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 $18–$55 (25th–75th percentile) across 1,023 hospitals · 684 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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.
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
$18
$30 typical
$55
The middle 50% of negotiated facility rates for this procedure, measured across 1,023 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $30 |
| Likely subtotal | $30 |
Facility charge (no separate professional fee)
$30
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 $18–$55.
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $16.79 | $14.27 | 2025-01-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-10-22 | 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 ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Community Care | Medicare Advantage | — | — | — | 2026-10-22 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.28 | — | — | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Cigna | PPO | $0.28 | — | — | 2026-05-11 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Cigna | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | 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 EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Blue Cross Blue Shield Co | — | $1.72 | $3.50 | — | 2026-07-30 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $36.86 | $23.96 | 2026-06-15 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Commercial | — | $2.45 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Uhc Ip | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cofinity | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm Op: Par/ Ppo/ Pos/ Hmo | — | $2.80 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ST PETER'S HOSPITAL BothFacility | Aetna Health | Medicare Advantage | $2.98 | $11.05 | $9.39 | 2025-01-01 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Aetna/ First Health Ccn | — | $3.08 | $3.50 | — | 2026-07-30 | 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 | Ortho Carolina | Commercial | — | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| ATRIUM HEALTH UNIVERSITY CITY OutpatientFacility | United Healthcare | HMO-PPO Managed Care | — | $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 PINEVILLE 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 ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cigna | — | $3.27 | $3.50 | — | 2026-07-30 | 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 | Carolina Complete Health | Managed Medicaid | $3.38 | $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 UNIVERSITY CITY OutpatientFacility | Alliance | Behavioral Health | $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 | 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 ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Upmc] | [Ma] | $3.42 | $9.50 | $2.27 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Cbc] | [Chip] | $3.42 | $9.50 | $2.27 | 2026-07-18 | 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 PINEVILLE OutpatientFacility | Trillium | Managed Medicaid | $3.48 | $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 UNIVERSITY CITY OutpatientFacility | Trillium | Managed Medicaid | $3.52 | $32.70 | $16.35 | 2025-12-05 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Uhc] | [Chip] | $3.61 | $9.50 | $2.27 | 2026-07-18 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $3.65 | $18.24 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $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 ↗ |
| 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 ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $3.70 | $18.48 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $3.70 | $18.48 | — | 2025-07-23 | 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 | Wellcare | Managed Medicaid | $3.96 | $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 | Carolina Complete Health | Managed Medicaid | $3.96 | $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 ↗ |
| STANLY REGIONAL MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | 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 ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Upmc] | [Chip] | $4.03 | $9.50 | $2.27 | 2026-07-18 | 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 | Healthy Blue | 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 | 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 ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | BLUE CROSS | MEDI-CAL | $4.31 | — | — | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | DIGNITY HEALTH | MEDI-CAL | $4.31 | — | — | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | LASALLE | MEDI-CAL | $4.31 | — | — | 2026-04-01 | 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 ↗ |
| 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 | Carolina Complete Health | 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 | 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 ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $4.50 | — | — | 2026-07-15 | MRF ↗ |
| ATRIUM HEALTH UNION OutpatientFacility | Trillium | Managed Medicaid | $4.50 | $32.70 | $16.35 | 2025-12-04 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $4.50 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $4.50 | — | — | 2026-05-13 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Cigna] | [Comm] | $4.51 | $9.50 | $2.27 | 2026-07-18 | 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 | Physician Reach Out | Plan H | — | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Partners | Managed Medicaid | $4.58 | $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 | Broughton Cardinal Partners | Commercial | — | $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 | 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 ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $4.70 | $78.28 | $31.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $4.70 | $78.28 | $31.00 | 2026-07-15 | MRF ↗ |
