J0575 — Bupren/nal Over 10mg Bupreno
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BUPREN/NAL OVER 10MG BUPRENO (HCPCS J0575) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0575?code_type=HCPCS
MLA (9th ed.)
“BUPREN/NAL OVER 10MG BUPRENO (HCPCS J0575) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0575?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“BUPREN/NAL OVER 10MG BUPRENO (HCPCS J0575) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0575?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $19–$55 (25th–75th percentile) across 889 hospitals · 612 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0575 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $16.79 | $14.27 | 2025-01-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Cigna | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| ST PETER'S HOSPITAL BothFacility | Aetna Health | Medicare Advantage | $2.98 | $11.05 | $9.39 | 2025-01-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $3.20 | $16.02 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $3.20 | $16.02 | — | 2025-07-23 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Partners | Managed Medicaid | $3.27 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Ortho Carolina | Commercial | — | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Partners | Managed Medicaid | $3.27 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | IEX Commercial | — | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3.32 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3.35 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Behavioral Health | $3.35 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Healthy Blue | Managed Medicaid | $3.38 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Wellcare | Managed Medicaid | $3.38 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Behavioral Health | $3.38 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Carolina Complete Health | Managed Medicaid | $3.38 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Healthy Blue | Managed Medicaid | $3.41 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Carolina Complete Health | Managed Medicaid | $3.41 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Vaya | Managed Medicaid | $3.41 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Wellcare | Managed Medicaid | $3.41 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Vaya | Managed Medicaid | $3.45 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Alliance | Managed Medicaid | $3.47 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Alliance | Managed Medicaid | $3.48 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | Trillium | Managed Medicaid | $3.48 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | Trillium | Managed Medicaid | $3.52 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $3.65 | $18.24 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $3.65 | $18.24 | — | 2025-07-23 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $3.69 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $3.70 | $18.48 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $3.70 | $18.48 | — | 2025-07-23 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [HEALTHFIRST] | [MEDICARE ADV HMO AND PPO/MEDICAID ADV PLUS/ID DUAL CONN (DSNP)] | $3.70 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Behavioral Health | $3.72 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Healthy Blue | Managed Medicaid | $3.76 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Wellcare | Managed Medicaid | $3.76 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Carolina Complete Health | Managed Medicaid | $3.76 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Vaya | Managed Medicaid | $3.79 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Partners | Managed Medicaid | $3.79 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Alliance | Managed Medicaid | $3.83 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [Aetna] | [MTA MA Retirees] | $3.84 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | Trillium | Managed Medicaid | $3.87 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Partners | Managed Medicaid | $3.92 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Behavioral Health | $3.93 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Healthy Blue | Managed Medicaid | $3.96 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $3.96 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Carolina Complete Health | Managed Medicaid | $3.96 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4.00 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Vaya | Managed Medicaid | $4.00 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4.01 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Alliance | Managed Medicaid | $4.04 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Alliance | Behavioral Health | $4.05 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Trillium | Managed Medicaid | $4.08 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Carolina Complete Health | Managed Medicaid | $4.09 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Wellcare | Managed Medicaid | $4.09 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Healthy Blue | Managed Medicaid | $4.09 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Partners | Managed Medicaid | $4.12 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Vaya | Managed Medicaid | $4.13 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | United Healthcare | Managed Medicaid | $4.16 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Alliance | Managed Medicaid | $4.17 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| CAROLINAS MEDICAL CENTER-NORTHEAST OutpatientFacility | Trillium | Managed Medicaid | $4.21 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Partners | Managed Medicaid | $4.25 | $32.70 | $16.35 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4.28 | $32.70 | $16.35 | 2025-12-04 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | AllCare IPA | All Commercial Products | $4.31 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Health Net | All Commercial Products | — | — | — | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | BLUE