J0717 — Certolizumab Pegol Inj 1mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Certolizumab pegol inj 1mg (CPT J0717) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0717?code_type=CPT
MLA (9th ed.)
“Certolizumab pegol inj 1mg (CPT J0717) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0717?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Certolizumab pegol inj 1mg (CPT J0717) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0717?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6–$9,702 (25th–75th percentile) across 1,847 hospitals · 5,514 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0717 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $3,109.48 | $1,554.74 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $3,109.48 | $1,554.74 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $17,157.57 | $14,583.93 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $16,308.72 | $8,969.80 | 2025-01-01 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Blue Access | Commercial | — | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield Pathways | Commercial | — | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Blue Preferred | Commercial | — | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Humana | Commercial | — | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTHNET TRANSPLANTS [1114] | HEALTH NET COMMERCIAL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Health Link | Managed Care | $0.03 | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA BEHAVIORAL EATING DISORDER | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UNITED HEALTHCARE [1088] | OPTUM HEALTHCARE SOLUTIONS | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | INTERLINK HEALTH TRANSPLANT [2085] | INTERLINK HEALTH SERVICES INC | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Private Healthcare Systems-Multi Plan Primary | Commercial | $0.03 | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Health Link PPO | Commercial | $0.03 | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | EVERNORTH (FKA CIGNA) BEHAVIORAL AND EATING DISORDER TREATMENT | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | GLOBAL EXCEL [1036] | GLOBAL EXCEL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP HEALTH PLAN [1079] | SHARP HEALTH PLAN | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE AETNA [1004] | AETNA | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Health Alliance | Commercial | $0.03 | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ETS - LIFETRAC NETWORK [1103] | LIFETRAC | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET COMMERCIAL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OPTUM TRANSPLANT [1118] | OPTUM HEALTHCARE SOLUTIONS | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OLYMPUS MANAGED HEALTHCARE INC [1102] | OLYMPUS MANAGED HEALTHCARE INC [11020001] | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE CIGNA [1006] | EVERNORTH (FKA CIGNA) BEHAVIORAL AND EATING DISORDER TREATMENT | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Cigna | Commercial | $0.03 | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield Missouri | Commercial | $0.03 | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | USOC - US OLYMPIC COMMITTEE [1123] | USOC VIK (BSC UC CARE) | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SAN DIEGO COUNTY [1071] | CMH - COUNTY MENTAL HEALTH [10710005] | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OLYMPUS MANAGED HEALTHCARE INC [1102] | AETNA | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA TRANSPLANTS [1112] | AETNA | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MULTICULTURAL MED GRP [1057] | MULTICULTURAL MED GRP [10570001] | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Coventry (Aetna) | Commercial | $0.03 | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD [1014] | BLUE SHIELD OF CA EPN/IFP | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SAN DIEGO COUNTY [1071] | CMS ADULT TB SERVICES | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | INTERLINK HEALTH SERVICES TRANSPLANT [1124] | INTERLINK HEALTH SERVICES INC | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD [1014] | BLUE SHIELD OF CALIFORNIA UC CARE / HSP | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA PPO | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA HMO | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE CIGNA [1006] | CIGNA HMO | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE UNITED HEALTHCARE [1008] | OPTUM HEALTHCARE SOLUTIONS | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET [1039] | HEALTH NET COMMERCIAL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Private Healthcare Systems-Multi Plan Complementary | Commercial | $0.03 | $0.03 | $0.02 | 2024-11-22 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE HEALTH NET BH [2059] | HEALTH NET COMMERCIAL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | KAISER [1046] | KAISER | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OPTUM CARE NETWORK - PCAMG [1064] | PRIMARY CARE ASSOCIATES MEDICAL GROUP | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OPTUM CARE NETWORK - PRIMECARE MED GRP [1065] | PRIMECARE MEDICAL NETWORK | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP COMMUNITY MED GRP [1078] | SHARP HEALTH CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP REES STEALY [1080] | SHARP HEALTH CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA LIFESOURCE TRANSPLANT [1117] | CIGNA LIFESOURCE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AXA ASSISTANCE [1098] | AXA ASSISTANCE USA,INC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA LIFESOURCE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD TRANSPLANTS [1113] | BLUE SHIELD OF CA PPO AND BARIATRIC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | INTERPLAN [1045] | INTERPLAN | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE BLUE SHIELD [2002] | BLUE SHIELD OF CA PPO AND BARIATRIC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UNITED HEALTHCARE [1088] | US BEHAVIORAL MENTAL/EATING DISORDER | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PACIFIC FOUNDATION [1063] | PACIFIC FOUNDATION FOR MEDICAL CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | KAISER [1046] | KAISER MEDICARE ADVANTAGE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA LIFESOURCE [10230006] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA LIFESOURCE TRANSPLANT [1117] | CIGNA LIFESOURCE TRANSPLANT [11170001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD [1014] | BLUE SHIELD OF CA PPO AND BARIATRIC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE BLUE CROSS [1005] | ANTHEM BLUE CROSS | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | GRAYBILL MED GRP [1037] | SHARP HEALTH CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CMN - CANADIAN MEDICAL NETWORK [1024] | CMN GLOBAL INC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | VANTAGE [1092] | PROSPECT VANTAGE COMMERCIAL [10920001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET BH (MHN) [1038] | HEALTH NET BEHAVIORAL HEALTH COMMERCIAL (FKA:MANAGED HEALTH NETWORK,INC) | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | QUALITY HEALTH [1069] | QUALITY HEALTH MANAGEMENT | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SD PHYSICIANS MED GRP [1076] | SD PHYSICIANS MED GRP [10760001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ARCH HEALTH PARTNERS [2000] | ARCH HEALTH PARTNERS [20000001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MERCY PHYSICIANS MED GRP [1052] | MERCY PHYSICIANS MED GRP [10520001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CASSIDY MED GRP [1019] | PRIMARY CARE ASSOCIATES MEDICAL GROUP | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP HEALTH PLAN [1079] | SHARP HEALTH CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SAN DIEGO COUNTY SHERIFF CUSTODY [2012] | SHERIFF COUNTY CONTRACT # 514250 | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET BH (MHN) [2010] | HEALTH NET BEHAVIORAL HEALTH COMMERCIAL (FKA:MANAGED HEALTH NETWORK,INC) | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | EMBASSY OF STATE OF KUWAIT [11010001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET [1039] | HEALTH NET BEHAVIORAL HEALTH COMMERCIAL (FKA:MANAGED HEALTH NETWORK,INC) | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | ROYAL EMBASSY | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | TRI-CITY [1085] | TRI-CITY [10850001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | INTERNATIONAL EMBASSY OF KUWAIT | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SCRIPPS COASTAL MED GRP [1074] | SCRIPPS COASTAL MED GRP [10740001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE SHERIFF CUSTODY [1106] | SHERIFF COUNTY CONTRACT # 514250 | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CMS - COUNTY MEDICAL SERVICES [1025] | SHERIFF COUNTY CONTRACT # 514250 | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | NATIONAL HEALTHCARE SOLUTIONS INC [1100] | NATIONAL HEALTHCARE SOLUTIONS INC [11000001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | KUWAIT OIL COMPANY [11010005] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MGM RESORTS [1053] | MGM RESORT | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE HUMANA [1120] | HUMANA COMMERCIAL | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MULTIPLAN [1058] | MULTIPLAN | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BPS - BENEFIT PLAN SERVICES [1015] | MULTIPLAN | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HUMANA [1042] | HUMANA COMMERCIAL | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CARNIVAL CRUISES [1018] | CARNIVAL CRUISES [10180001] | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SCRIPPS CLINIC [1073] | SCRIPPS CLINIC HEALTH PLAN SERVICES | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ADMAR [1001] | MULTIPLAN | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PRIVATE HEALTHCARE SYSTEMS [1067] | PRIVATE HEALTHCARE SYSTEM | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SCRIPPS HEALTH PLAN SERVICES [1075] | SCRIPPS CLINIC HEALTH PLAN SERVICES | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | FIRST HEALTH [1032] | FIRST HEALTH | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $49,552.47 | $32,209.11 | 2025-11-26 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BEECH STREET [1012] | CAPPCARE/BEECH STREET | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CHARGERS FOOTBALL COMPANY [1109] | CHARGER FOOTBALL COMPANY [11090001] | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PRIVATE HEALTHCARE SYSTEMS [1067] | KAISER RAD ONC | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE KAISER RAD ONC [2089] | KAISER RAD ONC | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP HEALTHCARE TRANSPLANT [1119] | SHARP HEALTHCARE TRANSPLANT [11190001] | $0.08 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.45 | $17,157.57 | $11,152.42 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.45 | $17,157.57 | $11,152.42 | 2025-01-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.50 | — | — | 2026-03-18 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.77 | — | — | 2026-03-31 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Ambetter | Marketplace Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | QualChoice of Arkansas | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Arkansas Total Care | Managed Medicaid | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER OutpatientFacility | Covenant | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Arkansas Superior Select | Dual Eligible Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Covenant Healthcare | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Assured Benefits Administrators | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Cigna Healthspring | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Provider Partners Health Plans | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Wellcare by Allwell | All Plans | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Covenant | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Empower Healthcare Solutions | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Empower Healthcare Solutions | Managed Medicaid | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.58 | 2024-11-12 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Windsor | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Assured Benefits Administrators | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Windsor | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Assured Benefits Administrators | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| Five Rivers Medical Center InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.99 | $15,442.00 | $2,316.30 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.99 | $15,442.00 | $2,316.30 | 2025-12-23 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | BrandNewDayMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | CentralHealthPlanofCaliforniaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaNonGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Corvel | CorvelWC | — | — | — | 2025-01-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $1.00 | $6.33 | $3.16 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Alignment Health Plan | AlignmentHealthPlanMedicare | — | — | — | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CAHealthandWellnessMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetEnhancedCareSBGPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $53,994.87 | $35,096.67 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $53,994.87 | $35,096.67 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldofCA | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldReciprocity | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $0.01 | $0.01 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | — | — | 2025-01-31 | 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.