J1335 — Ertapenem 1 Gram Solution For Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (HCPCS J1335) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1335?code_type=HCPCS
MLA (9th ed.)
“ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (HCPCS J1335) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1335?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ERTAPENEM 1 GRAM SOLUTION FOR INJECTION (HCPCS J1335) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1335?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $56–$251 (25th–75th percentile) across 2,718 hospitals · 7,807 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J1335 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 |
|---|---|---|---|---|---|---|---|
| University of Arkansas Medical Sciences Outpatient | United Healthcare | Medicare Advantage | — | $384.00 | $230.40 | 2026-05-08 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $218.46 | $120.15 | 2025-01-01 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $282.80 | $98.13 | 2025-09-09 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $110.38 | $60.71 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $110.38 | $60.71 | 2025-01-01 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $282.80 | $98.13 | 2025-09-09 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $248.35 | $211.10 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $218.46 | $120.15 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $110.38 | $60.71 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $128.65 | $64.33 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $110.38 | $93.82 | 2025-01-01 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $282.80 | $98.13 | 2025-09-09 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $323.04 | $274.58 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $294.34 | $206.04 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $128.65 | $64.33 | 2024-12-15 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | Medcost | Medcost | — | $0.37 | $0.15 | 2026-05-23 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | Uhc | Uhc | — | $0.37 | $0.15 | 2026-05-23 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | Cigna | Cigna - Voluntary Rates | — | $0.37 | $0.15 | 2026-05-23 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | Aetna | Aetna | — | $0.37 | $0.15 | 2026-05-23 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | Ambetter | Ambetter | — | $0.37 | $0.15 | 2026-05-23 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | Uhc | Uhc Hix | — | $0.37 | $0.15 | 2026-05-23 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | Bcbs Of Nc | Bcbs Of Nc | — | $0.37 | $0.15 | 2026-05-23 | MRF ↗ |
| WILSON MEDICAL CENTER Outpatient | Cigna | Cigna | — | $0.37 | $0.15 | 2026-05-23 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $584.53 | $479.31 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $359.73 | $233.82 | 2025-11-26 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.23 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.23 | $1.38 | $0.28 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.23 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.23 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.23 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.23 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.26 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.26 | $1.38 | $0.28 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.26 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.26 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.26 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.26 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.28 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.28 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.28 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.28 | $1.38 | $0.28 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.28 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.28 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $433.41 | $281.72 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $359.73 | $233.82 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $359.73 | $233.82 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $359.73 | $233.82 | 2025-11-26 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Humana Medicaid | Managed Medicaid | $0.33 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | United Healthcare Adult | Commercial | $0.34 | $1.38 | $0.28 | 2026-02-13 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.34 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.34 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.34 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $342.41 | $222.56 | 2025-11-26 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.34 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna | Medicare Advantage | $0.36 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna | Medicare Advantage | $0.36 | $1.38 | $0.28 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna | Medicare Advantage | $0.36 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna | Medicare Advantage | $0.36 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna | Medicare Advantage | $0.36 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna | Medicare Advantage | $0.36 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $433.41 | $281.72 | 2025-11-26 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.40 | $221.18 | — | 2025-12-31 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.41 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.41 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $342.41 | $222.56 | 2025-11-26 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $0.42 | $235.58 | — | 2025-12-31 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.44 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Alternative | Commercial | $0.44 | $1.38 | $0.28 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.44 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.44 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.44 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.47 | $126.40 | $120.08 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.47 | $126.40 | $120.08 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.48 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | SIHO | Commercial | $0.48 | $1.38 | $0.28 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.48 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.48 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.48 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | CareMore Health Plan | Medicare Advantage | — | $359.73 | $233.82 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.49 | $126.40 | $120.08 | 2026-02-20 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | — | $359.73 | $233.82 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $556.70 | $456.49 | 2025-11-26 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Medicaid | All Products | $0.51 | $3.00 | $2.10 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO OutpatientFacility | Medicaid | All Products | $0.51 | $3.00 | $2.10 | 2025-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.51 | $126.40 | $120.08 | 2026-02-20 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Adult | Commercial | $0.52 | $1.38 | $0.28 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Pediatric | Commercial | $0.52 | $1.38 | $0.28 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $0.52 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $0.52 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $0.52 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $0.52 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $0.52 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $0.52 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $0.52 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $0.52 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | COVENTRY | All Products | $0.54 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA BothFacility | COVENTRY | All