J0840 — Crotalidae Poly Immune Fab
Cite this view
HANK Price Transparency. (n.d.). Crotalidae poly immune fab (HCPCS J0840) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0840?code_type=HCPCS
“Crotalidae poly immune fab (HCPCS J0840) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0840?code_type=HCPCS. Accessed .
“Crotalidae poly immune fab (HCPCS J0840) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0840?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,957–$7,780 (25th–75th percentile) across 1,967 hospitals · 6,271 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0840 — 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 | — | — | $23,563.36 | $11,781.68 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $23,563.36 | $11,781.68 | 2024-12-15 | MRF ↗ |
| GOODLAND REGIONAL MEDICAL CENTER Inpatient | WPPA | Commercial | $0.85 | $1.00 | $0.90 | 2026-03-27 | MRF ↗ |
| GOODLAND REGIONAL MEDICAL CENTER Inpatient | UHC | Commercial | $0.90 | $1.00 | $0.90 | 2026-03-27 | MRF ↗ |
| GOODLAND REGIONAL MEDICAL CENTER Outpatient | WPPA | Commercial | $0.90 | $1.00 | $0.90 | 2026-03-27 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageTrioHIXDOHC | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageCommercialDOHC | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldofCA | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedOptions | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | CentralHealthPlanofCaliforniaMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Alignment Health Plan | AlignmentHealthPlanMedicare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedBehavioral | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaGatekeeper | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedHealthcareHMO | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedChoicePlus | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Morongo Basin Community Health | MorongoBasinCommunityHealth | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCareMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldHIX | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetCommercial | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCaidDOHC | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPHIX | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldReciprocity | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | BrandNewDayMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetMgdMCaid | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCaid | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $1.00 | $10,574.40 | — | 2026-04-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdComm | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldPromiseMgdMCaid | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Naval Medical Center | NavalMedicalCenter | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $1.00 | $10,574.40 | — | 2026-04-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Affiliated Health Fund | AffiliatedHealthFundAHF | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesWC | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CAHealthandWellnessMgdMCaid | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaNonGatekeeper | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageHIXDOHC | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Corvel | CorvelWC | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $1.00 | $10,574.40 | — | 2026-04-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCareDOHC | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetEnhancedCareSBGPPO | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Imperial Health Plan | ImperialHealthPlanMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCaid | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetWholecarePurecareHIX | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMediCal | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $1.00 | $10,574.40 | — | 2026-04-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Central California Alliance For Health | CentralCAAllianceMediCal | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Scan | SCANMgdMCare | — | $29,513.00 | $22,134.75 | 2025-01-31 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $7,137.27 | $7,137.27 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $3.50 | $68,757.00 | $42,629.34 | 2025-07-01 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Humana ChoiceCare | Medicare Advantage | $5.05 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $5.09 | $12.00 | $9.60 | 2025-12-16 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | $5.10 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Amerigroup by Anthem | Medicare Advantage | $5.15 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Primewell | Medicare Advantage | $5.25 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Cigna HealthSpring | Medicare Advantage | $5.25 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Wellcare Health Plans | All Plans | $5.25 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Empower Healthcare Solutions | Exchange | $5.25 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Wellcare by Allwell | Medicare Advantage | $5.25 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $6.00 | $12.00 | $9.60 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $6.00 | $12.00 | $9.60 | 2025-12-16 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Ambetter | Managed Care | $6.50 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | United Healthcare | All | $7.00 | $9,763.00 | $27.85 | 2026-05-06 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | United Healthcare | All | $7.00 | $9,763.00 | $27.85 | 2026-05-09 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $7.56 | $12.00 | $9.60 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $7.56 | $12.00 | $9.60 | 2025-12-16 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Health Advantage | PHO | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas Total Care | Managed Care | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Medicare Advantage | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Exchange | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | CareSource | Managed Care | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas FirstSource | PPO | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Empower Healthcare Solutions | Exchange | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Aetna | All Plans | $8.00 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Covenant | All Plans | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Ambetter | Managed Care | — | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $8.25 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | New Business | $8.25 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $8.25 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $8.25 | — | — | 2026-01-14 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $9.00 | $2,640.11 | $1,320.