J0894 — Decitabine 50 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DECITABINE 50 MG INTRAVENOUS SOLUTION (HCPCS J0894) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J0894?code_type=HCPCS
MLA (9th ed.)
“DECITABINE 50 MG INTRAVENOUS SOLUTION (HCPCS J0894) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J0894?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“DECITABINE 50 MG INTRAVENOUS SOLUTION (HCPCS J0894) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J0894?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $40–$855 (25th–75th percentile) across 2,290 hospitals · 4,974 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J0894 — 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
$40
$227 typical
$855
The middle 50% of negotiated facility rates for this procedure, measured across 2,290 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $227 |
| Likely subtotal | $227 |
Facility charge (no separate professional fee)
$227
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $40–$855.
- 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 | — | $165.57 | $91.06 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $275.94 | $151.77 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $275.94 | $151.77 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $484.79 | $242.39 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $134.94 | $114.70 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $484.79 | $242.39 | 2024-12-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Community Care | Medicare Advantage | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $1,118.08 | $726.75 | 2025-11-26 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $0.06 | $1,271.28 | $1,207.72 | 2026-07-15 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | PPO | — | — | — | 2024-10-01 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.14 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.14 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.14 | — | — | 2026-01-12 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $596.00 | $447.00 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $596.00 | $447.00 | 2026-09-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $10,001.00 | $7,100.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $10,001.00 | $7,100.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $5,088.00 | $3,612.48 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $10,001.00 | $7,100.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $5,088.00 | $3,612.48 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $5,088.00 | $3,612.48 | 2026-07-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.26 | — | — | 2026-03-18 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $146.00 | $109.50 | 2026-09-01 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.29 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.29 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.29 | — | — | 2026-01-12 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $146.00 | $109.50 | 2026-09-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $521.76 | $339.14 | 2025-11-26 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.34 | $2.97 | $0.91 | 2026-07-18 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Group Health Inc | Medicare | $0.35 | $1.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Group Health Inc | Medicare | $0.35 | $1.00 | — | 2026-02-27 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $0.36 | $2.97 | $0.91 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $0.36 | $2.97 | $0.91 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $0.37 | $2.97 | $0.91 | 2026-07-18 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Excellus BlueCross BlueShield | Medicare Advantage | $0.38 | $1.37 | $1.37 | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Humana Military | TRICARE | $0.38 | $1.37 | $1.37 | 2026-10-12 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.39 | $1.00 | $0.80 | 2026-09-25 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Highmark Wholecare | Highmark Wholecare Medicaid | $0.39 | $2,850.00 | $1,026.00 | 2026-07-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.40 | $1.00 | $0.80 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.40 | $1.00 | $0.80 | 2026-09-25 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Good Shepherd | Op | $0.40 | $2.00 | $1.