J0180 — Agalsidase Beta Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Agalsidase beta injection (HCPCS J0180) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0180?code_type=HCPCS
MLA (9th ed.)
“Agalsidase beta injection (HCPCS J0180) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0180?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Agalsidase beta injection (HCPCS J0180) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0180?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $272–$9,342 (25th–75th percentile) across 1,590 hospitals · 3,896 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0180 — 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
$272
$1,704 typical
$9,342
The middle 50% of negotiated facility rates for this procedure, measured across 1,590 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,704 |
| Likely subtotal | $1,704 |
Facility charge (no separate professional fee)
$1,704
- 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 |
|---|---|---|---|---|---|---|---|
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.04 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $0.08 | $4,661.00 | $4,194.93 | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $0.08 | $4,661.00 | $4,194.93 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $0.08 | $4,661.00 | $4,194.93 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $0.08 | $4,661.00 | $4,194.93 | 2026-05-23 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $4,553.91 | $4,553.91 | 2026-04-01 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $2.02 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | MOLINA MCAID - ALL OTHER PLANS | MOLINA MCAID - ALL OTHER PLANS | $2.30 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $3.55 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | BCBS-ALL PLANS | BCBS-ALL PLANS | $3.55 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $3.57 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $3.59 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AVERA ASO PPO | AVERA ASO PPO | $3.59 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $3.59 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | PHCS-ALL PLANS | PHCS-ALL PLANS | $3.59 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AVERA NON-ACA PPO - ALL OTHER PLANS | AVERA NON-ACA PPO - ALL OTHER PLANS | $3.59 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AVERA ACA PPO | AVERA ACA PPO | $3.59 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | TLC ADVANTAGE-ALL PLANS | TLC ADVANTAGE-ALL PLANS | $3.59 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AVERA HMO | AVERA HMO | $3.59 | $3.70 | $3.70 | 2026-04-24 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $4.67 | — | — | 2026-03-04 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $8.80 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $8.80 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $8.80 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $9.04 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $9.27 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $9.51 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $11.27 | — | — | 2026-03-18 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $11.41 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $11.41 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $11.65 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $11.65 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $11.65 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $11.65 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $11.89 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $12.13 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $12.36 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $12.84 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | JW Marriott | All Plans | $20.08 | — | — | 2025-12-27 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $22.62 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $22.62 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $22.62 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $23.51 | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $23.51 | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $23.51 | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $23.88 | $117.06 | $93.65 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $23.88 | $117.06 | $93.65 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $23.88 | $117.06 | $93.65 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $24.07 | $117.97 | $94.38 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $24.07 | $117.97 | $94.38 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $24.07 | $117.97 | $94.38 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $24.53 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $24.53 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $24.53 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $25.57 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $25.57 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $25.57 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $28.00 | $261.41 | $130.71 | 2024-12-15 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $29.05 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $29.05 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $29.63 | $1,413.00 | $1,413.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $29.63 | — | — | 2024-10-01 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $30.19 | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $30.19 | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $30.67 | $117.06 | $93.65 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $30.67 | $117.06 | $93.65 | 2026-01-28 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $30.91 | $117.97 | $94.38 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $30.91 | $117.97 | $94.38 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $31.51 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $31.51 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $32.00 | $261.41 | $130.71 | 2024-12-15 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $32.60 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $32.60 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $32.84 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $32.84 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $33.88 | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $33.88 | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $34.42 | $117.06 | $93.65 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $34.42 | $117.06 | $93.65 | 2026-01-28 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $34.68 | $117.97 | $94.38 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $34.68 | $117.97 | $94.38 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $35.35 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $35.35 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $36.85 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $36.85 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $36.93 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $37.91 | $354.44 | $212.66 | 2025-12-30 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $38.37 | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $38.98 | $117.06 | $93.65 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $39.28 | $117.97 | $94.38 | 2026-01-28 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $39.60 | — | — | 2026-03-31 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $40.04 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $41.36 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $41.74 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $42.67 | $11,533.00 | $10,956.