| ATRIUM HEALTH CLEVELAND OutpatientFacility | Wellcare | 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 | Healthy Blue | Managed Medicaid | $4.70 | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hcc | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | In Medicaid | $4.73 | — | — | 2026-07-15 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hip | $4.73 | — | — | 2026-09-16 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hcc Bh | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hhw | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mhs | In Medicaid Hcc | $4.73 | — | — | 2026-09-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Humana | Pathways For Aging | $4.73 | — | — | 2026-09-16 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mdwise | In Medicaid Hip | $4.73 | — | — | 2026-09-21 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mhs | In Medicaid Hhw | $4.73 | — | — | 2026-09-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Caresource | In Medicaid Hip | $4.73 | — | — | 2026-09-16 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Uhc | Pathways For Aging | $4.73 | — | — | 2026-09-16 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | In Medicaid Hcc | $4.73 | — | — | 2026-09-21 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Pathways For Aging | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Pathways For Aging | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mdwise | In Medicaid Hhw | $4.73 | — | — | 2026-09-16 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | Pathways For Aging | $4.73 | — | — | 2026-09-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | Exchange | $4.73 | — | — | 2026-09-16 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Caresource | In Medicaid Hip | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hip | $4.73 | — | — | 2026-09-16 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Pathways For Aging | $4.73 | — | — | 2026-09-21 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Caresource | In Medicaid Hip | $4.73 | — | — | 2026-09-21 | MRF ↗ |
| MEMORIAL HOSPITAL AND HEALTH CARE CENTER OutpatientFacility | Anthem | Managed Medicaid | $4.73 | — | — | 2026-02-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Caresource | In Medicaid Hhw | $4.73 | — | — | 2026-09-21 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Caresource | In Medicaid Hhw | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hhw | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hcc | $4.73 | — | — | 2026-09-16 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Humana | Pathways For Aging | $4.73 | — | — | 2026-09-21 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mdwise | In Medicaid Hhw | $4.73 | — | — | 2026-09-21 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hcc | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hhw | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Pathways For Aging | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mhs | In Medicaid Hip | $4.73 | — | — | 2026-09-21 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Anthem | In Medicaid Hip | $4.73 | — | — | 2026-09-16 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | In Medicaid Hhw | $4.73 | — | — | 2026-09-21 | 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 | MDWise | Managed Medicaid | $4.73 | — | — | 2026-02-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | In Medicaid Hip | $4.73 | — | — | 2026-05-13 | MRF ↗ |
| COMMUNITY HOSPITAL OF BREMEN INC Outpatient | Mhs | In Medicaid Hhw | $4.73 | — | — | 2026-09-16 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Anthem | In Medicaid Hip | $4.73 | — | — | 2026-09-21 | 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 ↗ |
| WEISER MEMORIAL HOSPITAL BothFacility | TriWest | Tricare for Life | $4.78 | $8.65 | $6.49 | 2026-08-18 | 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 | United Healthcare | HMO-PPO Managed Care | — | $32.70 | $16.35 | 2025-12-01 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Cbc] | [Comm] | $4.89 | $9.50 | $2.27 | 2026-07-18 | MRF ↗ |
| ATRIUM HEALTH ANSON OutpatientFacility | United Healthcare | IEX Commercial | — | $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 | Amerihealth Caritas | Managed Medicaid | $4.89 | $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 ↗ |
| WEISER MEMORIAL HOSPITAL BothFacility | SelectHealth | All Plans | $4.93 | $8.65 | $6.49 | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL BothFacility | Molina Healthcare | Medicare Advantage | $4.93 | $8.65 | $6.49 | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL BothFacility | MODA Health Plan | Medicare Advantage | $4.93 | $8.65 | $6.49 | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL BothFacility | American Health Plan of Utah | All Plans | $4.93 | $8.65 | $6.49 | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL BothFacility | United Healthcare | Medicare Advantage | $4.93 | $8.65 | $6.49 | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL BothFacility | Blue Cross of Idaho | Medicare Advantage | $4.93 | $8.65 | $6.49 | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL BothFacility | Regence Blue Shield of Idaho | VACCN | $4.93 | $8.65 | $6.49 | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL BothFacility | Regence Blue Shield of Idaho | TriWest | $4.93 | $8.65 | $6.49 | 2026-08-18 | 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 | Partners | Managed Medicaid | $4.98 | $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 | 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 ↗ |
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.