J0573 — Buprenorphine 4 Mg-naloxone 1 Mg Sublingual Film
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM (HCPCS J0573) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0573?code_type=HCPCS
MLA (9th ed.)
“BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM (HCPCS J0573) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0573?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“BUPRENORPHINE 4 MG-NALOXONE 1 MG SUBLINGUAL FILM (HCPCS J0573) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0573?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10–$33 (25th–75th percentile) across 1,111 hospitals · 1,397 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0573 — 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
$10
$18 typical
$33
The middle 50% of negotiated facility rates for this procedure, measured across 1,111 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $18 |
| Likely subtotal | $18 |
Facility charge (no separate professional fee)
$18
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 $10–$33.
- 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 |
|---|---|---|---|---|---|---|---|
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cigna] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [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 ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Aetna] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Uhc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Aetna Signature Administrators] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | 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 | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | 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 | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 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 ↗ |
| 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 | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Uhc] | [Comm] | $0.03 | $0.05 | $0.01 | 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 ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.04 | $11.69 | $11.11 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.04 | $11.69 | $11.11 | 2026-02-20 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark Aca] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.04 | $11.69 | $11.11 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.04 | $11.69 | $11.11 | 2026-02-20 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.05 | $11.69 | $11.11 | 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 | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.05 | $11.69 | $11.11 | 2026-02-20 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark] | [Comm] | $0.06 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.07 | $20.01 | $19.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.07 | $20.01 | $19.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.07 | $20.01 | $19.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.08 | $20.01 | $19.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.08 | $20.01 | $19.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.08 | $20.01 | $19.01 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.11 | $28.38 | $26.96 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.11 | $28.38 | $26.96 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.11 | $28.38 | $26.96 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.11 | $28.38 | $26.96 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.11 | $28.38 | $26.96 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.11 | $28.38 | $26.96 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.14 | $28.38 | $26.96 | 2026-02-20 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Cigna | PPO | $0.28 | — | — | 2026-05-11 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $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 ↗ |
| 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 | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Cigna | All Commercial Plans | $0.47 | — | — | 2026-04-01 | 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 | 1199SEIU National Benefit Funds | Commercial | — | $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 | United Healthcare | Medicare Advantage | — | $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 | Healthfirst | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $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 | Fidelis Care | Health Benefit Exchange | — | $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) | Essential Plan 3 & 4 | — | $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 | EmblemHealth | Managed Medicaid | — | $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 | Fidelis Care | Child Health Plus | — | $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 | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $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 | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $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 | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Mhs Health | Medicare Advantage | $0.60 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | United | Medicare Advantage | $0.61 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | United Healthcare | Charter | $0.62 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Medicare | Medicare | $0.63 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Va | Ccn | $0.70 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | United Healthcare | Commercial | $0.73 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | United Healthcare | Options PPO | $0.73 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | United Healthcare | Exchange | $0.73 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - EAST CAMPUS OutpatientFacility | Molina New Mexico | Medicaid | $0.78 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Molina New Mexico | Medicaid | $0.78 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $0.89 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - EAST CAMPUS OutpatientFacility | United Healthcare | Charter | $0.90 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - EAST CAMPUS OutpatientFacility | Molina | Medicaid | $0.91 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - EAST CAMPUS OutpatientFacility | Imperial Health | Medicare Advantage | $0.91 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Molina | Medicaid | $0.91 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $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 TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $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 TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Health Traditions | Commercial | $1.01 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Quartz | Health Solution | $1.03 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Wps | Commercial | $1.04 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Aspirus | Commercial | $1.05 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $1.06 | $5.18 | $4.15 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $1.06 | $5.18 | $4.15 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Amerivantage | Medicare Advantage | — | $5.18 | $4.15 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $1.10 | $5.38 | $4.31 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $1.10 | $5.38 | $4.31 | 2026-01-28 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Alliance | Commercial | $1.10 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | United | Commercial | $1.11 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - EAST CAMPUS OutpatientFacility | United Healthcare | Commercial | $1.11 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - EAST CAMPUS OutpatientFacility | United Healthcare | Options PPO | $1.11 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - EAST CAMPUS OutpatientFacility | United Healthcare | Exchange | $1.11 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $1.16 | $4.27 | $3.42 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $1.16 | $4.27 | $3.42 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $1.17 | $5.73 | $4.