J1051 — Pr Medroxyprogesterone Inj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR MEDROXYPROGESTERONE INJ (CPT J1051) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1051?code_type=CPT
MLA (9th ed.)
“PR MEDROXYPROGESTERONE INJ (CPT J1051) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1051?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“PR MEDROXYPROGESTERONE INJ (CPT J1051) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1051?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11–$77 (25th–75th percentile) across 82 hospitals · 73 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J1051 — 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
$11
$16 typical
$77
The middle 50% of negotiated facility rates for this procedure, measured across 82 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $16 |
| Likely subtotal | $16 |
Facility charge (no separate professional fee)
$16
- 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 | — | $119.00 | $41.29 | 2025-09-09 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $119.00 | $41.29 | 2025-09-09 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $119.00 | $41.29 | 2025-09-09 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.40 | $38.20 | $38.20 | 2026-04-24 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $2.16 | $3.09 | $2.16 | 2026-02-02 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | SELECT HEALTH COMM - ALL OTHER PLANS | SELECT HEALTH COMM - ALL OTHER PLANS | $2.32 | $3.09 | $2.16 | 2026-02-02 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $5.01 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $5.01 | — | — | 2026-05-06 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Fidelis | Medicare | $5.47 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $6.26 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Medicare | $6.26 | — | — | 2026-04-14 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Affinity | Medicaid - Specialists | $6.67 | — | — | 2026-04-01 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | REGENCE BLUE SHIELD - ALL PLANS | REGENCE BLUE SHIELD - ALL PLANS | $6.67 | $3.09 | $2.16 | 2026-02-02 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | Affinity | Health Exchange Plan | $6.67 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $6.98 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Blue Chip Direct Advance Other Commercial Plan | $7.13 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Blue Chip Direct Advance Other Commercial Plan | $7.13 | — | — | 2026-04-01 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC MEDICARE | UHC MEDICARE | $7.22 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | CHOICECARE NETWORK - ALL PLANS | CHOICECARE NETWORK - ALL PLANS | $7.29 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $7.63 | — | — | 2026-03-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $7.63 | — | — | 2024-10-01 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MEDICA MEDICARE COST PLAN-ALL PLANS | MEDICA MEDICARE COST PLAN-ALL PLANS | $8.17 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE MCARE | MIDLANDS CHOICE MCARE | $8.17 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $8.55 | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $8.55 | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER, INC OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $8.55 | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER BRASELTON OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $8.55 | — | — | 2026-01-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER, INC OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $8.55 | — | — | 2026-01-01 | MRF ↗ |
| NGMC BARROW, LLC OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $8.55 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $8.76 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Healthy New York | $8.76 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $8.76 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $8.76 | — | — | 2026-04-14 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. OutpatientFacility | Local 1199 | Commercial PPO | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Slw | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | Local 1199 | 1199 Seiu - Bi | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| MAIMONIDES MEDICAL CENTER OutpatientFacility | Local 1199 | Commercial PPO | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | 1199 | 1199 | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Local 1199 | 1199 Seiu - Tmsh | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $9.31 | — | — | 2025-08-06 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Emblem_762 | GHI | $9.82 | — | — | 2026-02-02 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Horizon NJ Health | Managed Medicaid | $10.30 | — | — | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon NJ Health | Managed Medicaid | $10.30 | — | — | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Horizon NJ Health | Managed Medicaid | $10.30 | — | — | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Horizon NJ Health | Managed Medicaid | $10.30 | — | — | 2026-03-24 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care Plan | $10.71 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care Plan | $10.71 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care Plan | $10.71 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care Plan | $10.71 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care Plan | $10.71 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Bcbs | Medicare Managed Care Plan | $10.71 | — | — | 2026-04-01 | MRF ↗ |
