J0270 — Alprostadil 500 Mcg/ml Injection Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALPROSTADIL 500 MCG/ML INJECTION SOLUTION (HCPCS J0270) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0270?code_type=HCPCS
MLA (9th ed.)
“ALPROSTADIL 500 MCG/ML INJECTION SOLUTION (HCPCS J0270) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0270?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ALPROSTADIL 500 MCG/ML INJECTION SOLUTION (HCPCS J0270) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0270?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $92–$550 (25th–75th percentile) across 1,976 hospitals · 4,425 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0270 — 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
$92
$331 typical
$550
The middle 50% of negotiated facility rates for this procedure, measured across 1,976 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $331 |
| Likely subtotal | $331 |
Facility charge (no separate professional fee)
$331
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 $92–$550.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $528.46 | $264.23 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $528.46 | $264.23 | 2024-12-15 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Aetna] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Uhc] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Aetna] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Cigna] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Uhc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER InpatientFacility | — | — | — | $0.05 | $0.01 | 2026-02-03 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Aetna Signature Administrators] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Community Care | Medicare Advantage | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Aetna Signature Administrators] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER InpatientFacility | CHO | Commercial | $0.03 | $0.05 | $0.01 | 2026-02-03 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-10-22 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Self Pay | Self Pay | $0.03 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cigna] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-10-22 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Chip] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark Aca] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER InpatientFacility | Cigna | Commercial | $0.04 | $0.05 | $0.01 | 2026-02-03 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER OutpatientFacility | Harvard | Commercial | $0.04 | $0.05 | $0.01 | 2026-02-03 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER InpatientFacility | Aetna | Commercial | $0.04 | $0.05 | $0.01 | 2026-02-03 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $0.04 | $0.05 | $0.01 | 2026-02-03 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark Choice Blue] | [Comm] | $0.05 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $1,931.84 | $1,255.70 | 2025-11-26 | MRF ↗ |
| CARLSBAD MEDICAL CENTER Outpatient | Self Pay | Self Pay | $0.05 | $0.50 | $0.05 | 2026-07-15 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark] | [Comm] | $0.06 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Superior | Node Superior Star Plus Medicaid Tx | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Molina Chip Medicaid Tx | Node Molina Chip Medicaid Tx | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Uhc Chip Medicaid Tx | Node Uhc Chip Medicaid Tx | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Non-Par Medicaid Tx | Node Tx Medicaid Non Par | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Wellpoint Star Plus Medicaid Tx | Node Wellpoint Star Plus Medicaid Tx | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Wellpoint Chip Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Self Pay | Self Pay | $0.07 | $0.70 | $0.19 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Tx Childrens Health Plan Chip/Star Kids/ Star Health Medicaid Tx | Node Tx Childrens Health Plan Chip Medicaid Tx | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Medicaid | Node Tx Medicaid | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Molina Star Medicaid Tx | Node Molina Star Medicaid Tx | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Tx Childrens Health Plan Star Medicaid Tx | Node Tx Childrens Health Plan Star Medicaid Tx | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $0.07 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $0.08 | $0.99 | $0.27 | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $0.08 | $0.99 | $0.27 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Tx Childrens Health Plan Star Kids Medicaid Tx | Node Tx Childrens Health Plan Star Kids Medicaid Tx | $0.09 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Molina Medicaid Tx | Node Molina Star Plus Medicaid Tx | $0.09 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $0.09 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $0.09 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Node Superior Star Medicaid Tx | Node Superior Star Medicaid Tx | $0.10 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Outpatient | Amerigroup | Node Wellpoint Star Medicaid Tx | $0.10 | $0.70 | $0.13 | 2026-07-15 | MRF ↗ |