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $1.17 | $5.73 | $4.59 | 2026-01-28 | MRF ↗ |
| The Hospitals of Providence Emergency Room Montwood OutpatientFacility | Imperial Health | Medicare Advantage | $1.17 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Ghc | Commercial | $1.20 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Dhp | Commercial | $1.20 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Chorus | Commercial | $1.20 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mdwise | In Medicaid Hip | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Pathways For Aging | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hip | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mhs | In Medicaid Hhw | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hhw | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hip | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mdwise | In Medicaid Hhw | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hcc | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hhw | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Uhc | Pathways For Aging | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Humana | Pathways For Aging | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Caresource | In Medicaid Hip | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hcc | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Pathways For Aging | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mhs | In Medicaid Hcc | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hip | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hcc Bh | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Caresource | In Medicaid Hhw | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hhw | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Caresource | In Medicaid Hhw | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Pathways For Aging | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | Managed Medicaid | $1.24 | — | — | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MDWise | Managed Medicaid | $1.24 | — | — | 2026-02-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | Exchange | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MHS Hoosier Care Connect | Managed Medicaid | $1.24 | — | — | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | In Medicaid Hip | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Humana | Pathways For Aging | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hip | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hhw | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Pathways For Aging | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hhw | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Pathways For Aging | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Caresource | In Medicaid Hip | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mhs | In Medicaid Hip | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hcc | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | In Medicaid Hcc | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | In Medicaid Hhw | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Caresource | In Medicaid Hip | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $1.24 | — | — | 2026-05-13 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | In Medicaid | $1.24 | — | — | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Bcbs | All Commercial Plans | $1.25 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | First Health | Commercial | $1.27 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Humana | Pho | $1.30 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Phcs | Commercial | $1.33 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Multiplan | Primary | $1.33 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Both | Cigna | Commercial | $1.35 | $1.50 | $1.13 | 2026-07-15 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $1.36 | $5.18 | $4.15 | 2026-01-28 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - EAST CAMPUS OutpatientFacility | Imperial Health | Medicare Advantage | $1.36 | $26.21 | $20.97 | 2026-03-24 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $1.41 | $5.38 | $4.31 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $1.49 | $4.27 | $3.42 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $1.50 | $5.73 | $4.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $1.52 | $5.18 | $4.15 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $1.57 | $5.80 | $4.64 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $1.57 | $5.80 | $4.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $1.58 | $5.38 | $4.31 | 2026-01-28 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Anthem In | Managed Care Medicaid Plan | $1.61 | $40.79 | $20.80 | 2026-07-18 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Mhs In | Managed Care Medicaid Plan | $1.61 | $40.79 | $20.80 | 2026-07-18 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $1.67 | $4.27 | $3.42 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $1.68 | $4.27 | $3.42 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $1.68 | $5.73 | $4.59 | 2026-01-28 | MRF ↗ |
| Children's Hospital & Medical Center Transplant Outpatient | Caresource In | Managed Care Medicaid Plan | $1.69 | $40.79 | $20.80 | 2026-07-18 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $1.72 | $5.18 | $4.15 | 2026-01-28 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Blue Cross Blue Shield Co | — | $1.72 | $3.50 | — | 2026-07-30 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | STARKids | $1.75 | $25.05 | $25.05 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | STARPLUS | $1.75 | $25.05 | $25.05 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | STARHealth | $1.75 | $25.05 | $25.05 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | CHIP | $1.75 | $25.05 | $25.05 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY PLANO Outpatient | Superior Health Plan | MCDSTAR | $1.75 | $25.05 | $25.05 | 2026-03-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.