Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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J1306 — Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $45

Usually $14–$7,231 (25th–75th percentile) across 2,201 hospitals · 5,562 payers.

“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1306 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.

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).

Pick your insurer to anchor on your plan’s negotiated rate.
Measured
$14 $45 typical $7,231

The middle 50% of negotiated facility rates for this procedure, measured across 2,201 hospitals.

What you’ll likely be billed

Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. $45
Likely subtotal $45
Facility charge (no separate professional fee) $45

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 $14–$7,231.

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
SAINT MARY'S HOSPITAL OutpatientFacility CTCare Medicare Advantage — $10,120.23 $5,566.13 2025-01-01 MRF ↗
TEXAS HEALTH HOSPITAL MANSFIELD Inpatient — — — $5,034.12 $2,517.06 2024-12-15 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient Kaiser Foundation Hospitals Medicare Advantage — $30,426.75 $19,777.39 2025-11-26 MRF ↗
TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient — — — $5,034.12 $2,517.06 2024-12-15 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient HealthNet of California, Inc. HMO — $30,426.75 $19,777.39 2025-11-26 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Pinnacol Assurance Plan Commercial $0.10 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Three Rivers Plan Commercial $0.10 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Cover Colorado Plan Commercial $0.10 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Anthem Bcbs Hmo Plan Hmo $0.10 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Aetna Commercial Plan Commercial $0.10 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Uhc Plan Commercial $0.11 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Rocky Mountain Health Plan Commercial $0.11 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Cigna Plan Commercial $0.11 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient First Health Plan Commercial $0.11 $0.13 $0.10 2026-09-25 MRF ↗
UNC HOSPITALS Outpatient Contigo — $0.11 $0.20 $0.12 2026-07-15 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Humana Choicecare Plan Commercial $0.12 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Multiplan Plan Commercial $0.12 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Colorado Network Plan Medicare $0.12 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Presbyterian Health Plan Commercial $0.13 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Triwest Plan Commercial $0.13 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Aetna Medicare Advantage Plan Medicare $0.13 $0.13 $0.10 2026-09-25 MRF ↗
UNC HOSPITALS Outpatient Medcost — $0.13 $0.20 $0.12 2026-07-15 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Colorado Access Medicaid Hmo Plan Medicaid Hmo $0.13 $0.13 $0.10 2026-09-25 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Medicare Plan Medicare $0.13 $0.13 $0.10 2026-09-25 MRF ↗
UNC HOSPITALS Outpatient Medcost Ultra $0.13 $0.20 $0.12 2026-07-15 MRF ↗
PAGOSA SPRINGS MEDICAL CENTER Outpatient Medicaid New Mexico Plan Medicaid $0.13 $0.13 $0.10 2026-09-25 MRF ↗
UNC HOSPITALS Outpatient Medcost Ppo $0.14 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient First Carolina Care — $0.15 $0.20 $0.12 2026-07-15 MRF ↗
MCLEOD HEALTH CLARENDON Both Cigna Commercial $0.17 $13,622.00 $9,671.62 2026-07-15 MRF ↗
MCLEOD HEALTH CHERAW Both Cigna Commercial $0.17 $13,622.00 $9,671.62 2026-07-15 MRF ↗
MCLEOD MEDICAL CENTER - DILLON Both Cigna Commercial $0.17 $13,622.00 $9,671.62 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Trillium Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Amerihealth Caritas North Carolina Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Bcbs Option Ppo $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Vaya Health Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Surest — $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Carolina Complete Health Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Aetna State Health Plan $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Bcbs Blue Home $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Tricare Hmo $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Liberty Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Wellcare Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Alignment Preferred Plus Hmo $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Aetna Choice Pos $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient United Healthcare Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient First Health Network — $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient United Healthcare Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient United Healthcare — $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Humana Medicare Advantage Gold Plus $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Bcbs Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Humana