Q5157 — Denosumab-bmwo 60 Mg/ml Subcutaneous Syringe
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DENOSUMAB-BMWO 60 MG/ML SUBCUTANEOUS SYRINGE (CPT Q5157) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5157?code_type=CPT
MLA (9th ed.)
“DENOSUMAB-BMWO 60 MG/ML SUBCUTANEOUS SYRINGE (CPT Q5157) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5157?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“DENOSUMAB-BMWO 60 MG/ML SUBCUTANEOUS SYRINGE (CPT Q5157) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5157?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $56–$5,300 (25th–75th percentile) across 491 hospitals · 1,703 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q5157 — 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
$56
$2,854 typical
$5,300
The middle 50% of negotiated facility rates for this procedure, measured across 491 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,854 |
| Likely subtotal | $2,854 |
Facility charge (no separate professional fee)
$2,854
- 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 |
|---|---|---|---|---|---|---|---|
| COX MONETT HOSPITAL OutpatientFacility | None | — | — | $1.00 | $0.31 | 2026-04-24 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $13.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $13.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $13.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $13.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $13.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $13.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $14.71 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $14.71 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $14.71 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Priority Health | Managed Medicaid | $14.71 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | $14.71 | $4,528.53 | $3,849.26 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Community Mental Health | Commercial | — | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $14.71 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $15.36 | — | — | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $15.36 | — | — | 2026-03-29 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $15.38 | $6,555.10 | $4,260.81 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $15.38 | $6,555.10 | $4,260.81 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $15.38 | $6,555.10 | $4,260.81 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care BothFacility | MCLAREN HEALTH MEDICAID | MCLAREN MEDICAID | $15.38 | $6,555.10 | $4,260.81 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care BothFacility | BLUE CROSS COMPLETE - MI | BLUE CROSS COMPLETE MEDICAID | $15.38 | $6,555.10 | $4,260.81 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care BothFacility | HAP MEDICAID | HAP CARESOURCE MEDICAID | $15.38 | $6,555.10 | $4,260.81 | 2026-03-31 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $15.68 | $6,555.10 | $4,260.81 | 2026-03-31 | MRF ↗ |
| Saint Mary's Health Care BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $15.68 | $6,555.10 | $4,260.81 | 2026-03-31 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Centene | Peach State Medicaid | $17.04 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Amerigroup | Amerigroup Medicaid | $17.04 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $17.04 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | CareSource | CareSource | $17.56 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Amerigroup | Amerigroup Medicaid | $18.38 | $152.50 | $114.38 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Centene | Peach State Medicaid | $18.38 | $152.50 | $114.38 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $18.38 | $152.50 | $114.38 | 2026-02-15 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $18.48 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $18.48 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $18.48 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $18.48 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $18.48 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $18.48 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | CareSource | CareSource | $18.93 | $152.50 | $114.38 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Centene | Peach State Medicaid | $19.26 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional Gwinnett County Govt | Institutional Gwinnett County Govt | $19.26 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Amerigroup | Amerigroup Medicaid | $19.26 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $19.26 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Institutional 115 Percent_Georgia Medicaid | Institutional 115 Percent_Georgia Medicaid | $19.60 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| Saint Mary's Health Care BothFacility | ACCESS HEALTH | ACCESS HEALTH | $19.69 | $6,555.10 | $4,260.81 | 2026-03-31 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $19.83 | $9,263.56 | $7,874.03 | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $19.83 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $19.83 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $19.83 | $9,263.56 | $7,874.03 | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $19.83 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $19.83 | $9,263.56 | $7,874.03 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Meridian | Managed Medicaid | $19.83 | $9,263.56 | $7,874.03 | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $19.83 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Priority Health | Managed Medicaid | $19.83 | $9,263.56 | $7,874.03 | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $19.83 | $6,192.27 | $5,263.44 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Molina | Managed Medicaid | $19.83 | $9,263.56 | $7,874.03 | 2026-04-17 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | CareSource | CareSource | $19.84 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Blue Chip Direct Advance Other Commercial Plan | $20.11 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Blue Chip Direct Advance Other Commercial Plan | $20.11 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - GMH | $20.65 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | BCBS [800] | PHU HB BLUES EXCHANGE GMH | $20.65 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB UPSTATE BLUE EXCHANGE REEDY - GMH | $20.65 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | BLUECHOICE [810] | PHU HB BLUES EXCHANGE GMH | $20.65 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | BCBS [800] | PHU HB BLUES EXCHANGE GMH | $20.65 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | BLUECHOICE [810] | PHU HB BLUES EXCHANGE GMH | $20.65 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] | PH HB SENIORCARE PACE | $20.88 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] | PH HB SENIORCARE PACE | $20.88 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] | PH HB SENIORCARE PACE | $20.88 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] | PH HB SENIORCARE PACE | $20.88 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] | PH HB SENIORCARE PACE | $20.88 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Both | PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] | PH HB SENIORCARE PACE | $20.88 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Both | PRISMA HEALTH SENIORCARE PACE-UPSTATE [5200] | PH HB SENIORCARE PACE | $20.88 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | PRISMA HEALTH SENIORCARE PACE - MIDLANDS [5400] | PH HB SENIORCARE PACE | $20.88 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $21.10 | — | — | 2026-01-01 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Both | Hawaii Medical Assurance Association (HMAA) | Commercial | — | $134.00 | $53.60 | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | UnitedHealthcare | Quest | $21.10 | — | — | 2026-02-12 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $21.10 | — | — | 2026-01-01 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | UnitedHealthcare | Quest | $21.10 | — | — | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Both | Kaiser Permanente | Commercial | — | $134.00 | $53.60 | 2026-02-12 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Both | UnitedHealthcare | Quest | $21.10 | $134.00 | $53.60 | 2026-02-12 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Institutional 115 Percent_Georgia Medicaid | Institutional 115 Percent_Georgia Medicaid | $21.13 | $152.50 | $114.38 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Amerigroup | Amerigroup Medicare Advantage | $21.69 | $152.50 | $114.38 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $21.90 | $152.50 | $114.38 | 2026-02-15 | MRF ↗ |
