J0717 — Certolizumab Pegol Inj 1mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Certolizumab pegol inj 1mg (OTHER J0717) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0717?code_type=OTHER
MLA (9th ed.)
“Certolizumab pegol inj 1mg (OTHER J0717) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0717?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Certolizumab pegol inj 1mg (OTHER J0717) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0717?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$12 (25th–75th percentile) across 178 hospitals · 391 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| FRANKLIN HOSPITAL Both | Medicaid Illinois | Medicaid Replacement | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Alliance Coal Health Plan | Default | — | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | United Healthcare | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Molina Healthcare Of Il | Medicaid Replacement | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Medicare A Il J6 | Default | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Meridian Health Plan Of Il Mcd Dos Gt 06302021 | Medicaid Replacement | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Aetna Better Health Of Il Illinicare | Medicaid Replacement | — | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Alliance Coal Health Plan | Default | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Aetna Better Health Of Il Illinicare | Medicaid Replacement | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Health Alliance Medical Plans Mcr Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Molina Healthcare Of Il | Medicaid Replacement | — | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Cigna | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Medicaid Illinois | Medicaid Replacement | — | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Health Alliance Medical Plans Mcr Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | United Healthcare | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Blue Cross Blue Shield Of Il | Medicaid Replacement | — | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Blue Cross Blue Shield Of Il | Medicaid Replacement | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Cigna | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-13 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Medicare A Il J6 | Default | — | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| FRANKLIN HOSPITAL Both | Meridian Health Plan Of Il Mcd Dos Gt 06302021 | Medicaid Replacement | — | $0.01 | $0.01 | 2026-05-23 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $1.55 | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $1.88 | — | — | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $1.88 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $2.01 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $2.01 | — | — | 2026-05-14 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $2.05 | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $2.05 | — | — | 2026-05-06 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $2.05 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $2.10 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $2.10 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $2.10 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $2.10 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $2.10 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $2.10 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $2.10 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $2.10 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $2.10 | — | — | 2026-05-13 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Local 1199 | Medicare | $2.33 | $72.82 | $9.47 | 2026-05-06 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $2.35 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $2.35 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $2.57 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $2.57 | — | — | 2026-05-14 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $2.57 | — | — | 2026-05-08 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $2.74 | — | — | 2026-05-27 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Magellan | Medicare | $3.02 | $72.82 | $9.47 | 2026-05-06 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Careoregon | Ohp/Medicaid | $3.02 | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Careoregon | Medicare Advantage | $3.02 | $13,831.71 | $8,990.61 | 2026-05-22 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Multiplan | Phcs - Beech Street | $3.02 | $72.82 | $9.47 | 2026-05-06 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $3.05 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $3.05 | — | — | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Coventry | Workers Comp | — | $6,114.00 | $4,585.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Tri West | Tri West | — | $6,114.00 | $4,585.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Oha Workers Comp | Oha Workers Comp | — | $6,114.00 | $4,585.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Tricare Health Net | Tricare Health Net | — | $6,114.00 | $4,585.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Home State | Medicaid | — | $6,114.00 | $4,585.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Cigna | All Plans | — | $6,114.00 | $4,585.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | United Healthcare | Medicaid | — | $6,114.00 | $4,585.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Corvel | All Plans | — | $6,114.00 | $4,585.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Aetna | All Plans | — | $6,114.00 | $4,585.50 | 2026-05-14 | MRF ↗ |