CROSS | MEDI-CAL | $4.31 | — | — | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | LASALLE | MEDI-CAL | $4.31 | — | — | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | DIGNITY HEALTH | MEDI-CAL | $4.31 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Alliance | Managed Medicaid | $4.33 | $32.70 | $16.35 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Healthy Blue | Managed Medicaid | $4.37 | $32.70 | $16.35 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Wellcare | Managed Medicaid | $4.37 | $32.70 | $16.35 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Carolina Complete Health | Managed Medicaid | $4.37 | $32.70 | $16.35 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | United Healthcare | Managed Medicaid | $4.38 | $32.70 | $16.35 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Vaya | Managed Medicaid | $4.41 | $32.70 | $16.35 | 2025-12-04 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Trillium | Managed Medicaid | $4.50 | $32.70 | $16.35 | 2025-12-04 | MRF ↗ |
| ST PETER'S HOSPITAL BothFacility | Aetna Health | Medicare Advantage | $4.53 | $16.79 | $14.27 | 2025-01-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Individual Commercial/Student Health | $4.53 | $16.02 | — | 2025-07-23 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | HEALTHNET | MEDI-CAL | $4.55 | — | — | 2026-04-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Partners | Managed Medicaid | $4.58 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | United Healthcare | IEX Commercial | — | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Broughton Cardinal Partners | Commercial | — | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Cigna Healthspring | Medicare Advantage | — | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Physician Reach Out | Plan H | — | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4.61 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Healthy Blue | Managed Medicaid | $4.70 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Carolina Complete Health | Managed Medicaid | $4.70 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Wellcare | Managed Medicaid | $4.70 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MDWise | Managed Medicaid | $4.73 | — | — | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | MHS Hoosier Care Connect | Managed Medicaid | $4.73 | — | — | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | Managed Medicaid | $4.73 | — | — | 2026-02-13 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Vaya | Managed Medicaid | $4.75 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | UMR | Custom | $4.78 | $16.02 | — | 2025-07-23 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Trillium | Managed Medicaid | $4.84 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Alliance | Managed Medicaid | $4.85 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $4.89 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Broughton Cardinal Partners | Commercial | — | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | United Healthcare | IEX Commercial | — | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH PINEVILLE OutpatientFacility | United Healthcare | Managed Medicaid | $4.89 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | Managed Medicaid | $4.94 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Alliance | Behavioral Health | $4.94 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Wellcare | Managed Medicaid | $4.98 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Partners | Managed Medicaid | $4.98 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Carolina Complete Health | Managed Medicaid | $4.98 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Healthy Blue | Managed Medicaid | $4.98 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Vaya | Managed Medicaid | $5.03 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Alliance | Managed Medicaid | $5.03 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Alliance | Behavioral Health | $5.06 | $32.70 | $16.35 | 2025-12-04 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Inpatient | [UHC] | [NY METRO,CORE and CHARTER] | $5.09 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Inpatient | [UHC] | [NY Commercial] | $5.09 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Inpatient | [OXFORD] | [NY LIBERTY] | $5.09 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Inpatient | [OXFORD] | [NY FREEDOM] | $5.09 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Inpatient | [Empire] | [Blue Access] | $5.09 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Inpatient | [Empire] | [Connections] | $5.09 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Inpatient | [Empire] | [Commercial] | $5.09 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | Trillium | Managed Medicaid | $5.13 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Individual Commercial/Student Health | $5.16 | $18.24 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Individual Commercial/Student Health | $5.23 | $18.48 | — | 2025-07-23 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [EMBLEM] | [CBP] | $5.28 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [EMBLEM] | [SELECT CARE/MILLENNIUM NETWORK] | $5.28 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [EMBLEM] | [HIP] | $5.28 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [EMBLEM] | [GHI] | $5.28 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Small Large Group Commercial | $5.40 | $16.02 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | UMR | Custom | $5.44 | $18.24 | — | 2025-07-23 | MRF ↗ |
