J0515 — Benztropine 1 Mg/ml Injection Solution
Cite this view
HANK Price Transparency. (n.d.). BENZTROPINE 1 MG/ML INJECTION SOLUTION (HCPCS J0515) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0515?code_type=HCPCS
“BENZTROPINE 1 MG/ML INJECTION SOLUTION (HCPCS J0515) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0515?code_type=HCPCS. Accessed .
“BENZTROPINE 1 MG/ML INJECTION SOLUTION (HCPCS J0515) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0515?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $41–$155 (25th–75th percentile) across 2,243 hospitals · 6,278 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0515 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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).
The middle 50% of negotiated facility rates for this procedure, measured across 2,243 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $85 |
| Likely subtotal | $85 |
- 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 |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $129.14 | $71.03 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | ApexHealth_Medicare_Advantage | HMO_Medicare | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $129.14 | $109.77 | 2025-01-01 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $153.74 | $53.35 | 2025-09-09 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare | Medicare_HMO_PPO | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Longevity_Health_Plan | Medicare | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Oscar_Health_Plan_of_NC | Medicare_HMO | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Humana_Health | PFFS_Medicare | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare | Medicaid | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $124.18 | $68.30 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Alignment_Medicare | HMO_PPO_Medicare | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $215.24 | $118.38 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $129.14 | $109.77 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Blue_Cross_Blue_Shield_of_North_Carolina | Medicare | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $153.74 | $53.35 | 2025-09-09 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Humana_Health | Medicare_HMO_PPO | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Aetna | Medicare | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Wellcare_of_NC | Medicare_HMO | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $215.24 | $118.38 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $344.38 | $241.07 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $124.18 | $68.30 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Aetna | Better_Health_Medicaid | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Troy_Medicare | Medicare_HMO_PPO | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $153.74 | $53.35 | 2025-09-09 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $23.78 | $11.89 | 2024-12-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 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 | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $0.07 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $0.07 | $0.72 | — | 2025-01-31 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Americhoice | MEDICAID | $0.08 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Americhoice | MEDICAID | $0.08 | $0.78 | — | 2025-01-31 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Amerigroup | ALL PRODUCTS | $0.08 | $0.78 | — | 2025-01-31 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Amerigroup | ALL PRODUCTS | $0.08 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Amerigroup | ALL PRODUCTS | $0.08 | $0.72 | — | 2025-01-31 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $0.08 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $0.08 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon NJ Health | ALL PRODUCTS | $0.08 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon NJ Health | ALL PRODUCTS | $0.08 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $0.08 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon NJ Health | ALL PRODUCTS | $0.08 | $0.72 | — | 2025-01-31 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $0.08 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $0.08 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon NJ Health | ALL PRODUCTS | $0.08 | $0.78 | — | 2025-01-31 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $0.08 | $0.78 | — | 2025-01-31 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Amerigroup | ALL PRODUCTS | $0.08 | $0.78 | — | 2025-01-31 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.08 | — | — | 2026-04-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Medicare | Medicare | $0.15 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Medicare | Medicare | $0.15 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Medicare | Medicare | $0.16 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Medicare | Medicare | $0.16 | $0.78 | — | 2025-01-31 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterHMO | $0.17 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | ValueHMO | $0.17 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | AmbetterEPO | $0.17 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.23 | $61.91 | $58.82 | 2026-02-20 | MRF ↗ |
| APPLING HEALTHCARE Inpatient | Aetna Commercial | PPO | $0.25 | $0.41 | $0.31 | 2026-03-30 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | OptionsPPO | $0.25 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.27 | $74.26 | $70.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.27 | $74.26 | $70.55 | 2026-02-20 | MRF ↗ |
| APPLING HEALTHCARE Outpatient | Anthem BCBS PPO | PPO | $0.27 | $0.41 | $0.31 | 2026-03-30 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | BCBS | Traditional | $0.29 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.30 | $61.91 | $58.82 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.30 | $74.26 | $70.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.30 | $61.91 | $58.82 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.30 | $61.91 | $58.82 | 2026-02-20 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | IMO Med - Select Network | WC | $0.30 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.30 | $61.91 | $58.82 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.30 | $61.91 | $58.82 | 2026-02-20 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.32 | $86.90 | $82.56 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.32 | $86.90 | $82.56 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.32 | $61.91 | $58.82 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.33 | $61.91 | $58.82 | 2026-02-20 | MRF ↗ |
