J0167 — Epinephrine 1 Mg/10ml Solution Prefilled Syringe
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EPINEPHRINE 1 MG/10ML SOLUTION PREFILLED SYRINGE (HCPCS J0167) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0167?code_type=HCPCS
MLA (9th ed.)
“EPINEPHRINE 1 MG/10ML SOLUTION PREFILLED SYRINGE (HCPCS J0167) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0167?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“EPINEPHRINE 1 MG/10ML SOLUTION PREFILLED SYRINGE (HCPCS J0167) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0167?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1–$21 (25th–75th percentile) across 601 hospitals · 870 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0167 — 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
$3 typical
$21
The middle 50% of negotiated facility rates for this procedure, measured across 601 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3 |
| Likely subtotal | $3 |
Facility charge (no separate professional fee)
$3
- 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 |
|---|---|---|---|---|---|---|---|
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $0.13 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $0.14 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $0.14 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | Medicare | $0.17 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $0.17 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | Medicare | $0.17 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.19 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.19 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.19 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.19 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.20 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.20 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.20 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.20 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.20 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.20 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.20 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.20 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.20 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.20 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | BLUE CROSS | ALL PRODUCTS | $0.24 | $12.25 | — | 2026-01-01 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Prime Net | Managed Medicare | $0.24 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $0.24 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $0.24 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $0.24 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $0.24 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $0.24 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | BLUE CROSS | ALL PRODUCTS | $0.24 | $12.25 | — | 2026-01-01 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $0.24 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | UPMC Work Partners | Workers Comp | $0.25 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Aetna | Medicare | $0.25 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Aetna | Medicare | $0.25 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Aetna | Medicare | $0.25 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | Aetna | Medicare | $0.25 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Aetna | Medicare | $0.25 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | UPMC Work Partners | Workers Comp | $0.26 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | UPMC Work Partners | Workers Comp | $0.29 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna | MCR | $0.30 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna | MCR | $0.30 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | Aetna | Medicaid | — | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $0.31 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $0.31 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UPMC Work Partners | Workers Comp | — | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | Cigna | Commercial | $0.31 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna | MCR | $0.33 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna | MCR | $0.33 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Cigna | New Business ASO | $0.34 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Work Partners | Workers Comp | $0.34 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Cigna | New Business ASO | $0.34 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Health Plan | CHIP | $0.35 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | UPMC Health Plan | CHIP | $0.35 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Aetna | Medicare | $0.35 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Aetna | Medicare | $0.35 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UPMC Health Plan | CHIP | $0.35 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $0.36 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | New Business ASO | $0.36 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Work Partners | Workers Comp | $0.36 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $0.36 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | New Business ASO | $0.36 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | UPMC Work Partners | Workers Comp | $0.36 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Work Partners | Workers Comp | $0.36 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC NORTHWEST OutpatientFacility | UPMC Work Partners | Workers Comp | $0.36 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | UPMC Work Partners | Workers Comp | $0.36 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Aetna | ACO | $0.37 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | Legacy Commercial | $0.37 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | ACO | $0.37 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | UPMC Work Partners | Workers Comp | $0.38 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | United Healthcare | Commercial | $0.38 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | UPMC Work Partners | Workers Comp | $0.38 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $0.38 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UPMC Work Partners | Workers Comp | $0.38 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | UPMC Work Partners | Workers Comp | $0.38 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Legacy Commercial | $0.39 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.39 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | ACO | $0.39 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | ACO | $0.39 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.39 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.39 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Legacy Commercial | $0.39 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $0.39 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.39 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Legacy Commercial | $0.39 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | ACO | $0.39 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $0.39 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Geisinger | Commercial | $0.39 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Aetna | ACO | $0.39 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $0.39 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | ACO | $0.39 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care | $0.39 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | ACO | $0.39 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $0.40 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL InpatientFacility | Cigna | Commercial | $0.40 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL InpatientFacility | Cigna | EBR | $0.40 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $0.40 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| UPMC BEDFORD MEMORIAL InpatientFacility | Aetna | EBR ASO | $0.40 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | Commercial | $0.40 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | Aetna | EBR ASO | $0.40 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON InpatientFacility | UPMC Work Partners | Workers Comp | $0.40 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | Cigna | Commercial | $0.40 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $0.40 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | Commercial | $0.40 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Aetna of PA | TPA/Carrier | $0.40 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | Legacy Commercial | $0.41 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | UPMC Work Partners | Workers Comp | $0.41 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Aetna | ACO | $0.41 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Aetna | ACO | $0.41 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | ACO | $0.41 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | ACO | $0.41 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | Legacy Commercial | $0.41 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Aetna | ACO | $0.41 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | UPMC Work Partners | Workers Comp | $0.41 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | ACO/Legacy Commercial | $0.41 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Private Health Care Systems | Workers' Comp | $0.42 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Private Health Care Systems | Workers' Comp | $0.42 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | UPMC Work Partners | Workers Comp | $0.43 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $0.43 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $0.43 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $0.43 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $0.43 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $0.43 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | UPMC Work Partners | Workers Comp | $0.43 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $0.44 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $0.44 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | NonGateKeeper | $0.44 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Independence Blue Cross | Medicare Advantage | $0.45 | $4.66 | $3.87 | 2026-02-26 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Independence Blue Cross | Medicare Advantage | $0.45 | $4.66 | $3.87 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Independence Blue Cross | Medicare Advantage | $0.45 | $4.66 | $3.87 | 2026-02-26 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Health Plan | Commercial | $0.45 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | UPMC Health Plan | Commercial | $0.45 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | GateKeeper | $0.45 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Aetna | Commercial | $0.45 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Independence Blue Cross | Medicare Advantage | $0.45 | $4.66 | $3.87 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Independence Blue Cross | Medicare Advantage | $0.45 | $4.66 | $3.87 | 2026-02-26 | MRF ↗ |
| ESSENTIA HEALTH ADA InpatientFacility | HealthPartners CARE PMAP | Medicaid | $0.46 | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL InpatientFacility | HealthPartners CARE PMAP | Medicaid | $0.46 | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | UPMC Work Partners | Workers Comp | $0.46 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Health Plan of Upper Ohio Valley | Commercial | $0.46 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| ESSENTIA HEALTH HOLY TRINITY HOSPITAL InpatientFacility | None | — | — | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH ADA InpatientFacility | None | — | — | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH FOSSTON InpatientFacility | None | — | — | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH FOSSTON InpatientFacility | HealthPartners CARE PMAP | Medicaid | $0.46 | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Health Plan of Upper Ohio Valley | Commercial | $0.46 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE InpatientFacility | HealthPartners CARE PMAP | Medicaid | $0.47 | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH MOOSE LAKE InpatientFacility | None | — | — | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE InpatientFacility | HealthPartners CARE PMAP | Medicaid | $0.47 | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | GateKeeper | $0.47 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | Commercial | $0.47 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | NonGateKeeper | $0.47 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $0.47 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $0.47 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| ESSENTIA HEALTH SANDSTONE InpatientFacility | None | — | — | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH DEER RIVER InpatientFacility | HealthPartners CARE PMAP | Medicaid | $0.47 | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR InpatientFacility | None | — | — | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| ST MARYS HOSPITAL SUPERIOR InpatientFacility | HealthPartners CARE PMAP | Medicaid | $0.47 | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $0.47 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $0.47 | $2.20 | $2.20 | 2026-03-01 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Aetna | Commercial | $0.47 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Capital Blue Cross | Commercial | $0.47 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | GateKeeper | $0.47 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Keystone Health Plan | Commercial | $0.47 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | NonGateKeeper | $0.47 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER InpatientFacility | HealthPartners CARE PMAP | Medicaid | $0.47 | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | Commercial | $0.47 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | NonGateKeeper | $0.47 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Capital Blue Cross | CHIP | $0.47 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | GateKeeper | $0.47 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| ESSENTIA HEALTH NORTHERN PINES MEDICAL CENTER InpatientFacility | None | — | — | $1.18 | $0.87 | 2026-01-01 | MRF ↗ |
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $0.48 | $218.44 | $109.22 | 2026-04-02 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Aetna | Commercial | $0.48 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | GateKeeper/NonGateKeeper | $0.48 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | Prime Net | ACO/Legacy Commercial | $0.48 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL InpatientFacility | Aetna | EBR FI | $0.49 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Aetna | Commercial | $0.49 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | GateKeeper | $0.49 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | NonGateKeeper | $0.49 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage/Together Blue Medicare Advantage | $0.49 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| ESSENTIA HEALTH DULUTH InpatientFacility | None | — | — | $1.18 | $0.78 | 2026-01-01 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | NonGateKeeper | $0.49 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | Aetna | ACO | $0.49 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| ESSENTIA HEALTH DULUTH InpatientFacility | BCBS MN | SHP | $0.49 | $1.18 | $0.78 | 2026-01-01 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Aetna | Commercial | $0.49 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Prime Net | GateKeeper | $0.49 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | Highmark BCBS of PA | Medicare Advantage | $0.49 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Highmark BCBS of PA | Medicare | $0.49 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $0.50 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | IBC | JAB002 PPO | $0.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | IBC | JAB002 Indem_Trad | $0.50 | — | — | 2026-03-18 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | UPMC Work Partners | Workers Comp | $0.50 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $0.50 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | IBC | JNE01_JNE02_JNE03 HMO | $0.50 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | IBC | JCC001 PPO | $0.50 | — | — | 2026-03-18 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $0.50 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | IBC | JAB002 HMO | $0.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | IBC | JNE01_JNE02_JNE03 PPO | $0.50 | — | — | 2026-03-18 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | UPMC Work Partners | Workers Comp | $0.50 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | IBC | JAB001 HMO | $0.50 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | IBC | JAB001 PPO | $0.50 | — | — | 2026-03-18 | MRF ↗ |
| UPMC JAMESON OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $0.50 | $1.00 | $0.80 | 2026-03-06 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $0.50 | $1.00 | $0.60 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $0.50 | $1.00 | $0.60 | 2026-03-07 | 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.