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $9.00 | $2,640.11 | $1,320.06 | 2024-12-15 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | HealthLink | HMO/PPO | $9.30 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Health Advantage | PHO | $9.50 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Cigna | All Plans | $9.50 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Arkansas FirstSource | PPO | $9.50 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $10.00 | $2,640.11 | $1,320.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $10.00 | $2,640.11 | $1,320.06 | 2024-12-15 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL OutpatientFacility | Primewell | Exchange | $10.00 | $10.00 | $6.50 | 2025-06-11 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $12.00 | $2,640.11 | $1,320.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $12.00 | $2,640.11 | $1,320.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $13.00 | $2,640.11 | $1,320.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $13.00 | $2,640.11 | $1,320.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $14.00 | $2,640.11 | $1,320.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $14.00 | $2,640.11 | $1,320.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $15.00 | $2,640.11 | $1,320.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $15.00 | $2,640.11 | $1,320.06 | 2024-12-15 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | PPO | $17.23 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $17.23 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $17.23 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $17.23 | — | — | 2026-01-12 | MRF ↗ |
| WASHINGTON COUNTY HOSPITAL Both | Blue Cross Blue Shield AL | PPO | $21.76 | $2.50 | $1.00 | 2025-05-21 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | $26,961.00 | $20,220.75 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | $26,961.00 | $20,220.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | $6,945.00 | $5,208.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | $6,945.00 | $5,208.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | $34,109.00 | $25,581.75 | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | $34,109.00 | $25,581.75 | 2024-12-08 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $16,409.00 | $12,306.75 | 2026-02-25 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Outpatient | Health_Partners_Medicaid | All_Other_Plans | $37.50 | $8,852.50 | $7,082.00 | 2026-01-01 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Essentials Hix | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Allwell Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bluechoice Blueoption Hix | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Commercial Choice | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Upmc Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Select Health Of Sc Qhp | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Molina Healthcare Of Sc Qhp | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Allwell Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Upmc Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bardavon Health Innovations, Llc | Wc | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bardavon Health Innovations, Llc | Wc | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medcost | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Absolute Total Care Hix | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Commercial Choice | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Essentials Hix | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Select Health Of Sc Qhp | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medcost | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Absolute Total Care Hix | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Molina Healthcare Of Sc Qhp | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Medicare Advantage | Hmo | — | $17,995.00 | $11,697.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bluechoice Blueoption Hix | Ppo | — | $17,995.00 | $11,697.00 | 2026-05-11 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $4,442.00 | $2,665.20 | 2026-05-21 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Standard_Charged|Medicare|Negotiated_Percentage | — | $49.00 | $4,442.00 | $2,665.20 | 2026-05-18 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $34,109.00 | $25,581.75 | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | $6,945.00 | $5,208.75 | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | $26,961.00 | $20,220.75 | 2024-12-08 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIALPPO | $54.92 | $15,990.00 | $15,990.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-S | $54.92 | $15,990.00 | $15,990.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIAL | $54.92 | $15,990.00 | $15,990.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-P | $54.92 | $15,990.00 | $15,990.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-S | $54.92 | $15,990.00 | $15,990.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIALPPO | $54.92 | $15,990.00 | $15,990.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS TN | BLUE CROSS TN COMMERCIAL-P | $54.92 | $15,990.00 | $15,990.00 | 2026-03-27 | MRF ↗ |
| HELEN KELLER HOSPITAL Both | BLUE CROSS OF AL | BLUE CROSS AL COMMERCIAL | $54.92 | $15,990.00 | $15,990.00 | 2026-03-27 | MRF ↗ |
| Seymour Hospital Outpatient | Humana Medicare Advantage | Medicare Advantage | $65.00 | $11,967.00 | $8,376.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | Wellmed | Medicare Advantage | $65.00 | $11,967.00 | $8,376.90 | 2026-01-12 | MRF ↗ |
| Seymour Hospital Outpatient | United Medicare Advantage | Medicare Advantage | $65.00 | $11,967.00 | $8,376.90 | 2026-01-12 | MRF ↗ |
| GOODALL WITCHER HOSPITAL Inpatient | BCBS Blue Advantage | Blue Advantage | $69.92 | $5,000.00 | $3,500.00 | 2026-01-13 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | Blue Cross Open Access | Open Access | $70.00 | $16,409.00 | $12,306.75 | 2026-02-25 | 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.