J1051 — Pr Medroxyprogesterone Inj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PR MEDROXYPROGESTERONE INJ (HCPCS J1051) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1051?code_type=HCPCS
MLA (9th ed.)
“PR MEDROXYPROGESTERONE INJ (HCPCS J1051) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1051?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PR MEDROXYPROGESTERONE INJ (HCPCS J1051) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1051?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18–$224 (25th–75th percentile) across 92 hospitals · 118 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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
$18
$99 typical
$224
The middle 50% of negotiated facility rates for this procedure, measured across 92 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $99 |
| Likely subtotal | $99 |
Facility charge (no separate professional fee)
$99
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 $18–$224.
- 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 |
|---|---|---|---|---|---|---|---|
| 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 ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN 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 MEDICAL CENTER Outpatient | Amerigroup | CHIP | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $4.37 | — | — | 2026-03-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $5.01 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $5.01 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $5.01 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $5.01 | — | — | 2026-09-21 | 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 ↗ |
| MONTEFIORE MEDICAL CENTER Both | Affinity | Health Exchange Plan | $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 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 ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $7.63 | — | — | 2026-09-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $7.63 | — | — | 2024-10-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Amerigroup | MCD | $7.63 | — | — | 2026-03-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER BRASELTON OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $8.55 | — | — | 2026-01-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $8.55 | — | — | 2026-04-01 | MRF ↗ |
| NGMC BARROW, LLC 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 LUMPKIN OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $8.55 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $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 Healthy New York | $8.76 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Univera | Univera Essential Plan | $8.76 | — | — | 2026-04-14 | MRF ↗ |
| MOUNT SINAI WEST OutpatientFacility | 1199 SEIU | Commercial | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | 1199 | 1199 | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-07-18 | 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 Queens OutpatientFacility | 1199 SEIU | Commercial | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| ELMHURST HOSPITAL CENTER 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 ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | $9.31 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | $9.31 | — | — | 2026-07-18 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL 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 ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-18 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| NYACK HOSPITAL Outpatient | SEIU1199 | SEIU1199 | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2026-09-05 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | 1199 SEIU | Commercial | $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 ↗ |
| KINGS COUNTY 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 ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $9.31 | — | — | 2025-08-06 | MRF ↗ |
| North Central Bronx Hospital 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 ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $9.31 | — | — | 2025-09-05 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-07-18 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $9.31 | — | — | 2026-04-01 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH 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 ↗ |
| 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 ↗ |
| Salem Medical Center OutpatientFacility | Horizon NJ Health | Managed Medicaid | $10.30 | — | — | 2026-03-24 | 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 ↗ |
| THE MIRIAM 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 ↗ |
| WILLIS KNIGHTON MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $10.91 | — | — | 2026-04-01 | MRF ↗ |
| UNITY SPECIALTY HOSPITAL OutpatientFacility | HIGHMARK | MEDICARE ADVANTAGE | $10.91 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Bcbs | Ppo | $11.31 | — | — | 2026-04-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Bcbs | Hmo | $11.31 | — | — | 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 ↗ |
| RHODE ISLAND 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 | Hmo | $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 ↗ |
| 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 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 ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst - Medicare Inn - Msq | $11.51 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst - Medicare Onn - Msq | $11.51 | — | — | 2026-04-01 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| UNITY SPECIALTY HOSPITAL OutpatientFacility | HIGHMARK | COMMERCIAL | $12.12 | — | — | 2026-04-01 | MRF ↗ |
| UNITY SPECIALTY HOSPITAL OutpatientFacility | FIDELIS CARE NEW YORK | MEDICAID | $12.12 | — | — | 2026-04-01 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $12.34 | — | — | 2026-01-25 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $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 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2026-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2026-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $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 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2026-09-05 | 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 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 200-250 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST 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 ↗ |
| 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 ↗ |
| North Central Bronx Hospital 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 ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | MetroPlus | Essential Plan 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER 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 ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | MetroPlus | Essential Plan 1-2 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL 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 ↗ |
| 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 ↗ |
| JACOBI MEDICAL 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 3-4 | $12.46 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN 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 ↗ |
| QUEENS 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 ↗ |
| North Central Bronx Hospital OutpatientFacility | MetroPlus | Essential Plan 3-4 | $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 ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Access | $13.45 | — | — | 2025-12-05 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Cigna | HMO/OAP | $14.15 | — | — | 2026-04-01 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue-Care | $14.91 | — | — | 2025-12-05 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Hollywood Presbyterian Medpoint Mcal | Hollywood Presbyterian Medpoint Mcal | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Allied Physicians | Allied Physicians Medi-Cal | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | La Care Health Plan | La Care Healthy Families | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Allied Physicians Medical Group | Allied Physicians Med Grp Medi Cal | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Beverly Hospital | Beverly Hospital Mcl | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Avanti | Elas Drs Hospital/Avanti/Mcal | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Healthy Way La | Healthy Way La | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | State Of California | Medi Cal/Medicaid | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Other Non Contracted Medi-Cal Hmo | Other Non Contracted Medi Cal Hmo | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Emanate Health | Emanate Health Medi-Cal | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Associated Hispanic Physicians | Associated Hispanic Physicians Medi Cal | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Health Net Foundation | Health Net Medi-Cal | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Brand New Day | Universal Care Brand New Day Medi-Cal | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Hollywood Presbyterian Adv Med Mcal | Hollywood Presbyterian Adv Med Mcal | $15.42 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Preferred Care Blue | $15.77 | — | — | 2025-12-05 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Blue Select Plus | $15.77 | — | — | 2025-12-05 | 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 DOCTORS' HOSPITAL OF WILLIAMSBURG 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 WALTER REED HOSPITAL Outpatient | Sentara Health Plans | All Commerical Products | $15.85 | — | — | 2026-01-02 | MRF ↗ |
| KANSAS CITY ORTHOPAEDIC INSTITUTE OutpatientFacility | BCBS of Kansas City | Freedom Network Select | $16.95 | — | — | 2025-12-05 | MRF ↗ |
| ADVOCATE SHERMAN HOSPITAL OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $17.50 | — | — | 2025-11-04 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | La Care Health Plan | La Care Medi-Cal | $17.73 | $401.00 | $401.00 | 2026-11-03 | 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 ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | In Custody-Ca Highway Patrol | In Custody-Ca Highway Patrol | $20.00 | $401.00 | $401.00 | 2026-11-03 | 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 ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Caloptima | Caloptima Health Plans | $22.67 | $401.00 | $401.00 | 2026-11-03 | MRF ↗ |
| ADVOCATE CONDELL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield City of Chicago | Commercial | $22.91 | — | — | 2026-11-03 | 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 | — | — | 2026-11-03 | MRF ↗ |
| UNITY SPECIALTY HOSPITAL OutpatientFacility | FIDELIS CARE NEW YORK | ESSENTIAL | $25.45 | — | — | 2026-04-01 | MRF ↗ |
| ADVOCATE CONDELL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | PPO | $26.06 | — | — | 2026-11-03 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Central Health Plan | Central Health Plan Manage Care Medi-Cal | $27.60 | $401.00 | $401.00 | 2026-11-03 | 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 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 ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Care First Health Plan | Blue Shield Promise Healthplan Mcal | $32.60 | $326.00 | $326.00 | 2026-11-03 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Outpatient | Care 1St Medi Cal Hmo Cap Exceptional Care | Care 1St Medi Cal Hmo Cap Exceptional Care | $32.60 | $326.00 | $326.00 | 2026-11-03 | 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.