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 $60–$3,753 (25th–75th percentile) across 2,152 hospitals · 7,308 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/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.
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 |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $7,881.96 | $4,335.08 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $2,357.78 | $1,178.89 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $2,357.78 | $1,178.89 | 2024-12-15 | 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 ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | UNITED HEALTHCARE MEDICAID [1108] | UNITED HEALTHCARE MEDICAID [110802] | — | $3,090.00 | $2,393.98 | 2026-04-01 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $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 | Amerigroup by Anthem | Medicare Advantage | — | $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 | Empower Healthcare Solutions | Exchange | — | $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 | Primewell | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Medicare Advantage | — | $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 | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Health Advantage | PHO | — | $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 | Wellcare Health Plans | All Plans | — | $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 | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | CIGNA SUREFIT IFP | CIGNA SUREFIT IFP | $0.89 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | 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 ↗ |
| 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $12,692.61 | $8,250.20 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $3,992.37 | $3,273.74 | 2025-11-26 | 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 ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | 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 ↗ |
| JACKSON HEALTH SYSTEM Outpatient | CIGNA HMO/PPO - ALL OTHER PLANS | CIGNA HMO/PPO - ALL OTHER PLANS | $1.12 | $3.29 | $45.00 | 2026-04-01 | 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 | PLAIN CHURCH MEDICAL GROUP | $1.40 | $5.00 | $3.60 | 2026-03-24 | 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 | 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 ↗ |
| JACKSON HEALTH SYSTEM Outpatient | CURATIVE - ALL PLANS | CURATIVE - ALL PLANS | $1.41 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $7,230.78 | $7,230.78 | 2026-04-01 | 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 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 | $4,926.05 | $3,201.93 | 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 ↗ |
| ST JOHNS HOSPITAL Both | HUMANA | HUMANA CHOICE CARE HMO | $1.85 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HUMANA | HUMANA CHOICE CARE HMO | $1.85 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | AETNA FIRST HLTH | AETNA FIRST HLTH | $1.98 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| ST JOHNS HOSPITAL Both | AETNA | ALL COMMERCIAL AETNA | $2.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | AETNA | ALL COMMERCIAL AETNA | $2.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $2.01 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $2.12 | $5.00 | $4.00 | 2025-12-16 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | HUMANA COMM - ALL OTHER PLANS | HUMANA COMM - ALL OTHER PLANS | $2.20 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| ST JOHNS HOSPITAL Both | WELLFIRST | ALL COMMERCIAL WELLFIRST | $2.36 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | WELLFIRST | ALL COMMERCIAL WELLFIRST | $2.36 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | CIGNA BH | CIGNA BH | $2.37 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | VELOCITY - ALL PLANS | VELOCITY - ALL PLANS | $2.47 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| ST JOHNS HOSPITAL Both | CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $2.50 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $2.50 | $5.00 | $4.00 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $2.50 | $5.00 | $4.00 | 2025-12-16 | 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 ↗ |
| ST JOHNS HOSPITAL Both | CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $2.55 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | DIMENSION PHO - ALL PLANS | DIMENSION PHO - ALL PLANS | $2.63 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| ST JOHNS HOSPITAL Both | AETNA | AETNA HSHS | $2.71 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | AETNA | AETNA HSHS | $2.71 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | CIGNA | ALL COMMERCIAL CIGNA | $2.85 | $5.00 | $3.60 | 2026-03-24 | 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 ↗ |
| ST JOHNS HOSPITAL Both | UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $2.98 | $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 ↗ |
| ST JOHNS HOSPITAL Both | UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $2.98 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $3.08 | $154.40 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $3.08 | $154.40 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $3.08 | $154.40 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $3.08 | $154.40 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $3.08 | $154.40 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $3.08 | $154.40 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $3.08 | $154.40 | — | 2026-03-31 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $3.15 | $5.00 | $4.00 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $3.15 | $5.00 | $4.00 | 2025-12-16 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTHLINK | HEALTHLINK CASINO QUEEN | $3.22 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $3.22 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $3.22 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $3.22 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $3.22 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $3.22 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTHLINK | HEALTHLINK CASINO QUEEN | $3.22 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $3.22 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | WELLCARE MCR | WELLCARE MCR | $3.29 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | CAREPLUS MCR ADV - ALL PLANS | CAREPLUS MCR ADV - ALL PLANS | $3.29 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $3.36 | — | — | 2026-03-18 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | SOLIS MCR ADV - ALL PLANS | SOLIS MCR ADV - ALL PLANS | $3.45 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | OSCAR COMM - ALL PLANS | OSCAR COMM - ALL PLANS | $3.49 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| ST JOHNS HOSPITAL Both | CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $3.50 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $3.50 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $3.56 | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $3.56 | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $3.56 | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $11,282.32 | $7,333.51 | 2025-11-26 | MRF ↗ |
