J1165 — Phenytoin Sodium 50 Mg/ml Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION (HCPCS J1165) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1165?code_type=HCPCS
MLA (9th ed.)
“PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION (HCPCS J1165) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1165?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PHENYTOIN SODIUM 50 MG/ML INTRAVENOUS SOLUTION (HCPCS J1165) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1165?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2–$17 (25th–75th percentile) across 2,278 hospitals · 6,119 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J1165 — 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
$2
$6 typical
$17
The middle 50% of negotiated facility rates for this procedure, measured across 2,278 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $6 |
| Likely subtotal | $6 |
Facility charge (no separate professional fee)
$6
- 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 |
|---|---|---|---|---|---|---|---|
| ADVENTHEALTH HENDERSONVILLE Outpatient | Humana_Health | Medicare_HMO_PPO | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $28.00 | $9.72 | 2025-09-09 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare | Medicaid | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Troy_Medicare | Medicare_HMO_PPO | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | ApexHealth_Medicare_Advantage | HMO_Medicare | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $3.45 | $1.90 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Blue_Cross_Blue_Shield_of_North_Carolina | Medicare | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $28.00 | $9.72 | 2025-09-09 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Longevity_Health_Plan | Medicare | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Aetna | Better_Health_Medicaid | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $3.45 | $1.90 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Alignment_Medicare | HMO_PPO_Medicare | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare | Medicare_HMO_PPO | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Oscar_Health_Plan_of_NC | Medicare_HMO | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $3.45 | $1.90 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $3.45 | $2.93 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $5.75 | $3.16 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $9.20 | $6.44 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $5.75 | $3.16 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Wellcare_of_NC | Medicare_HMO | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $3.45 | $2.93 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $3.45 | $2.93 | 2025-01-01 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Aetna | Medicare | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Humana_Health | PFFS_Medicare | — | $0.64 | $0.32 | 2024-12-15 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $28.00 | $9.72 | 2025-09-09 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | QHP | $0.03 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | United Healthcare | Commercial | $0.03 | $0.06 | — | 2026-04-20 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARHealth | $0.03 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $0.03 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | CHIP | $0.03 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | STARKids | $0.03 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | United Healthcare | Commercial | $0.03 | $0.06 | — | 2026-04-20 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | IFP | $0.03 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Superior Health Plan | MCDSTAR | $0.03 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Viva | Commercial | $0.04 | $0.06 | — | 2026-04-20 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Religious Order of Jehovah Witness | LOGOV | $0.04 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Viva | Commercial | $0.04 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | CorVel | Workers' Compensation | $0.04 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Viva | Medicare Advantage | $0.04 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Construction Claims Management | Workers' Compensation | $0.04 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Humana | Commercial | $0.04 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Aetna | Commercial | $0.04 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Aetna | Commercial | $0.04 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Construction Claims Management | Workers' Compensation | $0.04 | $0.06 | — | 2026-04-20 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | United | OptionsPPO | $0.04 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Viva | Medicare Advantage | $0.04 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | CorVel | Workers' Compensation | $0.04 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Humana | Commercial | $0.04 | $0.06 | — | 2026-04-20 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $0.05 | $31.00 | $28.57 | 2026-05-23 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | AlaMed | Workers' Compensation | $0.05 | $0.06 | — | 2026-04-20 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | Meritain | $0.05 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Outpatient | Medica Insurance | Com | $0.05 | $81.00 | $79.30 | 2026-05-09 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Outpatient | Medica Insurance | Ind | $0.05 | $81.00 | $79.30 | 2026-05-09 | MRF ↗ |
| AVERA ST LUKES Outpatient | Medica Insurance | Ind | $0.05 | $46.00 | $41.80 | 2026-05-09 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | NovaNet | Commercial | $0.05 | $0.06 | — | 2026-04-20 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $0.05 | $31.00 | $28.57 | 2026-05-13 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Optum Health | MCD | $0.05 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $0.05 | $31.00 | $28.57 | 2026-05-23 | MRF ↗ |
| AVERA ST LUKES Outpatient | Medica Insurance | Com | $0.05 | $46.00 | $41.80 | 2026-05-09 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | NovaNet | Commercial | $0.05 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Comp One | Workers' Compensation | $0.05 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | PNOA | Health Benefit Plans | $0.05 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Multiplan | Complementary PPO | $0.05 | $0.06 | — | 2026-04-20 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Unicare | CHIP | $0.05 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | COMM | $0.05 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | NewBusiness | $0.05 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Comp One | Workers' Compensation | $0.05 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Prime Health Services | Workers' Compensation | $0.05 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Nebraska Total Care | Managed Medicaid | $0.05 | $0.20 | $0.16 | 2026-01-28 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | Prime Health Services | Workers' Compensation | $0.05 | $0.06 | — | 2026-04-20 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | PNOA | Health Benefit Plans | $0.05 | $0.06 | — | 2026-04-20 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Com | $0.05 | $128.00 | $124.23 | 2026-05-09 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM OutpatientFacility | AlaMed | Workers' Compensation | $0.05 | $0.06 | — | 2026-04-20 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Ind | $0.05 | $128.00 | $124.23 | 2026-05-09 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $0.05 | $5.19 | $3.37 | 2026-03-14 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $0.05 | $31.00 | $28.57 | 2026-05-13 | MRF ↗ |