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Good Shepherd | Op | $0.40 | $2.00 | $1.00 | 2026-07-18 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.40 | $1.00 | $0.80 | 2026-09-25 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $0.42 | $2.08 | — | 2025-09-05 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | EmblemHealth | Commercial | $0.50 | $1.00 | — | 2026-02-27 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | EmblemHealth | Commercial | $0.50 | $1.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Group Health Inc | Commercial | $0.50 | $1.00 | — | 2026-02-27 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Group Health Inc | Commercial | $0.50 | $1.00 | — | 2026-02-27 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Caresource | Commercial | $0.53 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Mdwise | Medicaid | $0.53 | — | — | 2026-07-17 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Outpatient | Anthem | Medicaid | $0.53 | — | — | 2026-07-17 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $0.54 | $1.77 | $1.03 | 2026-02-28 | MRF ↗ |
| CENTRAL VERMONT MEDICAL CENTER InpatientFacility | Humana Military | TRICARE | $0.54 | $1.37 | $1.37 | 2026-10-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $0.54 | $1.77 | $1.03 | 2026-02-28 | MRF ↗ |
| READING HOSPITAL Outpatient | Humana Military | Tricare | $0.55 | $3.81 | $2.67 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.56 | $4.21 | $1.64 | 2026-07-15 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Anthem | Managed Medicaid | $0.58 | — | — | 2026-03-27 | MRF ↗ |
| CARSON VALLEY HEALTH OutpatientFacility | Silver Summit | Managed Medicaid | $0.58 | — | — | 2026-03-27 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | Noble IPA | Medicaid|All Other Plans | $0.58 | $5,480.00 | $2,620.51 | 2026-09-30 | MRF ↗ |
| CALIFORNIA HOSPITAL MEDICAL CENTER LA Outpatient | Noble IPA | Medicaid|> 21 | $0.58 | $5,480.00 | $2,620.51 | 2026-09-30 | MRF ↗ |
| VIERA HOSPITAL Outpatient | Health First Health Plan | Health First Health Plan Medicare | $0.58 | $6,216.01 | $1,554.00 | 2026-07-15 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $0.59 | $1.77 | $1.03 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $0.59 | $1.77 | $1.03 | 2026-02-28 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $146.00 | $109.50 | 2026-09-01 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | ARKANSAS FIRSTSOURCE | ARKANSAS FIRSTSOURCE | $0.61 | $123.26 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | BLUE ADVANTAGE | BLUE ADVANTAGE | $0.61 | $123.26 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $0.61 | $123.26 | — | 2026-03-29 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | ANTHEM BLUE CROSS | ANTHEM BLUE CROSS | $0.61 | $123.26 | — | 2026-03-29 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Health Advantage | $0.61 | — | — | 2026-04-08 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | BLUE CARD | BLUE CARD | $0.61 | $123.26 | — | 2026-03-29 | MRF ↗ |
| WASHINGTON REGIONAL MEDICAL CENTER Outpatient | Bcbs Marketplace Plan | Commercial | $0.61 | $284.09 | $213.07 | 2026-10-31 | MRF ↗ |
| OUACHITA COUNTY MEDICAL CENTER Both | BLUE CROSS ARKANSAS | BLUE CROSS ARKANSAS | $0.61 | $123.26 | — | 2026-03-29 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid CHIP | $0.61 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Keystone First | JCC002 Caid MCO | $0.61 | — | — | 2026-03-18 | MRF ↗ |
| LAFAYETTE REGIONAL HEALTH CENTER Outpatient | Ambetter | Commercial-Exchange | $0.61 | $3.15 | $3.15 | 2025-01-01 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid CHIP | $0.61 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | Keystone First | JCC001 Caid MCO | $0.61 | — | — | 2026-03-18 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $0.62 | $1.77 | $1.03 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $0.62 | $1.77 | $1.03 | 2026-02-28 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $10.14 | — | 2026-07-01 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.63 | $4.21 | $1.52 | 2026-07-15 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Avmed | Ip | $0.63 | $2.00 | $1.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Avmed | Ip | $0.63 | $2.00 | $1.00 | 2026-07-18 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $0.64 | $2,850.00 | $1,026.00 | 2026-07-15 | MRF ↗ |