| CARLSBAD MEDICAL CENTER Inpatient | Self Pay | Self Pay | $0.10 | $0.50 | $0.10 | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.10 | $0.70 | $0.19 | 2026-07-15 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $0.11 | $204.28 | $122.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $204.28 | $122.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $204.28 | $122.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $0.11 | $2.09 | $0.50 | 2026-07-15 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | IN MEDICAID MGD CARE 20140101 (ST. MARY) | 1753_IN MEDICAID MGD CARE 20140101 (ST. MARY) | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $204.28 | $122.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Medicaid | Node Tx Medicaid | $0.11 | $2.09 | $0.50 | 2026-07-15 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | ANTHEM CARE CONNECT | 8879_ANTHEM CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $204.28 | $122.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | ANTHEM MEDICAID | 7373_ANTHEM MEDICAID REPLACEMENT OUTPATIENT 20230101 | $0.11 | $204.28 | $122.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $204.28 | $122.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT HOSPITAL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT FISHERS Both | MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | 9365_MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | ANTHEM CARE CONNECT | 8255_ANTHEM CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT KOKOMO Both | MEDICAID ADVANTAGE | 8723_MEDICAID REPLACEMENT OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $204.28 | $122.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Both | MHS CARE CONNECT | 8877_MHS CONNECT MEDICAID REPLACEMENT ASC OUTPATIENT 20240401 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Both | MDWISE HOOSIER ALLIANCE MEDICAID | 9347_MDWISE MEDICAID REPLACEMENT ASC OUTPATIENT 20250101 | $0.11 | $204.28 | $122.57 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MDWISE HOOSIER ALLIANCE MEDICAID | 8256_MDWISE MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT CARMEL Both | MHS CARE CONNECT | 8257_MHS CONNECT MEDICAID REPLACEMENT OUTPATIENT 20240101 | $0.11 | $380.30 | $228.18 | 2026-01-01 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Star Medicaid Tx | Node Wellpoint Star Medicaid Tx | $0.12 | $2.09 | $0.50 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $0.12 | $2.09 | $0.50 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.12 | $0.92 | $0.36 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $0.12 | $2.09 | $0.50 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Amerigroup | Node Wellpoint Star Plus Medicaid Tx | $0.12 | $2.09 | $0.50 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $0.12 | $2.09 | $0.50 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $0.13 | $0.92 | $0.22 | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $0.13 | $0.92 | $0.22 | 2026-07-17 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $0.13 | $0.92 | $0.17 | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $0.13 | $0.92 | $0.22 | 2026-07-17 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $0.13 | $0.92 | $0.22 | 2026-07-17 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Medicaid | Az Medicaid | $0.13 | $0.92 | $0.22 | 2026-07-17 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $0.13 | $0.92 | $0.17 | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $0.13 | $0.92 | $0.22 | 2026-07-17 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Medicaid | Az Medicaid | $0.13 | $0.92 | $0.22 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $0.13 | $0.92 | $0.22 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $0.13 | $0.92 | $0.17 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid | Az Medicaid | $0.13 | $0.92 | $0.17 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $0.13 | $0.92 | $0.22 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $0.13 | $0.92 | $0.22 | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $0.13 | $0.92 | $0.22 | 2026-07-17 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $0.13 | $0.92 | $0.17 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid Non Par | Az Medicaid Non Par | $0.13 | $0.92 | $0.17 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $0.13 | $0.92 | $0.22 | 2026-07-15 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Magellan | Magellan Medicaid Az | $0.14 | $0.92 | $0.22 | 2026-07-17 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.14 | $0.92 | $0.39 | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Healthsync | $0.14 | — | — | 2026-07-17 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| ORO VALLEY HOSPITAL Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $0.14 | $0.92 | $0.22 | 2026-07-17 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| NORTHERN LOUISIANA MEDICAL CENTER Both | MEDICAID UNITED HEALTHCAR | DOWNGRADE MEDICAID UHC | $0.14 | $2.00 | $1.10 | 2026-05-04 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $0.14 | $0.92 | $0.17 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $0.14 | $0.92 | $0.22 | 2026-07-15 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Magellan Medicaid Az | Magellan Medicaid Az | $0.14 | $0.92 | $0.17 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Magellan | Magellan Medicaid Az | $0.14 | $0.92 | $0.22 | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Outpatient | Self Pay | Self Pay | $0.14 | $0.50 | $0.14 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.14 | $0.92 | $0.33 | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Outpatient | Community Bluee | Node Community Blue Medicare Advantage | $0.14 | $1.76 | $0.42 | 2026-07-15 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.14 | — | — | 2025-09-05 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Braven Health | Medicare Advantage | $0.15 | $1.65 | $1.65 | 2026-03-24 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | Highmark Wholecare (prev Gateway) | Medicare | $0.15 | $1.00 | $0.60 | 2026-03-06 | MRF ↗ |
| UPMC MUNCY OutpatientFacility | UPMC Health Plan | Managed Medicare | $0.15 | $1.00 | $0.60 | 2026-03-06 | 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.