J0878 — Daptomycin 500 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION (CPT J0878) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0878?code_type=CPT
MLA (9th ed.)
“DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION (CPT J0878) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0878?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“DAPTOMYCIN 500 MG INTRAVENOUS SOLUTION (CPT J0878) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0878?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $17–$208 (25th–75th percentile) across 2,620 hospitals · 7,408 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0878 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$17
$77 typical
$208
The middle 50% of negotiated facility rates for this procedure, measured across 2,620 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $77 |
| Likely subtotal | $77 |
Facility charge (no separate professional fee)
$77
- This is a drug/supply code billed by the facility; there is no separate professional fee to estimate — the figure above is the facility charge only.
How each figure is sourced
- Hospital facility (actual)
- source: Hospital MRF (45 CFR 180)
Estimates use CMS Medicare Physician Fee Schedule reference data (RVU × GPCI × conversion factor; anesthesia base+time × CF) scaled by a sourced commercial multiplier, weighted by how often each component is billed. See the methodology. Your real total appears on your insurer’s Explanation of Benefits (EOB).
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 |
|---|---|---|---|---|---|---|---|
| ADVENTHEALTH HENDERSONVILLE Inpatient | MedCost_Ultra | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | HealthSmart_Preferred_fka_Interplan_Health | HMO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Security_Health_Plan_of_Wisconsin | HMO_PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Inpatient | QTC_Medical_Group | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Select_Care | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $96.60 | $53.13 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $367.00 | $201.85 | 2025-01-01 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | HealthPartners,_Inc. | HMO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $275.94 | $234.55 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Inpatient | United_HealthCare_of_NC | HMO_PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UMR O/P | UMR IP | — | $0.19 | — | 2026-01-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | WEA_Insurance_Corporation | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Blue_Cross_Blue_Shield_of_Kansas | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | GEHA | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Compcare_Health_Services | HMO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $275.94 | $234.55 | 2025-01-01 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | HealthPartners,_Inc. | HMO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | GEHA | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | Preferredone | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | MHS_Health_Wisconsin | Medicaid | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Inpatient | First_Health_Network | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UHC COMM IP | — | $0.19 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UHC SHARED SAVINGS OP | — | $0.19 | — | 2026-01-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Inpatient | Crescent | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $96.60 | $53.13 | 2025-01-01 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | Medica_Health_Plan | Medicaid | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Dean_Health_Plan | HMO/PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Wisconsin_Physicians_Service | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | Private_Healthcare_Systems | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | United_Healthcare_of_WI | Medicare_HMO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | The_Alliance | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Group_Health_Cooperative_of_Eau_Claire | HMO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | First_Health_Network | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $96.60 | $82.11 | 2025-01-01 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | Wisconsin_Physicians_Service | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Cigna_HealthCare | HMO_PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | WELLCARE | Medicare_HMO_PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Multiplan | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Emphesys_Wisconsin_ | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Preferredone | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | Private_Healthcare_Systems_Savility | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | The_Alliance | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $33,020.52 | $16,510.26 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Inpatient | MedCost | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UMR O/P | UMR OP | — | $0.19 | — | 2026-01-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Inpatient | MultiPlan | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Inpatient | Aetna | HMO_PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Inpatient | Humana_Health_Plan | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Inpatient | Private_Healthcare_Systems | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UHC SHARED SAVINGS IP | — | $0.19 | — | 2026-01-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Inpatient | Cigna_ | HMO_PPO_POS | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | UNITED HEALTHCARE | UHC COMM OP | — | $0.19 | — | 2026-01-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | HFN | EPO_PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $96.60 | $53.13 | 2025-01-01 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Medica_Health_Plans | HMO_ | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Health_Tradition | HMO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | United_HealthCare | Medicaid | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Humana_Health_Plan,_Inc_and_Humana_HealthChicago,_Inc | HMO_PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $33,020.52 | $16,510.26 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | United_Healthcare_of_WI | HMO_PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Coventry_National | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | United_Healthcare_of_WI | HMO_PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $367.00 | $201.85 | 2025-01-01 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | Blue_Cross_and_Blue_Shield_United_of_Wisconsin | HMO_Medicaid | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | Security_Health_Plan_of_Wisconsin | Medicaid | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Outpatient | Health_Tradition | Medicaid | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHIPPEWA VALLEY HOSPITAL Inpatient | Zelis | PPO | — | $0.14 | $0.05 | 2024-12-15 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Texas Childrens Health Plan | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Christus Health | HIX | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Health Management Network | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | LSU First Choice Verity | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Vantage Health Plan Inc. | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Aetna | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Molina Medicare Options & Molina | MMAI Medicare Advantage | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Blue Cross and Blue Shield | PPO | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Blue Cross and Blue Shield | POS | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | BC Illinois Community | MMAI (Medicare-Medicaid) | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Medica Exchange Inspire | Commercial | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Medica Exchange Insure | Commercial | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Blue Cross and Blue Shield | Medicare Advantage | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Phcs | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Health Alliance | Medicare Advantage | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Aetna | HMO | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Meridian Health Plan | Medicare Advantage | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | United Healthcare | HMO | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Aetna Better Health | Managed Care | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | United Healthcare | Medicare Advantage | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Meridian Health Plan | Managed Medicaid | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Verity Healthnet National | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Vantage Health Plan Inc. | Gold Plus MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Gilsbar Inc. | Alliance PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Healthy Blue Louisiana | KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Verity HealthNet | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | PPO Plus | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Health Partners Open Network | Commercial | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Humana | Gold Choice MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Christus Health | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | AllyAlign Health | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Five Point Credit Union | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Ambetter | HMO | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Iowa Total Care | Managed Medicaid | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Amerivantage | Medicare Advantage | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | United Healthcare | PPO | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Humana | Medicare Advantage | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Molina Healthcare | Managed Medicaid | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Aetna | PPO | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Aetna | Medicare Advantage | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Peoples Health | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Texas Childrens Health Plan | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Triwest | VA MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | American Health Medicare | Advantage MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Healthcare Highways | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Humana | Choicecare | — | — | — | 2026-01-12 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Blue Cross and Blue Shield | Managed Medicaid | — | $0.03 | $0.03 | 2026-01-28 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Aetna | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | United Healthcare | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Multiplan | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Aetna | KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Arcadian Health Plan | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Provider Select | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Dignity Health | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Louisiana Healthcare Connections | KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Wellcare | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Coventry | First Health MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | First Health | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Amerihealth Caritas Louisiana | KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | PPO Plus | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | LSU First Choice Verity | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Vantage Health Plan Inc. | Gold Plus MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Gilsbar Inc. | Alliance PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | American Health Medicare | Advantage MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Five Point Credit Union | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Arcadian Health Plan | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Healthy Blue Louisiana | KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Health Management Network | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Dignity Health | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | AllyAlign Health | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Peoples Health | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Louisiana Healthcare Connections | KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Triwest | VA MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Amerihealth Caritas Louisiana | KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Blue Cross Blue Shield of Louisiana | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Provider Select | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Vantage Health Plan Inc. | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Verity HealthNet | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Verity Healthnet National | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Aetna | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Aetna | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Texas Childrens Health Plan | Chip KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Healthcare Highways | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Phcs | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Aetna | KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Texas Childrens Health Plan | Star Plus KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Christus Health | HIX | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Humana | Healthy Horizons KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Multiplan | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Humana | Choicecare | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | United Healthcare | VA CCN MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | United Healthcare | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Humana | Gold Plus MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | HealthSmart | Accel PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | First Health | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Wellcare | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Coventry | First Health MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | United Healthcare | KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Humana | Gold Choice MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Christus Health | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Blue Cross Blue Shield of Louisiana | MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | HealthSmart | Accel PPO | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | United Healthcare | KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | United Healthcare | VA CCN MM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Humana | Healthy Horizons KM | — | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS COUSHATTA HEALTH CARE CENTER OutpatientFacility | Humana | Gold Plus MM | — | — | — | 2026-01-12 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | CareSource | CareSource | $0.03 | $1.50 | $1.13 | 2026-02-14 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | AMERIHEALTH CARITAS MEDICAID - ALL PLANS | AMERIHEALTH CARITAS MEDICAID - ALL PLANS | $0.03 | $186.80 | $186.80 | 2026-02-25 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | CHAMPUS VA | CHAMPUS VA | $0.03 | $1.50 | $1.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $0.03 | $1.50 | $1.13 | 2026-02-15 | MRF ↗ |
| ADAMS MEMORIAL HOSPITAL Outpatient | MDWISE MCAID | MDWISE MCAID | $0.03 | $186.80 | $186.80 | 2026-02-25 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Centene | Peach State Medicaid | $0.03 | $1.50 | $1.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Institutional GA Medicaid | Institutional GA Medicaid | $0.03 | $1.50 | $1.13 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Centene | Peach State Medicaid | $0.03 | $1.50 | $1.13 | 2026-02-15 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Outpatient | Molina | Medicaid|< 21 | $0.03 | $5,340.00 | $2,093.28 | 2026-02-28 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | CareSource | CareSource | $0.03 | $1.50 | $1.13 | 2026-02-15 | MRF ↗ |
| UNION GENERAL HOSPITAL Both | CARESOURCE NETWORK PARTNERS, LLC. | CARE SOURCE MEDICAID | $0.03 | $2,138.16 | $1,069.08 | 2026-03-23 | MRF ↗ |
| UNION GENERAL HOSPITAL Both | CARESOURCE NETWORK PARTNERS, LLC. | CARE SOURCE MEDICAID | $0.03 | $115.20 | $57.60 | 2026-03-23 | MRF ↗ |
| CANDLER COUNTY HOSPITAL Outpatient | Peach State Medicaid | HMO | $0.03 | $151.00 | — | 2026-03-20 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | CHAMPUS VA | CHAMPUS VA | $0.03 | $1.50 | $1.13 | 2026-02-15 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | HCLA | Medicaid|Preferred IPA > 21 | $0.03 | $2,927.00 | $1,419.60 | 2026-02-28 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | TriWest Health Alliance | TRCR | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | AETNA | AETNA MANAGED CARE - MIDDLESEX ONLY | $0.03 | $31.64 | $31.64 | 2026-04-01 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Centene | Peach State Medicaid | $0.03 | $1.50 | $1.13 | 2026-02-14 | MRF ↗ |
| FRENCH HOSPITAL MEDICAL CENTER Outpatient | Partnership Health Plan | Medicaid|> 21 | $0.03 | $5,340.00 | $2,093.28 | 2026-02-28 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | AETNA | AETNA MANAGED CARE | $0.03 | $31.64 | $31.64 | 2026-04-01 | 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.