J0206 — Inj Allopurinol Sodium 1 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj allopurinol sodium 1 mg (HCPCS J0206) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0206?code_type=HCPCS
MLA (9th ed.)
“Inj allopurinol sodium 1 mg (HCPCS J0206) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0206?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj allopurinol sodium 1 mg (HCPCS J0206) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0206?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5–$3,983 (25th–75th percentile) across 1,456 hospitals · 2,426 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0206 — 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
$5
$10 typical
$3,983
The middle 50% of negotiated facility rates for this procedure, measured across 1,456 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $10 |
| Likely subtotal | $10 |
Facility charge (no separate professional fee)
$10
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 $5–$3,983.
- 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 |
|---|---|---|---|---|---|---|---|
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.35 | — | — | 2026-03-18 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.64 | $4.80 | $1.87 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.72 | $4.80 | $1.73 | 2026-07-15 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.78 | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Aetna | Aetna Asbait | $0.86 | $4.80 | $1.73 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Self Pay | Self Pay | $0.86 | $4.80 | $0.86 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $1.00 | — | — | 2025-12-23 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $15,600.00 | $7,800.00 | 2026-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $1.00 | — | — | 2025-12-23 | 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 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 ↗ |
| 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 TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $15,600.00 | $7,800.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $15,600.00 | $7,800.00 | 2026-07-01 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Uhc Hix | Uhc Hix | $1.15 | $4.80 | $0.86 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Self Pay | Self Pay | $1.15 | $4.80 | $1.15 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Uhc Health Exchange | Uhc Hix | $1.15 | $4.80 | $1.15 | 2026-07-15 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $1.28 | $10.69 | $1.28 | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1.32 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1.32 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Uhc Navigate | Uhc Navigate | $1.38 | $4.80 | $0.86 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | United Healthcare | Uhc Navigate | $1.38 | $4.80 | $1.15 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna Localflex | Cigna Localflex | $1.38 | $4.80 | $1.15 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Local Plus | Cigna Local Plus | $1.38 | $4.80 | $0.86 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna | Cigna Localplus | $1.38 | $4.80 | $1.15 | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | KY Work Comp | KY Work Comp | $1.40 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | KY Work Comp | KY Work Comp | $1.40 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Outpatient | Uhc Iex | Uhc Iex | $1.41 | $10.69 | $1.28 | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Self Pay | Self Pay | $1.43 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Uhc Apa | Uhc Apa | $1.43 | $4.80 | $0.86 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | United Healthcare | Uhc Apa | $1.43 | $4.80 | $1.15 | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Self Pay | Self Pay | $1.43 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Localflex | Cigna Localflex | $1.44 | $4.80 | $0.86 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | $1.44 | $4.80 | $1.15 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Cigna Hmo | Cigna Hmo | $1.44 | $4.80 | $0.86 | 2026-07-15 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $10,588.89 | $10,588.89 | 2026-04-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $1.50 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $1.50 | — | — | 2026-03-01 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Uhc Apa | $1.56 | $10.69 | $1.28 | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Humana | Humana KY MCD HMO | $1.62 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Humana | Humana KY MCD HMO | $1.62 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Aetna Better Health MCD KY | Aetna Better Health MCD KY | $1.67 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Aetna Better Health MCD KY | Aetna Better Health MCD KY | $1.67 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Self Pay | Self Pay | $1.73 | $4.80 | $1.73 | 2026-07-15 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARHealth | $1.82 | $26.00 | $26.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | CHIP | $1.82 | $26.00 | $26.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARKids | $1.82 | $26.00 | $26.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | STARPLUS | $1.82 | $26.00 | $26.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY LEWISVILLE Outpatient | Superior Health Plan | MCDSTAR | $1.82 | $26.00 | $26.00 | 2026-03-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Medicaid KY | Medicaid KY | $1.84 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | Medicaid KY | Medicaid KY | $1.84 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | WellCare | WellCare Medicaid KY | $1.84 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | WellCare | WellCare Medicaid KY | $1.84 | $7.38 | $1.44 | 2026-01-01 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Self Pay | Self Pay | $1.87 | $4.80 | $1.87 | 2026-07-15 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Self Pay | Self Pay | $1.92 | $10.69 | $1.92 | 2026-07-15 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $1.96 | — | — | 2026-02-13 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $1.99 | — | — | 2026-04-17 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $1.99 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $1.99 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $1.99 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $1.99 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $1.99 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $1.99 | — | — | 2026-04-17 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Molina | Medicaid - Molina | $2.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Medicaid - Midwest | Medicaid - Midwest | $2.00 | $9.00 | $4.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $2.00 | $9.00 | $4.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.00 | $9.00 | $4.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $2.00 | $22.