J0402 — Inj, Abilify Asimtufii, 1 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, abilify asimtufii, 1 mg (HCPCS J0402) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0402?code_type=HCPCS
MLA (9th ed.)
“Inj, abilify asimtufii, 1 mg (HCPCS J0402) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0402?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj, abilify asimtufii, 1 mg (HCPCS J0402) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0402?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6–$21 (25th–75th percentile) across 1,379 hospitals · 1,752 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0402 — 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
$6
$8 typical
$21
The middle 50% of negotiated facility rates for this procedure, measured across 1,379 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $8 |
| Likely subtotal | $8 |
Facility charge (no separate professional fee)
$8
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $6–$21.
- 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 |
|---|---|---|---|---|---|---|---|
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.19 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.19 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $0.19 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.19 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $0.19 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.19 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $0.19 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.19 | — | — | 2026-04-01 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PLANNED ADMINISTRATORS [886] | AH HB XR BCBS PREFERRED (PAI ANMED ONLY) | $0.20 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Bcbs | Hix | $0.20 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PLANNED ADMINISTRATORS [886] | AH HB XR BCBS PREFERRED (PAI ANMED ONLY) | $0.20 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Hix | $0.24 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | EMPLOYEE BENEFIT MANAGEMENT SERVICES [869] | AH HB XR Anderson County (EBMS) | $0.28 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | EMPLOYEE BENEFIT MANAGEMENT SERVICES [869] | AH HB XR Anderson County (EBMS) | $0.28 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.36 | — | — | 2026-03-18 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | GEHA [302] | AH HB XR United Health Care | $0.53 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | UMR [143] | AH HB XR United Health Care | $0.53 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | GOLDEN RULE INS CO [584] | AH HB XR United Health Care | $0.53 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | GOLDEN RULE INS CO [584] | AH HB XR United Health Care | $0.53 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | GEHA [302] | AH HB XR United Health Care | $0.53 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | UNITED HEALTHCARE CORP [113] | AH HB XR United Health Care | $0.53 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | UMR [143] | AH HB XR United Health Care | $0.53 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | UNITED HEALTHCARE CORP [113] | AH HB XR United Health Care | $0.53 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PHCS [940] | AH HB XR PHCS-Anderson University | $0.54 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PHCS [940] | AH HB XR PHCS-Anderson University | $0.54 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | NALC HEALTH BENEFIT PLAN [291] | AH HB XR CIGNA | $0.55 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | CIGNA [134] | AH HB XR CIGNA | $0.55 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | NALC HEALTH BENEFIT PLAN [291] | AH HB XR CIGNA | $0.55 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | CIGNA [134] | AH HB XR CIGNA | $0.55 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PREFERRED ADMINISTRATORS [19] | AH HB XR PREFERRED ADMINISTRATORS | $0.60 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PREFERRED ADMINISTRATORS [19] | AH HB XR PREFERRED ADMINISTRATORS | $0.60 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MEDCOST [206] | AH HB XR MEDCOST ULTRA | $0.60 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MEDCOST [206] | AH HB XR MEDCOST ULTRA | $0.60 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | HUMANA [836] | AH HB XR HUMANA CHOICE CARE | $0.72 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | HUMANA [836] | AH HB XR HUMANA CHOICE CARE | $0.72 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | COVENTRY HEALTH [245] | AH HB XR COVENTRY HEALTH-PPO | $0.72 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | COVENTRY HEALTH [245] | AH HB XR COVENTRY HEALTH-PPO | $0.72 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | OTHER HOSPITAL PAYERS [1991] | AH HB XR Genesys Health Alliance | $0.75 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | OTHER HOSPITAL PAYERS [1991] | AH HB XR Genesys Health Alliance | $0.75 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | RURAL CARRIER BENEFIT PLAN [406] | AH HB XR AETNA | $0.77 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | RURAL CARRIER BENEFIT PLAN [406] | AH HB XR AETNA | $0.77 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | AETNA US HEALTHCARE [100] | AH HB XR AETNA | $0.77 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | AETNA US HEALTHCARE [100] | AH HB XR AETNA | $0.77 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MAIL HANDLERS BENEFIT PLAN [327] | AH HB XR AETNA | $0.77 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MAIL HANDLERS BENEFIT PLAN [327] | AH HB XR AETNA | $0.77 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Both | Uhc | Commercial | $0.78 | $1.00 | $0.71 | 2026-08-13 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Uhc | Commercial | $0.78 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| McLeod Health Seacoast Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-18 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Both | Aetna | Commerical | $0.80 | $1.00 | $0.71 | 2026-07-18 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PHCS [940] | AH HB XR PHCS-MULTIPLAN | $0.88 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PHCS [940] | AH HB XR PHCS-MULTIPLAN | $0.88 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | COVENTRY HEALTH [245] | AH HB XR COVENTRY-FIRST HEALTH | $0.89 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | COVENTRY HEALTH [245] | AH HB XR COVENTRY-FIRST HEALTH | $0.89 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MEDCOST [206] | AH HB XR MEDCOST | $0.90 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MEDCOST [206] | AH HB XR MEDCOST | $0.90 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | BCBS OF SC/BCBS ALL STATES [401] | AH HB XR BCBS WRAP NETWORK | $0.95 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | BCBS OF SC/BCBS ALL STATES [401] | AH HB XR BCBS WRAP NETWORK | $0.95 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | AMERICAN CONTINENTAL INS [778] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | HOME HEALTH INFUSION PAYER [6001] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | NON-CONTRACTED [22] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MEDICAID GA [6] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | FIRST HEALTH [946] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | SC MEDICAID-ADMIN DAYS ALT PAYER [61902] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | OTHER HOSPITAL PAYERS [1991] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | AARP-UNITED