J1105 — Dexmedetomidine Film, 1 Mcg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Dexmedetomidine film, 1 mcg (HCPCS J1105) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1105?code_type=HCPCS
MLA (9th ed.)
“Dexmedetomidine film, 1 mcg (HCPCS J1105) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1105?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Dexmedetomidine film, 1 mcg (HCPCS J1105) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1105?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1–$33 (25th–75th percentile) across 1,129 hospitals · 1,109 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1105 — 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
$1
$1 typical
$33
The middle 50% of negotiated facility rates for this procedure, measured across 1,129 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1 |
| Likely subtotal | $1 |
Facility charge (no separate professional fee)
$1
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 $1–$33.
- 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 |
|---|---|---|---|---|---|---|---|
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.11 | — | — | 2026-03-31 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.14 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.14 | — | — | 2025-12-23 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Medica | All Plans | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | POS | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Medica | All Plans | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | POS | — | — | — | 2026-03-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $0.26 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $0.26 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $0.26 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $0.26 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | PMAP | $0.27 | — | — | 2026-02-06 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $0.27 | $3.11 | $0.84 | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $0.27 | $3.11 | $0.84 | 2026-07-15 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Health Partners | PMAP | $0.27 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $0.27 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | PMAP | $0.27 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Health Partners | Medicare Cost | $0.27 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | PMAP | $0.27 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | PMAP | $0.27 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Health Partners | PMAP | $0.27 | — | — | 2026-01-29 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Healthcare Highways | Sync | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | WebTPA | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $0.28 | $3.11 | $0.84 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Generations Healthcare | Medicare Adv | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | Medicare HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Community Care | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | Savility | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $0.28 | $3.11 | $0.84 | 2026-07-15 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Cigna | PPO | $0.28 | — | — | 2026-05-11 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $0.29 | — | — | 2026-07-15 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $0.30 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $0.30 | — | — | 2026-03-01 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $0.31 | — | — | 2026-02-13 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $0.34 | — | — | 2026-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | All Products | $0.34 | — | — | 2026-07-01 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Highmark | Highmark Together Blue | $0.35 | — | — | 2026-04-14 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $0.35 | — | — | 2025-06-28 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $0.36 | — | — | 2026-05-08 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $0.36 | — | — | 2025-06-28 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | All Products | $0.37 | — | — | 2026-07-01 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $0.37 | — | — | 2025-06-28 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Highmark | Highmark Together Blue | $0.37 | — | — | 2026-04-14 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Pathway Exchange | $0.37 | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Pathway Hmo Exchange | $0.37 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $0.38 | — | — | 2026-07-15 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $0.38 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $0.38 | — | — | 2026-07-15 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $0.38 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $0.38 | — | — | 2026-05-13 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | MOLINA | MEDICAID HMO | $0.38 | — | — | 2025-06-28 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $0.38 | — | — | 2026-05-13 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | MOLINA | MEDICAID HMO | $0.38 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | MOLINA | MEDICAID HMO | $0.38 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MOLINA | MEDICAID HMO | $0.38 | — | — | 2025-06-28 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $0.38 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $0.38 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $0.38 | — | — | 2026-05-13 | MRF ↗ |
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | Health New England | All Products | $0.38 | — | — | 2025-01-01 | MRF ↗ |
| KERSHAWHEALTH OutpatientFacility | Bcbs | Lowcountry Blue Exchange | $0.39 | — | — | 2026-04-01 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Bcbs | Lowcountry Blue Exchange | $0.39 | — | — | 2026-04-01 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $0.40 | $4.66 | $1.26 | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Node Bcbs Community Blue Mcr Adv | Node Bcbs Community Blue Mcr Adv | $0.40 | $4.66 | $1.26 | 2026-07-15 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Highmark | Highmark Together Blue | $0.41 | — | — | 2026-04-14 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Bcbs | Blueessentials Exchange | $0.41 | — | — | 2026-04-01 | MRF ↗ |
| KERSHAWHEALTH OutpatientFacility | Bcbs | Blueessentials Exchange | $0.41 | — | — | 2026-04-01 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Highmark | Highmark Together Blue | $0.41 | — | — | 2026-04-14 | MRF ↗ |
| KERSHAWHEALTH OutpatientFacility | Bcbs | Bluechoice Exchange | $0.41 | — | — | 2026-04-01 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Highmark | Highmark Together Blue | $0.41 | — | — | 2026-04-14 | MRF ↗ |
