J0476 — Baclofen Intrathecal Trial
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Baclofen intrathecal trial (HCPCS J0476) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0476?code_type=HCPCS
MLA (9th ed.)
“Baclofen intrathecal trial (HCPCS J0476) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0476?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Baclofen intrathecal trial (HCPCS J0476) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0476?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $70–$258 (25th–75th percentile) across 1,709 hospitals · 3,482 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0476 — 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
$70
$122 typical
$258
The middle 50% of negotiated facility rates for this procedure, measured across 1,709 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $122 |
| Likely subtotal | $122 |
Facility charge (no separate professional fee)
$122
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 $70–$258.
- 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 |
|---|---|---|---|---|---|---|---|
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $98.91 | $54.40 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $3,872.31 | $1,936.16 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $3,872.31 | $1,936.16 | 2024-12-15 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $98.91 | $54.40 | 2025-01-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $6,205.14 | $4,033.34 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $0.17 | $1.02 | $1.02 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $0.17 | $1.02 | $1.02 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $0.17 | $1.02 | $1.02 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $0.17 | $1.02 | $1.02 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $0.17 | $1.02 | $1.02 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $0.20 | $1.02 | $1.02 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $0.20 | $1.02 | $1.02 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $0.22 | $1.02 | $1.02 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $0.30 | $1.02 | $1.02 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $447.23 | $290.70 | 2025-11-26 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Health First | Medicare Advantage - Outpatient | $0.38 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | United HC | Medicare Advantage - Outpatient | $0.38 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | BlueCross | Medicare Advantage - Outpatient | $0.38 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Molina | Medicare Advantage - Outpatient | $0.39 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | CarePlus | Medicare Advantage - Outpatient | $0.40 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Devoted | Medicare Advantage - Outpatient | $0.40 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Baycare | Medicare Advantage - Outpatient | $0.40 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Devoted | Medicare Advantage OON (MMG) - Outpatient | $0.42 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Utmb Multi-Share | All Contracted Plans | $0.44 | $1.02 | $1.02 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Blue Care Network Of Michigan | Hmo | $0.49 | $492.00 | $196.80 | 2026-07-18 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs [100001] | Bcbs Michigan Traditional [10000102] | $0.49 | $492.00 | $196.80 | 2026-07-18 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Humana | Medicare Advantage - Outpatient | $0.50 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | UNITED HEALTHCARE | UNITED COMMERCIAL | $0.57 | $564.17 | $564.17 | 2026-03-27 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Blue Cross Blue Shield Of Michigan | Hmo-Ppo | $0.58 | $471.00 | $188.40 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Blue Cross Blue Shield Of Michigan | Ppo | $0.58 | $137.00 | $137.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Blue Cross Blue Shield Of Michigan | Ffs | $0.58 | $137.00 | $137.00 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Blue Cross Blue Shield Of Michigan | Blue Care Network | $0.58 | $137.00 | $137.00 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Outpatient | Blue Care Network Of Michigan | Hmo | $0.58 | $471.00 | $188.40 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Outpatient | Blue Cross Blue Shield Of Michigan | Hmo | $0.58 | $137.00 | $137.00 | 2026-07-15 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-PPO | $0.59 | $564.17 | $564.17 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-ALLEG | $0.59 | $564.17 | $564.17 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL-BH | $0.59 | $564.17 | $564.17 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | CIGNA | CIGNA COMMERCIAL | $0.59 | $564.17 | $564.17 | 2026-03-27 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $178.17 | — | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $447.23 | $290.70 | 2025-11-26 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Molina | Exchange | $0.79 | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Aetna | Transplant - Outpatient | $0.80 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| Utmb Galveston Transplant Both | Multiplan | Ppo | $0.82 | $1.02 | $1.02 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.85 | $230.68 | $219.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.85 | $230.68 | $219.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.85 | $230.68 | $219.15 | 2026-02-20 | MRF ↗ |
| Utmb Galveston Transplant Both | Healthsmart | All Contracted Plans | $0.87 | $1.02 | $1.02 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.88 | $230.68 | $219.15 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.90 | $230.68 | $219.15 | 2026-02-20 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO OutpatientFacility | Cigna | Commercial | $0.91 | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.92 | $230.68 | $219.15 | 2026-02-20 | MRF ↗ |
| PARKLAND HEALTH & HOSPITAL SYSTEM OutpatientFacility | BLUE CROSS BLUE SHIELD [1012] | BLUE ADVANTAGE HMO ACA [101204] | $0.96 | $4.00 | $1.60 | 2024-12-27 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medicare | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - HMO | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $447.23 | $290.70 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $447.23 | $290.70 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | $1.00 | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Humana | Commercial - Inpatient | $1.00 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Interplan | Interplan | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | $1.00 | $879.20 | $659.40 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - Medicare | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - HMO/POS | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - PPO | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | County Medical Services | County of San Diego | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | — | $879.20 | $659.40 | 2025-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $9.00 | $6.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $9.00 | $6.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $9.00 | $6.75 | 2026-09-02 | MRF ↗ |