| NORTH ADAMS REGIONAL HOSPITAL CORPORATION Outpatient | Mcrmanaged Medicare Hmo | Mcrmanaged Medicare Hmo | $0.64 | $1,271.28 | $1,207.72 | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Outpatient | Upmc | Medicare | $0.64 | $3.81 | $2.67 | 2026-07-15 | MRF ↗ |
| INDIANA REGIONAL MEDICAL CENTER Outpatient | Highmark | Highmark Mcr Community/Complete Blue | $0.64 | $5,573.10 | $2,006.32 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Highmark | Highmark Mcr Security Blue | $0.64 | $2,850.00 | $1,026.00 | 2026-07-15 | MRF ↗ |
| NORTH ADAMS REGIONAL HOSPITAL CORPORATION Outpatient | Mcr Traditional Medicare | Mcr Traditional Medicare | $0.64 | $1,271.28 | $1,207.72 | 2026-07-15 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Medicare | Mcr Traditional Medicare | $0.64 | $1,271.28 | $1,207.72 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Unitedhealthcare Insurance Company | United Medicare | $0.64 | $2,850.00 | $1,026.00 | 2026-07-15 | MRF ↗ |
| READING HOSPITAL Outpatient | Health America | Medicare | $0.64 | $3.81 | $2.67 | 2026-07-15 | MRF ↗ |
| INDIANA REGIONAL MEDICAL CENTER Outpatient | Highmark | Highmark Mcr Freedom Blue | $0.64 | $5,573.10 | $2,006.32 | 2026-07-15 | MRF ↗ |
| INDIANA REGIONAL MEDICAL CENTER Outpatient | Humana Inc. | Humana Medicare | $0.64 | $5,573.10 | $2,006.32 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Amerihealth Caritas | Amerihealth Caritas Medicare | $0.64 | $2,850.00 | $1,026.00 | 2026-07-15 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $0.64 | $1.77 | $1.03 | 2026-02-28 | MRF ↗ |
| ABBEVILLE GENERAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Louisiana | Blue Cross Blue Shield Of Louisiana - Blue Advantage | $0.64 | $2,083.73 | $1,041.87 | 2026-09-28 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Medicare | Mcrmanaged Medicare Hmo | $0.64 | $1,271.28 | $1,207.72 | 2026-07-15 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Highmark | Highmark Mcr Freedom Blue | $0.64 | $2,850.00 | $1,026.00 | 2026-07-15 | MRF ↗ |
| ABBEVILLE GENERAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Louisiana | Blue Cross Blue Shield Of Louisiana - Blue Advantage | $0.64 | $2,083.73 | $1,041.87 | 2026-09-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $0.64 | $1.77 | $1.03 | 2026-02-28 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | UHC MCAID | UHC MCAID | $0.64 | $5.00 | $3.25 | 2026-08-10 | MRF ↗ |
| BELLEVUE MEDICAL CENTER Outpatient | MEDICA MCAID | MEDICA MCAID | $0.64 | $5.00 | $3.25 | 2026-08-10 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $0.64 | $1.77 | $1.03 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $0.64 | $1.77 | $1.03 | 2026-02-28 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.64 | $4.21 | $1.77 | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Outpatient | Aetna Medicare | Aetna Medicare | $0.64 | $2,850.00 | $1,026.00 | 2026-07-15 | MRF ↗ |
| INDIANA REGIONAL MEDICAL CENTER Outpatient | Highmark | Highmark Mcr Security Blue | $0.64 | $5,573.10 | $2,006.32 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Multiplan | Multiplan | — | $116.09 | $58.05 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Cigna | Cigna | — | $116.09 | $58.05 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Aetna Rental | First Health | — | $116.09 | $58.05 | 2026-07-15 | MRF ↗ |
| MCCULLOUGH-HYDE MEMORIAL HOSPITAL OutpatientFacility | Oscar | All Commercial Plans | $0.65 | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Horizon NJ Health NJ | Medicaid | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| RENOWN REGIONAL MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield Healthcare Solutions | Managed Medicaid | $0.65 | $325.14 | $227.60 | 2026-03-27 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Harvard Pilgrim | INDIVIDUAL | $0.65 | — | — | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Harvard Pilgrim | ELEVATE | $0.65 | — | — | 2026-03-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Blue Cross | ALL PRODUCTS SAT Outpatient | $0.65 | $376.43 | $376.43 | 2026-04-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Harvard Pilgrim | HMO | $0.65 | — | — | 2026-03-01 | MRF ↗ |
| INDIANA REGIONAL MEDICAL CENTER Outpatient | Medicare Senior Life | Medicare Senior Life | $0.65 | $5,573.10 | $2,006.32 | 2026-07-15 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | Peak Health Medicare Advantage – All Plans | Peak Health Medicare Advantage – All Plans | — | $182.31 | $91.16 | 2026-07-15 | MRF ↗ |
