J0517 — Benralizumab 30 Mg/ml Subcutaneous Syringe
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE (HCPCS J0517) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0517?code_type=HCPCS
MLA (9th ed.)
“BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE (HCPCS J0517) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0517?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“BENRALIZUMAB 30 MG/ML SUBCUTANEOUS SYRINGE (HCPCS J0517) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0517?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $190–$11,841 (25th–75th percentile) across 2,201 hospitals · 5,745 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0517 — 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
$190
$919 typical
$11,841
The middle 50% of negotiated facility rates for this procedure, measured across 2,201 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $919 |
| Likely subtotal | $919 |
Facility charge (no separate professional fee)
$919
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 $190–$11,841.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $12,415.49 | $6,207.74 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $12,415.49 | $6,207.74 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $17,030.25 | $14,475.71 | 2025-01-01 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| UNC HOSPITALS Outpatient | Contigo | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ultra | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ppo | $0.14 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $28,243.00 | $20,052.53 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $28,617.00 | $20,318.07 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $28,617.00 | $20,318.07 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $28,243.00 | $20,052.53 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $28,243.00 | $20,052.53 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $28,617.00 | $20,318.07 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Nalc Health Benefit Plan | Hmo/Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Tricare | Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Trillium | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Carolina Complete Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Choice | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Partners | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Preferred Plus Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Exchange | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Health Network | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alliance | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Vaya Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $1,066.04 | — | 2026-07-01 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $0.62 | $1.04 | $0.73 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $0.62 | $1.04 | $0.73 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $0.78 | $1.04 | $0.73 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | UHC COMMERCIAL-ALL OTHER PLANS | UHC COMMERCIAL-ALL OTHER PLANS | $0.78 | $1.04 | $0.73 | 2025-07-17 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | HUMANA PPO-ALL OTHER PLANS | HUMANA PPO-ALL OTHER PLANS | $0.78 | $1.04 | $0.73 | 2025-07-17 | MRF ↗ |
| NATIONAL JEWISH HEALTH Both | Cigna | Hmo Ppo | $0.80 | $365.96 | $256.17 | 2026-07-15 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare Health Plans | Medicare Advantage Non-Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Provider Partners Health Plans | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Arkansas Total Care | Managed Medicaid | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare Health Plans | Medicare Advantage Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Empower Healthcare Solutions | Managed Medicaid | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Anthem | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | QualChoice of Arkansas | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Primewell Health Services | Exchange | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Harmony Health Plan | Medicare Advantage Non-Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Primewell Health Services | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Harmony Health Plan | Medicare Advantage Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Wellcare by Allwell | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Arkansas Superior Select | Dual Eligible Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Assured Benefits Administrators | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Covenant Healthcare | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Cigna Healthspring | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Assured Benefits | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Ambetter | Marketplace Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| KEARNEY REGIONAL MEDICAL CENTER Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $0.94 | $1.04 | $0.73 | 2025-07-17 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Assured Benefits Administrators | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Windsor | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Windsor | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Assured Benefits Administrators | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $17,046.68 | $13,978.28 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $17,046.68 | $13,978.28 | 2025-11-26 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $1.00 | $9,671.95 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $1.00 | $9,671.95 | — | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $17,046.68 | $13,978.28 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $17,046.68 | $13,978.28 | 2025-11-26 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $1.00 | $9,671.95 | — | 2026-04-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $17,046.68 | $13,978.28 | 2025-11-26 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $1.00 | $9,671.95 | — | 2026-04-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $17,046.68 | $13,978.28 | 2025-11-26 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $28,266.25 | $28,266.25 | 2026-04-01 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $1.64 | $913.00 | $168.13 | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $1.64 | $913.00 | $168.13 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.64 | $913.00 | $167.12 | 2024-12-31 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Blue Cross Blue Shield Co | — | $1.72 | $3.50 | — | 2026-07-30 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $1.80 | $1,001.39 | $168.13 | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $1.80 | $1,001.39 | $168.13 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.80 | $1,001.39 | $167.12 | 2024-12-31 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $21,049.38 | $13,682.10 | 2026-06-15 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Both | BLUECHOICE [810] | PHM BLUECHOICE RICHLAND | $2.44 | $567.68 | $368.99 | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Both | BLUECHOICE [810] | PHM BLUECHOICE RICHLAND | $2.44 | $567.68 | $368.99 | 2026-03-01 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Commercial | — | $2.45 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Uhc Ip | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cofinity | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm Op: Par/ Ppo/ Pos/ Hmo | — | $2.80 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $3.00 | $6.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $3.00 | $6.00 | — | 2026-02-27 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Aetna/ First Health Ccn | — | $3.08 | $3.50 | — | 2026-07-30 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $3.09 | $7.96 | $6.37 | 2026-09-25 | MRF ↗ |
| FLOYD VALLEY HEALTHCARE Outpatient | Medica Insurance | Com | $3.10 | $8,806.00 | $8,806.86 | 2026-07-15 | MRF ↗ |
| FLOYD VALLEY HEALTHCARE Outpatient | Medica Insurance | Ind | $3.10 | $8,806.00 | $8,806.86 | 2026-07-15 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Com | $3.11 | $10,000.00 | $9,700.32 | 2026-07-15 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Ind | $3.11 | $10,000.00 | $9,700.32 | 2026-07-15 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Outpatient | Medica Insurance | Ind | $3.11 | $22,704.00 | $22,023.84 | 2026-05-09 | MRF ↗ |
| AVERA ST ANTHONY'S HOSPITAL Outpatient | Medica Insurance | Ind | $3.11 | $22,647.00 | $21,968.51 | 2026-05-09 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Outpatient | Medica Insurance | Com | $3.11 | $22,704.00 | $22,023.84 | 2026-05-09 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Com | $3.11 | $22,663.00 | $21,983.71 | 2026-07-18 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Ind | $3.11 | $22,663.00 | $21,983.71 | 2026-07-18 | MRF ↗ |
| AVERA ST ANTHONY'S HOSPITAL Outpatient | Medica Insurance | Com | $3.11 | $22,647.00 | $21,968.51 | 2026-05-09 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $3.18 | $7.96 | $6.37 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $3.18 | $7.96 | $6.37 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $3.18 | $7.96 | $6.37 | 2026-09-25 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cigna | — | $3.27 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $3.30 | $6.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $3.30 | $6.00 | — | 2026-02-27 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm: Mcr Adv | — | $3.50 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Mcr Adv | — | $3.50 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $3.90 | $6.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $3.90 | $6.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $4.08 | $6.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $4.08 | $6.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $4.50 | $6.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $4.50 | $6.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $4.80 | $6.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $4.80 | $6.00 | — | 2026-02-27 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $5.05 | $62,855.79 | $38,970.59 | 2025-07-01 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $5.47 | $28,509.49 | $18,531.17 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $5.47 | $28,509.49 | $18,531.17 | 2026-03-30 | 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.