| APPLING HEALTHCARE Outpatient | Beech Street | HMO | $0.33 | $0.41 | $0.31 | 2026-03-30 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.34 | $86.90 | $82.56 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $372.67 | $242.24 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.35 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.35 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.35 | $86.90 | $82.56 | 2026-02-20 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Shared Health | MGMCR | $0.35 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| APPLING HEALTHCARE Outpatient | Cigna Commercial | PPO | $0.35 | $0.41 | $0.31 | 2026-03-30 | MRF ↗ |
| APPLING HEALTHCARE Inpatient | Cigna Commercial | PPO | $0.36 | $0.41 | $0.31 | 2026-03-30 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Cigna | Cigna | $0.36 | $0.72 | — | 2025-01-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.36 | $74.26 | $70.55 | 2026-02-20 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Cigna Local | Cigna Local | $0.36 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross Omnia | Blue Cross Omnia | $0.36 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Cigna | Cigna | $0.36 | $0.72 | — | 2025-01-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.36 | $74.26 | $70.55 | 2026-02-20 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross Omnia | Blue Cross Omnia | $0.36 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Cigna Local | Cigna Local | $0.36 | $0.72 | — | 2025-01-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.36 | $74.26 | $70.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.36 | $74.26 | $70.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.36 | $74.26 | $70.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.36 | $74.26 | $70.55 | 2026-02-20 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | WC | $0.37 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Healthcare Foundation HEB | COMM | $0.37 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.38 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross | IMDEMITY | $0.38 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross | PPO | $0.38 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross | MANAGED CARE | $0.38 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross | PPO | $0.38 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross | IMDEMITY | $0.38 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross | MANAGED CARE | $0.38 | $0.72 | — | 2025-01-31 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Texas Workforce Commission | WCOMP | $0.39 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Cigna | Cigna | $0.39 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Cigna Local | Cigna Local | $0.39 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Cigna Local | Cigna Local | $0.39 | $0.78 | — | 2025-01-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.39 | $74.26 | $70.55 | 2026-02-20 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Cigna | Cigna | $0.39 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross Omnia | Blue Cross Omnia | $0.40 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross Omnia | Blue Cross Omnia | $0.40 | $0.78 | — | 2025-01-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.40 | $74.26 | $70.55 | 2026-02-20 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross | PPO | $0.41 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross | IMDEMITY | $0.41 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross | PPO | $0.41 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross | MANAGED CARE | $0.41 | $0.78 | — | 2025-01-31 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $0.41 | $407.70 | $122.31 | 2026-04-01 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $0.41 | $407.70 | $122.31 | 2026-04-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross | MANAGED CARE | $0.41 | $0.78 | — | 2025-01-31 | MRF ↗ |
| UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $0.41 | $407.70 | $122.31 | 2026-04-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Blue Cross | IMDEMITY | $0.41 | $0.78 | — | 2025-01-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.42 | $86.90 | $82.56 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.42 | $86.90 | $82.56 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.43 | $86.90 | $82.56 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.43 | $86.90 | $82.56 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.43 | $86.90 | $82.56 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.43 | $86.90 | $82.56 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.44 | $86.90 | $82.56 | 2026-02-20 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.45 | $79.95 | $29.58 | 2026-03-31 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Seven Corners | GVT | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | NaphCare | MGMCR | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Optum Health | COMM | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Averde Health | COMM | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon Casualty workers comp | Horizon Casualty workers comp | $0.45 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon Casualty Motor vehicle | ALL PRODUCTS | $0.45 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon Casualty workers comp | Horizon Casualty workers comp | $0.45 | $0.72 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon Casualty Motor vehicle | ALL PRODUCTS | $0.45 | $0.72 | — | 2025-01-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.46 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.46 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.46 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.46 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.46 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.47 | $86.90 | $82.56 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.48 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon Casualty Motor vehicle | ALL PRODUCTS | $0.49 | $0.78 | — | 2025-01-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.49 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon Casualty workers comp | Horizon Casualty workers comp | $0.49 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon Casualty Motor vehicle | ALL PRODUCTS | $0.49 | $0.78 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon Casualty workers comp | Horizon Casualty workers comp | $0.49 | $0.78 | — | 2025-01-31 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC InpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $0.50 | $0.72 | — | 2025-01-31 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | 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.