J0885 — Epoetin Alfa Per 1000 Units
Cite this view
HANK Price Transparency. (n.d.). epoetin alfa per 1000 units (CPT J0885) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0885?code_type=CPT
“epoetin alfa per 1000 units (CPT J0885) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0885?code_type=CPT. Accessed .
“epoetin alfa per 1000 units (CPT J0885) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0885?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $54–$636 (25th–75th percentile) across 2,446 hospitals · 8,623 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J0885 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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).
The middle 50% of negotiated facility rates for this procedure, measured across 2,446 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $200 |
| Likely subtotal | $200 |
- 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 |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $915.02 | $503.26 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $152.50 | $83.88 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $183.01 | $155.56 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $152.50 | $83.88 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $388.44 | $194.22 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $457.51 | $388.88 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $91.50 | $77.78 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $388.44 | $194.22 | 2024-12-15 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Healthy Blue | Managed Medicaid | — | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | HOPE Trust | Commercial | — | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Homestate Medicaid | Managed Medicaid | — | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | UMR Hannibal Regional Healthcare System | Commercial | $0.04 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Health Alliance | Medicare Advantage | — | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Samaritan Employee Health Plan | Commercial | — | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Cigna HealthCare of St Louis | Commercial | $0.05 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | 6 Degrees Health | Commercial | $0.05 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Aetna | HMO/POS/PPO | $0.05 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Anthem Blue Cross and Blue Shield | Blue Preferred | $0.05 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Anthem Blue Cross and Blue Shield | Pathway/Pathway X | $0.05 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Aetna | Self-Funded | $0.06 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | United Healthcare of the Midwest | Commercial | $0.06 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Health Alliance | Commercial | $0.06 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | HealthLink | HMO | $0.06 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Anthem Blue Cross and Blue Shield | Alliance (Blue Access) | $0.06 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL OutpatientFacility | 6 Degrees Health | Commercial | $0.06 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Current Health Network | Commercial | $0.06 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | HealthLink | PPO | $0.06 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC Outpatient | Medica Insurance | Ind | $0.06 | $2,600.00 | $2,522.61 | 2026-05-09 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Anthem Blue Cross and Blue Shield | Traditional | $0.06 | $0.07 | $0.05 | 2025-04-25 | MRF ↗ |
| AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC Outpatient | Medica Insurance | Com | $0.06 | $2,600.00 | $2,522.61 | 2026-05-09 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.14 | $48.11 | $28.87 | 2025-12-30 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Medicare Advantage | $0.15 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Medicare Plus Blue | Medicare Advantage | $0.15 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Michigan Amish Medical Board | Commercial | $0.15 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Northern Michigan Mennonite Group | Commercial | $0.15 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Blue Care Network | Medicare Advantage | $0.15 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | HAP (Health Alliance Plan) | Medicare Advantage | $0.15 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Medicare Advantage | $0.15 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.15 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $0.15 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.16 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | The Maples Skilled Nursing | Commercial | $0.16 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Meadow Brook | Commercial | $0.17 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | McLaren Health Plan | Medicare Advantage | $0.17 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Medicare Blue Plus | Medicare Advantage | $0.18 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $0.18 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Michigan Amish Medical Board | Commercial | $0.18 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Aetna | Medicare Advantage | $0.18 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Blue Care Network | Medicare Advantage | $0.18 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Northern Michigan Mennonite Group | Commercial | $0.18 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Humana | Medicare Advantage | $0.18 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Priority Health | Medicare Advantage | $0.18 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | HAP (Health Alliance Plan) | Medicare Advantage | $0.18 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Molina | Medicare Advantage | $0.18 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Employee Benefits Logistics | Commercial | $0.25 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA OP | $0.26 | $4.81 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | CIGNA | CIGNA IP | $0.26 | $4.81 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA OP | $0.27 | $4.81 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA SWING | $0.27 | $4.81 | — | 2026-01-15 | MRF ↗ |
