J0129 — Abatacept (with Maltose) 250 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION (HCPCS J0129) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0129?code_type=HCPCS
MLA (9th ed.)
“ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION (HCPCS J0129) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0129?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION (HCPCS J0129) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0129?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $57–$3,677 (25th–75th percentile) across 2,633 hospitals · 7,666 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0129 — 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
$57
$887 typical
$3,677
The middle 50% of negotiated facility rates for this procedure, measured across 2,633 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $887 |
| Likely subtotal | $887 |
Facility charge (no separate professional fee)
$887
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 $57–$3,677.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $2,357.78 | $1,178.89 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $2,357.78 | $1,178.89 | 2024-12-15 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $7,881.96 | $4,335.08 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $13,136.60 | $7,225.13 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $13,136.60 | $7,225.13 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $12,692.61 | $8,250.20 | 2025-11-26 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Cross | Blue Cross - HMO | $0.08 | $3,846.70 | $2,885.02 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | HEALTHFIRST MEDICAID [1059] | HEALTHFIRST MEDICAID MANAGED CARE [105900] | — | $3,090.00 | $2,393.98 | 2026-04-01 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Contigo | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ultra | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ppo | $0.14 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | UNITED HEALTHCARE MEDICAID [1108] | UNITED HEALTHCARE MEDICAID [110802] | — | $3,090.00 | $2,393.98 | 2026-04-01 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $27,977.00 | $19,863.67 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $27,977.00 | $19,863.67 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $27,612.10 | $19,604.59 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $27,612.10 | $19,604.59 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $27,977.00 | $19,863.67 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $27,612.10 | $19,604.59 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Partners | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Preferred Plus Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Health Network | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Trillium | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Exchange | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Vaya Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Nalc Health Benefit Plan | Hmo/Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Tricare | Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Choice | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Carolina Complete Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alliance | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $0.35 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $0.36 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $0.37 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $0.38 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $0.38 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $0.40 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $0.40 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $0.40 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $0.40 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Humana Choicecare Plan | Commercial | $0.42 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Multiplan Plan | Commercial | $0.42 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Network Plan | Medicare | $0.45 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid New Mexico Plan | Medicaid | $0.47 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.47 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.47 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Access Medicaid Hmo Plan | Medicaid Hmo | $0.47 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.47 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.47 | $0.47 | $0.38 | 2026-09-25 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.54 | $298.55 | $42.76 | 2024-12-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $278.38 | — | 2026-07-01 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Empower Healthcare Solutions | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Covenant | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.94 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.96 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.96 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.96 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $248.00 | $124.00 | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $545.00 | $408.75 | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - HMO/POS | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $545.00 | $408.75 | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $545.00 | $408.75 | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Cal Medi-Connect | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | County Medical Services | County of San Diego | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $3,992.37 | $3,273.74 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,992.37 | $3,273.74 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $3,992.37 | $3,273.74 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - Medicare | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $3,992.37 | $3,273.74 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $3,992.37 | $3,273.74 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $3,992.37 | $3,273.74 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | San Diego Pace | San Diego Pace | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $12,692.61 | $8,250.20 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - PPO | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $12,692.61 | $8,250.20 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - HMO | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Interplan | Interplan | — | $3,846.70 | $2,885.02 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $545.00 | $408.75 | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Medical Rental Products | $1.01 | $1,713.84 | $1,713.84 | 2026-07-15 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Gatekeeper/Non Gatekeeper | $1.01 | $1,713.84 | $1,713.84 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $248.00 | $124.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $248.00 | $124.00 | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $11,282.32 | $7,333.51 | 2025-11-26 | MRF ↗ |
| ST JOHNS HOSPITAL Both | AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $1.40 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $1.40 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $7,230.78 | $7,230.78 | 2026-04-01 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Blue Cross Blue Shield Co | — | $1.72 | $3.50 | — | 2026-07-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $1.73 | $4,926.05 | $3,201.93 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $1.73 | $4,926.05 | $3,201.93 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $1.73 | $5,908.93 | $3,840.80 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $1.73 | $5,908.93 | $3,840.80 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $1.73 | $5,908.93 | $3,840.80 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $1.73 | $5,908.93 | $3,840.80 | 2026-03-30 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $1.81 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $1.83 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HUMANA | HUMANA CHOICE CARE HMO | $1.85 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $1.91 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $1.93 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $1.93 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Wellsense | Medicare Advantage | $2.00 | $5.00 | $4.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | MVP Health Plan | Medicare Advantage | $2.00 | $5.00 | $4.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | WellCare | Medicare Advantage | $2.00 | $5.00 | $4.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $2.00 | $5.00 | $4.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Medicare Advantage | $2.00 | $5.00 | $4.00 | 2026-08-27 | MRF ↗ |
| ST JOHNS HOSPITAL Both | AETNA | ALL COMMERCIAL AETNA | $2.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Anthem | Anthem Exchange | $2.00 | $5.00 | $4.00 | 2026-08-27 | MRF ↗ |
| SPRINGFIELD HOSPITAL Outpatient | Harvard Pilgrim Health Care | Medicare Advantage | $2.00 | $5.00 | $4.00 | 2026-08-27 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $2.00 | $363.00 | $73.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $2.00 | $363.00 | $73.00 | 2026-07-18 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $2.05 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $2.05 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $2.05 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $2.05 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $142.17 | $92.41 | 2026-06-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Multiplan Plan | Commercial | $2.17 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Humana Choicecare Plan | Commercial | $2.17 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Network Plan | Medicare | $2.29 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| ST JOHNS HOSPITAL Both | WELLFIRST | ALL COMMERCIAL WELLFIRST | $2.36 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Access Medicaid Hmo Plan | Medicaid Hmo | $2.41 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid New Mexico Plan | Medicaid | $2.41 | $2.41 | $1.93 | 2026-09-25 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Commercial | — | $2.45 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ST JOHNS HOSPITAL Both | CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $2.50 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $2.55 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Uhc Ip | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cofinity | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ST JOHNS HOSPITAL Both | AETNA | AETNA HSHS | $2.71 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm Op: Par/ Ppo/ Pos/ Hmo | — | $2.80 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ST JOHNS HOSPITAL Both | CIGNA | ALL COMMERCIAL CIGNA | $2.85 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $2.98 | $5.00 | $3.60 | 2026-03-24 | 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.