J1299 — Eculizumab 300 Mg/30 Ml Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION (HCPCS J1299) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1299?code_type=HCPCS
MLA (9th ed.)
“ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION (HCPCS J1299) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1299?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION (HCPCS J1299) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1299?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $51–$15,076 (25th–75th percentile) across 1,150 hospitals · 3,906 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J1299 — 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
$51
$1,418 typical
$15,076
The middle 50% of negotiated facility rates for this procedure, measured across 1,150 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,418 |
| Likely subtotal | $1,418 |
Facility charge (no separate professional fee)
$1,418
- 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 |
|---|---|---|---|---|---|---|---|
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.03 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.04 | $0.05 | $0.01 | 2026-03-06 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $0.88 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $0.88 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | INTEL | ALL PRODUCTS | $0.94 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | HEALTHCOMP | ALL PRODUCTS | $0.94 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | HEALTHCOMP | ALL PRODUCTS | $0.94 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | INTEL | ALL PRODUCTS | $0.94 | $2.34 | — | 2026-01-01 | MRF ↗ |
| COX MONETT HOSPITAL OutpatientFacility | None | — | — | $1.00 | $0.31 | 2026-04-24 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA SELECT | ALL PRODUCTS | $1.24 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA SELECT | ALL PRODUCTS | $1.24 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA | SUREFIT | $1.25 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA | SUREFIT | $1.25 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $1.40 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $1.40 | $2.34 | — | 2026-01-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $31,531.04 | $31,531.04 | 2026-04-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | ANTIDOTE | ALL PRODUCTS | $1.52 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | ANTIDOTE | ALL PRODUCTS | $1.52 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | CIGNA | TXP LIFESOURCE TRANSPLANT | $1.63 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | CIGNA | TXP LIFESOURCE TRANSPLANT | $1.63 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | AETNA | HEALTHEZ | $1.72 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | AETNA | HEALTHEZ | $1.72 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL InpatientFacility | CIGNA | TXP LIFESOURCE TRANSPLANT | $1.78 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL InpatientFacility | CIGNA | TXP LIFESOURCE TRANSPLANT | $1.78 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | CIGNA | BEHAVIORAL HEALTH | $1.87 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | CIGNA | BEHAVIORAL HEALTH | $1.87 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | MULTIPLAN | ALL PRODUCTS | $1.87 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | MULTIPLAN | ALL PRODUCTS | $1.87 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NAVIGATE | $2.34 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NON OPTIONS | $2.34 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | BLUE CROSS | ALL PRODUCTS | $2.34 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NAVIGATE | $2.34 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NON OPTIONS | $2.34 | $2.34 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | BLUE CROSS | ALL PRODUCTS | $2.34 | $2.34 | — | 2026-01-01 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Cigna | New Business ASO | $4.42 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Cigna | New Business ASO | $4.42 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | New Business ASO | $4.68 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Work Partners | Workers Comp | $4.68 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | New Business ASO | $4.68 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | UPMC Work Partners | Workers Comp | $4.68 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.84 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $4.84 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.84 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.84 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.84 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $4.84 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.84 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $4.84 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $4.84 | — | — | 2026-04-01 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | UPMC Work Partners | Workers Comp | $4.97 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | UPMC Work Partners | Workers Comp | $4.97 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $5.07 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5.07 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care | $5.07 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care | $5.07 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $5.07 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Social Mission Indemnity | $5.07 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Managed Care - Social Mission | $5.07 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Commercial - Indemnity | $5.07 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | Commercial | $5.20 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Cigna | Commercial | $5.20 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Private Health Care Systems | Workers' Comp | $5.44 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Private Health Care Systems | Workers' Comp | $5.44 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $5.78 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | Workers' Comp | $5.78 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Health Plan of Upper Ohio Valley | Commercial | $6.01 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Health Plan of Upper Ohio Valley | Commercial | $6.01 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $6.09 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $6.09 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $6.09 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $6.09 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $6.09 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.50 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $6.50 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $7.70 | — | — | 2026-03-31 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Coventry/First Health | Commercial | $9.10 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Coventry/First Health | Commercial | $9.10 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $9.85 | $29,030.00 | $4,354.50 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $9.85 | $29,030.00 | $4,354.50 | 2025-12-23 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $10.14 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Highmark BCBS of PA | UPMC Emergent | $10.14 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $10.60 | $25.00 | $20.00 | 2025-12-16 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | InterGroup | PPO | $10.79 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | InterGroup | PPO | $10.79 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Private Health Care Systems | PPO | $11.05 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Humana | Commercial | $11.05 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Multiplan | PPO (Includes Workers' Comp) | $11.05 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Multiplan | PPO (Includes Workers' Comp) | $11.05 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Private Health Care Systems | PPO | $11.05 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT OutpatientFacility | Humana | Commercial | $11.05 