J0565 — Bezlotoxumab 25 Mg/ml Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION (HCPCS J0565) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0565?code_type=HCPCS
MLA (9th ed.)
“BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION (HCPCS J0565) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0565?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“BEZLOTOXUMAB 25 MG/ML INTRAVENOUS SOLUTION (HCPCS J0565) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0565?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $45–$8,068 (25th–75th percentile) across 1,936 hospitals · 4,573 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0565 — 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
$45
$160 typical
$8,068
The middle 50% of negotiated facility rates for this procedure, measured across 1,936 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $160 |
| Likely subtotal | $160 |
Facility charge (no separate professional fee)
$160
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 $45–$8,068.
- 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 | — | $11,400.00 | $6,270.00 | 2025-01-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Aetna | First Health - Leased/CCN | $0.15 | $950.00 | $712.50 | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $6,281.40 | $4,459.79 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $15,338.60 | $10,890.41 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $6,281.40 | $4,459.79 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $15,338.60 | $10,890.41 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $15,338.60 | $10,890.41 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $6,281.40 | $4,459.79 | 2026-07-15 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.37 | $203.11 | $39.86 | 2024-12-31 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.47 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.48 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.48 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.48 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $342.00 | — | 2026-07-01 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $0.91 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $0.92 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $0.96 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $0.97 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $0.97 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - Medicare | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | POS | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | San Diego Pace | San Diego Pace | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medicare | Medicare | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | Medicare Advantage | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | HMO | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | — | $950.00 | $712.50 | 2025-07-01 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $1.03 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $1.03 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $1.03 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $1.03 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Humana Choicecare Plan | Commercial | $1.09 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Multiplan Plan | Commercial | $1.09 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.11 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.11 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.11 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.14 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Network Plan | Medicare | $1.15 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.17 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.20 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Access Medicaid Hmo Plan | Medicaid Hmo | $1.21 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid New Mexico Plan | Medicaid | $1.21 | $1.21 | $0.97 | 2026-09-25 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $18,379.00 | $18,379.00 | 2026-04-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | 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 | 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 | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.47 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.47 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.50 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.56 | $300.20 | $285.19 | 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 ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.62 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.44 | — | — | 2026-03-18 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $3.92 | $11,569.48 | $10,991.01 | 2026-07-15 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | HOPE Trust | Commercial | — | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Health Alliance | Medicare Advantage | — | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Samaritan Employee Health Plan | Commercial | — | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | UMR Hannibal Regional Healthcare System | Commercial | $4.17 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $5.24 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $5.24 | — | — | 2024-10-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | California Physicians' Service dba Blue Shield of California | PPO | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | 6 Degrees Health | Commercial | $5.61 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | Anthem Blue Cross and Blue Shield | Blue Preferred | $5.61 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | Anthem Blue Cross and Blue Shield | Pathway/Pathway X | $5.61 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | Cigna HealthCare of St Louis | Commercial | $5.90 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | Aetna | HMO/POS/PPO | $5.91 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | HealthLink | HMO | $6.06 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | United Healthcare of the Midwest | Commercial | $6.06 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | Anthem Blue Cross and Blue Shield | Alliance (Blue Access) | $6.06 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | Current Health Network | Commercial | $6.06 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | HealthLink | PPO | $6.06 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | 6 Degrees Health | Commercial | $6.06 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | Health Alliance | Commercial | $6.29 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $6.65 | $133.00 | $133.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $6.65 | $133.00 | $133.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $6.65 | $133.00 | $133.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $6.65 | $133.00 | $133.00 | 2026-03-01 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | Aetna | Self-Funded | $6.82 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | Anthem Blue Cross and Blue Shield | Traditional | $6.82 | $7.58 | $4.55 | 2025-04-25 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $6.85 | — | — | 2026-03-31 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $11,861.00 | $4,625.79 | 2026-07-31 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Both | Novanet | Commercial - Outpatient | $7.47 | $49.78 | $27.38 | 2026-07-15 | MRF ↗ |
| ELLETT MEMORIAL HOSPITAL Both | Unitedhealthcare | — | $7.59 | $7.59 | $5.69 | 2026-07-15 | MRF ↗ |
| ELLETT MEMORIAL HOSPITAL Both | Bluecrossks | — | $7.59 | $7.59 | $5.69 | 2026-07-15 | MRF ↗ |
| ELLETT MEMORIAL HOSPITAL Both | Ambetter | — | $7.59 | $7.59 | $5.69 | 2026-07-15 | MRF ↗ |
| ELLETT MEMORIAL HOSPITAL Both | Cigna | — | $7.59 | $7.59 | $5.69 | 2026-07-15 | MRF ↗ |
| ELLETT MEMORIAL HOSPITAL Both | Blueoutofstate | All | $7.59 | $7.59 | $5.69 | 2026-07-15 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $8.76 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $8.76 | — | — | 2025-12-23 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STAR | $9.38 | $156.38 | $156.38 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STARKids | $9.38 | $156.38 | $156.38 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | CHIP | $9.38 | $156.38 | $156.38 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | CHPFC | $9.38 | $156.38 | $156.38 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STARPLUS | $9.38 | $156.38 | $156.38 | 2026-05-14 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | POS | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | CHIP | $9.38 | $156.38 | $156.38 | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | STAR | $9.38 | $156.38 | $156.38 | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | STARKids | $9.38 | $156.38 | $156.38 | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | STARPLUS | $9.38 | $156.38 | $156.38 | 2026-09-01 | MRF ↗ |
| North Houston Surgical Hospital Llc Outpatient | Superior Health Plan | CHPFC | $9.38 | $156.38 | $156.38 | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | PPO | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | HMO | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $11.21 | $311.46 | $56.06 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Medicaid | Node Tx Medicaid | $11.21 | $311.46 | $56.06 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $11.21 | $311.46 | $56.06 | 2026-07-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $11.44 | $268.00 | $268.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $11.44 | $268.00 | $268.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $11.66 | $268.00 | $268.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $11.66 | $268.00 | $268.00 | 2026-04-30 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $11.73 | $192.15 | $81.67 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Optum | Behavioral Medicare | — | $192.15 | $81.67 | 2026-01-29 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $11.77 | $311.46 | $56.06 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $11.77 | $311.46 | $56.06 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Plus Medicaid Tx | Node Wellpoint Star Plus Medicaid Tx | $11.77 | $311.46 | $56.06 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Superior | Node Superior Star Plus Medicaid Tx | $11.77 | $311.46 | $56.06 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $11.77 | $311.46 | $56.06 | 2026-07-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $11.80 | $295.00 | $295.00 | 2026-06-24 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Essentials Hix | Hmo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Commercial Choice | Ppo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bluechoice Blueoption Hix | Ppo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Select Health Of Sc Qhp | Hmo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Medicare Advantage | Hmo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicare Advantage | Hmo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medcost | Ppo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bardavon Health Innovations, Llc | Wc | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Medrisk | Wc | $11.95 | $6,861.00 | $4,460.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Medicare Advantage | Hmo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Upmc Medicare Advantage | Hmo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Molina Healthcare Of Sc Qhp | Hmo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Medicare Advantage | Hmo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Allwell Medicare Advantage | Hmo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $6,861.00 | $4,460.00 | 2026-07-15 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.