| ST VINCENT'S BIRMINGHAM InpatientFacility | Multiplan | Complementary PPO | $0.05 | $0.06 | — | 2026-04-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $290.00 | $188.50 | 2025-11-26 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | OON | $0.06 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Healthcare Highways | CityofPlano | $0.06 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | IFP | $0.06 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna | QHP | $0.06 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | Precision HMO | $0.06 | $0.39 | $0.13 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | HMO | $0.06 | $0.39 | $0.13 | 2025-03-17 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.06 | $35.40 | $13.10 | 2026-03-31 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | QHPHIX | $0.07 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | HMO | $0.07 | $0.45 | $0.15 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | Precision HMO | $0.07 | $0.45 | $0.15 | 2025-03-17 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | BCBS | Traditional | $0.08 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Prominence Health Plan | HIX | $0.08 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Health Partners Open Network | Commercial | $0.08 | $0.20 | $0.16 | 2026-01-28 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Religious Order of Jehovah Witness | LOGOV | $0.09 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | City of McKinney | COMM | $0.09 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Emerging Therapy Solutions | MCR | $0.09 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | United | OptionsPPO | $0.09 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | ASA | $0.10 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | National ChoiceCare | WCOMP | $0.10 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | NewBusiness | $0.10 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Rockport Health Group | WORKERSCOMP | $0.10 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | WCOMP | $0.10 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Cigna Lifesource | COMM | $0.10 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Medica Exchange Inspire | Commercial | $0.10 | $0.20 | $0.16 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | HMO | $0.10 | $0.20 | $0.16 | 2026-01-28 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | PPO | $0.10 | $0.20 | $0.16 | 2026-01-28 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | HMO | $0.10 | $0.70 | $0.24 | 2025-03-17 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Physicians Coop of TX | MGMCR | $0.10 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | PC Texas Partners | WCOMP | $0.10 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | NALC | All Commercial Plans | $0.10 | $0.39 | $0.13 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $0.10 | $0.39 | $0.13 | 2025-03-17 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Unicare | CHIP | $0.10 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | Meritain | $0.11 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Averde Health, Inc | PPO | $0.11 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $0.11 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna | COMM | $0.11 | $0.43 | $0.43 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna Coventry First Health | NONEXCLUSIVE | $0.11 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL COLUMBUS OutpatientFacility | CENTIVO CONTRACTED [320505] | HB MNCK CENTIVO 165% MEDICARE | $0.11 | $11.00 | $7.15 | 2026-03-14 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | NALC | All Commercial Plans | $0.11 | $0.44 | $0.15 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | HMO | $0.11 | $0.75 | $0.26 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $0.11 | $0.44 | $0.15 | 2025-03-17 | MRF ↗ |
| MEDICAL CITY DALLAS HOSPITAL Outpatient | Aetna Coventry First Health | EXCLUSIVE | $0.11 | $0.19 | $0.19 | 2026-03-01 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Passport | Managed Medicaid | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Passport | Managed Medicaid | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Pathway | HMO/PPO/Traditional | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Aetna Adult | Commercial | — | $0.71 | $0.15 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna Adult | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Pathway | HMO/PPO/Traditional | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem of Kentucky | Managed Medicaid | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Wellcare | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Aetna Alternative | Commercial | — | $0.71 | $0.15 | 2026-02-13 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $0.12 | $0.20 | $0.20 | 2025-05-01 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $0.12 | $0.20 | $0.20 | 2025-05-01 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Adult | HMO/PPO/Traditional | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem of Kentucky | Managed Medicaid | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Wellcare | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare Pediatric | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.12 | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.12 | $11.60 | $11.60 | 2026-04-24 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Anthem Pathway | HMO/PPO/Traditional | — | $0.71 | $0.15 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Senior | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Senior | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Adult | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare Adult | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare Adult | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Adult | HMO/PPO/Traditional | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Adult | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Alternative | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare Adult | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Alternative | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna Adult | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Wellcare | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | SIHO | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Pediatric | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Medica Exchange Insure | Commercial | $0.12 | $0.20 | $0.16 | 2026-01-28 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Alternative | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | SIHO | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Adult | HMO/PPO/Traditional | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.12 | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Adult | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Adult | HMO/PPO/Traditional | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Pediatric | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | SIHO | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Senior | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna Adult | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Wellcare | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | Precision HMO | $0.12 | $0.70 | $0.24 | 2025-03-17 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.12 | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem of Kentucky | Managed Medicaid | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | HMO | $0.12 | $0.81 | $0.28 | 2025-03-17 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Passport | Managed Medicaid | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Pathway | HMO/PPO/Traditional | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Pediatric | Commercial | — | $0.71 | $0.15 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.12 | $0.71 | $0.15 | 2026-02-11 | 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.