| Willis-knighton Medical Center OutpatientFacility | Bcbs | All Commercial Plans | $10.91 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Hmo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Bcbs | Hmo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Bcbs | Hmo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Ppo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Bcbs | Ppo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Bcbs | Ppo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Bcbs | Ppo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Bcbs | Hmo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Hmo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Bcbs | Hmo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Ppo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Bcbs | Ppo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicare Onn - Snch | $11.51 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst - Medicare Onn - Msq | $11.51 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst - Medicare Inn - Msq | $11.51 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicare Inn - Snch | $11.51 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicaid Chp Inn/Onn - Snch | $11.51 | — | — | 2026-04-01 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $12.34 | — | — | 2026-01-25 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS BRIDGES NTWRK | HLTH PARTNERS BRIDGES NTWRK | $13.21 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | HLTH PARTNERS OPEN NTWRK - ALL OTHER PLANS | $13.21 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $13.32 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Access | $13.45 | — | — | 2025-12-05 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Cigna | Cigna Hmo/Oap - Tmsh | $14.15 | — | — | 2026-04-01 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue-Care | $14.91 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Select Plus | $15.77 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Preferred Care Blue | $15.77 | — | — | 2025-12-05 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Sentara Health Plans | All Commerical Products | $15.85 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Sentara Health Plans | All Commerical Products | $15.85 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Sentara Health Plans | All Commerical Products | $15.85 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Sentara Health Plans | All Commerical Products | $15.85 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Sentara Health Plans | All Commerical Products | $15.85 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Sentara Health Plans | All Commerical Products | $15.85 | — | — | 2026-01-02 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $16.15 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Freedom Network Select | $16.95 | — | — | 2025-12-05 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | MIDLANDS CHOICE-ALL OTHER PLANS | MIDLANDS CHOICE-ALL OTHER PLANS | $17.10 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| WAVERLY HEALTH CENTER Outpatient | HEALTH ALLIANCE-ALL PLANS | HEALTH ALLIANCE-ALL PLANS | $17.10 | $19.00 | $9.88 | 2026-03-03 | MRF ↗ |
| ADVOCATE SHERMAN HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $17.50 | — | — | 2025-11-04 | MRF ↗ |
| ADVOCATE SHERMAN HOSPITAL OutpatientFacility | Blue Cross Blue Shield Choice | Commercial | $18.91 | — | — | 2025-11-04 | MRF ↗ |
| ADVOCATE SHERMAN HOSPITAL OutpatientFacility | Blue Cross Blue Shield | PPO | $19.90 | — | — | 2025-11-04 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | MOLINA MCR ADV | MOLINA MCR ADV | $20.86 | $38.20 | $38.20 | 2026-04-24 | MRF ↗ |
| YAKIMA VALLEY MEMORIAL OutpatientFacility | Kaiser | HMO/PPO | $21.41 | — | — | 2025-07-29 | MRF ↗ |
| ADVOCATE CONDELL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $22.91 | — | — | 2025-11-04 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | MOLINA MCAID - ALL OTHER PLANS | MOLINA MCAID - ALL OTHER PLANS | $23.77 | $38.20 | $38.20 | 2026-04-24 | MRF ↗ |
| ADVOCATE CONDELL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Choice | Commercial | $24.77 | — | — | 2025-11-04 | MRF ↗ |
| ADVOCATE CONDELL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | PPO | $26.06 | — | — | 2025-11-04 | MRF ↗ |
| IOWA SPECIALTY HOSPITAL - CLARION Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $27.90 | $93.00 | $55.80 | 2026-04-22 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $29.00 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $29.00 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $29.00 | — | — | 2025-06-28 | MRF ↗ |
| Advocate Christ Medical Center OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $36.32 | — | — | 2025-11-04 | MRF ↗ |
| Advocate Christ Medical Center OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $36.32 | — | — | 2025-11-04 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | BCBS-ALL PLANS | BCBS-ALL PLANS | $36.67 | $38.20 | $38.20 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | MIDLANDS CHOICE-ALL PLANS | MIDLANDS CHOICE-ALL PLANS | $36.67 | $38.20 | $38.20 | 2026-04-24 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $36.84 | — | — | 2025-11-04 | MRF ↗ |
| ADVOCATE LUTHERAN GENERAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $36.84 | — | — | 2025-11-04 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $36.86 | $38.20 | $38.20 | 2026-04-24 | MRF ↗ |
| ADVOCATE CHRIST HOSPITAL & MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $36.99 | — | — | 2025-11-04 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $37.05 | $38.20 | $38.20 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $37.05 | $38.20 | $38.20 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | PHCS-ALL PLANS | PHCS-ALL PLANS | $37.05 | $38.20 | $38.20 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AVERA ACA PPO | AVERA ACA PPO | $37.05 | $38.20 | $38.20 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AVERA ASO PPO | AVERA ASO PPO | $37.05 | $38.20 | $38.20 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | TLC ADVANTAGE-ALL PLANS | TLC ADVANTAGE-ALL PLANS | $37.05 | $38.20 | $38.20 | 2026-04-24 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AVERA NON-ACA PPO - ALL OTHER PLANS | AVERA NON-ACA PPO - ALL OTHER PLANS | $37.05 | $38.20 | $38.20 | 2026-04-24 | 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.