| DEQUINCY MEMORIAL HOSPITAL Both | AETNA | AETNA IP | $0.27 | $4.81 | — | 2026-01-15 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Hospice of Michigan | Commercial | $0.28 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Hospice of Michigan | Commercial | $0.28 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Employee Benefits Logistics | Commercial | $0.30 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.32 | $48.11 | $28.87 | 2025-12-30 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Munson Hospice | Commercial | $0.33 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Priority Health | Managed Medicaid | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | McLaren Health Plan | Medicare Advantage | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Meridian | Managed Medicaid | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | McLaren Health Plan | Managed Medicaid | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Blue Care Network | Medicare Advantage | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Medicare Plus Blue | Medicare Advantage | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Blue Cross Complete | Managed Medicaid | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Molina | Managed Medicaid | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | The Maples Skilled Nursing | Commercial | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Northern Michigan Mennonite Group | Commercial | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Employee Benefits Logistics | Commercial | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | HAP (Health Alliance Plan) | Medicare Advantage | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Michigan Amish Medical Board | Commercial | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Priority Health | Medicare Advantage | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | McLaren Health Plan | Commercial | $0.34 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Hospice of Michigan | Commercial | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Blue Cross | PPO/Traditional/HMO/Blue Care Network Commercial | $0.35 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | McLaren Health Plan | Commercial | $0.35 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Blue Cross | PPO/Traditional/HMO/Blue Care Network Commercial | $0.35 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Cofinity/PPOM | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | The Robbins Group and Regency Employee Benefits | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Humana/Choicecare Network | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Humana/Choicecare Network | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Cofinity/PPOM | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | The Robbins Group and Regency Employee Benefits | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | HAP (Health Alliance Plan) | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Nomi Health | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | HAP (Health Alliance Plan) | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Aetna | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Medical Cost Savings Solution | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Aetna | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | ASR Physicians Care Network | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Enterprise Group Planning Employee Benefit Plan | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Medical Cost Savings Solution | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | ASR Physicians Care Network | Commercial | $0.38 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Nomi Health | Commercial | $0.39 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Cigna | Commercial | $0.39 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.39 | $104.79 | $99.55 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.39 | $104.79 | $99.55 | 2026-02-20 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Priority Health | Commercial | $0.39 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Priority Health | Commercial | $0.40 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Three Rivers Provider Network | Commercial | $0.40 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Provider Network of America/HMA Group Health | Commercial | $0.40 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Cigna | Commercial | $0.40 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | First Health Network/Coventry Health Care | Commercial | $0.42 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Multiplan/PHCS | Commercial | $0.42 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Multiplan/Private Healthcare Systems | Commercial | $0.42 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Commercial | $0.42 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | First Health/Coventry Health/Community Care Network | Commercial | $0.42 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.43 | $48.11 | $28.87 | 2025-12-30 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | United Healthcare Definity | Commercial | $0.45 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | United Healthcare Definity | Commercial | $0.45 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL InpatientFacility | Beech Street | Commercial | $0.45 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER InpatientFacility | Beech Street | Commercial | $0.45 | $0.47 | $0.40 | 2026-04-17 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | HealthSmart | All Products | $0.46 | $1.45 | $1.09 | 2025-07-01 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Aetna Medicare Advantage | Aetna Medicare Advantage | $0.49 | $1.63 | $1.63 | 2026-01-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.50 | $104.79 | $99.