J1451 — Fomepizole 1 Gram/ml Intravenous Solution
Cite this view
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
“FOMEPIZOLE 1 GRAM/ML INTRAVENOUS SOLUTION (HCPCS J1451) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1451?code_type=HCPCS. Accessed .
“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 $15–$2,184 (25th–75th percentile) across 2,068 hospitals · 6,780 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/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.
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 ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $6,898.50 | $3,794.18 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,697.04 | $933.37 | 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 ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,697.04 | $1,442.48 | 2025-01-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | 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 MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $0.04 | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $0.04 | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | 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 MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $0.04 | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.05 | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.05 | $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 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $8,398.08 | $5,458.75 | 2025-11-26 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Omnia | $0.10 | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Managed Care | $0.11 | $1.00 | $1.00 | 2026-05-15 | 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 | Indemnity | $0.12 | $1.00 | $1.00 | 2026-05-15 | 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 | PPO | $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 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross | Managed Care | $0.12 | $1.00 | $1.00 | 2026-04-30 | 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 ↗ |
| 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 | Aetna | Commercial | $0.20 | $1.00 | $1.00 | 2026-04-30 | 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 | 2026-05-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.53 | — | — | 2026-03-18 | 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 ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Cigna | Shared Administration | $0.75 | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Wellcare | 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 | Amerigroup | Medicare Advantage | — | $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 | 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 | Aetna | Commercial | — | $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 | Wellcare | 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 ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon Blue Cross | Omnia | — | $1.00 | $1.00 | 2026-05-15 | 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 | Fidelis Medicare Advantage | Medicare Advantage | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Humana | 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 | 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 | United Healthcare | Managed Medicaid | — | $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 REGIONAL MEDICAL CENTER InpatientFacility | Horizon Blue Cross | Indemnity | — | $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 | Horizon Blue Cross | Omnia | — | $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 MEDICAL CENTER - HOPEWELL InpatientFacility | United Healthcare | Commercial | — | $1.00 | $1.00 | 2026-05-15 | 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 | Managed Care | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Oxford Benefit Plan | Commercial | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Aetna | Commercial | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Wellpoint | Managed Medicaid | — | $1.00 | $1.00 | 2026-05-15 | 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 | Wellcare | Medicare Advantage | — | $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 | Humana | Medicare Advantage | — | $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 MEDICAL CENTER - HOPEWELL InpatientFacility | Fidelis | Commercial | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | United Healthcare | Managed Medicaid | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon Blue Cross | Indemnity | — | $1.00 | $1.00 | 2026-05-15 | 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 | Horizon NJ Health | Managed Medicaid | — | $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 | Horizon Blue Cross | Indemnity | — | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon Blue Cross | Managed Care | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Clover | Medicare Advantage | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Horizon Blue Cross | PPO | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Clover | 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 MEDICAL CENTER - HOPEWELL InpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Humana | Medicare Advantage | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Wellpoint | Medicare Advantage | — | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER InpatientFacility | Wellcare | Commercial | — | $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 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 | 2026-05-15 | 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 REGIONAL MEDICAL CENTER InpatientFacility | Cigna | Local Plus | $0.89 | $1.00 | $1.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Cigna | Managed Care/PPO | $0.89 | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL InpatientFacility | Cigna | Local Plus | $0.89 | $1.00 | $1.00 | 2026-05-15 | MRF ↗ |
