J0475 — Baclofen 40,000 Mcg/20 Ml (2,000 Mcg/ml) Intrathecal Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION (HCPCS J0475) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0475?code_type=HCPCS
MLA (9th ed.)
“BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION (HCPCS J0475) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0475?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“BACLOFEN 40,000 MCG/20 ML (2,000 MCG/ML) INTRATHECAL SOLUTION (HCPCS J0475) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0475?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $195–$1,262 (25th–75th percentile) across 1,696 hospitals · 5,307 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0475 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $382.80 | $325.38 | 2025-01-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SAN DIEGO COUNTY [1071] | CMS ADULT TB SERVICES | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MULTICULTURAL MED GRP [1057] | MULTICULTURAL MED GRP [10570001] | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE AETNA [1004] | AETNA | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA BEHAVIORAL EATING DISORDER | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE HEALTH NET BH [2059] | HEALTH NET COMMERCIAL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA HMO | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SAN DIEGO COUNTY [1071] | CMH - COUNTY MENTAL HEALTH [10710005] | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OLYMPUS MANAGED HEALTHCARE INC [1102] | AETNA | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | INTERLINK HEALTH TRANSPLANT [2085] | INTERLINK HEALTH SERVICES INC | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | USOC - US OLYMPIC COMMITTEE [1123] | USOC VIK (BSC UC CARE) | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE CIGNA [1006] | EVERNORTH (FKA CIGNA) BEHAVIORAL AND EATING DISORDER TREATMENT | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE CIGNA [1006] | CIGNA HMO | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | EVERNORTH (FKA CIGNA) BEHAVIORAL AND EATING DISORDER TREATMENT | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ETS - LIFETRAC NETWORK [1103] | LIFETRAC | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | GLOBAL EXCEL [1036] | GLOBAL EXCEL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE UNITED HEALTHCARE [1008] | OPTUM HEALTHCARE SOLUTIONS | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | INTERLINK HEALTH SERVICES TRANSPLANT [1124] | INTERLINK HEALTH SERVICES INC | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA TRANSPLANTS [1112] | AETNA | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET COMMERCIAL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OLYMPUS MANAGED HEALTHCARE INC [1102] | OLYMPUS MANAGED HEALTHCARE INC [11020001] | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTHNET TRANSPLANTS [1114] | HEALTH NET COMMERCIAL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD [1014] | BLUE SHIELD OF CALIFORNIA UC CARE / HSP | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP HEALTH PLAN [1079] | SHARP HEALTH PLAN | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA PPO | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UNITED HEALTHCARE [1088] | OPTUM HEALTHCARE SOLUTIONS | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OPTUM TRANSPLANT [1118] | OPTUM HEALTHCARE SOLUTIONS | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD [1014] | BLUE SHIELD OF CA EPN/IFP | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET [1039] | HEALTH NET COMMERCIAL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | KAISER [1046] | KAISER | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | KUWAIT OIL COMPANY [11010005] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP REES STEALY [1080] | SHARP HEALTH CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | KAISER [1046] | KAISER MEDICARE ADVANTAGE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MGM RESORTS [1053] | MGM RESORT | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SD PHYSICIANS MED GRP [1076] | SD PHYSICIANS MED GRP [10760001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD TRANSPLANTS [1113] | BLUE SHIELD OF CA PPO AND BARIATRIC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET [1039] | HEALTH NET BEHAVIORAL HEALTH COMMERCIAL (FKA:MANAGED HEALTH NETWORK,INC) | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CMN - CANADIAN MEDICAL NETWORK [1024] | CMN GLOBAL INC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE SHERIFF CUSTODY [1106] | SHERIFF COUNTY CONTRACT # 514250 | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | INTERPLAN [1045] | INTERPLAN | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SAN DIEGO COUNTY SHERIFF CUSTODY [2012] | SHERIFF COUNTY CONTRACT # 514250 | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CMS - COUNTY MEDICAL SERVICES [1025] | SHERIFF COUNTY CONTRACT # 514250 | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA LIFESOURCE TRANSPLANT [1117] | CIGNA LIFESOURCE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP COMMUNITY MED GRP [1078] | SHARP HEALTH CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OPTUM CARE NETWORK - PRIMECARE MED GRP [1065] | PRIMECARE MEDICAL NETWORK | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CASSIDY MED GRP [1019] | PRIMARY CARE ASSOCIATES MEDICAL GROUP | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET BH (MHN) [2010] | HEALTH NET BEHAVIORAL HEALTH COMMERCIAL (FKA:MANAGED HEALTH NETWORK,INC) | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | ROYAL EMBASSY | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD [1014] | BLUE SHIELD OF CA PPO AND BARIATRIC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | VANTAGE [1092] | PROSPECT VANTAGE COMMERCIAL [10920001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | GRAYBILL MED GRP [1037] | SHARP HEALTH CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | INTERNATIONAL EMBASSY OF KUWAIT | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PACIFIC FOUNDATION [1063] | PACIFIC FOUNDATION FOR MEDICAL CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OPTUM CARE NETWORK - PCAMG [1064] | PRIMARY CARE ASSOCIATES MEDICAL GROUP | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP HEALTH PLAN [1079] | SHARP