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.50 | $104.79 | $99.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.51 | $104.79 | $99.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.51 | $104.79 | $99.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.51 | $104.79 | $99.55 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.52 | $104.79 | $99.55 | 2026-02-20 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.53 | $2.10 | $1.47 | 2026-01-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.54 | $104.79 | $99.55 | 2026-02-20 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | Health Design Plus | All Products | $0.54 | $1.45 | $1.09 | 2025-07-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.57 | $104.79 | $99.55 | 2026-02-20 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | HUMANA | ALL PRODUCTS | $0.57 | $1.45 | $1.09 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | HealthSpan | All Products | $0.58 | $1.45 | $1.09 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER BothFacility | Clarity Health | All Products | $0.58 | $1.45 | $1.09 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Aetna | All Products | $0.59 | $1.45 | $1.09 | 2025-07-01 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | $0.63 | $2.10 | $1.47 | 2026-01-30 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.63 | $168.93 | $160.49 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.63 | $168.93 | $160.49 | 2026-02-20 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.65 | $379.90 | $379.90 | 2026-03-18 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | HealthSmart Preferred | All Products | $0.65 | $1.45 | $1.09 | 2025-07-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.68 | $168.93 | $160.49 | 2026-02-20 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Ohio Health Choice Plus | All Products | $0.70 | $1.45 | $1.09 | 2025-07-01 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.74 | $4.51 | $0.91 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.74 | $4.51 | $0.91 | 2026-02-13 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | DOCTORS HEALTHCARE - ALL PLANS | DOCTORS HEALTHCARE - ALL PLANS | $0.74 | $2.10 | $1.47 | 2026-01-30 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.74 | $4.51 | $0.91 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.74 | $4.51 | $0.91 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.74 | $4.51 | $0.91 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.74 | $4.51 | $0.91 | 2026-02-11 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $0.75 | $3.00 | $2.10 | 2026-01-30 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.75 | $48.11 | $28.87 | 2025-12-30 | MRF ↗ |
| TGH Rehabilitation Hospital Inpatient | Provider Network of America | Provider Network of America | $0.76 | $1.08 | $1.08 | 2026-03-16 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Optum | All Products | $0.78 | $1.45 | $1.09 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | SUMMACARE | ALL PRODUCTS | $0.78 | $1.45 | $1.09 | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Cigna | All Products | $0.79 | $1.45 | $1.09 | 2025-07-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.81 | $152.51 | $99.13 | 2025-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.81 | $168.93 | $160.49 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.81 | $168.93 | $160.49 | 2026-02-20 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.81 | $152.51 | $99.13 | 2025-01-01 | MRF ↗ |
| SOUTH ARKANSAS REGIONAL HOSPITAL LLC BothFacility | Cigna | Commercial POS | $0.82 | $1.63 | $1.63 | 2026-01-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.83 | $168.93 | $160.49 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.83 | $168.93 | $160.49 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.83 | $168.93 | $160.49 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.83 | $168.93 | $160.49 | 2026-02-20 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.86 | $4.51 | $0.91 | 2026-02-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.88 | $168.93 | $160.49 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.90 | $4.51 | $0.91 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.90 | $4.51 | $0.91 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.90 | $4.51 | $0.91 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.90 | $4.51 | $0.91 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.90 | $4.51 | $0.91 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.90 | $4.51 | $0.91 | 2026-02-11 | MRF ↗ |
| LARKIN COMMUNITY HOSPITAL PALM SPRINGS CAMPUS Outpatient | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | HUMANA COMMERCIAL/PPO - ALL OTHER PLANS | $0.90 | $3.00 | $2.10 | 2026-01-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.91 | $168.93 | $160.49 | 2026-02-20 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedChoicePlus | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $1.00 | $10.31 | $5.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $1.00 | $10.31 | $5.16 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Naval Medical Center | NavalMedicalCenter | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $1,560.97 | $1,280.00 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdComm | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $1,560.97 | $1,280.00 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdMCare | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Affiliated Health Fund | AffiliatedHealthFundAHF | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $1,560.97 | $1,280.00 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedHealthcareHMO | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Central California Alliance For Health | CentralCAAllianceMediCal | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Morongo Basin Community Health | MorongoBasinCommunityHealth | — | $220.00 | $165.00 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMgdMCare | — | $220.00 | $165.00 | 2025-01-31 | 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.