| TRINITY MUSCATINE 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 ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $0.94 | $4.59 | $3.68 | 2026-01-28 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCaidDOHC | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | BrandNewDayMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldPromiseMgdMCaid | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedBehavioral | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Live Well | LiveWellIPAAncillary | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $4,862.36 | $3,987.14 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Central California Alliance For Health | CentralCAAllianceMediCal | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Affiliated Health Fund | AffiliatedHealthFundAHF | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldofCA | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMediCal | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPHIX | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldReciprocity | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageCommercialDOHC | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageTrioHIXDOHC | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCaid | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Corvel | CorvelWC | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCareDOHC | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdComm | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesWC | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCaid | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Scan | SCANMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageHIXDOHC | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Morongo Basin Community Health | MorongoBasinCommunityHealth | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $4,862.36 | $3,987.14 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Alignment Health Plan | AlignmentHealthPlanMedicare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldHIX | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetCommercial | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CAHealthandWellnessMgdMCaid | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetEnhancedCareSBGPPO | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaNonGatekeeper | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaGatekeeper | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetMgdMCaid | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Naval Medical Center | NavalMedicalCenter | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetWholecarePurecareHIX | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $8,398.08 | $5,458.75 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $8,398.08 | $5,458.75 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | CentralHealthPlanofCaliforniaMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $4,862.36 | $3,987.14 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Imperial Health Plan | ImperialHealthPlanMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCareMgdMCare | — | $97.00 | $72.75 | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $4,862.36 | $3,987.14 | 2025-11-26 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $1.04 | — | — | 2026-03-31 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Cross Anthem | HMO/POS/PPO | $1.08 | $2,572.00 | $2,572.00 | 2025-06-11 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Nebraska Total Care | Managed Medicaid | $1.10 | $4.23 | $3.39 | 2026-01-28 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Blue Shield | HMO | $1.13 | $6,125.00 | $4,900.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Shield | HMO | $1.13 | $6,125.00 | $4,900.00 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield | EPO/PPO | $1.13 | $9,215.00 | $7,372.00 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | HMO | $1.13 | $6,125.00 | $4,900.00 | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | EPO/PPO | $1.13 | $6,125.00 | $4,900.00 | 2025-03-13 | MRF ↗ |
| Community Behavioral Health Center OutpatientFacility | Blue Shield | HMO | $1.13 | $9,215.00 | $7,372.00 | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Shield | EPO/PPO | $1.13 | $6,125.00 | $4,900.00 | 2025-03-13 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | $1.15 | $3,454.13 | $2,590.60 | 2026-04-01 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Managed Care | $1.19 | $9,788.00 | $3,915.20 | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Anthem Blue Cross Blue Shield | Managed Care | $1.19 | $9,788.00 | $3,915.20 | 2026-05-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Both | Anthem Blue Cross Blue Shield | Managed Care | $1.19 | $10,104.00 | — | 2026-05-08 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $1.20 | $4.59 | $3.68 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $1.20 | $4.59 | $3.68 | 2026-01-28 | MRF ↗ |
| MERCY HOSPITAL OF FOLSOM Outpatient | BCBS - Anthem | Commercial|Connection EPO | $1.20 | $8,312.00 | $3,233.37 | 2026-02-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $1.25 | $4.62 | $3.70 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $1.25 | $4.62 | $3.70 | 2026-01-28 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Cal Medi-Connect | $1.30 | $3,454.13 | $2,590.60 | 2026-04-01 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $1.33 | $5,615.00 | $842.25 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $1.33 | $5,615.00 | $842.25 | 2025-12-23 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $1.35 | $4.59 | $3.68 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $1.35 | $4.59 | $3.68 | 2026-01-28 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $1.44 | $20.60 | $20.60 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $1.44 | $20.60 | $20.60 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $1.44 | $20.60 | $20.60 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $1.44 | $20.60 | $20.60 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $1.44 | $20.60 | $20.60 | 2026-03-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $2,230.47 | $2,230.47 | 2026-04-01 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Blue Cross | Epo Exchange | $1.47 | — | — | 2026-04-01 | MRF ↗ |
| PETALUMA VALLEY HOSPITAL OutpatientFacility | Blue Cross | Epo Exchange | $1.47 | — | — | 2026-04-01 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Commercial | $1.49 | $6,570.00 | $1.28 | 2026-05-22 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Outpatient | Blue Cross | Blue Cross Commercial | $1.49 | $6,570.00 | $1.28 | 2026-05-18 | 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.