HEALTHCARE [469] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | AARP-UNITED HEALTHCARE [469] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | OTHER HOSPITAL PAYERS [1991] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | HOME HEALTH INFUSION PAYER [6001] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | BUSINESS OFFICE [6000] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | AMERICAN REPUBLIC LIFE INS [722] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | STATE FARM INS CO [373] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | AMERICAN REPUBLIC LIFE INS [722] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MANHATTAN LIFE INS CO [932] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | SC MEDICAID DENTAL-ALTERNATE PAYOR [61901] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | NEW ERA LIFE INS CO [437] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MEDICAID-OUT OF STATE [616] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | STERLING INVESTORS LIFE [244] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MEDICARE ALTERNATE PAYER [61801] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | STERLING INVESTORS LIFE [244] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | CIGNA THERAPY ALT PAYER [13401] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | CIGNA THERAPY ALT PAYER [13401] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | STATE FARM INS CO [373] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [17] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | SC MEDICAID DENTAL-ALTERNATE PAYOR [61901] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PHYSICIANS MUTUAL [773] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PHYSICIANS MUTUAL [773] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | SUPERMED/MED MUTUAL OF OHIO [539] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | UNITED AMERICAN INS CO [277] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | NEW ERA LIFE INS CO [437] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | UNITED AMERICAN INS CO [277] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | REFERENCE BASED PRICING/LIMITED PLAN [21] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MEDICAID-OUT OF STATE [616] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MANHATTAN LIFE INS CO [932] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | REFERENCE BASED PRICING/LIMITED PLAN [21] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | SC MEDICAID-ADMIN DAYS ALT PAYER [61902] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | BUSINESS OFFICE [6000] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | SUPERMED/MED MUTUAL OF OHIO [539] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MEDICARE ALTERNATE PAYER [61801] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND [17] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MISCELLANEOUS COMMERCIAL [1] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | AMERICAN CONTINENTAL INS [778] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | GUARANTEE TRUST LIFE INSURANCE [236] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | GUARANTEE TRUST LIFE INSURANCE [236] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MEDICAID GA [6] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | NON-CONTRACTED [22] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | MISCELLANEOUS COMMERCIAL [1] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | FIRST HEALTH [946] | CATCH-ALL CONTRACT | $1.00 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $1.04 | — | — | 2026-03-31 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $1.33 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $1.33 | — | — | 2025-12-23 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Geisinger | Managed Medicare 100% | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Geisinger | Geisinger | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Tricare | Tricare | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Devoted Health | Devoted | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Bcbs Traditional | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Senior Life | Managed Medicare 100% | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Cigna | Cigna | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | American Progressive | Managed Medicare 100% | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Cigna | Managed Medicare 100% | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Gateway | Gateway Medicare Advantage | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Amerihealth Caritas Health Plan | Amerihealth | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Uhc | Uhc Onenet | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Uhc | Uhc All Payer | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Aetna | Aetna | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Centene | Centene | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Upmc Health Plan | Upmc For Life | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Uhc | Managed Medicare 100% | — | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $1.66 | $11.00 | $2.53 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $1.66 | $11.00 | $2.42 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $1.66 | $11.00 | $2.42 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $1.66 | $11.00 | $2.53 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $1.70 | $11.00 | $2.53 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $1.70 | $11.00 | $2.53 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $1.70 | $11.00 | $2.42 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $1.70 | $11.00 | $2.42 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $1.71 | $11.00 | $2.53 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $1.71 | $11.00 | $2.53 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $1.71 | $11.00 | $2.42 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $1.71 | $11.00 | $2.42 | 2026-08-17 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $2.01 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $2.01 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $6,534.99 | $4,247.74 | 2026-06-15 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $2.33 | — | — | 2026-02-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $2.35 | — | — | 2026-07-15 | MRF ↗ |
| CONEMAUGH MEMORIAL MEDICAL CENTER Outpatient | Bcbs Of Pa | Highmark Medicare Advantage | $2.51 | $2.97 | $1.19 | 2026-07-15 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | All Products | $2.56 | — | — | 2026-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $2.56 | — | — | 2026-07-01 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $2.56 | — | — | 2026-08-19 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | All Products | $2.86 | — | — | 2026-07-01 | MRF ↗ |
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | Health New England | All Products | $2.91 | — | — | 2025-01-01 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $2.94 | — | — | 2026-05-08 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Anthem | Child Health Plus | $2.98 | — | — | 2026-04-01 | MRF ↗ |
| LAKE HEALTH BEACHWOOD MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $3.11 | $26,399.88 | $19,799.91 | 2025-05-16 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $3.14 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $3.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $3.15 | — | — | 2026-04-17 | 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.