| ATRIUM HEALTH LINCOLN OutpatientFacility | United Healthcare | Managed Medicaid | $5.44 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Alliance | Behavioral Health | $5.47 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | UMR | Custom | $5.52 | $18.48 | — | 2025-07-23 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [HEALTHFIRST] | [COMM] | $5.56 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Aetna | Medicare | $5.66 | $16.02 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Cigna | $5.67 | $16.02 | — | 2025-07-23 | MRF ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $5.74 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Central California Alliance for Health | Managed Medicaid | $5.81 | — | — | 2026-04-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | CDPHP | Medicare Advantage | $5.97 | $11.05 | $9.39 | 2025-01-01 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [METROPLUS] | [GOLD AND GOLD PLUS] | $6.02 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [Empire] | [Blue Access] | $6.02 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [Empire] | [Commercial] | $6.02 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [Empire] | [Connections] | $6.02 | $9.26 | $9.26 | 2024-09-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Dignity IPA_Formerly IMG | Managed Medicaid | $6.03 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | La Salle IPA | Managed Medicaid | $6.03 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Sante IPA | All Commercial Products | $6.03 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Small Large Group Commercial | $6.15 | $18.24 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Aetna | Commercial | $6.15 | $16.02 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Small Large Group Commercial | $6.23 | $18.48 | — | 2025-07-23 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Kaiser | Managed Medicaid | $6.25 | — | — | 2026-04-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $6.25 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $6.25 | — | — | 2026-03-01 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Healthy Blue | Medicaid Managed Care | $6.32 | $43.60 | $21.80 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Carolina Complete | Medicaid Managed Care | $6.32 | $43.60 | $21.80 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Amerihealth | Medicaid Managed Care | $6.32 | $43.60 | $21.80 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Partners | Medicaid Tailored Plan | $6.32 | $43.60 | $21.80 | 2025-10-08 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | UMR | Standard | $6.34 | $16.02 | — | 2025-07-23 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Vaya | Medicaid Tailored Plan | $6.39 | $43.60 | $21.80 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | United Healthcare | Medicaid Managed Care | $6.39 | $43.60 | $21.80 | 2025-10-08 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Wellcare | Medicaid Managed Care | $6.39 | $43.60 | $21.80 | 2025-10-08 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Aetna | Medicare | $6.44 | $18.24 | — | 2025-07-23 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Alliance | Medicaid Tailored Plan | $6.45 | $43.60 | $21.80 | 2025-10-08 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $6.46 | — | — | 2025-03-27 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $6.46 | — | — | 2025-03-27 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Cigna | $6.46 | $18.24 | — | 2025-07-23 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | United Healthcare of Indiana | Managed Medicaid | $6.46 | — | — | 2025-03-27 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $6.46 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH OutpatientFacility | MDWise | Managed Medicaid | $6.46 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | MHS | Managed Medicaid | $6.46 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $6.46 | — | — | 2025-04-24 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH OutpatientFacility | Anthem of Indiana | Managed Medicaid | $6.46 | — | — | 2026-05-05 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Anthem HIP | Managed Medicaid | $6.46 | — | — | 2026-02-13 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $6.46 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $6.46 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH OutpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $6.46 | — | — | 2025-07-21 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Anthem IN | Managed Medicaid | $6.46 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | MHS Behavioral | Managed Medicaid | $6.46 | — | — | 2026-02-13 | MRF ↗ |
| REID HEALTH OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $6.46 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH OutpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $6.46 | — | — | 2025-07-21 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Caresource HIP | Managed Medicaid | $6.46 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Anthem IN Pathways for Aging | Managed Medicaid | $6.46 | — | — | 2026-02-13 | MRF ↗ |
| REID HEALTH OutpatientFacility | Caresource of Indiana | Managed Medicaid | $6.46 | — | — | 2025-07-21 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Caresource IN | Managed Medicaid | $6.46 | — | — | 2026-02-13 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | MDWise HIP | Managed Medicaid | $6.46 | — | — | 2026-02-13 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $6.46 | — | — | 2025-03-27 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | United Healthcare IN | Managed Medicaid | $6.46 | — | — | 2026-02-13 | MRF ↗ |
| NORTON CLARK HOSPITAL OutpatientFacility | Humana | Managed Medicaid | $6.46 | — | — | 2025-04-24 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Central Valley Medical Providers IPA | Managed Medicaid | $6.47 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Univseral Healthcare IPA | Managed Medicaid | $6.47 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Sequoia Health IPA | Managed Medicaid | $6.47 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Commercial | $6.50 | $16.02 | — | 2025-07-23 | MRF ↗ |
| HIGH POINT REGIONAL HEALTH SYSTEM OutpatientFacility | Trillium | Medicaid Tailored Plan | $6.51 | $43.60 | $21.80 | 2025-10-08 | MRF ↗ |
| NORTON SCOTT HOSPITAL OutpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $6.52 | — | — | 2025-03-27 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | Aetna | Medicare | $6.53 | $18.48 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Cigna | $6.54 | $18.48 | — | 2025-07-23 | MRF ↗ |
| Memorial Hospital For Cancer And Allied Diseases Outpatient | [URN] | [COMM] | $6.57 | $9.26 | $9.26 | 2024-09-15 | 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.