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | InterGroup | PPO | $11.70 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | InterGroup | PPO | $11.70 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Humana | Commercial | $12.09 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Humana | Commercial | $12.09 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Multiplan | PPO (Includes Workers' Comp) | $12.09 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | PPO | $12.09 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Private Health Care Systems | PPO | $12.09 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| UPMC PASSAVANT InpatientFacility | Multiplan | PPO (Includes Workers' Comp) | $12.09 | $13.00 | $7.80 | 2026-03-07 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $12.50 | $25.00 | $20.00 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $12.50 | $25.00 | $20.00 | 2025-12-16 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $13.19 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $13.19 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $13.19 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $13.19 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $13.75 | $25.00 | $20.00 | 2025-12-16 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $14.20 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $14.20 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $15.75 | $25.00 | $20.00 | 2025-12-16 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $16.12 | $44.77 | $28.21 | 2026-01-27 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CAREFIRST | HMO | $16.25 | $25.00 | $20.00 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CAREFIRST | PPO | $16.25 | $25.00 | $20.00 | 2025-12-16 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | CHIP | $16.84 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid | Medicaid Managed Care | $17.31 | $18,867.81 | $10,565.97 | 2026-03-02 | MRF ↗ |
| ThedaCare Oshkosh BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid | Medicaid Managed Care | $17.31 | $18,867.81 | $10,565.97 | 2026-03-02 | MRF ↗ |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid | Medicaid Managed Care | $17.31 | $18,867.81 | $10,565.97 | 2026-03-02 | MRF ↗ |
| THEDACARE REGIONAL MED CTR - NEENAH BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid | Medicaid Managed Care | $17.31 | $18,867.81 | $10,565.97 | 2026-03-02 | MRF ↗ |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid | Medicaid Managed Care | $17.31 | $18,867.81 | $10,565.97 | 2026-03-02 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Tricare | Tricare | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Umr | Uhc All Payer | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Phcs | Phcs | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Health Partners | Health Partners | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Mpcn | Mpcn | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | First Health/Coventry | First Health/Coventry | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Healthspring | Managed Medicare 100% | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Mha | Mha | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Molina Marketplace | Molina Marketplace (Mcr) | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Magnolia | Magnolia | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | American Life Care | American Life Care | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Aetna | Aetna | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Pyramid | Managed Medicare 100% | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Wellcare | Managed Medicare 100% | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Blue Cross | Blue Cross | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | United Healthcare | Uhc All Payer | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| SOUTH CENTRAL REG MED CTR Outpatient | Tricare | Managed Medicare 100% | — | $35.17 | $14.77 | 2026-05-06 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $17.77 | $87.12 | $69.70 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $17.77 | $87.12 | $69.70 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $17.77 | $87.12 | $69.70 | 2026-01-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | OptionsPPO | $17.85 | $101.44 | $101.44 | 2026-03-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $18.01 | $244.74 | $244.74 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | HEALTH NEW ENGLAND | HEALTH NEW ENGLAND MEDICARE | $18.01 | $244.74 | $244.74 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | ANTHEM | ANTHEM MEDICARE | $18.01 | $244.74 | $244.74 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | TUFTS | TUFTS MEDICARE | $18.01 | $244.74 | $244.74 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | UNITED | UNITED MEDICARE | $18.01 | $244.74 | $244.74 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | WELLCARE | WELLCARE MEDICARE | $18.37 | $244.74 | $244.74 | 2026-04-01 | MRF ↗ |
| HARTFORD HOSPITAL Outpatient | AETNA | AETNA MEDICARE | $18.46 | $244.74 | $244.74 | 2026-04-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $18.50 | $49.42 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $18.50 | $49.42 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | HEALTHCOMP | ALL PRODUCTS | $19.77 | $49.42 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | INTEL | ALL PRODUCTS | $19.77 | $49.42 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | HEALTHCOMP | ALL PRODUCTS | $19.77 | $49.42 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | INTEL | ALL PRODUCTS | $19.77 | $49.42 | — | 2026-01-01 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | IlliniCare | Medicare Advantage | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Quartz | HMO | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Dean Health Plan | Managed Medicaid | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | My Choice | Managed Medicaid | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Health Partners Open Network | Commercial | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $20.04 | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Humana | Medicare Advantage | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Medicare Advantage | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Cigna | Commercial | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Prevea 360 | Medicare Advantage | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Commercial | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | My Choice | Managed Medicaid | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Managed Medicaid | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Medicare Advantage | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC | HMO | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Cigna | Commercial | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $20.04 | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Health Partners Open Network | Commercial | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | HMO/POS | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - South Central WI | Managed Medicaid | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Dean Health Plan | Managed Medicaid | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Humana | Medicare Advantage | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | MeridianCare | Medicare Advantage | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Quartz | HMO | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - Eau Claire | Managed Medicaid | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | PPO | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Prevea 360 | Medicare Advantage | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Medicare Advantage | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Managed Medicaid | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | MeridianCare | Medicare Advantage | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Blue Priority/Pathway | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | IlliniCare | Medicare Advantage | — | $87.14 | $69.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | PPO | — | $87.14 | $69.72 | 2026-01-28 | 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.