| BOTHWELL REGIONAL HEALTH CENTER Outpatient | Blue Cross Blue Shield | Preferred, Ppo, Trad, Net | $3.10 | $6,114.00 | $4,585.50 | 2026-05-14 | MRF ↗ |
| OCHSNER STENNIS MEMORIAL HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $3.12 | $3,312.00 | $2,285.28 | 2026-05-08 | MRF ↗ |
| OCHSNER RUSH HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $3.12 | $3,312.00 | $1,159.20 | 2026-05-09 | MRF ↗ |
| OCHSNER CHOCTAW GENERAL Outpatient | Humana � Military Tri-Care | All Payor | $3.12 | $3,312.00 | $2,517.12 | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Military Tri-Care | All Payor | $3.12 | $3,312.00 | $2,219.04 | 2026-05-09 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Oscar Health Exchange | Medicare | $3.16 | $72.82 | $9.47 | 2026-05-06 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $16.88 | $11.82 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $3.19 | $16.88 | $11.82 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $16.88 | $11.82 | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Three Rivers | Commercial | — | $16.88 | $11.82 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $16.88 | $11.82 | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Outpatient | Cdphp | Medicaid/Chp | $3.19 | $16.88 | $11.82 | 2026-05-13 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.20 | — | — | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.20 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $3.20 | — | — | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $3.20 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.20 | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $3.20 | — | — | 2026-05-22 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Choice | Medicaid | $3.20 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $3.20 | — | — | 2026-05-22 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $3.20 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $3.20 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Healthy U | Medicaid | $3.20 | — | — | 2026-05-09 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.20 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Molina | Medicaid | $3.20 | — | — | 2026-05-18 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $3.20 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.20 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $3.20 | — | — | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Healthy U | Medicaid | $3.20 | — | — | 2026-05-18 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.20 | — | — | 2026-05-09 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.20 | — | — | 2026-05-09 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $3.20 | — | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $3.20 | — | — | 2026-05-18 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $3.20 | — | — | 2026-05-14 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Healthy U | Medicaid | $3.20 | — | — | 2026-05-14 | MRF ↗ |
| CEDAR CITY HOSPITAL Outpatient | Molina | Medicaid | $3.20 | — | — | 2026-05-09 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Outpatient | Molina | Medicaid | $3.20 | — | — | 2026-05-14 | MRF ↗ |
| RIVERTON HOSPITAL Outpatient | Selecthealth | Medicaid | $3.20 | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Outpatient | Selecthealth | Medicaid | $3.20 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $3.23 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.23 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $3.23 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $3.23 | — | — | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $3.23 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $3.23 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.23 | — | — | 2026-05-18 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $3.23 | — | — | 2026-05-18 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Medicare Adv | $3.29 | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | First Health | Commercial | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Coventry | Commercial | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Commercial | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | United Healthcare | Commercial | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Trad/Par | Commercial | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Anthem Public Option | Commercial | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo/Hmo | Commercial | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Simplified Benefits Administrators | Commercial | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Cigna | Commercial | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Multiplan | Commercial | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Rocky Mountain Health Maintenance Org | Mngd. Medica | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| COMMUNITY HOSPITAL Outpatient | Kaiser Permanente | Commercial | — | $5,719.19 | $3,202.75 | 2026-05-23 | MRF ↗ |
| MCKAY-DEE HOSPITAL Outpatient | Davis Behavioral Health | Behavioral Health | $3.31 | — | — | 2026-05-18 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Regence | Medicare Advantage | $3.32 | — | — | 2026-05-27 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.32 | — | — | 2026-05-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.32 | — | — | 2026-05-22 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.32 | — | — | 2026-05-13 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $3.32 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Healthy U | Medicaid | $3.32 | — | — | 2026-05-09 | MRF ↗ |
| AMERICAN FORK HOSPITAL Outpatient | Selecthealth | Medicaid | $3.32 | — | — | 2026-05-09 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Ind | $3.42 | $4,947.00 | $4,799.17 | 2026-05-22 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Com | $3.42 | $4,947.00 | $4,799.17 | 2026-05-22 | MRF ↗ |
