J1000 — Estradiol Cypionate 5 Mg/ml Intramuscular Oil
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ESTRADIOL CYPIONATE 5 MG/ML INTRAMUSCULAR OIL (HCPCS J1000) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1000?code_type=HCPCS
MLA (9th ed.)
“ESTRADIOL CYPIONATE 5 MG/ML INTRAMUSCULAR OIL (HCPCS J1000) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1000?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ESTRADIOL CYPIONATE 5 MG/ML INTRAMUSCULAR OIL (HCPCS J1000) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1000?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $43–$349 (25th–75th percentile) across 1,795 hospitals · 3,455 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1000 — 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
$43
$84 typical
$349
The middle 50% of negotiated facility rates for this procedure, measured across 1,795 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $84 |
| Likely subtotal | $84 |
Facility charge (no separate professional fee)
$84
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 $43–$349.
- 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 |
|---|---|---|---|---|---|---|---|
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $34.00 | $11.80 | 2025-09-09 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $1,410.00 | $987.00 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $360.39 | $180.20 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $360.39 | $180.20 | 2024-12-15 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $34.00 | $11.80 | 2025-09-09 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $34.00 | $11.80 | 2025-09-09 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Community Care | Medicare Advantage | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - HMO | $0.11 | $286.02 | $214.51 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Molina | Molina - Cal Medi-Connect | $0.11 | $286.02 | $214.51 | 2026-04-01 | 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 ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.14 | — | — | 2026-01-12 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $3,117.60 | $2,026.44 | 2025-11-26 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | JW Marriott | All Plans | $0.26 | — | — | 2026-07-01 | 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 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.29 | — | — | 2026-01-14 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $3,117.60 | $2,026.44 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $3,117.60 | $2,026.44 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $3,117.60 | $2,026.44 | 2025-11-26 | 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 | 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 | Core | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $3,117.60 | $2,026.44 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $3,117.60 | $2,026.44 | 2025-11-26 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $0.39 | — | — | 2026-03-04 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $3,117.60 | $2,026.44 | 2025-11-26 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.43 | $117.25 | $111.39 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.43 | $117.25 | $111.39 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.43 | $117.25 | $111.39 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.45 | $117.25 | $111.39 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.46 | $117.25 | $111.39 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.47 | $117.25 | $111.39 | 2026-02-20 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $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 | Humana | Medicare Advantage | — | $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 ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | — | $3,117.60 | $2,026.44 | 2025-11-26 | 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 | Child Health Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | Medicare Advantage | — | $3,117.60 | $2,026.44 | 2025-11-26 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $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 ↗ |
| 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 | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $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 | United Healthcare | VACCN | — | $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 | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | 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 | EmblemHealth | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $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 | EmblemHealth | Commercial | — | $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 | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.57 | $117.25 | $111.39 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.57 | $117.25 | $111.39 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.61 | $117.25 | $111.39 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.63 | $117.25 | $111.39 | 2026-02-20 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.64 | $32.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.64 | $32.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.64 | $32.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.64 | $32.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.64 | $32.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.64 | $32.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.64 | $32.00 | — | 2026-03-31 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $0.79 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $0.79 | — | — | 2026-03-01 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $0.79 | — | — | 2026-01-25 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $0.79 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $0.79 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $0.79 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $0.79 | — | — | 2026-03-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medicare | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - HMO | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Cal Medi-Connect | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $946.00 | $709.