J1451 — Fomepizole 1 Gram/ml Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION (HCPCS J1451) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1451?code_type=HCPCS
MLA (9th ed.)
“FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION (HCPCS J1451) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1451?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION (HCPCS J1451) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1451?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16–$2,415 (25th–75th percentile) across 2,524 hospitals · 6,868 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1451 — 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
$16
$1,041 typical
$2,415
The middle 50% of negotiated facility rates for this procedure, measured across 2,524 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,041 |
| Likely subtotal | $1,041 |
Facility charge (no separate professional fee)
$1,041
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 $16–$2,415.
- 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 |
|---|---|---|---|---|---|---|---|
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $6,898.50 | $3,794.18 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,697.04 | $1,442.48 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,697.04 | $933.37 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,697.04 | $1,442.48 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $6,898.50 | $3,794.18 | 2025-01-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $0.04 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $0.04 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $0.04 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $0.04 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $0.04 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $0.04 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $0.04 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.05 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.05 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.05 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.05 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.05 | $29.96 | $7.25 | 2024-12-31 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.05 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $8,398.08 | $5,458.75 | 2025-11-26 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.06 | $33.39 | $7.25 | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.06 | $30.94 | $7.25 | 2024-12-31 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Omnia | $0.10 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Omnia | $0.11 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Omnia | $0.11 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Managed Care | $0.11 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $0.12 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Indemnity | $0.12 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | PPO | $0.12 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Indemnity | $0.12 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Indemnity | $0.12 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | PPO | $0.12 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.12 | $66.04 | $7.25 | 2024-12-31 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | PPO | $0.12 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $0.12 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $7,095.00 | $5,037.45 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $7,095.00 | $5,037.45 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $7,095.00 | $5,037.45 | 2026-07-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $0.20 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna | Commercial | $0.20 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $0.20 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $92.00 | $69.00 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $92.00 | $69.00 | 2026-09-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.53 | — | — | 2026-03-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-18 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-18 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $0.57 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $0.57 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-07-18 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.57 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| CARLSBAD MEDICAL CENTER Outpatient | Self Pay | Self Pay | $0.59 | $5.86 | $0.59 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.59 | $13,213.78 | $1,321.38 | 2026-07-18 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.59 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $92.00 | $69.00 | 2026-09-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Optimum | MGMCR | $0.60 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | BSL | $0.60 | $5.50 | $5.50 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MBN | $0.60 | $5.50 | $5.50 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Freedom Health | MGMCR | $0.60 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | SBN | $0.60 | $5.50 | $5.50 | 2026-03-01 | MRF ↗ |
| SAN GORGONIO MEMORIAL HOSPITAL Outpatient | Anthem Blue Cross | Commercial | $0.60 | $8,132.83 | $1,626.57 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-08-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $95.04 | — | 2026-07-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-07-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.62 | $13,213.78 | $1,321.38 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | BSL | $0.64 | $5.50 | $5.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | SBN | $0.64 | $5.50 | $5.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | MBN | $0.64 | $5.50 | $5.50 | 2024-10-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.66 | $2,828.40 | $1,838.46 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.66 | $2,828.40 | $1,838.46 | 2025-01-01 | MRF ↗ |
| ADVENTIST HEALTH LODI MEMORIAL Outpatient | BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $0.69 | $14,950.00 | $1,046.50 | 2026-01-25 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $0.71 | $2,347.39 | $2,230.02 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | BCBS | MBN | $0.72 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Wellcare | Commercial | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Wellcare | Managed Medicaid | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Wellcare | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Horizon Blue Cross | Omnia | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Oxford Benefit Plan | Commercial | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Amerigroup | Managed Medicaid | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Amerigroup | Managed Medicaid | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Cigna | Shared Administration | $0.75 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Amerigroup | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Horizon Blue Cross | Managed Care | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Horizon Blue Cross | Indemnity | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Aetna | Commercial | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Wellcare | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Wellcare | Commercial | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Wellcare | Managed Medicaid | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Horizon Blue Cross | Managed Care | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Horizon Blue Cross | Indemnity | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Clover | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | United Healthcare | Managed Medicaid | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | United Healthcare | Commercial | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Oxford Benefit Plan | Commercial | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Horizon Blue Cross | Omnia | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Aetna | Commercial | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Clover | Medicare Advantage | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Fidelis | Commercial | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Horizon Blue Cross | PPO | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Wellpoint | Medicare Advantage | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon Blue Cross | Indemnity | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Wellpoint | Managed Medicaid | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon Blue Cross | Omnia | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Cigna | Shared Administration | $0.75 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Humana | Medicare Advantage | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Fidelis Medicare Advantage | Medicare Advantage | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Oxford Benefit Plan | Commercial | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon Blue Cross | PPO | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon Blue Cross | Managed Care | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Amerigroup | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | — | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Clover | Medicare Advantage | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Horizon Blue Cross | PPO | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Aetna | Commercial | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Cigna | Shared Administration | $0.75 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | PPO | $0.82 | $5.50 | $5.50 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | NWB | $0.82 | $5.50 | $5.50 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | HMO | $0.83 | $5.50 | $5.50 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Simply | MGMCR | $0.85 | $5.50 | $5.50 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | MultiPlan | Commercial | $0.85 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | MultiPlan | Commercial | $0.85 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | MultiPlan | Commercial | $0.85 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | NWB | $0.86 | $5.50 | $5.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | PPO | $0.86 | $5.50 | $5.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | BCBS | HMO | $0.87 | $5.50 | $5.50 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA FORT WALTON-DESTIN HOSPITAL Outpatient | Simply | MGMCR | $0.88 | $5.50 | $5.50 | 2024-10-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Cigna | Local Plus | $0.89 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Cigna | Managed Care/PPO | $0.89 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Cigna | Local Plus | $0.89 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Cigna | Managed Care/PPO | $0.89 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Cigna | Local Plus | $0.89 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Cigna | Managed Care/PPO | $0.89 | $1.00 | $1.00 | 2026-06-24 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Simply Healthcare Plans | MGMCR | $0.91 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | BCBS | HMO | $0.92 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | BCBS | SBN | $0.92 | $7.00 | $7.00 | 2026-03-01 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $0.94 | $4.59 | $3.68 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $0.94 | $4.59 | $3.68 | 2026-01-28 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - PPO | — | $3,454.13 | $2,590.60 | 2025-07-01 | 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.