J0175 — Inj, Donanemab-azbt, 2 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, donanemab-azbt, 2 mg (HCPCS J0175) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0175?code_type=HCPCS
MLA (9th ed.)
“Inj, donanemab-azbt, 2 mg (HCPCS J0175) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0175?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj, donanemab-azbt, 2 mg (HCPCS J0175) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0175?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$1,043 (25th–75th percentile) across 1,470 hospitals · 2,899 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0175 — 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
$4
$8 typical
$1,043
The middle 50% of negotiated facility rates for this procedure, measured across 1,470 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $8 |
| Likely subtotal | $8 |
Facility charge (no separate professional fee)
$8
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 $4–$1,043.
- 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 |
|---|---|---|---|---|---|---|---|
| PRISMA HEALTH BAPTIST PARKRIDGE Both | PROMISE HEALTH PLAN CONTRACTED [2401] | PH HB PROMISE PRISMA EMPLOYEE PLAN | $0.04 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | ORANGEBURG SENIOR HELPING CENTER PACE [5401] | PH OAKS PACE | $0.04 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | ORANGEBURG SENIOR HELPING CENTER PACE [5401] | PH OAKS PACE | $0.04 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | PROMISE HEALTH PLAN CONTRACTED [2401] | PH HB PROMISE PRISMA EMPLOYEE PLAN | $0.04 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | PROMISE HEALTH PLAN CONTRACTED [2401] | PH HB PROMISE HEALTHCARE | $0.05 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | PROMISE HEALTH PLAN CONTRACTED [2401] | PH HB PROMISE HEALTHCARE | $0.05 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $0.06 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | AETNA [2000] | PHM HB AETNA SC PREFERRED | $0.06 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MERITAIN HEALTH CONTRACTED [2200] | PHM HB AETNA SC PREFERRED | $0.06 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $0.06 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MERITAIN HEALTH CONTRACTED [2200] | PHM HB AETNA SC PREFERRED | $0.06 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | AETNA [2000] | PHM HB AETNA SC PREFERRED | $0.06 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | PREFERRED ADMINISTRATORS CONTRACTED [2839] | PH HB PREFERRED ADMINISTRATORS | $0.07 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDCOST [2940] | PH HB MEDCOST BENEFIT SERVICES | $0.07 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDCOST [2940] | PH HB MEDCOST BENEFIT SERVICES | $0.07 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | PREFERRED ADMINISTRATORS CONTRACTED [2839] | PH HB PREFERRED ADMINISTRATORS | $0.07 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | NIPPON [2300] | PHM HB AETNA COMMERCIAL - MIDLANDS | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | HUMANA [2930] | PHM CHOICECARE - MIDLANDS | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | HUMANA [2930] | PHM CHOICECARE - MIDLANDS | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MERITAIN HEALTH CONTRACTED [2200] | PHM HB AETNA COMMERCIAL - MIDLANDS | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | AETNA-LUMINARE CONTRACTED [2400] | PHM HB AETNA COMMERCIAL - MIDLANDS | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDCOST [2940] | PH HB MEDCOST | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | AETNA [2000] | PHM HB AETNA COMMERCIAL - MIDLANDS | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | AETNA VOLUNTARY PLAN [2500] | PHM HB AETNA COMMERCIAL - MIDLANDS | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | ATLANTIC PACKAGING CONTRACTED [4833] | PH HB ATLANTIC PACKAGING | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | APS HEALTHCARE SYSTEM [2981] | GHS HB AMERICAN PSYCH SERVICES (APS) | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MERITAIN HEALTH CONTRACTED [2200] | PHM HB AETNA COMMERCIAL - MIDLANDS | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | AETNA VOLUNTARY PLAN [2500] | PHM HB AETNA COMMERCIAL - MIDLANDS | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | APS HEALTHCARE SYSTEM [2981] | GHS HB AMERICAN PSYCH SERVICES (APS) | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | AETNA-LUMINARE CONTRACTED [2400] | PHM HB AETNA COMMERCIAL - MIDLANDS | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDCOST [2940] | PH HB MEDCOST | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | NIPPON [2300] | PHM HB AETNA COMMERCIAL - MIDLANDS | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | AETNA [2000] | PHM HB AETNA COMMERCIAL - MIDLANDS | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | ATLANTIC PACKAGING CONTRACTED [4833] | PH HB ATLANTIC PACKAGING | $0.08 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $0.08 | $16.61 | $16.61 | 2026-06-05 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | FURMAN INT/ALLEN UNIVERSITY STUDENT [2951] | PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) | $0.09 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | QUIKTRIP-FIRST HEALTH [3067] | PHM HB AETNA FIRST HEALTH (AKA RENTAL) - MIDLANDS | $0.09 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | FIRST HEALTH CONTRACTED [2952] | PHM HB AETNA FIRST HEALTH (AKA RENTAL) - MIDLANDS | $0.09 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | FURMAN INT/ALLEN UNIVERSITY STUDENT [2951] | PHU HB AETNA FIRST HEALTH (AKA RENTAL NETWORK) | $0.09 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MULTIPLAN/PHCS CONTRACTED [2950] | PH HB MULTIPLAN | $0.09 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | VSP VISION