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Medicare | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $946.00 | $709.50 | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina Medi-Cal | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Commercial | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - Rehab | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medicare | Medicare | — | $286.02 | $214.51 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $1.04 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | PGT | Medicare|All Plans | $1.04 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $1.06 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $1.06 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $1.06 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AETNA | Medicare|All Plans | $1.06 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $1.08 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | UNITED | Medicare|All Plans | $1.08 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $1.09 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | AMERIVANTAGE | Medicare|All Plans | $1.09 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $1.12 | $5.87 | $1.58 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $1.12 | $5.87 | $1.58 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $1.12 | $5.87 | $1.58 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1.12 | $5.87 | $1.58 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | UNIVERSAL IPA MCR ADV OP/PROFEE ONLY-ALL OTHER PLA | $1.12 | $5.87 | $1.58 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | TRICARE BLUE SHIELD | TRICARE BLUE SHIELD | $1.12 | $5.87 | $1.58 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | KAISER MEDICARE IP/OP ONLY | KAISER MEDICARE IP/OP ONLY | $1.12 | $5.87 | $1.58 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | HEALTHNET MCARE | HEALTHNET MCARE | $1.12 | $5.87 | $1.58 | 2026-05-21 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | UHC MCR ADV | UHC MCR ADV | $1.12 | $5.87 | $1.58 | 2026-01-31 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $1.13 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | SCANHealth | Medicare|All Plans | $1.13 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | United Healthcare | United Healthcare | $1.20 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| MONROE COUNTY MEDICAL CENTER Outpatient | BCBST BLUECARE-ALL OTHER PLANS | BCBST BLUECARE-ALL OTHER PLANS | $1.29 | $21.05 | $17.47 | 2026-10-08 | MRF ↗ |
| MONROE COUNTY MEDICAL CENTER Outpatient | BCBST TENNCARE SELECT | BCBST TENNCARE SELECT | $1.29 | $21.05 | $17.47 | 2026-10-08 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | TNCARE SELECT | $1.29 | $147.40 | $88.44 | 2026-04-17 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Commercial | $1.29 | — | — | 2026-07-15 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | Bluecare | Tenncare Select | $1.29 | — | — | 2026-07-15 | MRF ↗ |
| Ascension Saint Thomas Hickman Both | BCBS TENNCARE SELECT | 2425_BCBS TENNCARE SELECT (HIGHLAND) 20221001 | $1.29 | $290.90 | $87.27 | 2026-01-01 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH TNCARE SELECT | $1.29 | $147.40 | $88.44 | 2026-04-17 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | BCBS TENNCARE SELECT | 2423_BCBS BLUE CARE TENNCARE (WEST) 20221001 | $1.29 | $290.90 | $87.27 | 2026-01-01 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | CAH BLUECARE TNCARE | $1.29 | $147.40 | $88.44 | 2026-04-17 | MRF ↗ |
| Ascension Saint Thomas Hickman Both | BCBS BLUE CARE (REGIONALS ONLY) | 2429_BCBS BLUE CARE (HIGHLAND) 20221001 | $1.29 | $290.90 | $87.27 | 2026-01-01 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | BLUECARE TNCARE | $1.29 | $147.40 | $88.44 | 2026-04-17 | MRF ↗ |
| BLUE RIDGE MEDICAL CENTER Both | MEDICAID HMO | IP DOWNGRADE TN BCARE | $1.29 | $147.40 | $88.44 | 2026-04-17 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | BCBS TN Medicaid | MANAGED MEDICAID | $1.39 | — | — | 2025-07-01 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $1.43 | $5.87 | $1.58 | 2026-01-31 | MRF ↗ |
| ADVENTIST HEALTH TEHACHAPI VALLEY Outpatient | NETWORK PROVIDERS- ALL PLANS | NETWORK PROVIDERS- ALL PLANS | $1.43 | $5.87 | $1.58 | 2026-05-21 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Tenncare Select HMO | MANAGED MEDICAID | $1.51 | — | — | 2025-07-01 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Ambetter | Commercial|All Plans | $1.53 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Ambetter | Commercial|All Plans | $1.53 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $1.55 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Blue Cross | Tenncare Select | $1.55 | — | — | 2026-05-24 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Commercial|Exchange | $1.59 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| MADISON ST JOSEPH HEALTH CENTER Outpatient | Wellpoint | Commercial|Exchange | $1.59 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | BLUECARE | TENNCARE SELECT-ADULT | $1.61 | $11.47 | $6.06 | 2026-01-25 | MRF ↗ |
| SPRINGHILL MEDICAL CENTER Outpatient | Viva | Viva | $1.65 | $3.00 | $3.00 | 2026-07-15 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $1.74 | — | — | 2026-05-08 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $1.74 | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Bcbs Of Tennessee | Medicaid | $1.74 | — | — | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Blue Cross Blue Shield Of Tennessee | Medicaid | $1.74 | — | — | 2026-05-23 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $1.79 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| BURLESON ST JOSEPH HEALTH CENTER Outpatient | BCBS | Medicare|All Plans | $1.79 | $8.11 | $1.42 | 2026-02-28 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | MULTIPLAN BSA-ALL PLANS | MULTIPLAN BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | INSURANCE MGMT LUBBOCK BSA-ALL PLANS | INSURANCE MGMT LUBBOCK BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | HITCH ENTERPRISES BSA-ALL PLANS | HITCH ENTERPRISES BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | ADVANTAGE HEALTH PLANS BSA-ALL PLANS | ADVANTAGE HEALTH PLANS BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | GALAXY HEALTH NETWORK BSA-ALL PLANS | GALAXY HEALTH NETWORK BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | BANK OF PANDHANDLE BSA-ALL PLANS | BANK OF PANDHANDLE BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | CAPROCK HEALTH PLANS BSA-ALL PLANS | CAPROCK HEALTH PLANS BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | KENDRICK OIL BSA-ALL PLANS | KENDRICK OIL BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | SPECIAL INSURANCE SERVICES BSA-ALL PLANS | SPECIAL INSURANCE SERVICES BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | OCCUNET BSA-ALL PLANS | OCCUNET BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | RENY COMPANY BSA-ALL PLANS | RENY COMPANY BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | TEXAS PANHANDLE CENTERS BSA-ALL PLANS | TEXAS PANHANDLE CENTERS BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | PROVIDENCE RISK BSA-ALL PLANS | PROVIDENCE RISK BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | AMERICAN HEALTHCARE ALLIANCE BSA-ALL PLANS | AMERICAN HEALTHCARE ALLIANCE BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | TEXAS AG BSA-ALL PLANS | TEXAS AG BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | BEECHSTREET/VIANT BSA-ALL PLANS | BEECHSTREET/VIANT BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | CAP STAR BSA-ALL PLANS | CAP STAR BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | NORTH WHEELER BSA-ALL PLANS | NORTH WHEELER BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | MRF ↗ |
| SWISHER MEMORIAL HOSPITAL Outpatient | HUMANA CHOICE CARE BSA-ALL PLANS | HUMANA CHOICE CARE BSA-ALL PLANS | $1.80 | $12.00 | $6.00 | 2026-06-17 | 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.