J0135 — Adalimumab Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Adalimumab injection (OTHER J0135) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0135?code_type=OTHER
MLA (9th ed.)
“Adalimumab injection (OTHER J0135) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0135?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Adalimumab injection (OTHER J0135) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0135?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $909–$2,495 (25th–75th percentile) across 84 hospitals · 150 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER J0135 — 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 |
|---|---|---|---|---|---|---|---|
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $1.96 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $1.96 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $1.96 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $7.68 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $7.68 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $7.68 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $7.86 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $7.86 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $7.86 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $7.86 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $7.86 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $7.86 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $7.86 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $7.86 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $7.86 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $7.86 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $7.86 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $7.86 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $7.86 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $7.86 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $7.86 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.14 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.14 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.14 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.14 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.14 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $8.22 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $8.22 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $8.22 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $8.22 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $8.22 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $8.22 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $8.22 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $8.22 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $8.22 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $8.22 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $8.22 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $8.22 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $8.22 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $8.22 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $8.22 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.72 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.72 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.72 | $34,399.08 | $3,439.91 | 2026-05-27 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.72 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $8.72 | $34,399.08 | $3,439.91 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $11.25 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $11.25 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $11.25 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $11.25 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $11.25 | $73,063.82 | $7,306.38 | 2026-05-27 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Humana | Medicaid Replacement | — | $101.00 | $45.45 | 2026-05-17 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | United Healthcare | Medicaid Replacement | — | $101.00 | $45.45 | 2026-05-17 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Medicare A Fl Jn | Default | $23.76 | $101.00 | $45.45 | 2026-05-22 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Humana | Medicaid Replacement | — | $101.00 | $45.45 | 2026-05-22 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Medicare A Fl Jn | Default | $23.76 | $101.00 | $45.45 | 2026-05-17 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | United Healthcare | Medicaid Replacement | — | $101.00 | $45.45 | 2026-05-22 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $24.24 | $101.00 | $45.45 | 2026-05-22 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $24.24 | $101.00 | $45.45 | 2026-05-17 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Humana | Medicare Advantage | $25.73 | $101.00 | $45.45 | 2026-05-17 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Humana | Medicare Advantage | $25.73 | $101.00 | $45.45 | 2026-05-22 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $33.45 | $73,063.82 | $7,306.38 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $33.45 | $73,063.82 | $7,306.38 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $33.45 | $73,063.82 | $7,306.38 | 2026-05-27 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $33.45 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $33.45 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $33.45 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $33.45 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $33.45 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $33.45 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $33.45 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $33.45 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $33.45 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $33.45 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $33.45 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $33.45 | $73,063.82 | $7,306.38 | 2026-05-09 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | — | — | — | 2026-05-14 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Aetna | Default | $70.70 | $101.00 | $45.45 | 2026-05-17 | MRF ↗ |
| DOCTORS MEMORIAL HOSPITAL Both | Aetna | Default | $70.70 | $101.00 | $45.45 | 2026-05-22 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | Mt Health Co-Op | Rocky Mountain Health Plan | — | — | — | 2026-05-15 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | Mt Health Co-Op | Mountain Health Co-Op | — | — | — | 2026-05-15 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | Mt Health Co-Op | Rocky Mountain Health Plan | — | — | — | 2026-05-22 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | Mt Health Co-Op | Mountain Health Co-Op | — | — | — | 2026-05-22 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-24 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-14 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $227.71 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $227.71 | — | — | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $227.71 | — | — | 2026-05-06 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $284.64 | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $284.64 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $284.64 | — | — | 2026-05-24 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hhw | $370.38 | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Humana | Pathways For Aging | $370.38 | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Uhc | Pathways For Aging | $370.38 | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hhw | $370.38 | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Caresource | In Medicaid Hip | $370.38 | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Caresource | In Medicaid Hhw | $370.38 | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | Pathways For Aging | $370.38 | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hcc | $370.38 | — | — | 2026-05-09 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hip | $370.38 | — | — | 2026-05-09 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | In Medicaid Hcc | $370.38 | — | — | 2026-05-13 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Other | $423.60 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Ppo | $423.60 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $423.60 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $423.60 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Other | $423.60 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $423.60 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna - Commercial | $423.60 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Silver Bow County Employees | $423.60 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Group Health | $423.60 | — | — | 2026-05-09 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Commercial | $425.64 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Commercial | $425.64 | — | — | 2026-05-23 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Healthcomp Tpa | $425.97 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Other | $425.97 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $425.97 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Health | $425.97 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Boon-Chapman | $425.97 | — | — | 2026-05-09 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Bc State | $528.97 | — | — | 2026-05-06 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $715.00 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $715.00 | — | — | 2026-05-23 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $724.21 | — | — | 2026-05-09 | MRF ↗ |
| CASSIA REGIONAL HOSPITAL Outpatient | Blue Cross Of Idaho | Exchange | $736.03 | — | — | 2026-05-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-15 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-17 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-09 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-13 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-13 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-22 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-17 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-18 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-17 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-17 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-21 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Clear Health Alliance | Medicaid Hmo | $756.24 | — | — | 2026-05-17 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-17 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-17 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-13 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-17 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-15 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-13 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-09 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-17 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-22 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-17 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-18 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-17 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | United Healthcare | Medicaid Hmo | $763.73 | — | — | 2026-05-21 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-17 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-17 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-13 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-13 | MRF ↗ |
| MORTON PLANT HOSPITAL Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-17 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-09 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-17 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-17 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-22 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-18 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-17 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-21 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Outpatient | Humana | Medicaid Hmo | $778.70 | — | — | 2026-05-22 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $786.19 | — | — | 2026-05-17 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $786.19 | — | — | 2026-05-17 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Molina Healthcare | Medicaid Hmo | $786.19 | — | — | 2026-05-17 | MRF ↗ |
| ST JOSEPHS HOSPITAL Outpatient | Simply Healthcare | Medicaid Hmo | $786.19 | — | — | 2026-05-17 | MRF ↗ |
| Baycare Alliant Hospital Outpatient | Molina Healthcare | Medicaid Hmo | $786.19 | — | — | 2026-05-21 | MRF ↗ |
| ST ANTHONYS HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $786.19 | — | — | 2026-05-17 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Outpatient | Freedom Health | Medicaid Hmo | $786.19 | — | — | 2026-05-15 | MRF ↗ |
| Winter Haven Women's Hospital Outpatient | Freedom Health | Medicaid Hmo | $786.19 | — | — | 2026-05-17 | 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.