HEALTH CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE BLUE SHIELD [2002] | BLUE SHIELD OF CA PPO AND BARIATRIC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AXA ASSISTANCE [1098] | AXA ASSISTANCE USA,INC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA LIFESOURCE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SCRIPPS COASTAL MED GRP [1074] | SCRIPPS COASTAL MED GRP [10740001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | EMBASSY OF STATE OF KUWAIT [11010001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UNITED HEALTHCARE [1088] | US BEHAVIORAL MENTAL/EATING DISORDER | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MERCY PHYSICIANS MED GRP [1052] | MERCY PHYSICIANS MED GRP [10520001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | NATIONAL HEALTHCARE SOLUTIONS INC [1100] | NATIONAL HEALTHCARE SOLUTIONS INC [11000001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | TRI-CITY [1085] | TRI-CITY [10850001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ARCH HEALTH PARTNERS [2000] | ARCH HEALTH PARTNERS [20000001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA LIFESOURCE [10230006] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET BH (MHN) [1038] | HEALTH NET BEHAVIORAL HEALTH COMMERCIAL (FKA:MANAGED HEALTH NETWORK,INC) | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | QUALITY HEALTH [1069] | QUALITY HEALTH MANAGEMENT | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE BLUE CROSS [1005] | ANTHEM BLUE CROSS | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA LIFESOURCE TRANSPLANT [1117] | CIGNA LIFESOURCE TRANSPLANT [11170001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PRIVATE HEALTHCARE SYSTEMS [1067] | PRIVATE HEALTHCARE SYSTEM | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE HUMANA [1120] | HUMANA COMMERCIAL | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ADMAR [1001] | MULTIPLAN | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CARNIVAL CRUISES [1018] | CARNIVAL CRUISES [10180001] | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SCRIPPS HEALTH PLAN SERVICES [1075] | SCRIPPS CLINIC HEALTH PLAN SERVICES | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BPS - BENEFIT PLAN SERVICES [1015] | MULTIPLAN | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HUMANA [1042] | HUMANA COMMERCIAL | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SCRIPPS CLINIC [1073] | SCRIPPS CLINIC HEALTH PLAN SERVICES | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | FIRST HEALTH [1032] | FIRST HEALTH | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MULTIPLAN [1058] | MULTIPLAN | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BEECH STREET [1012] | CAPPCARE/BEECH STREET | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CHARGERS FOOTBALL COMPANY [1109] | CHARGER FOOTBALL COMPANY [11090001] | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PRIVATE HEALTHCARE SYSTEMS [1067] | KAISER RAD ONC | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE KAISER RAD ONC [2089] | KAISER RAD ONC | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP HEALTHCARE TRANSPLANT [1119] | SHARP HEALTHCARE TRANSPLANT [11190001] | $0.08 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $0.08 | $0.80 | $0.80 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $0.08 | $0.80 | $0.80 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $0.09 | $0.86 | $0.86 | 2026-04-15 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | United Healthcare Community Plan | Medicaid Managed Care Plan | $0.09 | $0.51 | $0.51 | 2026-04-24 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $0.09 | $0.86 | $0.86 | 2026-04-15 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Fidelis Care of New Jersey | Managed Medicaid | $0.10 | $0.51 | $0.51 | 2026-04-24 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.10 | $0.51 | $0.51 | 2026-04-24 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | Wellpoint | Managed Medicaid | $0.10 | $0.51 | $0.51 | 2026-04-24 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.13 | $33.97 | $32.27 | 2026-02-20 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Multiplan | Multiplan | $0.13 | $253.87 | $190.40 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.14 | $36.50 | $34.67 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.14 | $37.33 | $35.47 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.15 | $40.11 | $38.11 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.16 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.16 | $0.98 | $0.20 | 2026-02-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.16 | $33.97 | $32.27 | 2026-02-20 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.16 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.16 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.16 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.16 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.17 | $33.97 | $32.27 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.18 | $36.50 | $34.67 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.18 | $37.33 | $35.47 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.18 | $33.97 | $32.27 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.18 | $36.50 | $34.67 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.18 | $37.33 | $35.47 | 2026-02-20 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.19 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.19 | $40.11 | $38.11 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.20 | $40.11 | $38.11 | 2026-02-20 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.20 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.20 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.20 | $0.98 | $0.20 | 2026-02-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.20 | $40.11 | $38.11 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.20 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.20 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.20 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.24 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.24 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Molina | Managed Medicaid | $0.24 | $0.80 | $0.80 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (MMAI/Dual) | $0.24 | $0.80 | $0.80 | 