J0485 — Belatacept 250 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BELATACEPT 250 MG INTRAVENOUS SOLUTION (HCPCS J0485) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0485?code_type=HCPCS
MLA (9th ed.)
“BELATACEPT 250 MG INTRAVENOUS SOLUTION (HCPCS J0485) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0485?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“BELATACEPT 250 MG INTRAVENOUS SOLUTION (HCPCS J0485) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0485?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5–$2,294 (25th–75th percentile) across 1,774 hospitals · 5,323 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0485 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$5
$24 typical
$2,294
The middle 50% of negotiated facility rates for this procedure, measured across 1,774 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $24 |
| Likely subtotal | $24 |
Facility charge (no separate professional fee)
$24
- 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 |
|---|---|---|---|---|---|---|---|
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.15 | $5,167.54 | $3,358.90 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.15 | $5,167.54 | $3,358.90 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.15 | $5,167.54 | $3,358.90 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.15 | $5,167.54 | $3,358.90 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.15 | $5,167.54 | $3,358.90 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.15 | $5,167.54 | $3,358.90 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.15 | $5,167.54 | $3,358.90 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.15 | $5,167.54 | $3,358.90 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.15 | $5,167.54 | $3,358.90 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.15 | $5,167.54 | $3,358.90 | 2026-03-30 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.23 | — | — | 2026-03-18 | MRF ↗ |
| THEDACARE REGIONAL MED CTR - NEENAH BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.47 | $1,916.96 | $1,073.50 | 2026-03-02 | MRF ↗ |
| THEDACARE MEDICAL CENTER-WAUPACA BothFacility | HUMANA INC. - Medicare-HMO | Medicare Advantage | $0.47 | $1,916.96 | $1,073.50 | 2026-03-02 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHIP | $0.56 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARPLUS | $0.56 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $0.56 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $0.56 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $0.56 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $0.56 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHPFC | $0.56 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARKids | $0.56 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STAR | $0.56 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $0.56 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $0.64 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $0.64 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $0.64 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.67 | — | — | 2026-03-31 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $0.79 | $3.88 | $3.11 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $0.79 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $0.79 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $0.83 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $0.83 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.86 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.86 | — | — | 2025-12-23 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $0.87 | $2.77 | $2.22 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $0.93 | $2.77 | $2.22 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $0.93 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $0.93 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $3,394.27 | $2,783.30 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $3,394.27 | $2,783.30 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $14,744.00 | $9,583.60 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Corvel | CorvelWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $3,394.27 | $2,783.30 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldPromiseMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdComm | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | BrandNewDayMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageTrioHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Health_First_Health | HMO_PPO | $1.00 | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $1.00 | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Sunflower_State_Health_Plan | Medicaid | — | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Scan | SCANMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medicare | $1.00 | $6,864.70 | $5,148.53 | 2026-04-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageCommercialDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Aetna | Better_Health_Medicaid | — | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | WPPA | PPO | $1.00 | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2025-01-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Centivo | PPO | $1.00 | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $1.00 | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Alignment Health Plan | AlignmentHealthPlanMedicare | — | — | — | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $14,744.00 | $9,583.60 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldReciprocity | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Affiliated Health Fund | AffiliatedHealthFundAHF | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldofCA | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | AMPS | PPO | $1.00 | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCaidDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Live Well | LiveWellIPAAncillary | — | — | — | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $3,394.27 | $2,783.30 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Morongo Basin Community Health | MorongoBasinCommunityHealth | — | — | — | 2025-01-31 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Cigna_HealthCare | HMO_PPO | — | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | United_HealthCare | Medicaid | — | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Aetna | QHP_Exchange | $1.00 | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetWholecarePurecareHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaNonGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $1.00 | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $1.00 | $4.73 | $2.37 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Central California Alliance For Health | CentralCAAllianceMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCare | — | — | — | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $3,394.27 | $2,783.30 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedBehavioral | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Imperial Health Plan | ImperialHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $3,394.27 | $2,783.30 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | CentralHealthPlanofCaliforniaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Naval Medical Center | NavalMedicalCenter | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CAHealthandWellnessMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetEnhancedCareSBGPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCareDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Nebraska Total Care | Managed Medicaid | $1.01 | $3.88 | $3.11 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $1.02 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $1.02 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $1.02 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $1.02 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $1.04 | $2.77 | $2.22 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $1.04 | $26.00 | $26.