J0840 — Crotalidae Poly Immune Fab
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Crotalidae poly immune fab (OTHER J0840) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0840?code_type=OTHER
MLA (9th ed.)
“Crotalidae poly immune fab (OTHER J0840) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0840?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Crotalidae poly immune fab (OTHER J0840) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0840?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,861–$3,939 (25th–75th percentile) across 195 hospitals · 472 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.61 | $41,854.80 | $4,185.48 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-27 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.61 | $41,854.80 | $4,185.48 | 2026-05-27 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.61 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.65 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.65 | $41,854.80 | $4,185.48 | 2026-05-27 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.65 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.65 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.65 | $41,854.80 | $4,185.48 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-17 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha | — | — | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Medica | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Geha | Geha Mcr Supplemental | — | — | — | 2026-05-18 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | — | — | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | United Healthcare | Healthscope | — | — | — | 2026-05-22 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Both | Superior Health Plan Mcd Rep | Medicaid Replacement | $99.89 | $121.23 | $121.23 | 2026-05-08 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Both | Uhc Community Plan Tx | Medicaid Replacement | $99.89 | $121.23 | $121.23 | 2026-05-08 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Both | Molina Healthcare Of Tx Mcd Rep | Medicaid Replacement | $99.89 | $121.23 | $121.23 | 2026-05-08 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Both | United Healthcare | Default | — | $121.23 | $121.23 | 2026-05-08 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Both | Aetna | Default | $105.47 | $121.23 | $121.23 | 2026-05-08 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Both | Molina Healthcare Of Texas | Hmo | $121.23 | $121.23 | $121.23 | 2026-05-08 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Tx | Default | $121.23 | $121.23 | $121.23 | 2026-05-08 | MRF ↗ |
| STARR COUNTY MEMORIAL HOSPITAL Both | Molina Healthcare Of Tx Mcr Adv | Medicare Advantage | $121.23 | $121.23 | $121.23 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | United Healthcare | Default | — | $5,036.00 | $4,280.60 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Umr United Medical Resources | Default | — | $5,036.00 | $4,280.60 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Ambetter | Hmo | $130.00 | $5,036.00 | $4,280.60 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Humana | Default | — | $5,036.00 | $4,280.60 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Aetna | Default | — | $5,036.00 | $4,280.60 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Blue Cross Blue Shield Of Ga Anthem | Default | — | $5,036.00 | $4,280.60 | 2026-05-08 | MRF ↗ |
| DONALSONVILLE HOSPITAL INC Both | Alliant Health Plans | Default | $140.00 | $5,036.00 | $4,280.60 | 2026-05-08 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Hmo | $238.00 | $16,334.00 | $12,250.50 | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Nwb | $269.00 | $16,334.00 | $12,250.50 | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Mbn | $277.00 | $16,334.00 | $12,250.50 | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Preferred | $362.00 | $16,334.00 | $12,250.50 | 2026-05-07 | MRF ↗ |
| WELLINGTON REGIONAL MEDICAL CENTER Both | Blue Cross Blue Shield Of Fl | Ppo | $414.00 | $16,334.00 | $12,250.50 | 2026-05-07 | MRF ↗ |
| BEAR VALLEY COMMUNITY HOSPITAL Both | Medicare A Ca Je | Default | $421.65 | $1,265.47 | $885.83 | 2026-05-08 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Medicare A Nc Jm | Default | $783.80 | $2,666.00 | $1,333.00 | 2026-05-06 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Nc | Medicare Advantage | $783.80 | $2,666.00 | $1,333.00 | 2026-05-06 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Magnolia Health Plan | Managed Medicaid | — | $992.00 | $297.60 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Unitedhealthcare Of Ms | Managed Medicaid | — | $992.00 | $297.60 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Molina Healthcare Of Ms | Managed Medicaid | — | $992.00 | $297.60 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Molina Healthcare Of Ms | Commercial | — | $992.00 | $297.60 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Advanced Health Systems | Commercial | — | $992.00 | $297.60 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Cigna | Commercial | — | $992.00 | $297.60 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Molina Healthcare Of Ms | Chip | — | $992.00 | $297.60 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Windsor Health Plan | Pho | — | $992.00 | $297.60 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Aetna | Commercial | — | $992.00 | $297.60 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Unitedhealthcare | Commercial | $820.00 | $992.00 | $297.60 | 2026-05-13 | MRF ↗ |
| KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN Outpatient | Ppoplus | Commercial | — | $992.00 | $297.60 | 2026-05-13 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Medicaid North Carolina | Default | $842.19 | $2,666.00 | $1,333.00 | 2026-05-06 | MRF ↗ |
| BEAR VALLEY COMMUNITY HOSPITAL Both | Blue Shield Of Ca | Default | $854.19 | $1,265.47 | $885.83 | 2026-05-08 | MRF ↗ |
| BEAR VALLEY COMMUNITY HOSPITAL Both | Health Net | Default | $885.83 | $1,265.47 | $885.83 | 2026-05-08 | MRF ↗ |
| BEAR VALLEY COMMUNITY HOSPITAL Both | Blue Cross Of Ca Anthem | Default | $885.83 | $1,265.47 | $885.83 | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $945.89 | — | — | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $945.89 | — | — | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-05-06 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $945.89 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $980.19 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $980.19 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $980.19 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $980.19 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $980.19 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $980.19 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $980.19 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $980.19 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $980.19 | — | — | 2026-05-13 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Aetna | Broad Network | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Aetna | Nc Preffered Network | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Three Rivers Provider Network | Three Rivers Provider Network | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Phcs | Private Hcs | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Medcost | Non Mbs | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Medcost | Mbs | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Eastpointe | Lme Mco | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Carolina Complete | Managedcaremcd | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Bcbsnc | Ppo Hmo | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Bcbsnc | Blue Home | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Bcbsnc | Blue Value | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Bcbsnc | Healthy Blue | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Atlantic Corporation | Atlantic Packaging | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Amerihealth Caritas | Managedcaremcd | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Humana | Choice Care Commercial | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Multiplan | Multiplan | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Cigna | Nc Ifp | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Cigna | Team Member | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Cigna | Hmo/Oap | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | United Healthcare | Managedcaremcd | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| NOVANT HEALTH MEDICAL PARK HOSPITAL Outpatient | Wellcare | Managedcaremcd | — | $4,950.50 | $2,227.72 | 2026-05-06 | MRF ↗ |
| BEAR VALLEY COMMUNITY HOSPITAL Both | United Healthcare | Default | $1,075.65 | $1,265.47 | $885.83 | 2026-05-08 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $1,097.23 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $1,097.23 | — | — | 2026-05-14 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $1,182.36 | — | — | 2026-05-24 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $1,182.36 | — | — | 2026-05-08 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $1,182.36 | — | — | 2026-05-14 | MRF ↗ |
| VIRGINIA MASON MEDICAL CENTER Outpatient | Multiplan | Medicare Advantage | $1,280.10 | — | — | 2026-05-27 | MRF ↗ |
| NORTHERN NEVADA MEDICAL CENTER Both | Aetna | First Health | $1,404.00 | $16,222.00 | $6,488.80 | 2026-05-06 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $1,426.40 | — | — | 2026-05-24 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $1,426.40 | — | — | 2026-05-14 | MRF ↗ |
| J ARTHUR DOSHER MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Nc | Default | $1,495.63 | $2,666.00 | $1,333.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $1,498.00 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Optum/Uhc Kidney Transplant | Tenncare | $1,498.00 | — | — | 2026-05-13 | MRF ↗ |
| BEAR VALLEY COMMUNITY HOSPITAL Both | United Healthcare | Default | $1,500.00 | $4,692.25 | $3,284.58 | 2026-05-08 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $1,510.34 | — | — | 2026-05-18 | 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.