Medicare Advantage State Health Plan $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Umr — $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Nalc Health Benefit Plan Hmo/Ppo $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Aetna Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Alliance Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Cigna Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Cigna Behavioral Health $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Health Team Advantage Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient First Medicare Direct Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Healthy Blue North Carolina Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Cigna Choice $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Alignment Medicare Advantage $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Optum Health Behavioral Health $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Wellcare Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient Partners Managed Medicaid $0.20 $0.20 $0.12 2026-07-15 MRF ↗
UNC HOSPITALS Outpatient United Healthcare Exchange $0.20 $0.20 $0.12 2026-07-15 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Ambetter Commercial $0.35 $1.01 $0.91 2026-07-15 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Ambetter Commercial $0.35 $1.01 $0.91 2026-07-15 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Bcbs Exchange $0.41 $1.01 $0.91 2026-07-15 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Bcbs Exchange $0.41 $1.01 $0.91 2026-07-15 MRF ↗
James Cancer Hospital & Solove Research Institute Outpatient Cigna Cigna - Transplant $0.62 $67.83 — 2026-07-01 MRF ↗
MT SAN RAFAEL HOSPITAL Both DENVER HEALTH MED PLAN DENVER HEALTH MED PLAN $0.63 $31.57 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both UHC COMMUNITY PLAN UHC COMMUNITY PLAN $0.63 $31.57 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID COLORADO $0.63 $31.57 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both WELLPOINT (AMGRP) WELLPOINT (AMGRP) $0.63 $31.57 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MEDICAID BEACON HEALTH $0.63 $31.57 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both COLORADO ACCESS COLORADO ACCESS $0.63 $31.57 — 2026-03-31 MRF ↗
MT SAN RAFAEL HOSPITAL Both MEDICAID MISC MEDICAID GET NAME $0.63 $31.57 — 2026-03-31 MRF ↗
LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility Blue Shield of California Commercial/IFP $0.74 — — 2026-03-18 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Wellcare Health Plans Medicare Advantage Non-Dual Windsor — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Ambetter Managed Care — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Amerigroup by Anthem Medicare Advantage — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Blue Cross Blue Shield of Arkansas All Commercial Plans — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Wellcare by Allwell Medicare Advantage — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Primewell Health Services Medicare Advantage — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Harmony Health Plan Medicare Advantage Non-Dual Windsor — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Harmony Health Plan Medicare Advantage Dual Windsor — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility QualChoice of Arkansas Medicare Advantage — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Blue Cross Blue Shield of Arkansas Medicare Advantage — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility CareSource Managed Care — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Assured Benefits All Plans — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Covenant All Plans — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Arkansas FirstSource PPO — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Anthem All Plans — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Primewell Health Services Exchange — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Health Advantage PHO — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Blue Cross Blue Shield of Arkansas Exchange — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Wellcare Health Plans Medicare Advantage Dual Windsor — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Cigna HealthSpring Medicare Advantage — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Arkansas Total Care Managed Care — $1.01 $0.66 2025-02-14 MRF ↗
ST BERNARDS MEDICAL CENTER InpatientFacility Humana ChoiceCare Medicare Advantage — $1.01 $0.66 2025-02-14 MRF ↗
OHIO COUNTY HOSPITAL BothFacility HUMANA INC. - Medicare-HMO Medicare Advantage $0.85 $12,916.00 $6,458.00 2026-01-12 MRF ↗
OHIO COUNTY HOSPITAL BothFacility HUMANA INC. - Medicare-HMO Medicare Advantage $0.85 $12,916.00 $6,458.00 2026-01-12 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Bcbs Commercial $0.96 $1.01 $0.91 2026-07-15 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Bcbs Commercial $0.96 $1.01 $0.91 2026-07-15 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-05-20 MRF ↗
