J0597 — C1 Esterase Inhibitor 500 Unit (10 Ml) Intravenous Kit
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT (HCPCS J0597) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0597?code_type=HCPCS
MLA (9th ed.)
“C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT (HCPCS J0597) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0597?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“C1 ESTERASE INHIBITOR 500 UNIT (10 ML) INTRAVENOUS KIT (HCPCS J0597) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0597?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $78–$7,858 (25th–75th percentile) across 1,582 hospitals · 4,547 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0597 — 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
$78
$180 typical
$7,858
The middle 50% of negotiated facility rates for this procedure, measured across 1,582 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $180 |
| Likely subtotal | $180 |
Facility charge (no separate professional fee)
$180
- 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 | — | $9,843.72 | $8,367.16 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | $1.15 | $29,462.30 | $22,096.73 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $31,924.98 | $20,751.24 | 2025-11-26 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $17,664.26 | $17,664.26 | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $2.81 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.81 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $2.81 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.81 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.81 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $2.81 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.81 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.81 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.81 | — | — | 2026-04-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $3.15 | — | — | 2026-03-18 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $31,924.98 | $20,751.24 | 2025-11-26 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | New Business | $4.68 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $4.68 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $4.68 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $4.68 | — | — | 2026-01-12 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $5.58 | $45,919.81 | $28,470.28 | 2025-07-01 | MRF ↗ |
| UPMC HORIZON InpatientFacility | United Healthcare | Compass Exchange | $6.80 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Anthem Blue Cross Blue Shield | Traditional | $6.82 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | United Healthcare | Compass Exchange | $6.88 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Anthem Blue Cross Blue Shield | Traditional | $6.91 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | Neighborhood Network | $7.40 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | Neighborhood Network | $7.49 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | Neighborhood Network | $7.60 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | Home Depot Employer Group | $7.64 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | Neighborhood Network | $7.70 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | Home Depot Employer Group | $7.74 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $7.78 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | NBR ASO/FI | $7.80 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Cigna | New Business ASO | $7.80 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Cigna | NBR ASO/FI | $7.80 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | Home Depot Employer Group | $7.84 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Anthem Blue Cross Blue Shield | Blue Access PPO/Blue Preferred HMO/HIC | $7.88 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Cigna | NBR ASO/FI | $7.90 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Cigna | New Business ASO | $7.90 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Aetna | NBR ASO/FI | $7.90 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | Home Depot Employer Group | $7.94 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | United Healthcare | All Business | $8.00 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | EBR ASO | $8.00 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | EBR | $8.00 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | NBR ASO/FI | $8.00 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | NBR ASO/FI | $8.00 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | Commercial | $8.00 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | New Business ASO | $8.00 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | United Healthcare | All Business | $8.10 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | EBR ASO | $8.10 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | Commercial | $8.10 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | NBR ASO/FI | $8.10 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | EBR | $8.10 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | NBR ASO/FI | $8.10 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Cigna | New Business ASO | $8.10 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $8.52 | $142.04 | $142.04 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $8.52 | $142.04 | $142.04 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $8.52 | $142.04 | $142.04 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $8.52 | $142.04 | $142.04 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $8.52 | $142.04 | $142.04 | 2026-03-01 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $9.00 | $75.97 | $37.98 | 2024-12-15 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Anthem Blue Cross Blue Shield | Traditional | $9.12 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Anthem Blue Cross Blue Shield | Traditional | $9.23 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $9.40 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $9.40 | — | — | 2024-10-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $31,924.98 | $20,751.24 | 2025-11-26 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $9.78 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $9.78 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | PPO | $9.78 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $9.78 | — | — | 2026-01-14 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UPMC Work Partners | Workers Comp | $10.25 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | UPMC Work Partners | Workers Comp | $10.37 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | UPMC Work Partners | Workers Comp | $10.90 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | UPMC Work Partners | Workers Comp | $11.04 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $11.73 | $167.57 | $167.57 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $11.73 | $167.57 | $167.57 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $11.73 | $167.57 | $167.57 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $11.73 | $167.57 | $167.57 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $11.73 | $167.57 | $167.57 | 2026-03-01 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $12.00 | $75.97 | $37.98 | 2024-12-15 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | EBR FI | $12.00 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Aetna | EBR FI | $12.15 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | InterGroup | PPO | $13.00 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $13.05 | — | — | 2026-03-31 | MRF ↗ |
| UPMC HORIZON InpatientFacility | InterGroup | PPO | $13.16 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Coventry/First Health | Commercial | $13.20 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Coventry/First Health | Commercial | $13.37 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $13.62 | $319.00 | $319.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $13.62 | $319.00 | $319.00 | 2026-04-30 | MRF ↗ |
| DYERSBURG REGIONAL MEDICAL CENTER OutpatientFacility | River Valley Plan | TennCare | $13.77 | $16,608.01 | $4,982.40 | 2026-02-06 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $13.88 | $319.00 | $319.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $13.88 | $319.00 | $319.00 | 2026-04-30 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Health Coalition Partners | PPO | $14.00 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $14.04 | $351.00 | $351.00 | 2026-05-15 | MRF ↗ |
| UPMC HORIZON OutpatientFacility | Health Coalition Partners | PPO | $14.18 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $14.32 | $323.63 | $137.55 | 2026-01-29 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $14.99 | $351.00 | $351.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $15.16 | $351.00 | $351.00 | 2026-05-15 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $15.70 | $314.00 | $314.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $15.70 | $314.00 | $314.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $15.70 | $314.00 | $314.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $15.70 | $314.00 | $314.00 | 2026-03-01 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Private Health Care Systems | PPO | $16.00 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Private Health Care Systems | PPO | $16.20 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Prime Net | Commercial | $16.40 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Prime Net | Commercial | $16.61 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $16.69 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $16.69 | — | — | 2025-12-23 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $16.78 | $319.00 | $319.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $16.78 | $319.00 | $319.00 | 2026-04-30 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Humana | Commercial | $17.00 | $20.00 | $12.00 | 2026-03-06 | MRF ↗ |
| UPMC HORIZON InpatientFacility | Humana | Commercial | $17.21 | $20.25 | $16.20 | 2026-03-06 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $17.35 | $319.00 | $319.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $17.35 | $319.00 | $319.00 | 2026-04-30 | MRF ↗ |
| JACKSON-MADISON COUNTY GENERAL HOSPITAL OutpatientFacility | River Valley Plan | TennCare | $17.89 | $16,608.01 | $4,982.40 | 2026-02-06 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $18.14 | $25,211.65 | $3,781.75 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $18.14 | $25,211.65 | $3,781.75 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $18.14 | $25,211.65 | $3,781.75 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | UNITED HEALTHCARE | TENNCARE UNITED HEALTHCARE | $18.14 | $25,211.65 | $3,781.75 | 2026-03-23 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $18.47 | $142.04 | $142.04 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $18.47 | $142.04 | $142.04 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $18.47 | $142.04 | $142.04 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $18.47 | $142.04 | $142.04 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARHealth | $18.53 | $264.71 | $264.71 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARKids | $18.53 | $264.71 | $264.71 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARPLUS | $18.53 | $264.71 | $264.71 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | CHIP | $18.53 | $264.71 | $264.71 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | MCDSTAR | $18.53 | $264.71 | $264.71 | 2026-03-01 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $18.62 | $9,220.80 | $5,993.52 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $18.62 | $9,220.80 | $5,993.52 | 2026-03-30 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS ANTHEM PATHWAY GEORGIA [11103] | Anthem Pathway | $18.71 | $18,711.60 | $5,613.48 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross HMO | $18.71 | $18,711.60 | $5,613.48 | 2026-04-01 | MRF ↗ |