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Meridian | Medicaid - Meridian | $2.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $2.00 | $28.00 | $14.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $2.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $2.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - United | Medicaid - United | $2.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Midwest | Medicaid - Midwest | $2.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.00 | $28.00 | $14.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Midwest | Medicaid - Midwest | $2.00 | $28.00 | $14.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - United | Medicaid - United | $2.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Molina | Medicaid - Molina | $2.00 | $28.00 | $14.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Meridian | Medicaid - Meridian | $2.00 | $28.00 | $14.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | McLaren Commercial Ins | McLaren Commercial Ins | $2.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - United | Medicaid - United | $2.00 | $22.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Meridian | Medicaid - Meridian | $2.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | WC - Workers Compensation | WC - Workers Compensation | $2.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Molina | Medicaid - Molina | $2.00 | $10.00 | $5.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Midwest | Medicaid - Midwest | $2.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Meridian | Medicaid - Meridian | $2.00 | $22.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Medicaid - Molina | Medicaid - Molina | $2.00 | $9.00 | $4.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Midwest | Medicaid - Midwest | $2.00 | $22.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.00 | $22.00 | $11.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Medicaid - United | Medicaid - United | $2.00 | $9.00 | $4.00 | 2025-02-03 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | Cle-Care Hmo | $2.07 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | All Products | $2.15 | — | — | 2026-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $2.15 | — | — | 2026-07-01 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Aetna | Aetna Ihs | $2.16 | $4.80 | $1.73 | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $2.22 | — | — | 2026-07-15 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Independent Health Association | Essential Plan Medicaid Managed Care Plan | $2.22 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Priority Health | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Independent Health Association - Wchob | Essential Plan Medicaid Managed Care Plan | $2.30 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $2.30 | — | — | 2026-04-17 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | STARHealth | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARHealth | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Superior Health Plan | STARKids | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | CHIP | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Superior Health Plan | STARHealth | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY HEART HOSPITAL Outpatient | Superior Health Plan | CHIP | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARKids | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | CHIP | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY SPINE HOSPITAL Outpatient | Superior Health Plan | STARKids | $2.32 | $33.20 | $33.20 | 2026-03-01 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $2.36 | $10,383.43 | $7,787.58 | 2025-05-16 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $2.36 | — | — | 2025-06-28 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Optumhealth | Optumhealth Care Solutions | $2.40 | $4.80 | $1.15 | 2026-07-15 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | All Products | $2.40 | — | — | 2026-07-01 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $2.41 | — | — | 2025-06-28 | MRF ↗ |
| LAKE HEALTH OutpatientFacility | Cigna | Commercial | $2.45 | $10,383.43 | $7,787.58 | 2025-05-17 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $2.48 | — | — | 2025-06-28 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Highmark | Highmark Together Blue | $2.48 | — | — | 2026-04-14 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Local 1199 | Medicare | $2.50 | $83.96 | $10.91 | 2026-07-15 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Anthem | Child Health Plus | $2.50 | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Pathway Hmo Exchange | $2.51 | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Pathway Exchange | $2.51 | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | First Health Coventry | First Health Coventry | $2.52 | $4.80 | $1.73 | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $2.53 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $2.53 | — | — | 2026-07-15 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $2.53 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $2.53 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $2.53 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $2.53 | — | — | 2026-05-13 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | UHCCP | Medicaid | $2.53 | $5,742.75 | $4,594.20 | 2026-02-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $2.53 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $2.53 | — | — | 2026-05-13 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | Mclaren | Medicaid | $2.53 | $5,742.75 | $4,594.20 | 2026-02-01 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | Priority Health | Choice Medicaid | $2.53 | $5,742.75 | $4,594.20 | 2026-02-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $2.53 | — | — | 2026-05-13 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | MOLINA | MEDICAID HMO | $2.55 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MOLINA | MEDICAID HMO | $2.55 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | MOLINA | MEDICAID HMO | $2.55 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | MOLINA | MEDICAID HMO | $2.55 | — | — | 2025-06-28 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - Meridian | Medicaid - Meridian | $2.58 | $8.46 | $4.23 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.58 | $5.93 | $2.97 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $2.58 | $14.98 | $7.49 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - Midwest | Medicaid - Midwest | $2.58 | $8.46 | $4.23 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Both | Medicaid - Meridian | Medicaid - Meridian | $2.58 | $14.98 | $7.49 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $2.58 | $5.93 | $2.97 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - United | Medicaid - United | $2.58 | $5.93 | $2.97 | 2025-12-31 | 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.