J0638 — Canakinumab Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Canakinumab injection (HCPCS J0638) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0638?code_type=HCPCS
MLA (9th ed.)
“Canakinumab injection (HCPCS J0638) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0638?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Canakinumab injection (HCPCS J0638) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0638?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $144–$24,990 (25th–75th percentile) across 1,515 hospitals · 2,566 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0638 — 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
$144
$250 typical
$24,990
The middle 50% of negotiated facility rates for this procedure, measured across 1,515 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $250 |
| Likely subtotal | $250 |
Facility charge (no separate professional fee)
$250
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 $144–$24,990.
- 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 |
|---|---|---|---|---|---|---|---|
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.10 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.10 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.10 | — | — | 2026-01-12 | MRF ↗ |
| UNC HOSPITALS Outpatient | Contigo | — | $0.11 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ultra | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | — | $0.13 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Medcost | Ppo | $0.14 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Carolina Care | — | $0.15 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Preferred Plus Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Amerihealth Caritas North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage Gold Plus | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Umr | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Health Network | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alliance | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Choice | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| UNC HOSPITALS Outpatient | Trillium | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Alignment | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Wellcare | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Vaya Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Partners | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Choice Pos | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Liberty | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Tricare | Hmo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Carolina Complete Health | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Exchange | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Option Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Surest | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Blue Home | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Healthy Blue North Carolina | Managed Medicaid | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Aetna | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Nalc Health Benefit Plan | Hmo/Ppo | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Optum Health | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Bcbs | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Cigna | Behavioral Health | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Humana | Medicare Advantage State Health Plan | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | Health Team Advantage | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | United Healthcare | — | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| UNC HOSPITALS Outpatient | First Medicare Direct | Medicare Advantage | $0.20 | $0.20 | $0.12 | 2026-07-15 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.22 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.22 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.22 | — | — | 2026-01-14 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $741.46 | — | 2026-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Core Payer | — | $1.00 | $0.31 | 2026-07-15 | 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 ↗ |
| 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 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 ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | All Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | 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 EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $103,311.41 | $103,311.41 | 2026-04-01 | 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 | $76,983.66 | $50,039.38 | 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 ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Aetna/ First Health Ccn | — | $3.08 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cigna | — | $3.27 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Mcr Adv | — | $3.50 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm: Mcr Adv | — | $3.50 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $4.58 | — | — | 2026-03-04 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $6.81 | — | — | 2026-03-18 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $48,111.45 | $18,763.47 | 2026-07-31 | MRF ↗ |
| CHILDRENS HOSPITAL OF WISCONSIN BothFacility | Group Health Cooperative of South Central Wisconsin | GROUP HEALTH COOP OF SOUTH CENTRAL | $13.64 | $58,835.17 | $8.34 | 2026-03-23 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $16.00 | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $17.73 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $17.73 | — | — | 2024-10-01 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $18.00 | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna Accn Network | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Aetna | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ppo Plus (Stratose) | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Mercy Managed Care | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | American Ppo Inc. | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Sharp | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | American Lifecare | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Empower | Medicaid | $20.40 | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | White River Health System | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Vantos Health System | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | United Healthcare | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Multiplan | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Vantage Health | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | First Community Bank Corp Benefit | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Three Rivers Provider Network | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Zelis | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Phcs | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Usa Managed Care | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Care Source | Medicaid | $20.40 | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Healthscope Benefits | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Blue Cross | All Plans | $20.40 | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Summitt | Medicaid | $20.40 | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Cigna | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Arkansas Total Care | Medicaid | $20.40 | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | First Health | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Municipal Health Benefit Fund | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Ambetter, Qualchoice And Novasys Health | All Plan | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Outpatient | Health Partners Pho | All Plans | — | $20.40 | $18.36 | 2026-05-09 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Medicare | Medicare | $21.28 | $125.19 | $87.63 | 2026-04-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $24.25 | — | — | 2026-03-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $25.00 | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $26.70 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.70 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.70 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $26.70 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.70 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.70 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $26.70 | — | — | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $31.02 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $31.02 | — | — | 2025-12-23 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $32.48 | $530.81 | $225.60 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Optum | Behavioral Medicare | — | $530.81 | $225.60 | 2026-01-29 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $36.40 | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $36.40 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $36.40 | — | — | 2026-05-13 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Centivo | PPO | $38.00 | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Medica with MU Health | Exchange | $38.20 | $111.36 | $66.82 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Medica with MU Health | Exchange | $38.98 | $111.36 | $66.82 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Immergun | Direct | $38.98 | $111.36 | $66.82 | 2025-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Aetna | QHP_Exchange | $39.00 | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | WPPA | PPO | $39.00 | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Sunflower_State_Health_Plan | Medicaid | — | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | United_HealthCare | Medicaid | — | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Cigna_HealthCare | HMO_PPO | — | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Aetna | Better_Health_Medicaid | — | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | AMPS | PPO | $42.00 | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-04 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | First Health | Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $42.08 | — | — | 2026-03-04 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | PIP | — | — | — | 2026-03-04 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | PIP | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | First Health | Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $44.55 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Fidelis Care | NJ Family Care | — | — | — | 2026-03-04 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Health_First_Health | HMO_PPO | $45.00 | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $45.51 | — | — | 2026-07-15 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $45.51 | — | — | 2026-05-08 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $46.00 | $150.00 | $75.00 | 2024-12-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $46.20 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $46.20 | — | — | 2026-03-01 | MRF ↗ |
| PARKWEST MEDICAL CENTER OutpatientFacility | Galaxy Health Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER OutpatientFacility | CCN Managed Care | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER OutpatientFacility | Community Services Network | NonProfit Public Benefit | — | — | — | 2025-12-23 | MRF ↗ |
| PARKWEST MEDICAL CENTER OutpatientFacility | Direct Care America | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION OutpatientFacility | NovaNet | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER OutpatientFacility | Correctional Medical Services | Correctional Facilities Inmate Claims | — | — | — | 2025-12-23 | MRF ↗ |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION OutpatientFacility | Aetna | Commercial | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| PARKWEST MEDICAL CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER OutpatientFacility | EHN | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER OutpatientFacility | Community Services Network | NonProfit Public Benefit | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER OutpatientFacility | Initial Group | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| PARKWEST MEDICAL CENTER OutpatientFacility | NovaNet | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER OutpatientFacility | CCN Managed Care | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER OutpatientFacility | Ambetter | Exchange | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER OutpatientFacility | USA Managed Care Organization | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $46.26 | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Ambetter | Exchange | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | 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.