J0870 — Injection, Imetelstat, 1 Mg
Cite this view
HANK Price Transparency. (n.d.). Injection, imetelstat, 1 mg (HCPCS J0870) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0870?code_type=HCPCS
“Injection, imetelstat, 1 mg (HCPCS J0870) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0870?code_type=HCPCS. Accessed .
“Injection, imetelstat, 1 mg (HCPCS J0870) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0870?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $72–$12,511 (25th–75th percentile) across 1,160 hospitals · 2,782 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0870 — 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 |
|---|---|---|---|---|---|---|---|
| Umc Transplantation Services OutpatientFacility | JW Marriott | All Plans | $0.08 | — | — | 2025-12-27 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $0.20 | — | — | 2026-03-04 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $1.50 | $4,440.20 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $1.50 | $4,440.20 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $1.50 | $4,440.20 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $1.50 | $4,440.20 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $6.00 | $17,275.20 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $6.00 | $17,275.20 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $6.00 | $17,275.20 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $6.00 | $17,275.20 | — | 2026-04-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $9.52 | $238.00 | $238.00 | 2026-05-15 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $9.81 | — | — | 2026-03-31 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $10.16 | $238.00 | $238.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $10.28 | $238.00 | $238.00 | 2026-05-15 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $12.54 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $12.54 | — | — | 2025-12-23 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $12.85 | $238.00 | $238.00 | 2026-05-15 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Ind | $18.24 | $11,248.00 | $10,123.26 | 2026-05-22 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Com | $18.24 | $11,248.00 | $10,123.26 | 2026-05-14 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $18.24 | $11,337.00 | $10,203.84 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $18.24 | $11,337.00 | $10,203.84 | 2026-05-23 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Com | $18.24 | $11,248.00 | $10,123.26 | 2026-05-22 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $18.24 | $11,337.00 | $10,203.84 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $18.24 | $11,337.00 | $10,203.84 | 2026-05-23 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Ind | $18.24 | $11,248.00 | $10,123.26 | 2026-05-14 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $18.41 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $18.41 | — | — | 2026-03-01 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $20.53 | $57.02 | $35.92 | 2026-01-27 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS VIP CARE IP SPLITS [5460] | MMC AMERIHEALTH CARITAS | $22.81 | $251,505.86 | $15,058.33 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS VIP CARE [5313] | CSMC AMERIHEALTH CARITAS | $22.81 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS VIP CARE [5313] | OMC AMERIHEALTH CARITAS | $22.81 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AMERIHEALTH CARITAS VIP CARE [5313] | HMC AMERIHEALTH CARITAS | $22.81 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS VIP CARE [5313] | CMC AMERIHEALTH CARITAS | $22.81 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS VIP CARE IP SPLITS [5460] | CSMC AMERIHEALTH CARITAS | $22.81 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS VIP CARE [5313] | MMC AMERIHEALTH CARITAS | $22.81 | $251,505.86 | $15,058.33 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS VIP CARE IP SPLITS [5460] | OMC AMERIHEALTH CARITAS | $22.81 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | AMERIHEALTH CARITAS VIP CARE IP SPLITS [5460] | HMC AMERIHEALTH CARITAS | $22.81 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AMERIHEALTH CARITAS VIP CARE IP SPLITS [5460] | CMC AMERIHEALTH CARITAS | $22.81 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | ALL PRODUCTS | $23.28 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $23.28 | — | — | 2025-07-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $23.32 | $234.97 | $94.23 | 2026-01-29 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | ANTHEM | ANTHEM MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Health Partners | Medicare Cost | $23.32 | $234.94 | $94.22 | 2026-02-05 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | UNITED | UNITED MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | TUFTS | TUFTS MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $23.32 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $23.33 | $235.24 | $99.98 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $23.33 | $234.94 | $94.22 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $23.33 | $234.94 | $94.22 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $23.33 | $234.94 | $94.22 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | Medicare Cost | $23.33 | $235.24 | $94.34 | 2026-02-06 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | $161.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | $161.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | $161.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | $161.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Advantage | $23.40 | — | $161.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Preferred | $23.40 | — | $161.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Traditional | $23.40 | — | $161.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Lincs | $23.40 | — | $161.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Traditional | $23.40 | — | $161.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Lincs | $23.40 | — | $161.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | $161.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | $161.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | $161.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | $161.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Choice | $23.40 | — | $161.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | $161.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | $161.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Advantage | $23.40 | — | $161.07 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | $161.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Choice | $23.40 | — | $161.