| AVERA GREGORY HOSPITAL Outpatient | Medica Insurance | Com | $3.42 | $25,886.00 | $25,109.77 | 2026-05-06 | MRF ↗ |
| AVERA DE SMET MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Com | $3.42 | $25,886.00 | $25,109.77 | 2026-05-21 | MRF ↗ |
| AVERA TYLER HOSPITAL Outpatient | Medica Insurance | Com | $3.42 | $25,886.00 | $25,109.77 | 2026-05-21 | MRF ↗ |
| AVERA DE SMET MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Ind | $3.42 | $25,886.00 | $25,109.77 | 2026-05-21 | MRF ↗ |
| AVERA TYLER HOSPITAL Outpatient | Medica Insurance | Ind | $3.42 | $25,886.00 | $25,109.77 | 2026-05-21 | MRF ↗ |
| AVERA DE SMET MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Com | $3.42 | $25,886.00 | $25,109.77 | 2026-05-13 | MRF ↗ |
| AVERA ST BENEDICT HEALTH CENTER - CAH Outpatient | Medica Insurance | Com | $3.42 | $25,886.00 | $25,109.77 | 2026-05-09 | MRF ↗ |
| AVERA DELLS AREA HOSPITAL - CAH Outpatient | Medica Insurance | Com | $3.42 | $25,886.00 | $25,109.77 | 2026-05-09 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Medica Insurance | Ind | $3.42 | $25,886.00 | $25,109.77 | 2026-05-08 | MRF ↗ |
| AVERA SACRED HEART HOSPITAL Outpatient | Medica Insurance | Com | $3.42 | $25,886.00 | $25,109.77 | 2026-05-09 | MRF ↗ |
| AVERA DELLS AREA HOSPITAL - CAH Outpatient | Medica Insurance | Ind | $3.42 | $25,886.00 | $25,109.77 | 2026-05-09 | MRF ↗ |
| BOWDLE HOSPITAL - CAH Outpatient | Medica Insurance | Com | $3.42 | $11,483.00 | $11,483.38 | 2026-05-14 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Ind | $3.42 | $4,947.00 | $4,799.17 | 2026-05-18 | MRF ↗ |
| SIOUX CENTER HEALTH Outpatient | Medica Insurance | Com | $3.42 | $4,947.00 | $4,799.17 | 2026-05-18 | MRF ↗ |
| AVERA TYLER HOSPITAL Outpatient | Medica Insurance | Ind | $3.42 | $25,886.00 | $25,109.77 | 2026-05-13 | MRF ↗ |
| AVERA SACRED HEART HOSPITAL Outpatient | Medica Insurance | Ind | $3.42 | $25,886.00 | $25,109.77 | 2026-05-09 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Medica Insurance | Com | $3.42 | $25,886.00 | $25,109.77 | 2026-05-08 | MRF ↗ |
| AVERA DE SMET MEMORIAL HOSPITAL - CAH Outpatient | Medica Insurance | Ind | $3.42 | $25,886.00 | $25,109.77 | 2026-05-13 | MRF ↗ |
| AVERA TYLER HOSPITAL Outpatient | Medica Insurance | Com | $3.42 | $25,886.00 | $25,109.77 | 2026-05-13 | MRF ↗ |
| AVERA ST BENEDICT HEALTH CENTER - CAH Outpatient | Medica Insurance | Ind | $3.42 | $25,886.00 | $25,109.77 | 2026-05-09 | MRF ↗ |
| BOWDLE HOSPITAL - CAH Outpatient | Medica Insurance | Ind | $3.42 | $11,483.00 | $11,483.38 | 2026-05-14 | MRF ↗ |
| AVERA GREGORY HOSPITAL Outpatient | Medica Insurance | Ind | $3.42 | $25,886.00 | $25,109.77 | 2026-05-06 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Coventry | Medicare | $3.44 | $72.82 | $9.47 | 2026-05-06 | MRF ↗ |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL Outpatient | Tricare | — | $3.63 | — | $4.49 | 2026-05-08 | MRF ↗ |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL Outpatient | Tricare | — | $3.63 | — | $4.49 | 2026-05-08 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $3.69 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $3.69 | — | — | 2026-05-09 | MRF ↗ |
| JEFFERSON EINSTEIN MONTGOMERY HOSPITAL Outpatient | Jefferson | Health Plan Marketplace Exchange | $3.71 | — | $4.49 | 2026-05-08 | MRF ↗ |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL Outpatient | Ibc | Medicare Focus | $3.71 | — | $4.49 | 2026-05-08 | MRF ↗ |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL Outpatient | Jefferson | Health Plan Marketplace Exchange | $3.71 | — | $4.49 | 2026-05-08 | MRF ↗ |
| LONG ISLAND COMMUNITY HOSPITAL Inpatient | Longevity Health | Medicare | $3.72 | $72.82 | $9.47 | 2026-05-06 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Ucare | Managed Medicaid | $3.74 | — | — | 2026-05-09 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $3.76 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $3.76 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $3.76 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $3.76 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $3.76 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $3.76 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| DALE MEDICAL CENTER Both | United Healthcare | Default | $3.79 | $20,589.09 | $14,412.36 | 2026-05-23 | MRF ↗ |
| DALE MEDICAL CENTER Both | Aetna Medicare Advantage | Medicare Advantage | $3.79 | $20,589.09 | $14,412.36 | 2026-05-23 | MRF ↗ |
| DALE MEDICAL CENTER Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $3.79 | $20,589.09 | $14,412.36 | 2026-05-23 | MRF ↗ |
| DALE MEDICAL CENTER Both | Uhc Medicarecomplete | Medicare Advantage | $3.79 | $20,589.09 | $14,412.36 | 2026-05-23 | MRF ↗ |
| DALE MEDICAL CENTER Both | Viva Health Plan Mcr Adv | Medicare Advantage | $3.79 | $20,589.09 | $14,412.36 | 2026-05-23 | MRF ↗ |
| DALE MEDICAL CENTER Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $3.79 | $20,589.09 | $14,412.36 | 2026-05-13 | MRF ↗ |
| DALE MEDICAL CENTER Both | United Healthcare | Default | $3.79 | $20,589.09 | $14,412.36 | 2026-05-13 | MRF ↗ |
| DALE MEDICAL CENTER Both | Uhc Medicarecomplete | Medicare Advantage | $3.79 | $20,589.09 | $14,412.36 | 2026-05-13 | MRF ↗ |
| DALE MEDICAL CENTER Both | Viva Health Plan Mcr Adv | Medicare Advantage | $3.79 | $20,589.09 | $14,412.36 | 2026-05-13 | MRF ↗ |
| DALE MEDICAL CENTER Both | Aetna Medicare Advantage | Medicare Advantage | $3.79 | $20,589.09 | $14,412.36 | 2026-05-13 | MRF ↗ |
| JEFFERSON EINSTEIN PHILADELPHIA HOSPITAL Outpatient | Us | Family Health Plan | $3.81 | — | $4.49 | 2026-05-08 | 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.