Products | $0.54 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.57 | $104.70 | $38.74 | 2026-03-31 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL InpatientFacility | Anthem | Pathway Program | $0.58 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $0.58 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $0.58 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $0.58 | $1.38 | $0.28 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $0.58 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | Medicare Advantage | $0.60 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | Medicare Advantage | $0.60 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.60 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.60 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.60 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE DES MOINES MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.60 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.61 | $126.40 | $120.08 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $0.61 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $0.61 | $1.38 | $0.28 | 2026-02-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.61 | $126.40 | $120.08 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $0.61 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $0.61 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $0.61 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.62 | $126.40 | $120.08 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $0.62 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $0.62 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $0.62 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.62 | $126.40 | $120.08 | 2026-02-20 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $0.62 | $1.38 | $0.28 | 2026-02-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.62 | $126.40 | $120.08 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $0.62 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARPLUS | $0.63 | $12.50 | $12.50 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STAR | $0.63 | $12.50 | $12.50 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHIP | $0.63 | $12.50 | $12.50 | 2026-03-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.63 | $126.40 | $120.08 | 2026-02-20 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | CHPFC | $0.63 | $12.50 | $12.50 | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | Superior Health | STARKids | $0.63 | $12.50 | $12.50 | 2026-03-01 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $0.64 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYSTEM dba DANIEL FREEMAN MARINA HOSPITAL | Medicare Advantage | — | $359.73 | $233.82 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Aetna | Medicare Advantage | $0.67 | $3.00 | $1.96 | 2025-01-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $584.53 | $479.31 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.68 | $126.40 | $120.08 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $556.70 | $456.49 | 2025-11-26 | MRF ↗ |
| TRINITY HEALTH OAKLAND HOSPITAL BothFacility | BLUE CROSS - MI | BCBS MI LOCAL HMO | $0.69 | $3.00 | $1.95 | 2026-03-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.70 | $189.60 | $180.12 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.70 | $189.60 | $180.12 | 2026-02-20 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.71 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| SARTORI MEMORIAL HOSPITAL, INC BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.71 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.71 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE WATERLOO MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.71 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.72 | $189.60 | $180.12 | 2026-02-20 | MRF ↗ |
| ST MARY MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $0.74 | $3.00 | $1.90 | 2025-01-01 | MRF ↗ |
| TRINITY HEALTH ANN ARBOR HOSPITAL OutpatientFacility | POINT COMFORT UNDERWRITERS | All Products | $0.75 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.76 | $189.60 | $180.12 | 2026-02-20 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.77 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE NORTH IOWA MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.77 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | EPO | — | $584.53 | $479.31 | 2025-11-26 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Todays Options PFFS | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Todays Options PPO | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | VACCN United | Veterans Affairs | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Care Improvement Plus | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Kaiser Permanente | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Anthem BCBS | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Eon Health Plan | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Caresource | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Centene | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Molina | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Coventry | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Pruitthealth Premier | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | Select | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Wellcare | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Cigna HealthSpring | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| ST MARYS GOOD SAMARITAN HOSPITAL OutpatientFacility | Ambetter | Medicare Advantage | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL BothFacility | AvMed | Select | $0.81 | $3.00 | $1.95 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.82 | $3.00 | $1.65 | 2025-01-01 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $0.82 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $0.82 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $0.82 | $3.00 | $1.65 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $0.82 | $3.00 | $1.65 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.82 | $3.00 | $1.65 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.82 | $3.00 | $1.65 | 2025-01-01 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.83 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $0.83 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.84 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.84 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICAID | WELLPOINT MEDICAID | $0.84 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | MOLINA MEDICAID | MOLINA MEDICAID | $0.84 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $0.85 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | HEALTH CHOICES | MEDICAL ASSOCIATES | $0.85 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $0.86 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $0.86 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Cigna Pediatric | Commercial | $0.86 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| MERCYONE CLINTON MEDICAL CENTER BothFacility | PREFERRED HEALTH CHOICE | PREFERRED HEALTH CHOICES | $0.87 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.87 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $0.87 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Cigna Pediatric | Commercial | $0.87 | $1.38 | $0.28 | 2026-02-11 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $0.88 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | HEALTH PARTNERS MEDICARE ADVANTAGE | UNITYPOINT HEALTH PARTNERS MEDICARE ADV | $0.88 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $0.89 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| MERCYONE CENTERVILLE MEDICAL CENTER BothFacility | WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $0.89 | $3.00 | $3.00 | 2026-03-31 | MRF ↗ |
| NAZARETH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.89 | $3.00 | $2.07 | 2025-01-01 | MRF ↗ |
| MERCY CATHOLIC MEDICAL CENTER- MERCY FITZGERALD OutpatientFacility | Oscar | Medicare Advantage | $0.90 | $3.00 | $1.70 | 2025-01-01 | 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.