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $42.67 | $11,533.00 | $10,956.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $42.67 | $11,533.00 | $10,956.35 | 2026-02-20 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $42.74 | $1,001.00 | $1,001.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $42.74 | $1,001.00 | $1,001.00 | 2026-04-30 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $42.98 | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $43.00 | $261.41 | $130.71 | 2024-12-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $43.54 | $1,001.00 | $1,001.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $43.54 | $1,001.00 | $1,001.00 | 2026-04-30 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $43.66 | $117.06 | $93.65 | 2026-01-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $43.83 | $11,533.00 | $10,956.35 | 2026-02-20 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $44.00 | $117.97 | $94.38 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $44.04 | $1,101.00 | $1,101.00 | 2026-05-15 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $44.85 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $44.98 | $11,533.00 | $10,956.35 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $46.13 | $11,533.00 | $10,956.35 | 2026-02-20 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $46.75 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $47.01 | $1,101.00 | $1,101.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $47.56 | $1,101.00 | $1,101.00 | 2026-05-15 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Amerigroup | Managed Medicaid | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Cigna/Midlands | Commercial | $48.02 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Iowa Total Care | Managed Medicaid | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Medica Exchange Insure | Commercial | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Aetna | HMO | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | United Healthcare | PPO | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | United Healthcare | Medicare Advantage | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $48.02 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $48.02 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | United Healthcare | HMO | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Aetna | Medicare Advantage | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Amerivantage | Medicare Advantage | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Molina | Medicare Advantage | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Health Partners Open Network | Commercial | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Humana | Medicare Advantage | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Medica Exchange Inspire | Commercial | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Aetna | PPO | — | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Humana | Humana Commercial | $48.55 | — | — | 2026-04-01 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Aetna | HMO | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | United Healthcare | HMO | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Aetna | Medicare Advantage | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Humana | Medicare Advantage | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Amerigroup | Managed Medicaid | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Aetna | PPO | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | United Healthcare | PPO | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $49.89 | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Aetna | Medicare Advantage | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Humana | Medicare Advantage | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Amerigroup | Managed Medicaid | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | United Healthcare | Medicare Advantage | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Molina | Medicare Advantage | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | United Healthcare | PPO | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $49.89 | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Iowa Total Care | Managed Medicaid | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Health Partners Open Network | Commercial | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | United Healthcare | HMO | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Medica Exchange Insure | Commercial | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Health Partners Open Network | Commercial | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Cigna/Midlands | Commercial | $49.89 | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Medica Exchange Insure | Commercial | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Amerivantage | Medicare Advantage | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Iowa Total Care | Managed Medicaid | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Medica Exchange Inspire | Commercial | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Aetna | HMO | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Aetna | PPO | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Medica Exchange Inspire | Commercial | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Molina | Medicare Advantage | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | United Healthcare | Medicare Advantage | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Amerivantage | Medicare Advantage | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $115.23 | $92.19 | 2026-01-28 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $50.66 | $28,882.00 | $4,332.30 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $50.66 | $28,882.00 | $4,332.30 | 2025-12-23 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $50.69 | $117.06 | $93.65 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $50.69 | $117.06 | $93.65 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Cigna/Midlands | Commercial | $50.69 | $117.06 | $93.65 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $51.08 | $117.97 | $94.38 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $51.08 | $117.97 | $94.38 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Cigna/Midlands | Commercial | $51.08 | $117.97 | $94.38 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $52.07 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $52.07 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Cigna/Midlands | Commercial | $52.07 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $52.15 | $924.03 | $392.72 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Optum | Behavioral Medicare | — | $924.03 | $392.72 | 2026-01-29 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $52.65 | $1,001.00 | $1,001.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $52.65 | $1,001.00 | $1,001.00 | 2026-04-30 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $54.27 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $54.27 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Cigna/Midlands | Commercial | $54.27 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.