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 (HCPCS Q5157) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5157?code_type=HCPCS
MLA (9th ed.)
“DENOSUMAB-BMWO 60 MG/ML SUBCUTANEOUS SYRINGE (HCPCS Q5157) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5157?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DENOSUMAB-BMWO 60 MG/ML SUBCUTANEOUS SYRINGE (HCPCS Q5157) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5157?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $34–$5,073 (25th–75th percentile) across 687 hospitals · 1,927 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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
$34
$2,507 typical
$5,073
The middle 50% of negotiated facility rates for this procedure, measured across 687 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,507 |
| Likely subtotal | $2,507 |
Facility charge (no separate professional fee)
$2,507
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 $34–$5,073.
- 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 |
|---|---|---|---|---|---|---|---|
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $138.08 | — | 2026-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Epo | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Employee Plan | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | City Of Lebanon | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Preferred | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Justice Furniture And Bedding Co | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Pathway/Pathway X | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Behavioral Health | Optum Medicare | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Parkcrest Dental Group | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Texas Co Memorial Hospital | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Va Ccn | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozarks Cocacola | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Workers Compensation | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Medicare Advantage | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Ppo | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Medicare / Medicare Advantage | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Town And Country Super Market | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Behavioral Health | Optum Medicaid | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Access | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Missouri Affiliated School Consortium (Masc) | Missouri Affiliated School Consortium (Masc) | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Show Me Benefit Consortium | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Advanced Concrete Technology | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Custom Powder Systems | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Flora Farms | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Self-Pay | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Multiplan | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Medicare Advantage | Non Contracted Payors | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Loren Cook | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Aca Marketplace | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Medicare | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Compalliance | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Humana | Medicare Advantage | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Phelps Health | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | All Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Other Contracted Managed Care | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Direct Contracted Employers | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | The Durham Company | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Non Contracted | Managed Care | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Xerox | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Healthy Blue Mo | Medicaid Managed Care | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Springfieldgreene Co Library | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Src Holdings Corporation | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Aetna | Premier Network | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Mirma Health | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Freeman Pho | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cigna | Commercial Test | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $7,126.64 | $3,563.32 | 2026-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark County | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Heart Of America Beverage Company | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Coastal Energy Corporation | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Merril Iron And Steel | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Architectural Systems Inc | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Amprod | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Traditional | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Centene Home State Health | Medicaid | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Blu Current Credit Union | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Missouri Eye Institute | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark Anesthesia Assoc. Inc | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Medicaid | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | First Health | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Phcs | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Mihlfeld & Associates | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Bjc Consortium | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Core Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Corvel | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Centene Wellcare | Medicare Advantage | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $7,126.64 | $3,563.32 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $7,126.64 | $3,563.32 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $7,126.64 | $3,563.32 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $7,126.64 | $3,563.32 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $7,126.64 | $3,563.32 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $7,126.64 | $3,563.32 | 2026-07-01 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LEBN DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $11.48 | $10,978.79 | $7,136.21 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LEBN DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $11.48 | $5,980.57 | $3,887.37 | 2026-06-10 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-17 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-18 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - DOWNEY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - DOWNEY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.00 | $5,563.78 | $3,115.72 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $13.00 | $5,563.78 | $2,893.17 | 2026-07-15 | MRF ↗ |
| Alice Hyde Medical Center OutpatientFacility | Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $13.61 | $10,124.84 | $10,124.84 | 2026-09-08 | 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 | 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 | Blue Cross Complete | 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 ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $13.71 | $6,192.27 | $5,263.44 | 2026-04-17 | 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 RICHLAND 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-AMERIHEALTH [3225] | 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 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 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-HEALTHY BLUE [3227] | 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 BAPTIST EASLEY 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 NC-CAROLINA COMPLETE [3229] | 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 BAPTIST PARKRIDGE 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 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 PARKRIDGE Both | MEDICAID NC-WELLCARE [3224] | 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 RICHLAND HOSPITAL Both | MEDICAID NC-CAROLINA COMPLETE [3229] | 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 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 NORTH CAROLINA [310] | 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 RICHLAND 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-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $13.86 | $90.00 | $58.50 | 2026-03-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $14.00 | $10,230.02 | $7,672.52 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $14.00 | $10,230.02 | $7,672.52 | 2026-07-15 | MRF ↗ |
| CHINESE HOSPITAL Outpatient | BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $14.44 | $29.65 | $29.65 | 2026-05-27 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 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 MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | 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 MANISTEE HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $14.71 | $6,192.27 | $5,263.44 | 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 HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | 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 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 | McLaren Health Plan | 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 GRAYLING HOSPITAL OutpatientFacility | Molina | 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 MEDICAL CENTER OutpatientFacility | Community Mental Health | Commercial | — | $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 HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | 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 MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $14.71 | $75.48 | $64.16 | 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.