COMPMANAGEMENT INC [10058] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC COMP SERVICES [10056] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC CAREWORKS CONSULTANT [10057] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC DOLLAR GENERAL CORP [100510] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC CONSTITUTION STATE [10059] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC BUNCH & ASSOCIATES [100537] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC GALLAGHER BASSETT [10053] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC FRANK GATES [100541] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC HELMSMAN MANAGEMENT SRV [100536] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC GENESIS HCS WORKERS COMP [10054] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC ESIS 3700 [100538] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC BROADSPIRE [100540] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC OWEN BROCKWAY [100515] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC PEPSI COLA [100539] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC OHIO BWC BLACK LUNG [100534] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC US DEPARTMENT OF LABOR BLACK LUNG PROG [100542] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC SEDGWICK OF OHIO [100516] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC LONGABERGER [100514] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC ZANDEX [100519] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC WALMART CLAIMS [100518] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC KROGER CO [100512] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC US POST OFFICE [100517] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC LEAR CORP [100513] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC AVIZENT WORKERS COMP [10052] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| GENESIS HOSPITAL OutpatientFacility | WC AK STEEL ZANESVILLE [10055] | HB OHIO BWC | $14.63 | $597.91 | $358.75 | 2026-03-27 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $14.76 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $14.76 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $14.76 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $14.76 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $14.76 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $14.76 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $14.76 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $14.76 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $14.76 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $14.76 | $3,900.00 | $3,315.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $14.76 | $3,900.00 | $3,315.00 | 2026-04-17 | 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.