J0122 — Inj., Eravacycline, 1 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj., eravacycline, 1 mg (HCPCS J0122) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0122?code_type=HCPCS
MLA (9th ed.)
“Inj., eravacycline, 1 mg (HCPCS J0122) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0122?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj., eravacycline, 1 mg (HCPCS J0122) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0122?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2–$234 (25th–75th percentile) across 1,661 hospitals · 3,081 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0122 — 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
$2
$57 typical
$234
The middle 50% of negotiated facility rates for this procedure, measured across 1,661 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $57 |
| Likely subtotal | $57 |
Facility charge (no separate professional fee)
$57
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 $2–$234.
- 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $329.99 | $280.49 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $329.99 | $280.49 | 2025-01-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.06 | — | — | 2026-03-18 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $0.16 | $4.00 | $4.00 | 2026-06-24 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Amerigroup | MCD | $0.16 | $1.10 | $1.10 | 2026-09-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | United | OptionsPPO | $0.17 | $1.10 | $1.10 | 2026-09-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | MCR | $0.17 | $1.10 | $1.10 | 2026-09-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $0.18 | $3.06 | $3.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $0.18 | $3.06 | $3.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $0.18 | $3.06 | $3.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $0.18 | $3.06 | $3.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $0.18 | $3.06 | $3.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $0.20 | $3.30 | $3.30 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $0.20 | $3.30 | $3.30 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $0.20 | $3.30 | $3.30 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $0.20 | $3.30 | $3.30 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $0.20 | $3.30 | $3.30 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | MCR | $0.20 | $3.06 | $3.06 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.21 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.21 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $4.00 | $4.00 | 2026-06-24 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Wellcare | MCD | $0.22 | $1.10 | $1.10 | 2026-09-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Aetna | MCR | $0.22 | $3.30 | $3.30 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Peach State | MGMCD | $0.22 | $1.10 | $1.10 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | QualifiedHealthPlan | $0.24 | $1.10 | $1.10 | 2026-09-01 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.25 | $5.76 | $2.45 | 2026-01-29 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | MCR | $0.28 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MCRPPO | $0.28 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARKids | $0.28 | $4.71 | $4.71 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STAR | $0.28 | $4.71 | $4.71 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHIP | $0.28 | $4.71 | $4.71 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | STARPLUS | $0.28 | $4.71 | $4.71 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Superior Health Plan | CHPFC | $0.28 | $4.71 | $4.71 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MCRHMO | $0.28 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Centurion | PRISN | $0.30 | $1.10 | $1.10 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | OpenAccess | $0.31 | $1.10 | $1.10 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | HMO | $0.31 | $1.10 | $1.10 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | POS | $0.31 | $1.10 | $1.10 | 2026-09-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Aetna | PPO | $0.31 | $1.10 | $1.10 | 2026-09-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Aetna | MCR | $0.31 | $4.71 | $4.71 | 2026-03-01 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Aetna | Medicare Advantage | $0.33 | $1.23 | $0.74 | 2025-12-15 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $0.36 | $5.18 | $5.18 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $0.36 | $5.18 | $5.18 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $0.36 | $5.18 | $5.18 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $0.36 | $5.18 | $5.18 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $0.36 | $5.18 | $5.18 | 2026-03-01 | MRF ↗ |
| AFFILIATE OF VITRUVIAN HEALTH Inpatient | Self Pay | Self Pay | $0.37 | $3.30 | $0.37 | 2026-08-01 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $0.38 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Uhc Community Plan | $0.38 | $5.35 | $1.21 | 2026-07-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Outpatient | United Healthcare | Uhc Community Plan | $0.38 | $5.35 | $1.44 | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Outpatient | United Healthcare | Uhc Community Plan | $0.38 | $5.35 | $1.18 | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Outpatient | Tn Medicaid Non-Par | Tn Medicaid Non-Par | $0.38 | $5.35 | $1.18 | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Outpatient | Tn Medicaid Non Par | Tn Medicaid Non Par | $0.38 | $5.35 | $1.21 | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $0.38 | — | — | 2026-05-13 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Outpatient | Tn Medicaid Non-Par | Tn Medicaid Non-Par | $0.38 | $5.35 | $1.44 | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $0.38 | — | — | 2026-07-15 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Advantage PPO | BCBS Advantage PPO | $0.40 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Blue Lincs HMO | BCBS Blue Lincs HMO | $0.40 | — | — | 2026-08-30 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $0.40 | $3.06 | $3.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $0.40 | $3.06 | $3.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $0.40 | $3.06 | $3.