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | $161.07 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Preferred | $23.40 | — | $161.07 | 2026-03-31 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICARE [5007] | OMC WELLPOINT MEDICARE ADVANTAGE | $23.61 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLPOINT MANAGED MEDICARE IP SPLITS [5453] | HMC WELLPOINT MEDICARE ADVANTAGE | $23.61 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | WELLPOINT MANAGED MEDICARE [5007] | HMC WELLPOINT MEDICARE ADVANTAGE | $23.61 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICARE [5007] | CMC WELLPOINT MEDICARE ADVANTAGE | $23.61 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICARE IP SPLITS [5453] | MMC WELLPOINT MEDICARE ADVANTAGE | $23.61 | $251,505.86 | $15,058.33 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICARE IP SPLITS [5453] | OMC WELLPOINT MEDICARE ADVANTAGE | $23.61 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICARE IP SPLITS [5453] | CMC WELLPOINT MEDICARE ADVANTAGE | $23.61 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICARE IP SPLITS [5453] | CSMC WELLPOINT MEDICARE ADVANTAGE | $23.61 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICARE [5007] | MMC WELLPOINT MEDICARE ADVANTAGE | $23.61 | $251,505.86 | $15,058.33 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | WELLPOINT MANAGED MEDICARE [5007] | CSMC WELLPOINT MEDICARE ADVANTAGE | $23.61 | $252,927.95 | $37,645.83 | 2026-04-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Omnia | $23.73 | $238.00 | $238.00 | 2026-05-15 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | PMAP | $23.74 | $235.24 | $94.34 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | PMAP | $23.74 | $234.94 | $94.22 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | PMAP | $23.74 | $234.94 | $94.22 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | PMAP | $23.74 | $234.94 | $94.22 | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Health Partners | PMAP | $23.74 | $234.97 | $94.23 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | PMAP | $23.74 | $235.24 | $99.98 | 2026-02-06 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Health Partners | PMAP | $23.74 | $234.94 | $94.22 | 2026-02-05 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $23.79 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | WELLCARE | WELLCARE MEDICARE | $23.79 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $23.79 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| THE HOSPITAL OF CENTRAL CONNECTICUT Outpatient | AETNA | AETNA MEDICARE | $23.90 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $23.90 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| WILLIAM W BACKUS HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $23.90 | $83.59 | $83.59 | 2026-04-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Managed Care | $26.37 | $238.00 | $238.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | PPO | $28.46 | $238.00 | $238.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Indemnity | $28.46 | $238.00 | $238.00 | 2026-05-15 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $29.02 | — | — | 2025-06-28 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Priority Health | Managed Medicaid | $29.03 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan McLaren | Managed Medicaid | $29.03 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Meridian | Managed Medicaid | $29.03 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Blue Cross Complete | Managed Medicaid | $29.03 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Molina | Managed Medicaid | $29.03 | — | — | 2025-03-12 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $29.06 | $107.23 | $85.79 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $29.06 | $107.23 | $85.79 | 2026-01-28 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $29.36 | $34,444.59 | $34,444.59 | 2026-02-19 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $29.48 | $108.77 | $87.02 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $29.48 | $108.77 | $87.02 | 2026-01-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | McLaren | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $29.73 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $30.34 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $30.34 | — | — | 2025-06-28 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $30.38 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $30.42 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $30.42 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $30.42 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $30.42 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $30.42 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $30.42 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $30.49 | $20,819.16 | $17,696.29 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Priority Health | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $30.49 | $20,819.16 | $17,696.29 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $30.49 | $20,819.16 | $17,696.29 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $30.49 | $20,819.16 | $17,696.29 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $30.49 | $20,819.16 | $17,696.29 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $30.49 | $6,000.00 | $5,100.00 | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $30.49 | — | — | 2026-04-17 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Highmark | Highmark Together Blue | $31.09 | — | — | 2026-04-14 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - United | Medicaid - United | $31.19 | $121.14 | $60.57 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - Midwest | Medicaid - Midwest | $31.19 | $286.14 | $143.07 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Medicaid - Meridian | Medicaid - Meridian | $31.19 | $87.71 | $43.86 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $31.19 | $121.14 | $60.57 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Medicaid - Midwest | Medicaid - Midwest | $31.19 | $87.71 | $43.86 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Meridian | Medicaid - Meridian | $31.19 | $121.14 | $60.57 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Midwest | Medicaid - Midwest | $31.19 | $121.14 | $60.57 | 2025-12-31 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Medicaid - United | Medicaid - United | $31.19 | $324.78 | $162.39 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Both | Medicaid - Meridian | Medicaid - Meridian | $31.19 | $115.11 | $57.56 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $31.19 | $87.71 | $43.86 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Medicaid - Midwest | Medicaid - Midwest | $31.19 | $87.71 | $43.86 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Medicaid - United | Medicaid - United | $31.19 | $87.71 | $43.86 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $31.19 | $87.71 | $43.86 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Medicaid - United | Medicaid - United | $31.19 | $87.71 | $43.86 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $31.19 | $87.71 | $43.86 | 2025-12-31 | MRF ↗ |
| MCLAREN OAKLAND Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $31.19 | $255.44 | $127.72 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Midwest | Medicaid - Midwest | $31.19 | $110.18 | $55.09 | 2025-12-31 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Medicaid - Midwest | Medicaid - Midwest | $31.19 | $324.78 | $162.39 | 2025-12-31 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $31.19 | $110.18 | $55.09 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Both | Medicaid - United | Medicaid - United | $31.19 | $115.11 | $57.56 | 2025-12-31 | 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.