70100042401 — Indocyanine Green
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Indocyanine Green (NDC 70100042401) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70100042401?code_type=NDC
MLA (9th ed.)
“Indocyanine Green (NDC 70100042401) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70100042401?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“Indocyanine Green (NDC 70100042401) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70100042401?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $115–$1,406 (25th–75th percentile) across 45 hospitals · 221 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 70100042401 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | My Blue - Adult | $0.22 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Blue Select - Adult | $0.22 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | My Blue - Adult | $0.22 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Blue Select - Adult | $0.22 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Whole Health | $0.25 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Whole Health | $0.25 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | UMR Baptist Employee | All Products | $0.26 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | UMR Baptist Employee | All Products | $0.26 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | HMO - Child | $0.28 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Blue Select - Child | $0.28 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | My Blue - Child | $0.28 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Blue Select - Child | $0.28 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | My Blue - Child | $0.28 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | HMO - Child | $0.28 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | HMO | $0.28 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | HMO | $0.28 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | PPO | $0.29 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Indemnity | $0.29 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Indemnity | $0.29 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Network Blue | $0.29 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Network Blue | $0.29 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Medicare Advantage | $0.32 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Medicare Advantage | $0.32 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage | $0.32 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Blue Select - Adult | $0.33 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | My Blue - Adult | $0.33 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | AvMed | Engage & Empower & Entrust | $0.35 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | AvMed | Engage & Empower & Entrust | $0.35 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | AvMed | Engage & Empower & Entrust | $0.35 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $0.36 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $0.36 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $0.40 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $0.40 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Gatekeeper | $0.40 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Gatekeeper | $0.40 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Gatekeeper | $0.41 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Gatekeeper | $0.41 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $0.41 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Whole Health -Child | $0.41 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | My Blue - Child | $0.41 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Whole Health -Child | $0.41 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | HMO - Child | $0.41 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Whole Health | $0.41 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Blue Select - Child | $0.41 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | HMO | $0.41 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | OccuNet | All Products | $0.44 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | OccuNet | All Products | $0.44 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Borland Groover | All Products | $0.44 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Borland Groover | All Products | $0.44 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | OccuNet | All Products | $0.44 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Borland Groover | All Products | $0.44 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Northeast Florida State Hospital | All Products | $0.46 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Northeast Florida State Hospital | All Products | $0.46 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Northeast Florida State Hospital | All Products | $0.46 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Non-Gatekeeper | $0.46 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | HMO | $0.46 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | HMO | $0.46 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | Gatekeeper New Business | $0.47 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | Gatekeeper New Business | $0.47 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Non-Gatekeeper | $0.48 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Centivo | Select | $0.48 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Non-Gatekeeper | $0.48 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Centivo | Select | $0.48 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Centivo | Select | $0.48 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Capital Health Plan | All Products | $0.51 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Capital Health Plan | All Products | $0.51 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Capital Health Plan | All Products | $0.51 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | UMR Baptist Employee | All Products | $0.51 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU InpatientFacility | Northeast Florida State Hospital | All Products | $0.52 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Innovative Healthware Services | All Products | $0.52 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | Northeast Florida State Hospital | All Products | $0.52 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | Northeast Florida State Hospital | All Products | $0.52 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | Cigna | Gatekeeper New Business | $0.54 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Network Blue | $0.54 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Indemnity | $0.54 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | United Healthcare | All Products | $0.54 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | Cigna | Gatekeeper New Business | $0.54 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | PPO | $0.54 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | OccuNet | All Products | $0.55 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Geo Group | All Products | $0.55 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Geo Group | All Products | $0.55 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Geo Group | All Products | $0.55 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | OccuNet | All Products | $0.55 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU InpatientFacility | OccuNet | All Products | $0.55 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Aetna | SRC and NAP | $0.56 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Aetna | SRC and NAP | $0.56 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | AvMed | All Products | $0.56 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Aetna | SRC and NAP | $0.56 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | AvMed | All Products | $0.56 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | AvMed | Engage & Empower & Entrust - Child | $0.57 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Watchtower | All Products | $0.61 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Watchtower | All Products | $0.61 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Watchtower | All Products | $0.61 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | Gatekeeper Non-New Business | $0.62 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | Gatekeeper Non-New Business | $0.62 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | FSCJ Student Insurance | All Products | $0.66 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | FSCJ Student Insurance | All Products | $0.66 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | FSCJ Student Insurance | All Products | $0.66 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Savannah Grand of Amelia Island | All Products | $0.66 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | NFL | $0.67 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | PPO | $0.67 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | PPO | $0.67 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | NFL | $0.67 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | Gatekeeper New Business | $0.68 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Suddath Company | All Products | $0.69 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Suddath Company | All Products | $0.69 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Suddath Company | All Products | $0.69 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | EPO | $0.70 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Georgia Medicaid | OOS Medicaid | $0.72 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | CareSource of Georgia | Managed Medicaid OOS | $0.72 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | BCBS | Managed WC | $0.72 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $0.72 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Georgia Medicaid | OOS Medicaid | $0.72 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | BCBS | Managed WC | $0.72 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $0.72 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | BCBS | Managed WC | $0.72 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $0.72 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Georgia Medicaid | OOS Medicaid | $0.72 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | CareSource of Georgia | Managed Medicaid OOS | $0.72 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Aetna | ASA | $0.75 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Aetna | ASA | $0.75 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Aetna | ASA | $0.75 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Aetna | Coventry Healthcare HMO of S Georgia | $0.77 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | UF Health Proton Therapy Institute | All Products | $0.77 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Aetna | Coventry Healthcare HMO of S Georgia | $0.77 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Aetna | Coventry Healthcare HMO of S Georgia | $0.77 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $0.80 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | PHCS | All Products | $0.83 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | PHCS | All Products | $0.83 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | AvMed | All Products | $0.83 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | PHCS | All Products | $0.83 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | PPO | $0.84 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | HMO | $0.84 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | Gatekeeper Non-New Business | $0.84 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | NFL | $0.84 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $0.85 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Aetna | First Health | $0.88 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | PHCS | All Products | $0.88 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Aetna | First Health | $0.88 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Aetna | First Health | $0.88 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $0.90 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Centivo | Non-Select | $0.94 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Centivo | Non-Select | $0.94 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Centivo | Non-Select | $0.94 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $0.95 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $0.95 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $0.97 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL InpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $0.97 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $0.97 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $0.97 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $0.97 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $0.98 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Evolutions Healthcare | All Products | $0.99 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Multiplan | All Products | $0.99 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Multiplan | All Products | $0.99 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Evolutions Healthcare | All Products | $0.99 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Evolutions Healthcare | All Products | $0.99 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Multiplan | All Products | $0.99 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Coventry Workers Comp | Managed WC | $1.08 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Corvel | Managed WC | $1.08 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Coventry Workers Comp | Managed WC | $1.08 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Coventry Workers Comp | Managed WC | $1.08 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Corvel | Managed WC | $1.08 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Corvel | Managed WC | $1.08 | $1.10 | $0.68 | 2026-02-06 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $616.25 | — | 2025-06-28 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Inpatient | Aetna | Hmo | $3.45 | $49.41 | $49.41 | 2026-07-15 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL OutpatientFacility | AETNA | Medicare | $6.08 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | Anthem | PPO | $9.36 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | ANTHEM | PRIORITY | $9.36 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | ANTHEM | HMO/POS | $9.36 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Inpatient | Aetna | Better Health Medicaid | $9.38 | $49.41 | $49.41 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Inpatient | United Healthcare | Medicaid | $9.38 | $49.41 | $49.41 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Inpatient | Fidelis Wellcare | Medicaid | $9.38 | $49.41 | $49.41 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Inpatient | Healthnet Federal | Ppo Pc3 | $9.68 | $49.41 | $49.41 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Inpatient | Aetna | Pos, Epo, Ppo | $10.67 | $49.41 | $49.41 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Dignity Health | All | $10.81 | $21.82 | $21.82 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Nbd | All | $11.24 | $21.82 | $21.82 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Incentive Health | All | $12.00 | $21.82 | $21.82 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Stanislaus Partners In Health | All | $12.00 | $21.82 | $21.82 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Community Health Networks | All | $12.00 | $21.82 | $21.82 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaweah Delta Healthcare | All | $12.00 | $21.82 | $21.82 | 2026-10-21 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL OutpatientFacility | Common Ground | ALL PRODUCTS | $12.15 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Inpatient | Amerigroup | Wellcare Medicaid | $12.35 | $49.41 | $49.41 | 2026-07-15 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | Chorus Community Health Plan | ALL PRODUCTS | $13.02 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Plan Of San Joaquin | All | $13.09 | $21.82 | $21.82 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Cross | All | $13.36 | $21.82 | $21.82 | 2026-10-21 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | Aspirus Arise | ALL PRODUCTS | $13.97 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | United Health Care | PPO Options | $14.15 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | Cigna Health and Life Insurance Company | ALL PRODUCTS | $14.28 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL InpatientFacility | Cigna Health and Life Insurance Company | ALL PRODUCTS | $14.44 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Net | All | $14.45 | $21.82 | $21.82 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Aetna | All | $14.62 | $21.82 | $21.82 | 2026-10-21 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL OutpatientFacility | WPS Insurance | BROAD | $14.77 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | Network Health | ALL PRODUCTS | $14.78 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | HPS/Paymedix | Medical Rental Network Tier 1 | $14.99 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | Trilogy | MEDICAL RENTAL | $15.39 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | HPS/PayMedix | Medical Rental Network Tier 2 | $16.00 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | IHS(ClaimsBridge) | Medical Rental Network | $16.20 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | Medical College of WI | Self-funded employer | $16.20 | $20.25 | $13.16 | 2025-06-27 | MRF ↗ |
| BELLIN MEMORIAL HOSPITAL BothFacility | HEALTHSMART | Medical Rental Network | $16.20 | $20.25 | $13.16 | 2025-06-27 | 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.