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $0.40 | $3.06 | $3.06 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | BCBS | MBN | $0.41 | $4.95 | $4.95 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | BCBS | SBN | $0.41 | $4.95 | $4.95 | 2024-10-01 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | HMO | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $0.41 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $0.41 | — | — | 2026-03-01 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | BCBS | BSL | $0.41 | $4.95 | $4.95 | 2024-10-01 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | POS | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | Whole Health | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | POS | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | EPO | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | EPO | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | HMO | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | Whole Health | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | PPO | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | $3.66 | 2026-03-31 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Medica with MU Health | Exchange | $0.42 | $1.23 | $0.74 | 2025-12-15 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MBN | $0.42 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | STARPLUS | $0.42 | $5.93 | $5.93 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | STARKids | $0.42 | $5.93 | $5.93 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | CHIP | $0.42 | $5.93 | $5.93 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | STARHealth | $0.42 | $5.93 | $5.93 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY ARLINGTON Outpatient | Superior Health Plan | MCDSTAR | $0.42 | $5.93 | $5.93 | 2026-03-01 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Immergun | Direct | $0.43 | $1.23 | $0.74 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Medica with MU Health | Exchange | $0.43 | $1.23 | $0.74 | 2025-12-15 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $0.43 | $3.30 | $3.30 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $0.43 | $3.06 | $3.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $0.43 | $3.06 | $3.06 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $0.43 | $3.30 | $3.30 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $0.43 | $3.30 | $3.30 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $0.43 | $3.30 | $3.30 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MBN | $0.44 | $4.00 | $4.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA CITRUS HOSPITAL Outpatient | AvMed | HIX | $0.45 | $4.95 | $4.95 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $0.46 | $3.30 | $3.30 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $0.46 | $3.30 | $3.30 | 2026-03-01 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.47 | $5.76 | $2.45 | 2026-01-28 | MRF ↗ |
| AFFILIATE OF VITRUVIAN HEALTH Outpatient | Uhc | Uhc Community Plan | $0.48 | $3.30 | $0.37 | 2026-08-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | HIX | $0.48 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | CCN Managed Care | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | EHN | NetworkLease | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER BothFacility | United Healthcare | Tenncare | $0.48 | $357.19 | $114.30 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Initial Group | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Galaxy | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Aetna | Commercial | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $0.48 | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $0.48 | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Aetna | Commercial | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Correctional Medical Services | Correctional Facilities Inmate Claims | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Aetna | Commercial | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Galaxy | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $0.48 | — | — | 2026-07-15 | MRF ↗ |
| PARKWEST MEDICAL CENTER BothFacility | United Healthcare | Tenncare | $0.48 | $357.19 | $110.73 | 2025-12-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Both | MEDICAID TN-TENNCARE UHC COMMUNITY PLAN [3231] | PHTN HB UHC COMMUNITY PLAN - BLOUNT | $0.48 | — | — | 2026-03-01 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | MedSave USA | Commercial | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Direct Care America | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Tenncare | $0.48 | $357.19 | $110.73 | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $0.48 | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | CCN Managed Care | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Initial Group | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Direct Care America | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Galaxy Health Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| METHODIST MEDICAL CENTER OF OAK RIDGE BothFacility | United Healthcare | Tenncare | $0.48 | $357.19 | $110.73 | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $0.48 | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Ambetter | Exchange | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Initial Group | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Community Services Network | NonProfit Public Benefit | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Community Services Network | NonProfit Public Benefit | — | — | — | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER BothFacility | United Healthcare | Tenncare | $0.48 | $357.19 | $110.73 | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | USA Managed Care Organization | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | National Provider Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | National Provider Network | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | NovaNet | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Direct Care America | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $0.48 | — | — | 2026-05-08 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | EHN | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | USA Managed Care Organization | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION BothFacility | United Healthcare | Tenncare | $0.48 | $357.19 | $110.73 | 2025-12-23 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $0.48 | — | — | 2026-02-13 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $0.48 | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $0.48 | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | MedSave USA | Commercial | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Initial Group | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Initial Group | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $0.48 | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $0.48 | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Ambetter | Exchange | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | National Provider Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | NovaNet | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | EHN | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | $357.19 | $178.60 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Beechstreet | PPO | — | $357.19 | $178.60 | 2024-12-10 | 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.