COX MEDICAL CENTERS Outpatient Bjc Health Solutions Commercial $1.00 $1.00 $0.25 2026-07-15 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-05-20 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 — — 2026-05-20 MRF ↗
ST BARNABAS HOSPITAL InpatientFacility Hamaspik Choice Inc Medicaid $1.00 $2.00 — 2026-02-27 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS EXCHANGE $1.00 — — 2026-09-02 MRF ↗
ST BARNABAS HOSPITAL InpatientFacility Hamaspik Choice Inc Medicaid $1.00 $2.00 — 2026-02-27 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient SCAN Health Plan Medicare Advantage — $30,426.75 $19,777.39 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient United Healthcare Medicare Advantage — $0.01 $0.01 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Aetna Health of California, Inc. and Aetna Health Management LLC Medicare Advantage — $0.01 $0.01 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Humana Health Plan, Inc. Medicare Advantage — $0.01 $0.01 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Both SCAN Medicare Advantage — $0.01 $0.01 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. Medicare Advantage — $0.01 $0.01 2025-11-26 MRF ↗
TORRANCE MEMORIAL MEDICAL CENTER Outpatient Health Net of California, Inc. HMO — $0.01 $0.01 2025-11-26 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS BLUE CARE NETWORK $1.00 — — 2026-09-02 MRF ↗
COX MONETT HOSPITAL Outpatient Bjc Health Solutions Commercial $1.00 $1.00 $0.31 2026-07-15 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRUST PPO $1.00 — — 2026-09-02 MRF ↗
HURON VALLEY-SINAI HOSPITAL OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-05-20 MRF ↗
Harper University Hospital OutpatientFacility BLUE CROSS/BLUE SHIELD BCBS TRADITIONAL $1.00 — — 2026-09-02 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient UHC of California, dba UnitedHealthcare of California and fka PacificCare of California Medicare Advantage — $30,426.75 $19,777.39 2025-11-26 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility 1199SEIU National Benefit Fund Commercial $1.10 $2.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility 1199SEIU National Benefit Fund Commercial $1.10 $2.00 — 2026-02-27 MRF ↗
CEDARS-SINAI MEDICAL CENTER Outpatient AIDS Healthcare Foundation and AHF Healthcare Centers PHC California/Medi-Cal HMO — $30,426.75 $19,777.39 2025-11-26 MRF ↗
BERKSHIRE MEDICAL CENTER Outpatient Commcare Alliance Mcrmanaged Cca One Care $1.25 $9,796.13 $9,306.32 2026-07-15 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.30 $2.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility VNS Choice FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual $1.30 $2.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Cigna LocalPlus Benefit Plan $1.36 $2.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Cigna LocalPlus Benefit Plan $1.36 $2.00 — 2026-02-27 MRF ↗
UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility Health Partners Open Network Commercial $1.44 $7.08 $5.67 2026-01-28 MRF ↗
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility Health Partners Open Network Commercial $1.44 $7.08 $5.67 2026-01-28 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility FIDELIS CARE MANAGED MEDICAID $1.45 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE MANAGED MEDICAID $1.45 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility HORIZON HORIZON NJ HEALTH $1.45 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility AETNA BETTER HEALTH $1.45 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility FIDELIS CARE MANAGED MEDICAID $1.45 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility AETNA BETTER HEALTH $1.45 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility HORIZON HORIZON NJ HEALTH $1.45 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility UNITED HEALTHCARE MANAGED MEDICAID $1.45 $10.00 — 2025-08-30 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Brighton Health Commercial $1.50 $2.00 — 2026-02-27 MRF ↗
The Medical Center at Russellville Outpatient Molina Healthcare (Medicare) Passport Health Plan Medicare $1.50 $5,918.75 — 2026-04-01 MRF ↗
The Medical Center at Russellville Outpatient United Healthcare (Medicare) All Plans $1.50 $5,918.75 — 2026-04-01 MRF ↗
The Medical Center at Russellville Outpatient Signature Advantage Plan (Medicare) Signature Advantage $1.50 $5,918.75 — 2026-04-01 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Brighton Health Commercial $1.50 $2.00 — 2026-02-27 MRF ↗
The Medical Center at Russellville Outpatient Humana (Medicare) All Plans $1.50 $5,918.75 — 2026-04-01 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility HORIZON MEDICARE BLUE $1.57 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility HORIZON MEDICARE BLUE $1.57 $10.00 — 2025-08-30 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Cigna HMO/Network Benefit Plan/Open Access $1.60 $2.00 — 2026-02-27 MRF ↗
ST BARNABAS HOSPITAL OutpatientFacility Cigna HMO/Network Benefit Plan/Open Access $1.60 $2.00 — 2026-02-27 MRF ↗
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility Health Partners Open Network Commercial $1.67 $8.20 $6.56 2026-01-28 MRF ↗
UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility Health Partners Open Network Commercial $1.67 $8.20 $6.56 2026-01-28 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility AETNA WHOLE HEALTH $1.85 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility AETNA WHOLE HEALTH $1.85 $10.00 — 2025-08-30 MRF ↗
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility Medica Exchange Inspire Commercial $1.85 $7.08 $5.67 2026-01-28 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility AETNA MEDICARE ADVANTAGE $1.94 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility AETNA MEDICARE ADVANTAGE $1.94 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility WELLPOINT MANAGED MEDICAID $1.96 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility WELLPOINT MANAGED MEDICAID $1.96 $10.00 — 2025-08-30 MRF ↗
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility Medica Exchange Insure Commercial $2.08 $7.08 $5.67 2026-01-28 MRF ↗
MACNEAL HOSPITAL OutpatientFacility BCBS IL PPO $2.12 — — 2026-03-31 MRF ↗
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility Medica Exchange Inspire Commercial $2.15 $8.20 $6.56 2026-01-28 MRF ↗
FAIRVIEW HOSPITAL OutpatientFacility AETNA Asa_Whirlpool_Peia $2.17 $8,610.54 $5,596.85 2026-06-15 MRF ↗
UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility Medica Exchange Inspire Commercial $2.36 $7.08 $5.67 2026-01-28 MRF ↗
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility Medica Exchange Insure Commercial $2.41 $8.20 $6.56 2026-01-28 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility OXFORD ALL PRODUCTS $2.45 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility OXFORD ALL PRODUCTS $2.45 $10.00 — 2025-08-30 MRF ↗
CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility Wellcare Managed Medicaid $2.48 $58.00 $58.00 2026-04-30 MRF ↗
CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility Wellcare Managed Medicaid $2.48 $58.00 $58.00 2026-04-30 MRF ↗
CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility Amerigroup Managed Medicaid $2.52 $58.00 $58.00 2026-04-30 MRF ↗
CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility Amerigroup Managed Medicaid $2.52 $58.00 $58.00 2026-04-30 MRF ↗
CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility United Healthcare Managed Medicaid $2.56 $64.00 $64.00 2026-06-24 MRF ↗
UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility Medica Exchange Insure Commercial $2.64 $7.08 $5.67 2026-01-28 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility AETNA POS - EPO - PPO $2.70 $10.00 — 2025-08-30 MRF ↗
SHORE MEDICAL CENTER OutpatientFacility AETNA POS - EPO - PPO $2.70 $10.00 — 2025-08-30 MRF ↗
JAY HOSPITAL OutpatientFacility WELLCARE MCARE HMO $2.72 $17,550.00 $2,632.50 2025-12-23 MRF ↗
JAY HOSPITAL OutpatientFacility WELLCARE MCARE HMO DUAL PLAN $2.72 $17,550.00 $2,632.50 2025-12-23 MRF ↗
CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility Fidelis Managed Medicaid Managed Medicaid $2.73 $64.00 $64.00 2026-06-24 MRF ↗
UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility Medica Exchange Inspire Commercial $2.73 $8.20 $6.56 2026-01-28 MRF ↗
CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility Wellpoint Managed Medicaid $2.76 $64.00 $64.00 2026-06-24 MRF ↗
ALLEN HOSPITAL OutpatientFacility Health Partners Open Network Commercial $2.83 $7.64 $6.12 2026-01-28 MRF ↗
CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility United Healthcare Managed Medicaid $3.05 $58.00 $58.00 2026-04-30 MRF ↗
CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility United Healthcare Managed Medicaid $3.05 $58.00 $58.00 2026-04-30 MRF ↗
UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility Medica Exchange Insure Commercial $3.06 $8.20 $6.56 2026-01-28 MRF ↗
UnityPoint Health - Iowa Lutheran Hospital InpatientFacility Cigna/Midlands Commercial $3.07 $7.08 $5.67 2026-01-28 MRF ↗
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility Cigna/Midlands Commercial $3.07 $7.08 $5.67 2026-01-28 MRF ↗
MYMICHIGAN MEDICAL CENTER ALMA Both Platform Health Insurance Ppo $3.09 $9,495.52 $5,697.31 2026-07-15 MRF ↗
MYMICHIGAN MEDICAL CENTER ALMA Both Blue Cross Blue Shield Completecaresource Michigan Medicaidmeridian Health Healthy Michigan Planmeridian Health Medicaid Hmomeridian Health Mi Childmeridian Health Plan Hmo $3.09 $9,495.52 $5,697.31 2026-07-15 MRF ↗
CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility Aetna Better Health Managed Medicaid $3.16 $58.00 $58.00 2026-04-30 MRF ↗
CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility Aetna Better Health Managed Medicaid $3.16 $58.00 $58.00 2026-04-30 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE GEHA SECONDARY IP — $43.12 $12.93 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE GEHA IP — $43.12 $12.93 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE GEHA SECONDARY OP — $43.12 $12.93 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE UHC COMM OP — $43.12 $12.93 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE UNITED MISC IP — $43.12 $12.93 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE GEHA IP — $43.12 $12.93 2025-12-04 MRF ↗
MINDEN MEDICAL CENTER Both MANAGED CARE GEHA SECONDARY OP — $43.12 $12.93 2025-12-04 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.