| ST JOHNS HOSPITAL Both | RUSHVILLE DETENTION CENTER | RUSHVILLE DETENTION CENTER | $3.60 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | RUSHVILLE DETENTION CENTER | RUSHVILLE DETENTION CENTER | $3.60 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $3.69 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $3.69 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HUMANA | HUMANA CHOICE CARE PPO | $3.96 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HUMANA | HUMANA CHOICE CARE PPO | $3.96 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| DORMINY MEDICAL CENTER Outpatient | Anthem Blue Cross Pathway | Pathway | $3.99 | $5,142.00 | $2,571.00 | 2026-02-11 | MRF ↗ |
| DORMINY MEDICAL CENTER Outpatient | Anthem Blue Cross HMO | HMO | $4.24 | $5,142.00 | $2,571.00 | 2026-02-11 | MRF ↗ |
| DORMINY MEDICAL CENTER Outpatient | Anthem BCBS PPO | PPO | $4.24 | $5,142.00 | $2,571.00 | 2026-02-11 | MRF ↗ |
| ST JOHNS HOSPITAL Both | MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $4.25 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $4.25 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $4.25 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $4.25 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $4.50 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $4.50 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $4.57 | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $4.57 | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| ST JOHNS HOSPITAL Both | INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | SAE HOSPICE | SAE MEMORIAL HOSPICE | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HOPETRUST | ALL COMMERCIAL HOPETRUST | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | LIVE360 | LIVE360 HSHS HEALTHY PLAN | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTH EOS | ALL COMMERCIAL HEALTH EOS | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | LIVE360 | LIVE360 HSHS HEALTHY PLAN | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HOPETRUST | ALL COMMERCIAL HOPETRUST | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | SAE HOSPICE | SAE MEMORIAL HOSPICE | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | UNITED HEALTHCARE | UHC MEDICAID | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | UNITED HEALTHCARE | UHC MEDICAID | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| ST JOHNS HOSPITAL Both | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $5.00 | $5.00 | $3.60 | 2026-03-24 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $5.13 | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $5.13 | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| OCH REGIONAL MEDICAL CENTER Outpatient | AETNA | AETNA | $5.29 | $9.62 | $7.70 | 2026-05-08 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | MOLINA EXCH - ALL OTHER PLANS | MOLINA EXCH - ALL OTHER PLANS | $5.43 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | PPO | — | $2,653.20 | $2,653.20 | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | HMO | — | $293.00 | $293.00 | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $5.71 | $293.00 | $293.00 | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | PPO | — | $293.00 | $293.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $5.71 | $2,653.20 | $2,653.20 | 2024-10-01 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $5.81 | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | AETNA EXCHANGE | AETNA EXCHANGE | $5.99 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $6.00 | $54.39 | $27.20 | 2024-12-15 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $6.51 | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $6.52 | $17.57 | $14.06 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $6.52 | $17.57 | $14.06 | 2026-01-28 | MRF ↗ |
| OCH REGIONAL MEDICAL CENTER Outpatient | FOXEVERETT | FOX EVERETT | $6.73 | $9.62 | $7.70 | 2026-05-08 | MRF ↗ |
| OCH REGIONAL MEDICAL CENTER Outpatient | COMM_70 | COMMERCIAL PLANS PAYING AT 70 PERCENT | $6.73 | $9.62 | $7.70 | 2026-05-08 | MRF ↗ |
| OCH REGIONAL MEDICAL CENTER Outpatient | HEALTHLINK | HEALTH LINK | $6.73 | $9.62 | $7.70 | 2026-05-08 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $7.00 | $54.39 | $27.20 | 2024-12-15 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $77.22 | $77.22 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Braven Health | Medicare Advantage | $7.02 | $77.22 | $77.22 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Humana | Medicare Advantage | — | $77.22 | $77.22 | 2026-03-24 | MRF ↗ |
| OCH REGIONAL MEDICAL CENTER Outpatient | MULTIPLAN | MULTIPLAN | $7.22 | $9.62 | $7.70 | 2026-05-08 | MRF ↗ |
| OCH REGIONAL MEDICAL CENTER Outpatient | PPOPLUS | PPOPLUS | $7.22 | $9.62 | $7.70 | 2026-05-08 | MRF ↗ |
| OCH REGIONAL MEDICAL CENTER Outpatient | UNITED-STUDENT | UNITED HEALTHCARE STUDENT | $7.22 | $9.62 | $7.70 | 2026-05-08 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $7.34 | $77.22 | $77.22 | 2026-03-24 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $7.37 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| JACKSON HEALTH SYSTEM Outpatient | AETNA INTERNATIONAL | AETNA INTERNATIONAL | $7.37 | $3.29 | $45.00 | 2026-04-01 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Iowa Total Care | Managed Medicaid | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Health Partners Open Network | Commercial | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | United Healthcare | PPO | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $7.56 | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Aetna | PPO | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Medica Exchange Insure | Commercial | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Molina | Medicare Advantage | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Medica Exchange Inspire | Commercial | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | United Healthcare | Medicare Advantage | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Health Partners Open Network | Commercial | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Humana | Medicare Advantage | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Aetna | PPO | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Molina | Medicare Advantage | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Cigna/Midlands | Commercial | $7.56 | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Amerigroup | Managed Medicaid | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Humana | Medicare Advantage | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Amerigroup | Managed Medicaid | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| GREENEVILLE COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $7.56 | $9,609.99 | $1,441.50 | 2026-03-23 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | United Healthcare | Medicare Advantage | — | $17.45 | $13.96 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | United Healthcare | PPO | — | $17.45 | $13.96 | 2026-01-28 | 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.