| PIEDMONT ATHENS REGIONAL MEDICAL CENTER Both | BLUE CROSS [10001] | Blue Cross PPO | $18.71 | $18,711.60 | $5,613.48 | 2026-04-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $18.95 | $351.00 | $351.00 | 2026-05-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Centivo | PPO | $19.00 | $75.97 | $37.98 | 2024-12-15 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHIP | $19.18 | $319.68 | $319.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARKids | $19.18 | $319.68 | $319.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHPFC | $19.18 | $319.68 | $319.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARPLUS | $19.18 | $319.68 | $319.68 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STAR | $19.18 | $319.68 | $319.68 | 2026-03-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | UnitedHealthcare of TN Community Plan | MANAGED MEDICAID | $19.57 | — | — | 2025-07-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $19.89 | $142.04 | $142.04 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $19.89 | $142.04 | $142.04 | 2026-03-01 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Aetna | QHP_Exchange | $20.00 | $75.97 | $37.98 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Cigna_HealthCare | HMO_PPO | — | $75.97 | $37.98 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | WPPA | PPO | $20.00 | $75.97 | $37.98 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Sunflower_State_Health_Plan | Medicaid | — | $75.97 | $37.98 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | United_HealthCare | Medicaid | — | $75.97 | $37.98 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Aetna | Better_Health_Medicaid | — | $75.97 | $37.98 | 2024-12-15 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Lincs | $20.32 | — | $214.23 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | $214.23 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Traditional | $20.32 | — | $214.23 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | $214.23 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Preferred | $20.32 | — | $214.23 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | $214.23 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | $214.23 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Advantage | $20.32 | — | $214.23 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Choice | $20.32 | — | $214.23 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | $214.23 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | $214.23 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Choice | $20.32 | — | $214.23 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | $214.23 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Preferred | $20.32 | — | $214.23 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | $214.23 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Traditional | $20.32 | — | $214.23 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Lincs | $20.32 | — | $214.23 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | $214.23 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | $214.23 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | $214.23 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | $214.23 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Advantage | $20.32 | — | $214.23 | 2026-03-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | AMPS | PPO | $21.00 | $75.97 | $37.98 | 2024-12-15 | MRF ↗ |
| ASCENSION PROVIDENCE HOSPITAL, SOUTHFIELD AND NOVI Both | MERIDIAN HEALTH PLAN | 1945_MEDICAID REPLACEMENT MERIDIAN HEALTH OUTPATIENT 20220101 | $21.31 | $98.33 | $55.06 | 2026-01-01 | MRF ↗ |
| HENRY FORD HEALTH ST JOHN HOSPITAL Both | MERIDIAN HEALTH PLAN | 1945_MEDICAID REPLACEMENT MERIDIAN HEALTH OUTPATIENT 20220101 | $21.31 | $98.33 | $55.06 | 2026-01-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARPLUS | $21.53 | $358.80 | $358.80 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHPFC | $21.53 | $358.80 | $358.80 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STAR | $21.53 | $358.80 | $358.80 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | CHIP | $21.53 | $358.80 | $358.80 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Superior Health Plan | STARKids | $21.53 | $358.80 | $358.80 | 2026-03-01 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Advantage | $21.73 | — | — | 2025-10-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Bluelincs | $21.73 | — | — | 2025-10-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $22.17 | $5,991.52 | $5,691.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $22.17 | $5,991.52 | $5,691.95 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $22.17 | $5,991.52 | $5,691.95 | 2026-02-20 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $22.60 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $22.60 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $22.60 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $22.60 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $22.77 | $5,991.52 | $5,691.95 | 2026-02-20 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $23.00 | $75.97 | $37.98 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Health_First_Health | HMO_PPO | $23.00 | $75.97 | $37.98 | 2024-12-15 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | USA Managed Care Organization | PPO | — | — | — | 2025-12-23 | 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.