| MUSC MEDICAL CENTER OutpatientFacility | Bcbs | Bluechoice Exchange | $0.41 | — | — | 2026-04-01 | MRF ↗ |
| Moses Taylor Hospital Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $0.42 | $4.66 | $1.26 | 2026-07-15 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Molina | Managed Medicaid | $0.42 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Meridian | Managed Medicaid | $0.42 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Priority Health | Managed Medicaid | $0.42 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan McLaren | Managed Medicaid | $0.42 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Blue Cross Complete | Managed Medicaid | $0.42 | — | — | 2025-03-12 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Outpatient | Blue Cross Blue Shield | Node Bcbs Mcr Adv | $0.42 | $4.66 | $1.26 | 2026-07-15 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | United Healthcare | Community | $0.44 | $2.94 | $2.94 | 2026-07-16 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | UnitedHealthcare of TN Community Plan | MANAGED MEDICAID | $0.45 | — | — | 2025-07-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Pathway Tiered Exchange | $0.46 | — | — | 2026-04-01 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Together Blue | $0.47 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Together Blue | $0.47 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Highmark | Highmark Together Blue | $0.48 | — | — | 2026-04-14 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $0.48 | — | — | 2025-10-14 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $0.49 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $0.49 | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $0.49 | — | — | 2026-04-01 | MRF ↗ |
| UNITED HEALTH SERVICES HOSPITALS, INC OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $0.49 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Medicaid Managed Care Plan | $0.49 | — | — | 2026-04-01 | MRF ↗ |
| CHENANGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | United Healthcare Child Health Plus | $0.49 | — | — | 2026-04-01 | MRF ↗ |
| MUSC Health Black River Medical Center OutpatientFacility | Bcbs | Blueessentials Exchange | $0.50 | — | — | 2026-04-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $0.50 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $0.50 | — | — | 2026-07-01 | MRF ↗ |
| MUSC Health Black River Medical Center OutpatientFacility | Bcbs | Bluechoice/Blueoptions Exchange | $0.50 | — | — | 2026-04-01 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Highmark | Highmark Together Blue | $0.51 | — | — | 2026-04-14 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | CHIP | $0.51 | — | — | 2026-07-01 | MRF ↗ |
| LEXINGTON MEDICAL CENTER OutpatientFacility | Bcbs | Marketplace Exchange | $0.51 | — | — | 2026-04-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $0.51 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $0.51 | — | — | 2025-08-01 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Cigna | HMOOPA | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Plotkin Health | Commercial | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Aetna Whole Health | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | FH | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | ACA | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | ASA | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | NAP | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | BlueCross BlueShield of South Carolina | Blue Choice Blue Option HIX (BCBO) | $0.52 | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | BlueCross BlueShield of South Carolina | Blue Cross Blue Essentials HIX (BCBE) | $0.52 | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Medcost - SC | Commercial | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Clover Insurance Company | PPO MA | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Clover Insurance Company | HMO MA | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | ASA | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Aetna Whole Health | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | FH | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Clover Insurance Company | PPO MA | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | ACA | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Plotkin Health | Commercial | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Phcs | Commercial | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Clover Insurance Company | HMO MA | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | BlueCross BlueShield of South Carolina | Blue Choice Blue Option HIX (BCBO) | $0.52 | — | $1.11 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Devoted Health | PPO MA | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Devoted Health | HMO MA | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | HEALTHPARTNERS | MSHO | $0.52 | — | — | 2025-12-17 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | NAP | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Multiplan | Commercial | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Cigna | HMOOAP | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Cigna | PPO | — | — | $1.11 | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Devoted Health | PPO MA | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Devoted Health | HMO MA | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Clover Insurance Company | HMO MA | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Phcs | Commercial | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Medcost - SC | Commercial | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Clover Insurance Company | PPO MA | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | BlueCross BlueShield of South Carolina | Blue Cross Blue Essentials HIX (BCBE) | $0.52 | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | BlueCross BlueShield of South Carolina | Blue Choice Blue Option HIX (BCBO) | $0.52 | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | FH | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | NAP | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Aetna Whole Health | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | ASA | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | BlueCross BlueShield of South Carolina | Blue Cross Blue Essentials HIX (BCBE) | $0.52 | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Phcs | Commercial | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Plotkin Health | Commercial | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | $1.11 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | HMOOPA | — | — | $1.11 | 2026-03-12 | 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.