J0572 — Buprenorphine 2 Mg-naloxone 0.5 Mg Sublingual Film
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM (HCPCS J0572) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0572?code_type=HCPCS
MLA (9th ed.)
“BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM (HCPCS J0572) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0572?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“BUPRENORPHINE 2 MG-NALOXONE 0.5 MG SUBLINGUAL FILM (HCPCS J0572) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0572?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$19 (25th–75th percentile) across 1,590 hospitals · 3,241 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0572 — 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
$4
$10 typical
$19
The middle 50% of negotiated facility rates for this procedure, measured across 1,590 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $10 |
| Likely subtotal | $10 |
Facility charge (no separate professional fee)
$10
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 $4–$19.
- 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $1.01 | $0.56 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1.01 | $0.56 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1.54 | $0.85 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1.01 | $0.86 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1.01 | $0.86 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $1.01 | $0.56 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1.54 | $0.85 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $1.54 | $1.31 | 2025-01-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-10-22 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Uhc] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.03 | $8.44 | $8.02 | 2026-02-20 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Geisinger] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $0.03 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Aetna Signature Administrators] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $0.03 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Aetna Signature Administrators] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.03 | $7.03 | $6.68 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.03 | $8.44 | $8.02 | 2026-02-20 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-10-22 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Aetna Signature Administrators] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Community Care | Medicare Advantage | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.03 | $8.44 | $8.02 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.03 | $7.03 | $6.68 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.03 | $8.44 | $8.02 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.03 | $8.44 | $8.02 | 2026-02-20 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Aetna] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.03 | $7.03 | $6.68 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.03 | $7.03 | $6.68 | 2026-02-20 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Highmark] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Uhc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cigna] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Cigna] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.03 | $7.03 | $6.68 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.03 | $8.44 | $8.02 | 2026-02-20 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Aetna] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.03 | $7.03 | $6.68 | 2026-02-20 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Uhc] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Chip] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Aetna] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $0.04 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $0.04 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $0.04 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $0.04 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.04 | $12.01 | $11.41 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.04 | $12.01 | $11.41 | 2026-02-20 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark Aca] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.04 | $12.01 | $11.41 | 2026-02-20 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Nebraska Total Care | Managed Medicaid | $0.04 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $0.05 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $0.05 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.05 | $12.01 | $11.41 | 2026-02-20 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark Choice Blue] | [Comm] | $0.05 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.05 | $12.01 | $11.41 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.05 | $12.01 | $11.41 | 2026-02-20 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $0.06 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $0.06 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark] | [Comm] | $0.06 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Health Partners Open Network | Commercial | $0.06 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $0.06 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $0.06 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $0.06 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $0.06 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.06 | $15.83 | $15.04 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.06 | $15.83 | $15.04 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.06 | $15.83 | $15.04 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.06 | $15.83 | $15.04 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.06 | $15.83 | $15.04 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.06 | $15.83 | $15.04 | 2026-02-20 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Aetna | PPO | $0.07 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Aetna | PPO | $0.07 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Aetna | HMO | $0.07 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Aetna | PPO | $0.07 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Insure | Commercial | $0.07 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $0.07 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Aetna | HMO | $0.07 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Aetna | HMO | $0.07 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $0.08 | $0.30 | $0.24 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Medica Exchange Insure | Commercial | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $0.08 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Health Partners Open Network | Commercial | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Cigna/Midlands | Commercial | $0.08 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Medica Exchange Inspire | Commercial | $0.08 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Humana | Medicare Advantage | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Health Alliance | Medicare Advantage | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | PPO | $0.08 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | HMO | $0.08 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Aetna | PPO | $0.08 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | United Healthcare | HMO | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Medica Exchange Inspire | Commercial | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Iowa Total Care | Managed Medicaid | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Cigna/Midlands | Commercial | $0.08 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | United Healthcare | Medicare Advantage | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | United Healthcare | PPO | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $0.08 | $0.30 | $0.24 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Aetna | HMO | $0.08 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Meridian Health Plan | Medicare Advantage | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Avera Health Plan | Commercial | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Nebraska Total Care | Managed Medicaid | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Medica Exchange Inspire | Commercial | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Iowa Total Care | Managed Medicaid | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Health Partners Open Network | Commercial | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | PPO | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Aetna | PPO | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Amerigroup | Managed Medicaid | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | HMO | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Cigna/Midlands | Commercial | $0.09 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Medica Exchange Insure | Commercial | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Aetna | HMO | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Medica Exchange Insure | Commercial | $0.09 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Amerivantage | Medicare Advantage | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER InpatientFacility | Molina | Medicare Advantage | — | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL InpatientFacility | Cigna/Midlands | Commercial | $0.10 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Avera Health Plan | Commercial | $0.10 | $0.15 | $0.12 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $0.11 | $0.30 | $0.24 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $0.12 | $0.30 | $0.24 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $0.12 | $0.30 | $0.24 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Insure | Commercial | $0.13 | $0.30 | $0.24 | 2026-01-28 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $190.00 | $123.50 | 2025-11-26 | MRF ↗ |
| BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS OutpatientFacility | Superior Health Plan | Medicaid | $0.15 | $1.85 | $1.11 | 2026-02-21 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Aetna | HMO | $0.15 | $0.30 | $0.24 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Aetna | PPO | $0.15 | $0.30 | $0.24 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Nebraska Total Care | Managed Medicaid | $0.16 | $0.63 | $0.51 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Cigna/Midlands | Commercial | $0.16 | $0.30 | $0.24 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Cigna/Midlands | Commercial | $0.16 | $0.30 | $0.24 | 2026-01-28 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | HEALTHPARTNERS | COMMERCIAL | $0.18 | $0.66 | $0.30 | 2025-12-17 | MRF ↗ |
| NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER OutpatientFacility | Carolina Complete | Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | KM | $0.20 | $1.38 | $0.83 | 2026-01-13 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | Superior Health Plan | Medicaid | $0.20 | $1.85 | $1.11 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $0.20 | $1.85 | $1.11 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT & WHITE THE HEART HOSPITAL PLANO OutpatientFacility | Superior Health Plan | Medicaid | $0.20 | $1.85 | $1.11 | 2026-02-20 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | WellPoint (fka Amerigroup) | CHIP/Medicaid | $0.20 | $1.85 | $1.11 | 2026-02-21 | MRF ↗ |
| BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE OutpatientFacility | Superior Health Plan | Medicaid | $0.20 | $1.85 | $1.11 | 2026-02-21 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility | AmeriHealth | Medicaid | — | — | — | 2026-03-31 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $0.20 | $1.11 | $0.61 | 2026-02-19 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | Aetna | MCR | $0.21 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.21 | $1.05 | $1.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.21 | $1.05 | $1.05 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.21 | $1.05 | $1.05 | 2026-03-31 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MCRHMO | $0.21 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA WEST HOSPITAL Outpatient | BCBS | MCRPPO | $0.21 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $0.22 | $1.11 | $0.61 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $0.22 | $1.11 | $0.61 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | LLUH Dept of Risk Management | WC | $0.22 | $1.11 | $0.61 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $0.22 | $1.11 | $0.61 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Adventist Health | Commercial | $0.22 | $1.11 | $0.61 | 2026-02-19 | MRF ↗ |
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST OutpatientFacility | Superior Health Plan | Medicaid | $0.22 | $1.85 | $1.11 | 2026-02-19 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MINNESOTACARE-MANAGED MEDICAID | $0.22 | $0.66 | $0.30 | 2025-12-17 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $0.23 | $1.73 | $0.31 | 2026-02-28 | MRF ↗ |
| BAYLOR SCOTT & WHITE HOSPITAL BRENHAM OutpatientFacility | Baylor Scott & White Health Plan | Medicare Advantage | $0.23 | $1.85 | $1.11 | 2026-02-21 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM OutpatientFacility | Kaiser Public Option | Commercial | $0.23 | $1.00 | $0.45 | 2025-11-01 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $0.23 | $1.73 | $0.31 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $0.23 | $1.73 | $0.31 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $0.23 | $1.73 | $0.31 | 2026-02-28 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Aetna | Medicare Advantage | $0.23 | $1.01 | $0.57 | 2025-01-01 | MRF ↗ |
| HCA FLORIDA RAULERSON HOSPITAL Outpatient | BCBS | MCRHMO | $0.23 | $3.63 | $3.63 | 2026-03-01 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | ACCESSABILITY SOLUTION-Dual | $0.23 | $0.66 | $0.30 | 2025-12-17 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $0.23 | $1.73 | $0.31 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $0.23 | $1.73 | $0.31 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $0.23 | $1.73 | $0.31 | 2026-02-28 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MSC+ Dual | $0.23 | $0.66 | $0.30 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MSHO | $0.23 | $0.66 | $0.30 | 2025-12-17 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $0.23 | $1.73 | $0.31 | 2026-02-28 | 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.