| HARPER UNIVERSITY HOSPITAL Outpatient | Priority Health | PriorityHealthSEMIPartnersNet | $1.00 | $8.00 | $6.00 | 2025-01-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $383.32 | $191.66 | 2026-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $9.00 | $6.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.03 | $277.83 | $263.94 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.03 | $277.83 | $263.94 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.03 | $277.83 | $263.94 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Humana | Commercial - Outpatient | $1.06 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.06 | $277.83 | $263.94 | 2026-02-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $383.32 | $191.66 | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.08 | $277.83 | $263.94 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Health First | Commercial - Outpatient | $1.10 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $383.32 | $191.66 | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.11 | $277.83 | $263.94 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.13 | $230.68 | $219.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.13 | $230.68 | $219.15 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.15 | $230.68 | $219.15 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Optum | Transplant - Outpatient | $1.20 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Avmed | Transplant - Outpatient | $1.20 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Cigna | Transplant - Outpatient | $1.20 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Emerging Therapies | Transplant | $1.20 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.20 | $230.68 | $219.15 | 2026-02-20 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Molina | Exchange | — | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Caresource | Exchange | — | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHP/Medicare Advantage Special Needs HMO | — | $447.23 | $290.70 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $447.23 | $290.70 | 2025-11-26 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | United Healthcare Commercial/Behavioral Health | Commercial | — | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | HMO | $1.23 | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Buckeye Community Health Plan | Exchange | — | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.25 | $230.68 | $219.15 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Humana | Transplant - Outpatient | $1.30 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.36 | $277.83 | $263.94 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.36 | $277.83 | $263.94 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.39 | $277.83 | $263.94 | 2026-02-20 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Evolutions | Prime | $1.40 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | United HC | PPO | $1.42 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.44 | $277.83 | $263.94 | 2026-02-20 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $184.25 | $184.25 | 2026-04-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | PPO | $1.48 | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | First Health | PPO | $1.50 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.50 | $277.83 | $263.94 | 2026-02-20 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Multiplan | Commercial | $1.60 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Both | Evolutions | Select | $1.60 | $2.00 | $1.00 | 2025-10-24 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | United Healthcare Commercial/Behavioral Health | Commercial | $1.63 | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO InpatientFacility | Buckeye Community Health Plan | Commercial | — | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO InpatientFacility | Blue Cross Blue Shield Pathway X | PPO | — | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO InpatientFacility | Blue Cross Blue Shield Pathway X | HMO | — | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO InpatientFacility | Caresource | Commercial | — | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO InpatientFacility | Cigna | Commercial | — | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO InpatientFacility | United Healthcare | Commercial | $1.68 | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| KINGS DAUGHTERS MEDICAL CENTER OHIO InpatientFacility | Aetna | Commercial | $1.74 | $2.63 | $1.06 | 2026-09-25 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Aetna Better Health | Managed Medicaid and CHIP | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | WellMed | Medicare Advantage | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Superior Health Plan | Managed Medicaid | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Procare Advantage | Medicare Advantage | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Multiplan | Medicare Advantage | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Driscoll Health Plan | Managed Medicaid | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Aetna Transplant | Transplant | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Community First EPO Affordable Care | Commercial | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | First Care/Scott and White | Managed Medicaid | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Wellpoint | Medicare/Medicaid Dual Program | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Blue Cross Blue Shield Star/CHIP | Managed Medicaid | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | United Healthcare | Medicare Advantage | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Wellpoint | Managed Medicaid/CHIP | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | United Healthcare | Commercial | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Humana | Medicare Advantage | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Community First Health Plan | Managed Medicaid | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Molina Healthcare | Managed Medicaid | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Blue Cross Blue Shield Star Kids/Star Plus | Managed Medicaid | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Point Comfort - Unaccompanied Minor Healthcare | Medicare Advantage | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Aetna | Exchange | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Universal Benefits Consortium | Commercial | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Scott and White Insurance | Commercial | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Aetna | Medicare Advantage | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Blue Cross Blue Shield | HMO | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Optum | Transplant | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Blue Cross Blue Shield | PPO | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Entrust | Commercial | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Wellpoint | Exchange | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Molina | Medicare Advantage | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Aetna | Commercial | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | HPHG LLC dba 90 Degrees | Commercial | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Molina Healthcare Affordable Care | Commercial | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Scott and White Insurance | Medicare Advantage | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | EBSO | Commercial | — | $5.00 | $1.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | El Paso Health | Managed Medicaid | — | $5.00 | $1.25 | 2025-10-14 | 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.