2026-04-15 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Humana Medicaid | Managed Medicaid | $0.24 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.24 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.24 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | United Healthcare Adult | Commercial | $0.24 | $0.98 | $0.20 | 2026-02-13 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC OutpatientFacility | MagnaCare | All Products | $0.26 | $0.51 | $0.51 | 2026-04-24 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC InpatientFacility | Oscar | ACA | $0.26 | $0.51 | $0.51 | 2026-04-24 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Molina | Managed Medicaid | $0.26 | $0.86 | $0.86 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (MMAI/Dual) | $0.26 | $0.86 | $0.86 | 2026-04-15 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.32 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Alternative | Commercial | $0.32 | $0.98 | $0.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.32 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.32 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.32 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC InpatientFacility | Private Healthcare Systems | All Products | $0.33 | $0.51 | $0.51 | 2026-04-24 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.34 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | SIHO | Commercial | $0.34 | $0.98 | $0.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.34 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.34 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.34 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $0.37 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $0.37 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $0.37 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $0.37 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $0.37 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $0.37 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Adult | Commercial | $0.37 | $0.98 | $0.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $0.37 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $0.37 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Pediatric | Commercial | $0.37 | $0.98 | $0.20 | 2026-02-13 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC InpatientFacility | Multiplan | All Products | $0.38 | $0.51 | $0.51 | 2026-04-24 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Commercial HMO | $0.38 | $0.80 | $0.80 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Commercial HMO | $0.41 | $0.86 | $0.86 | 2026-04-15 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $0.42 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $0.42 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $0.42 | $0.98 | $0.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $0.42 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $0.43 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $0.43 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $0.43 | $0.98 | $0.20 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $0.43 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $0.43 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $0.44 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $0.44 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $0.44 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $0.44 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $0.44 | $0.98 | $0.20 | 2026-02-13 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC InpatientFacility | Consumer Health Network | Commercial | $0.46 | $0.51 | $0.51 | 2026-04-24 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $0.46 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Community Partners Health Plan (CPHP) | PPO | $0.47 | $0.80 | $0.80 | 2026-04-15 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.50 | $135.88 | $129.09 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.50 | $135.88 | $129.09 | 2026-02-20 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | United Healthcare (UHC) | PPO | $0.50 | $0.80 | $0.80 | 2026-04-15 | MRF ↗ |
| ST JOSEPH'S UNIVERSITY MEDICAL CENTER INC InpatientFacility | Cigna | Out of Network Plans | $0.51 | $0.51 | $0.51 | 2026-04-24 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Community Partners Health Plan (CPHP) | PPO | $0.51 | $0.86 | $0.86 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice | $0.52 | $0.80 | $0.80 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Blue Cross Blue Shield | PPO | $0.52 | $0.80 | $0.80 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | United Healthcare (UHC) | PPO | $0.53 | $0.86 | $0.86 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Commercial PPO | $0.53 | $0.80 | $0.80 | 2026-04-15 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.54 | $146.15 | $138.84 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.54 | $146.15 | $138.84 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.54 | $135.88 | $129.09 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.55 | $149.33 | $141.87 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.55 | $149.33 | $141.87 | 2026-02-20 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Blue Choice | $0.56 | $0.86 | $0.86 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Blue Cross Blue Shield | PPO | $0.56 | $0.86 | $0.86 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL OutpatientFacility | Aetna | Commercial PPO | $0.57 | $0.86 | $0.86 | 2026-04-15 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.58 | $146.15 | $138.84 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.59 | $160.62 | $152.59 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.59 | $160.62 | $152.59 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.60 | $149.33 | $141.87 | 2026-02-20 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Cigna Pediatric | Commercial | $0.61 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Cigna Pediatric | Commercial | $0.62 | $0.98 | $0.20 | 2026-02-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.64 | $160.62 | $152.59 | 2026-02-20 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Multiplan/PHCS | PPO | $0.64 | $0.80 | $0.80 | 2026-04-15 | 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.