CARE [2986] | GHS HB VISION SERVICE PLAN (VSP) | $0.09 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | QUIKTRIP-FIRST HEALTH [3067] | PHM HB AETNA FIRST HEALTH (AKA RENTAL) - MIDLANDS | $0.09 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MULTIPLAN/PHCS CONTRACTED [2950] | PH HB MULTIPLAN | $0.09 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | VSP VISION CARE [2986] | GHS HB VISION SERVICE PLAN (VSP) | $0.09 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | FIRST HEALTH CONTRACTED [2952] | PHM HB AETNA FIRST HEALTH (AKA RENTAL) - MIDLANDS | $0.09 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | EVERNORTH BEHAVIORAL CONTRACTED [2982] | PHM HB CIGNA - MIDLANDS | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | EVERNORTH BEHAVIORAL CONTRACTED [2982] | PHM HB CIGNA - MIDLANDS | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | CIGNA [2800] | PHM HB CIGNA - MIDLANDS | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | CIGNA [2800] | PHM HB CIGNA - MIDLANDS | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $0.10 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $0.11 | $16.61 | $16.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $0.12 | $16.61 | $16.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $0.13 | $16.61 | $16.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $0.13 | $16.61 | $16.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $0.13 | $16.61 | $16.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $0.14 | $16.61 | $16.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $0.14 | $16.61 | $16.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $0.14 | $16.61 | $16.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $0.14 | $16.61 | $16.61 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $0.16 | $16.61 | $16.61 | 2026-06-05 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $0.17 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $12,497.00 | $8,872.87 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $0.17 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $0.17 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $12,497.00 | $8,872.87 | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $0.17 | $0.10 | $0.06 | 2026-03-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $12,497.00 | $8,872.87 | 2026-07-15 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $0.41 | $3,537.46 | $3,360.59 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $20.46 | — | 2026-07-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.71 | — | — | 2026-03-31 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $0.72 | $18.00 | $18.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $0.77 | $18.00 | $18.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $0.78 | $18.00 | $18.00 | 2026-06-24 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Ind | $0.82 | $3,167.00 | $2,851.14 | 2026-05-14 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $0.82 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Ind | $0.82 | $3,167.00 | $2,851.14 | 2026-05-22 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Com | $0.82 | $3,167.00 | $2,851.14 | 2026-05-22 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Medicaid | Node Tx Medicaid | $0.82 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Com | $0.82 | $3,167.00 | $2,851.14 | 2026-05-14 | MRF ↗ |
| PIPESTONE COUNTY MEDICAL CENTER Outpatient | Medica Insurance | Com | $0.83 | $1,475.00 | $1,475.87 | 2026-07-15 | MRF ↗ |
| AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH Outpatient | Medica Insurance | Ind | $0.83 | $3,167.00 | $3,072.88 | 2026-07-15 | MRF ↗ |
| AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH Outpatient | Medica Insurance | Com | $0.83 | $3,167.00 | $3,072.88 | 2026-07-15 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Ind | $0.83 | $3,180.00 | $3,085.02 | 2026-07-18 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Com | $0.83 | $3,180.00 | $3,085.02 | 2026-07-18 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Medica Insurance | Com | $0.83 | $1,059.00 | $1,006.73 | 2026-10-09 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Medica Insurance | Ind | $0.83 | $1,059.00 | $1,006.73 | 2026-10-09 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Outpatient | Medica Insurance | Com | $0.83 | $3,167.00 | $3,072.88 | 2026-05-09 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Outpatient | Medica Insurance | Ind | $0.83 | $3,167.00 | $3,072.88 | 2026-05-09 | MRF ↗ |
| PIPESTONE COUNTY MEDICAL CENTER Outpatient | Medica Insurance | Ind | $0.83 | $1,475.00 | $1,475.87 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $0.86 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $0.86 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $0.86 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Amerigroup | Node Wellpoint Star Plus Medicaid Tx | $0.86 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Star Medicaid Tx | Node Wellpoint Star Medicaid Tx | $0.86 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.91 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.91 | — | — | 2025-12-23 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.97 | $18.00 | $18.00 | 2026-06-24 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Blu Current Credit Union | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Medicaid | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Advanced Concrete Technology | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Medicare | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Core Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Phelps Health | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Freeman Pho | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Heart Of America Beverage Company | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Missouri Eye Institute | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Architectural Systems Inc | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Custom Powder Systems | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | First Health | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Workers Compensation | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark County | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Va Ccn | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Employee Plan | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Direct Contracted Employers | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Aca Marketplace | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Missouri Affiliated School Consortium (Masc) | Missouri Affiliated School Consortium (Masc) | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Behavioral Health | Optum Medicaid | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozarks Cocacola | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Texas Co Memorial Hospital | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Justice Furniture And Bedding Co | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Centene Home State Health | Medicaid | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Ppo | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | The Durham Company | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Behavioral Health | Optum Medicare | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | City Of Lebanon | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Show Me Benefit Consortium | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Parkcrest Dental Group | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Traditional | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Phcs | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Springfieldgreene Co Library | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Medicare Advantage | Non Contracted Payors | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Non Contracted | Managed Care | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Xerox | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Self-Pay | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Amprod | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Centene Wellcare | Medicare Advantage | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Medicare Advantage | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Src Holdings Corporation | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | All Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cigna | Commercial Test | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Bjc Consortium | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Other Contracted Managed Care | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Multiplan | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Medicare / Medicare Advantage | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Coastal Energy Corporation | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Preferred | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Compalliance | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Mihlfeld & Associates | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Access | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $2,817.44 | $1,408.72 | 2026-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Town And Country Super Market | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Flora Farms | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Corvel | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Epo | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Loren Cook | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Merril Iron And Steel | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark Anesthesia Assoc. Inc | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Mirma Health | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Healthy Blue Mo | Medicaid Managed Care | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Pathway/Pathway X | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Aetna | Premier Network | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Humana | Medicare Advantage | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $2,817.44 | $1,408.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $2,817.44 | $1,408.72 | 2026-07-01 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Self Pay | Self Pay | $1.15 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $1.39 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $1.39 | — | — | 2026-03-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Aetna of PA | Medicare | $1.49 | $12.00 | $7.20 | 2026-03-06 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $1.53 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $1.58 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $1.60 | — | — | 2026-02-13 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $1.61 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $1.65 | $8.11 | $6.49 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $1.65 | $8.11 | $6.49 | 2026-01-28 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $1.66 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Superior Star Medicaid Tx | Node Superior Star Medicaid Tx | $1.66 | $16.36 | $3.93 | 2026-07-15 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | ANTHEM | ANTHEM MEDICARE | $1.67 | $73.32 | $73.32 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | UNITED | UNITED MEDICARE | $1.67 | $73.32 | $73.32 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | TUFTS | TUFTS MEDICARE | $1.67 | $73.32 | $73.32 | 2026-04-01 | 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.