J0135 — Adalimumab Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ADALIMUMAB INJECTION (HCPCS J0135) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0135?code_type=HCPCS
MLA (9th ed.)
“ADALIMUMAB INJECTION (HCPCS J0135) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0135?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ADALIMUMAB INJECTION (HCPCS J0135) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0135?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,765–$8,510 (25th–75th percentile) across 998 hospitals · 1,444 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0135 — 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
$1,765
$3,399 typical
$8,510
The middle 50% of negotiated facility rates for this procedure, measured across 998 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,399 |
| Likely subtotal | $3,399 |
Facility charge (no separate professional fee)
$3,399
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 $1,765–$8,510.
- 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $6,739.23 | $3,369.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $6,739.23 | $3,369.62 | 2024-12-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Gatekeeper/Non Gatekeeper | $0.03 | $4,153.57 | $4,153.57 | 2026-07-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Medical Rental Products | $0.03 | $4,153.57 | $4,153.57 | 2026-07-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $58,048.29 | $37,731.39 | 2025-11-26 | MRF ↗ |
| TROY REGIONAL MEDICAL CENTER Both | United Health Insurance | Ppo Commercial | $0.06 | $0.08 | — | 2026-07-15 | MRF ↗ |
| TROY REGIONAL MEDICAL CENTER Both | Humana Health Insurance | Ppo Commercial | $0.06 | $0.08 | — | 2026-07-15 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $0.25 | — | — | 2026-03-04 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Assured Benefits | All Plans | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Arkansas Total Care | Managed Care | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Wellcare Health Plans | Medicare Advantage Non-Dual Windsor | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Ambetter | Managed Care | $0.35 | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Primewell Health Services | Exchange | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Harmony Health Plan | Medicare Advantage Non-Dual Windsor | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Anthem | All Plans | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Covenant | All Plans | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Wellcare Health Plans | Medicare Advantage Dual Windsor | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Primewell Health Services | Medicare Advantage | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | CareSource | Managed Care | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Harmony Health Plan | Medicare Advantage Dual Windsor | — | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Aetna | All Plans | $0.80 | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | HealthLink | HMO/PPO | $0.93 | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | $0.95 | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | $0.95 | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Arkansas FirstSource | PPO | $0.95 | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Cigna | All Plans | $0.95 | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Health Advantage | PHO | $0.95 | $1.00 | $0.65 | 2025-02-14 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | $1.00 | $33,747.75 | $25,310.81 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | $1.00 | $33,747.75 | $25,310.81 | 2025-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHP/Medicare Advantage Special Needs HMO | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Blue Cross Blue Shield Co | — | $1.72 | $3.50 | — | 2026-07-30 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-18 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-08-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-07-18 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-07-18 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-08-01 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Commercial | — | $2.45 | $3.50 | — | 2026-07-30 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $58,048.29 | $37,731.39 | 2025-11-26 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm Op: Par/ Ppo/ Pos/ Hmo | — | $2.80 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Aetna/ First Health Ccn | — | $3.08 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cigna | — | $3.27 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm: Mcr Adv | — | $3.50 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Mcr Adv | — | $3.50 | $3.50 | — | 2026-07-30 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Kaiser Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Heritage Provider Network | Heritage Provider Network Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Healthnet Healthy Families/Aim Program | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Allied Physicians | Allied Physicians Of Ca Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Non Contracted Medi-Cal | Non Contracted Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Beverly Hospital | Beverly Hospital Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Medical Safety Net Program | Msn/Medical Safety Net Program | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Kaiser Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Healthy Way La | Healthy Way La | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net | Health Net Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Altamed Health Network | Altamed Health Network Medi-Cal/Healthy Families | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Heritage Provider Network | Heritage Provider Network Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Medi-Cal | Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net | Health Net Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Healthy Way La | Healthy Way La | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Talbert Medical Group | Talbert Medical Group Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Healthcare Partners | Healthcare Partners/Medi-Cal/Healthy Families | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Avanti | Avanti Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Hollywood Presbyterian Medpoint Mcal | Hollywood Presbyterian Medpoint Mcal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Healthcare Partners | Healthcare Partners/Medi-Cal/Healthy Families | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Brand New Day | Universal Care/Brand New Day Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Ahmc Reciprocity Agreement | Ahmc Reciprocity Agreement Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Medi-Cal | Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Applecare Medical Group | Applecare Medical Group Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Applecare Medical Group | Applecare Medical Group Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Altamed Health Network | Altamed Health Network Medi-Cal/Healthy Families | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Talbert Medical Group | Talbert Medical Group Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Emanate Health | Emanate Health Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Hollywood Presbyterian Advanced Med Mgmt Mcal | Hollywood Presbyterian Advanced Med Mgmt Mcal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Health Net Inc | Healthnet Healthy Families/Aim Program | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Allied Physicians | Allied Physicians Of Ca Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Medical Safety Net Program | Msn/Medical Safety Net Program | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Hollywood Presbyterian Medpoint Mcal | Hollywood Presbyterian Medpoint Mcal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Non Contracted Medi-Cal | Non Contracted Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Emanate Health | Emanate Health Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Hollywood Presbyterian Advanced Med Mgmt Mcal | Hollywood Presbyterian Advanced Med Mgmt Mcal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Avanti | Avanti Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Beverly Hospital | Beverly Hospital Medi-Cal | $4.46 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Caloptima | Caloptima Kids | $5.58 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Caloptima | Caloptima Kids | $5.58 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Heritage Provider Network | Heritage Caloptima Expansion | $6.02 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Heritage Provider Network | Heritage Caloptima Medi-Cal | $6.02 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Heritage Provider Network | Heritage Caloptima Medi-Cal | $6.02 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Heritage Provider Network | Heritage Caloptima Expansion | $6.02 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Prospect Health Plan | Prospect Health Plan Medi-Cal Expansion | $6.24 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Caloptima | Caloptima Medical Expansion Program | $6.24 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Prospect Health Plan | Prospect Health Plan Medi-Cal | $6.24 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Caloptima Expansion | $6.24 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Caloptima | Caloptima | $6.24 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Caloptima Expansion | $6.24 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Caloptima Medi-Cal | $6.24 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Caloptima | Caloptima | $6.24 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Caloptima | Caloptima Medical Expansion Program | $6.24 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Prospect Health Plan | Prospect Health Plan Medi-Cal Expansion | $6.24 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Monarch Health Plan | Monarch Health Plan Caloptima Medi-Cal | $6.24 | $3,146.00 | $3,146.00 | 2026-07-15 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Prospect Health Plan | Prospect Health Plan Medi-Cal | $6.24 | $3,146.00 | $3,146.00 | 2026-07-19 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $9,315.36 | $3,632.99 | 2026-07-31 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-18 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-07-18 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-08-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-07-18 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $7.86 | $34,399.08 | $3,439.91 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $7.86 | $34,399.08 | $3,439.91 | 2026-07-18 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $7.86 | $34,399.08 | $3,439.91 | 2026-07-18 | 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.