| INDIANA REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna | $0.65 | $5,573.10 | $2,006.32 | 2026-07-15 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Blue Cross | ALL PRODUCTS SAT Outpatient | $0.65 | $376.43 | $376.43 | 2026-04-01 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Caresource | Caresource | — | $116.09 | $58.05 | 2026-07-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | United Healthcare Medicare | Medicare Dual SNP | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| RENOWN SOUTH MEADOWS MEDICAL CENTER OutpatientFacility | Anthem Blue Cross Blue Shield Healthcare Solutions | Managed Medicaid | $0.65 | $325.14 | $227.60 | 2026-03-27 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Buckeye | Medicaid | — | $116.09 | $58.05 | 2026-07-15 | MRF ↗ |
| Research Medical Center Outpatient | BCBS | Blue-Care(HMO) | — | — | — | 2026-03-01 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Humana Medicare Advantage | All Plans | — | $116.09 | $58.05 | 2026-07-15 | MRF ↗ |
| ISLAND HOSPITAL OutpatientFacility | Kaiser | Commercial | $0.65 | — | — | 2026-05-04 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $116.09 | $58.05 | 2026-07-15 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $116.09 | $58.05 | 2026-07-15 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Optum VA CCN | JNJ001_JNJ002_JNJ003 VA CCN | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Highmark Wholecare Gateway | JNJ001_JNJ002_JNJ003 Medicare | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Inspira Life | JNJ001_JNJ002_JNJ003 Medicare Adv | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| ARNOT OGDEN MEDICAL CENTER OutpatientFacility | Geisinger | Managed Medicaid | $0.65 | — | — | 2026-03-27 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | TriWest Health Alliance | TRCR | $0.65 | — | — | 2026-05-14 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Harvard Pilgrim | POS | $0.65 | — | — | 2026-03-01 | MRF ↗ |
| ANNA JAQUES HOSPITAL OutpatientFacility | Bcbs | All Commercial Plans | $0.65 | — | — | 2026-04-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Blue Cross Oncology UPW | Medicare Advantage | $0.65 | — | — | 2026-06-30 | MRF ↗ |
| WEST VIRGINIA UNIVERSITY HOSPITALS, INC Outpatient | Peak Health | Peak Health | — | $116.09 | $58.05 | 2026-07-15 | MRF ↗ |
| REYNOLDS MEMORIAL HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $182.31 | $91.16 | 2026-07-15 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Inspira Life | JCC001_JCC002 Medicare Adv | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured All Commercial Plans | $0.65 | — | — | 2026-04-01 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | IBC Medicare | JAB001 Medicare | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Jefferson Health Plan ACA QHP Exchange | Commercial Exchange | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | VA_Champus_Tricare | JAB001 Military | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | Geisinger Medicaid | JAB001 Caid | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | IBC Medicare | JAB001 Medicare Focus | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | Geisinger Medicaid | JCC001 JCC002 Caid MCO | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL InpatientFacility | Horizon Medicare Blue | JNJ001_JNJ002_JNJ003 Medicare | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | EMPIRE PLAN 5179 | EMPIRE PLAN 517901 | $0.65 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | EMPIRE PLAN 5179 | EMPIRE PLAN 517901 | $0.65 | — | — | 2026-01-01 | MRF ↗ |
| JEFFERSON STRATFORD HOSPITAL OutpatientFacility | Point of Comfort Refugee Resettlement | Commercial | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| ISLAND HOSPITAL OutpatientFacility | Regence | Commercial | $0.65 | — | — | 2026-05-04 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | VA_Champus_Tricare | JCC001_JCC002 Military | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $0.65 | — | — | 2026-01-01 | MRF ↗ |
| Jefferson Methodist Hospital InpatientFacility | Optum VA CCN | JCC001_JCC002 VA CCN | $0.65 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL InpatientFacility | Inspira Life | JAB001 Medicare Adv | $0.65 | — | — | 2026-03-18 | 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.