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.04 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.04 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $1.05 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $1.05 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $1.05 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $1.11 | $26.00 | $26.00 | 2026-05-15 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $1.11 | $17.33 | $7.37 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Optum | Behavioral Medicare | — | $17.33 | $7.37 | 2026-01-29 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $1.12 | $26.00 | $26.00 | 2026-05-15 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARPLUS | $1.13 | $16.12 | $16.12 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARHealth | $1.13 | $16.12 | $16.12 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | MCDSTAR | $1.13 | $16.12 | $16.12 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | CHIP | $1.13 | $16.12 | $16.12 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARKids | $1.13 | $16.12 | $16.12 | 2026-03-01 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $1.14 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $1.14 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $1.18 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $1.21 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $1.21 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $1.21 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $1.21 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIPPerinatal | $1.21 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR | $1.21 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR+PLUS | $1.21 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIP | $1.21 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $1.22 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $14,744.00 | $9,583.60 | 2025-11-26 | MRF ↗ |
| GRINNELL REGIONAL MEDICAL CENTER OutpatientFacility | Health Partners Open Network | Commercial | $1.23 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $1.26 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $1.26 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $1.29 | $3.88 | $3.11 | 2026-01-28 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MCDCHIPBH | $1.30 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $1.30 | $26.00 | $26.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $1.30 | $26.00 | $26.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $1.30 | $26.00 | $26.00 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MGMCD | $1.30 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $1.30 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $1.30 | $26.00 | $26.00 | 2026-03-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $1.30 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $1.30 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $1.30 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $1.31 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $1.31 | $24.00 | $24.00 | 2026-04-30 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $1.34 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $1.34 | — | — | 2026-03-01 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $1.36 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $1.37 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $1.37 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Cigna/Midlands | Commercial | $1.37 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Tricare | TRICARE | — | $22.75 | $18.20 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | US Family Health Plan | Tricare Prime | — | $22.75 | $18.20 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Aetna of PA | Medicare | $1.40 | $22.75 | $18.20 | 2026-03-06 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $1.40 | $26.00 | $26.00 | 2026-05-15 | MRF ↗ |
| GRINNELL REGIONAL MEDICAL CENTER OutpatientFacility | Medica Exchange Inspire | Commercial | $1.40 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $1.40 | $3.89 | $2.45 | 2026-01-27 | MRF ↗ |
| JONES REGIONAL MEDICAL CENTER OutpatientFacility | Health Partners Open Network | Commercial | $1.41 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| FINLEY HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $1.43 | $3.88 | $3.11 | 2026-01-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Commercial|Select PPO | $1.44 | $5,776.25 | $2,865.02 | 2026-02-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $1.44 | $3.88 | $3.11 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $1.44 | $3.88 | $3.11 | 2026-01-28 | MRF ↗ |
| TWIN CITY MEDICAL CENTER Outpatient | Aultcare | Commercial|Select PPO | $1.44 | $5,776.25 | $2,865.02 | 2026-02-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $1.45 | $3.88 | $3.11 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $1.46 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $1.49 | $2.52 | $2.52 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $1.49 | $2.52 | $2.52 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $1.49 | $2.52 | $2.52 | 2025-05-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $1.50 | — | — | 2026-02-13 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | El Paso First Health Plans | MGMCD | $1.51 | $27.00 | $27.00 | 2026-03-01 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $1.52 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Cigna/Midlands | Commercial | $1.52 | $2.77 | $2.22 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $1.53 | $3.89 | $3.12 | 2026-01-28 | MRF ↗ |
| TRINITY REGIONAL MEDICAL CENTER OutpatientFacility | Health Partners Open Network | Commercial | $1.53 | $3.90 | $3.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Health Partners Open Network | Commercial | $1.53 | $3.88 | $3.11 | 2026-01-28 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | CHIP | $1.54 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | CHIP | $1.54 | $9.28 | $9.28 | 2026-03-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $1.55 | $2.62 | $2.62 | 2025-05-01 | 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.