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 $276–$9,892 (25th–75th percentile) across 1,790 hospitals · 3,682 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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
$276
$2,065 typical
$9,892
The middle 50% of negotiated facility rates for this procedure, measured across 1,790 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,065 |
| Likely subtotal | $2,065 |
Facility charge (no separate professional fee)
$2,065
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 $276–$9,892.
- 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 ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | — | — | 2026-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | County Medical Services | County of San Diego | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Flora Farms | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $894.57 | $447.28 | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - HMO | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark Anesthesia Assoc. Inc | Commercial | — | $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 ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - PPO | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Coastal Energy Corporation | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Heart Of America Beverage Company | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Springfieldgreene Co Library | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - HMO/POS | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozarks Cocacola | 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 ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark County | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - Rehab | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | All Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Src Holdings Corporation | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | The Durham Company | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Commercial | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $39,402.90 | $29,552.17 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Loren Cook | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Standard | — | $10,337.70 | $7,753.28 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Advanced Concrete Technology | Commercial | — | $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 | Justice Furniture And Bedding Co | 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 ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $894.57 | $447.28 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $894.57 | $447.28 | 2026-07-01 | 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 ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $38,699.00 | $25,154.35 | 2026-06-15 | 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 | 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 | PHCS-ALL PLANS | PHCS-ALL PLANS | $3.59 | $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 | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $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 ACA PPO | AVERA ACA PPO | $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 ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AVERA ASO PPO | AVERA ASO PPO | $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 ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | TRICARE/TRIWEST - ALL PLANS | TRICARE/TRIWEST - ALL PLANS | $5.15 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $5.15 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | UHC MED ADV - ALL PLANS | UHC MED ADV - ALL PLANS | $5.15 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $2,930.50 | $1,142.89 | 2026-07-31 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | GEHA-ALL PLANS | GEHA-ALL PLANS | $8.61 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $8.80 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $8.80 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $8.80 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $9.04 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $9.27 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | BCBS BLUE OPTIONS | BCBS BLUE OPTIONS | $9.45 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | BCBS HEALTHLINK | BCBS HEALTHLINK | $9.45 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $9.51 | $2,377.67 | $2,258.79 | 2026-02-20 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | EBMS (RMHN NETWORK) - ALL PLANS | EBMS (RMHN NETWORK) - ALL PLANS | $9.98 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | MONTANA HEALTH CO-OP PPO/POS - ALL PLANS | MONTANA HEALTH CO-OP PPO/POS - ALL PLANS | $10.19 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $10.19 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $10.19 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | BCBS TRAD - ALL OTHER PLANS | BCBS TRAD - ALL OTHER PLANS | $10.50 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | BCBS POS | BCBS POS | $10.50 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | BCBS HMO | BCBS HMO | $10.50 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | BCBS CLOSED PLAN | BCBS CLOSED PLAN | $10.50 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $11.27 | — | — | 2026-03-18 | 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 | Security Health Plan (SHP) | Medicare Advantage | $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 - 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 ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $14.70 | $30.00 | $30.00 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | TRICARE/TRIWEST - ALL PLANS | TRICARE/TRIWEST - ALL PLANS | $14.70 | $30.00 | $30.00 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | UHC MED ADV - ALL PLANS | UHC MED ADV - ALL PLANS | $14.70 | $30.00 | $30.00 | 2026-05-05 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | JW Marriott | All Plans | $20.08 | — | — | 2026-07-01 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital 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 - 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 | $23.51 | $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 ↗ |
| 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 ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI 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 ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | GEHA-ALL PLANS | GEHA-ALL PLANS | $24.60 | $30.00 | $30.00 | 2026-05-05 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $25.57 | $125.34 | $100.28 | 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 ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | PACIFIC SOURCE-ALL PLANS | PACIFIC SOURCE-ALL PLANS | $26.25 | $10.50 | $10.50 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | BCBS HEALTHLINK | BCBS HEALTHLINK | $27.00 | $30.00 | $30.00 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | BCBS BLUE OPTIONS | BCBS BLUE OPTIONS | $27.00 | $30.00 | $30.00 | 2026-05-05 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $27.50 | $5,168.85 | $5,168.85 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $27.50 | $5,168.85 | $5,168.85 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $27.50 | $5,168.85 | $5,168.85 | 2026-07-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $28.00 | $261.41 | $130.71 | 2024-12-15 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | EBMS (RMHN NETWORK) - ALL PLANS | EBMS (RMHN NETWORK) - ALL PLANS | $28.50 | $30.00 | $30.00 | 2026-05-05 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $29.05 | $110.89 | $88.72 | 2026-01-28 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | MONTANA HEALTH CO-OP PPO/POS - ALL PLANS | MONTANA HEALTH CO-OP PPO/POS - ALL PLANS | $29.10 | $30.00 | $30.00 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $29.10 | $30.00 | $30.00 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $29.10 | $30.00 | $30.00 | 2026-05-05 | 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 ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | BCBS POS | BCBS POS | $30.00 | $30.00 | $30.00 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | BCBS TRAD - ALL OTHER PLANS | BCBS TRAD - ALL OTHER PLANS | $30.00 | $30.00 | $30.00 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | BCBS CLOSED PLAN | BCBS CLOSED PLAN | $30.00 | $30.00 | $30.00 | 2026-05-05 | MRF ↗ |
| ROUNDUP MEMORIAL HEALTHCARE Outpatient | BCBS HMO | BCBS HMO | $30.00 | $30.00 | $30.00 | 2026-05-05 | 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 ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $30.73 | $3,072.88 | $2,304.66 | 2026-07-31 | 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 ↗ |
| 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 ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI 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 Inspire | Commercial | $32.84 | $125.34 | $100.28 | 2026-01-28 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $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 ↗ |
| 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 ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI 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 | $35.35 | $120.25 | $96.20 | 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 ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $36.87 | $3,072.88 | $2,304.66 | 2026-07-17 | 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 ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | 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 ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $42.67 | $11,533.00 | $10,956.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $42.67 | $11,533.00 | $10,956.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | 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 ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $43.02 | $3,072.88 | $2,304.66 | 2026-08-01 | 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 ↗ |
| DICKINSON COUNTY MEMORIAL 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 | 2026-06-24 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $44.85 | $120.25 | $96.20 | 2026-01-28 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $44.98 | $11,533.00 | $10,956.35 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL 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 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $47.56 | $1,101.00 | $1,101.00 | 2026-06-24 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Medica Exchange Insure | Commercial | — | $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 | 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 ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Aetna | Medicare Advantage | — | $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 | Medicare Advantage | — | $110.89 | $88.72 | 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.