| St Charles Redmond Outpatient | TRILLIUM MEDICAID [535] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | COLUMBIA PACIFIC COORDINATED CARE LLC [539] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | HEALTH SHARE KAISER [543] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | INTERCOMMUNITY HEALTH [530] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | HEALTH SHARE TUALITY [549] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | ALLCARE HEALTH PLAN [538] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | PRIMARY HEALTH OF JOSPEHINE COUNTY LLC [547] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | ADVANCED HEALTH [534] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | HEALTH SHARE OHSU OHP [552] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | HEALTH SHARE PROVIDENCE [548] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | PRIMARY HEALTH OF JOSPEHINE COUNTY LLC [547] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | UMPQUA HEALTH [533] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | CASCADE HEALTH ALLIANCE [532] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | TRILLIUM MEDICAID [535] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | ALLCARE HEALTH PLAN [538] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | JACKSON CARE CONNECT [542] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | HEALTH SHARE [537] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | COLUMBIA PACIFIC COORDINATED CARE LLC [539] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | WILLAMETTE VALLEY COMMUNITY HEALTH [536] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | HEALTH SHARE KAISER [543] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | HEALTH SHARE [537] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | HEALTH SHARE CARE OREGON [526] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | JACKSON CARE CONNECT [542] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | HEALTH SHARE PROVIDENCE [548] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | WILLAMETTE VALLEY COMMUNITY HEALTH [536] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | HEALTH SHARE TUALITY [549] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | PRIMARY HEALTH OF JOSPEHINE COUNTY LLC [547] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | HEALTH SHARE [537] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | ADVANCED HEALTH [534] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | HEALTH SHARE CARE OREGON [526] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | UMPQUA HEALTH [533] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | WILLAMETTE VALLEY COMMUNITY HEALTH [536] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | CASCADE HEALTH ALLIANCE [532] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | JACKSON CARE CONNECT [542] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | HEALTH SHARE OHSU OHP [552] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| St Charles Redmond Outpatient | HEALTH SHARE CARE OREGON [526] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | UMPQUA HEALTH [533] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | HEALTH SHARE PROVIDENCE [548] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | COLUMBIA PACIFIC COORDINATED CARE LLC [539] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | INTERCOMMUNITY HEALTH [530] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | HEALTH SHARE OHSU OHP [552] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | HEALTH SHARE TUALITY [549] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | ALLCARE HEALTH PLAN [538] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | TRILLIUM MEDICAID [535] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | HEALTH SHARE KAISER [543] | Health Share CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | CASCADE HEALTH ALLIANCE [532] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | ADVANCED HEALTH [534] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | INTERCOMMUNITY HEALTH [530] | Oregon Medicaid CCO | $21.94 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Institutional 115 Percent_Georgia Medicaid | Institutional 115 Percent_Georgia Medicaid | $22.15 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| St Charles Redmond Outpatient | MODA MEDICAID [528] | Eastern Oregon CCO | $22.50 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Health Net of California | Managed Medi-Cal | $22.50 | — | — | 2026-03-18 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | OPTUM HEALTH | MANAGED MEDICAID | $22.50 | — | — | 2025-12-31 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | MODA MEDICAID [528] | Eastern Oregon CCO | $22.50 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| ST CHARLES MEDICAL CENTER - BEND Outpatient | MODA MEDICAID [528] | Eastern Oregon CCO | $22.50 | $526.81 | $5,068.90 | 2026-04-01 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Health Net of California | Managed Medi-Cal | $22.50 | — | — | 2026-03-18 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Health Net of California | Managed Medi-Cal | $22.50 | — | — | 2026-03-18 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Amerigroup | Amerigroup Medicare Advantage | $22.63 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $22.85 | $152.50 | $114.38 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Amerigroup | Amerigroup Medicare Advantage | $22.94 | $152.50 | $114.38 | 2026-02-15 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $23.07 | — | — | 2026-01-01 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Cigna | CIGNA HealthSprings Medicare Advantage | $23.16 | $152.50 | $114.38 | 2026-02-15 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Michigan Amish Medical Board | Commercial | $23.40 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Medicare Advantage | $23.40 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Blue Care Network | Medicare Advantage | $23.40 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Medicare Advantage | $23.40 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | HAP (Health Alliance Plan) | Medicare Advantage | $23.40 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Medicare Plus Blue | Medicare Advantage | $23.40 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Northern Michigan Mennonite Group | Commercial | $23.40 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $23.40 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $23.40 | $75.48 | $64.16 | 2026-04-17 | MRF ↗ |
| CAROLINA PINES REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | Blue Preferred | $23.43 | — | — | 2025-01-01 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | WELLCARE | QUEST INT | $23.91 | — | — | 2026-01-25 | MRF ↗ |
| WHITFIELD REGIONAL HOSPITAL OutpatientFacility | WellCare | All Products | $23.91 | — | — | 2026-04-01 | 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.