J1568 — Octagam Injection
Cite this view
HANK Price Transparency. (n.d.). Octagam injection (CPT J1568) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1568?code_type=CPT
“Octagam injection (CPT J1568) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1568?code_type=CPT. Accessed .
“Octagam injection (CPT J1568) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1568?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $79–$2,903 (25th–75th percentile) across 1,825 hospitals · 5,627 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J1568 — 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,063.50 | $903.98 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,063.50 | $903.98 | 2025-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.12 | $31.92 | $30.32 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.12 | $31.63 | $30.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.15 | $31.63 | $30.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.15 | $31.63 | $30.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.15 | $31.92 | $30.32 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.16 | $31.92 | $30.32 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.16 | $31.92 | $30.32 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.16 | $31.92 | $30.32 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.17 | $31.92 | $30.32 | 2026-02-20 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.77 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $0.77 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.78 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $0.78 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.79 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.79 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.80 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.80 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.85 | $3.66 | $2.16 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.85 | $3.66 | $2.16 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.85 | $3.66 | $1.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.85 | $3.66 | $2.16 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.86 | $3.66 | $2.16 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.86 | $3.66 | $1.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.88 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.88 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.89 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.89 | $3.66 | $1.69 | 2026-02-28 | 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 | $60.40 | 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 | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | $60.40 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | $60.40 | 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 | $60.40 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | $60.40 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | $60.40 | 2025-08-30 | 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 | $60.40 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | $60.40 | 2025-08-30 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $1.47 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $1.47 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $1.47 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $1.47 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $1.47 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $1.47 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $1.47 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $1.47 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $1.47 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $1.47 | — | — | 2026-01-14 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $1.47 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Cigna | New Business | $1.47 | — | — | 2026-01-14 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | United Healthcare | All | $1.50 | $1,082.00 | $27.85 | 2026-05-06 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $1.50 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $1.50 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| NOCONA GENERAL HOSPITAL Both | United Healthcare | All | $1.50 | $1,082.00 | $27.85 | 2026-05-09 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $1.51 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $1.51 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $1.51 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $1.51 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicare|All Plans | $1.54 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $1.54 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicare|All Plans | $1.54 | $3.66 | $3.04 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $1.54 | $3.66 | $3.04 | 2026-02-28 | 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 ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $1.58 | $7.50 | $4.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $1.58 | $7.50 | $4.58 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $1.60 | $7.50 | $4.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $1.60 | $7.50 | $4.58 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $1.61 | $7.50 | $6.23 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $1.61 | $7.50 | $6.23 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $1.64 | $7.50 | $6.23 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $1.64 | $7.50 | $6.23 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $1.73 | $7.50 | $3.75 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $1.73 | $7.50 | $4.43 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $1.73 | $7.50 | $4.43 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $1.75 | $7.50 | $3.75 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $1.75 | $7.50 | $4.43 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $1.75 | $7.50 | $4.43 | 2025-09-30 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $1.80 | $7.50 | $3.45 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Inpatient | Creighton University Employees | Commercial|All Plans | $1.80 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $1.80 | $7.50 | $3.45 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Inpatient | Creighton University Employees | Commercial|All Plans | $1.80 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $1.82 | $7.50 | $3.45 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $1.82 | $7.50 | $3.45 | 2026-02-28 | MRF ↗ |
| GARRISON MEMORIAL HOSPITAL Outpatient | Medica | Medicare|All Plans | $1.83 | $3.66 | $2.49 | 2026-02-28 | MRF ↗ |
| GARRISON MEMORIAL HOSPITAL Outpatient | United | Medicare|All Plans | $1.83 | $3.66 | $2.49 | 2026-02-28 | MRF ↗ |
| GARRISON MEMORIAL HOSPITAL Outpatient | Humana | Medicare|All Plans | $1.83 | $3.66 | $2.49 | 2026-02-28 | 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 ↗ |
| GARRISON MEMORIAL HOSPITAL Outpatient | BCBS - ND | Medicare|All Plans | $1.87 | $3.66 | $2.49 | 2026-02-28 | 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 | $60.40 | 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 | $60.40 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| BANNER GATEWAY MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $1.99 | $9.97 | $3.28 | 2026-05-01 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Inpatient | Creighton University Employees | Commercial|All Plans | $2.02 | $3.66 | $2.16 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Inpatient | Creighton University Employees | Commercial|All Plans | $2.02 | $3.66 | $2.16 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | ELAP | Commercial|All Plans | $2.09 | $3.66 | $1.83 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $2.11 | $11.65 | $6.41 | 2026-02-19 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.12 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.12 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $2.12 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.12 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $2.12 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.12 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.12 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.12 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $2.12 | — | — | 2026-04-01 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | ELAP | Commercial|All Plans | $2.13 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | ELAP | Commercial|All Plans | $2.13 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| EL CENTRO REGIONAL MEDICAL CENTER Outpatient | AETNA - ALL PLANS | AETNA - ALL PLANS | $2.22 | $5.04 | $3.53 | 2026-01-16 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Millard Public Schools | Commercial|Narrow Network | $2.27 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Greater Omaha Packing | Commercial|Narrow Network | $2.27 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | One World | Commercial|Narrow Network | $2.27 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Millard Public Schools | Commercial|Narrow Network | $2.27 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | One World | Commercial|Narrow Network | $2.27 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Inpatient | Medica | Commercial|Open Access | $2.27 | $3.66 | $1.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Greater Omaha Packing | Commercial|Narrow Network | $2.27 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Inpatient | Midlands Choice | Commercial|Premier | $2.27 | $3.66 | $1.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Commercial|All Plans | $2.31 | $3.66 | $2.16 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Commercial|All Plans | $2.31 | $3.66 | $2.16 | 2025-09-30 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | LLUH Dept of Risk Management | WC | $2.33 | $11.65 | $6.41 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $2.33 | $11.65 | $6.41 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $2.33 | $11.65 | $6.41 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Adventist Health | Commercial | $2.33 | $11.65 | $6.41 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $2.33 | $11.65 | $6.41 | 2026-02-19 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.34 | — | — | 2026-03-18 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | ELAP | Commercial|All Plans | $2.34 | $3.66 | $2.16 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | ELAP | Commercial|All Plans | $2.35 | $3.66 | $2.16 | 2026-02-28 | 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 ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Midlands Choice | Commercial|Standard | $2.53 | $3.66 | $1.83 | 2026-02-28 | MRF ↗ |
| EL CENTRO REGIONAL MEDICAL CENTER Outpatient | UHC - ALL OTHER PLANS | UHC - ALL OTHER PLANS | $2.53 | $5.04 | $3.53 | 2026-01-16 | MRF ↗ |
| BANNER GATEWAY MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $2.53 | $9.97 | $3.28 | 2026-05-01 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $2.55 | $19.00 | $11.40 | 2026-03-06 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Medica | Commercial|Open Access | $2.57 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Midlands Choice | Commercial|Standard | $2.57 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Medica | Commercial|Open Access | $2.57 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Midlands Choice | Commercial|Standard | $2.57 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| Memorial Hospital Biloxi BothFacility | SAS MHG | HDHP | $2.59 | $17.29 | $12.10 | 2026-02-18 | MRF ↗ |
| MEMORIAL HOSPITAL AT GULFPORT BothFacility | SAS MHG | HDHP | $2.59 | $17.29 | $12.10 | 2026-02-18 | MRF ↗ |
| Memorial Hospital at Stone County BothFacility | SAS MHG | HDHP | $2.59 | $17.29 | $12.10 | 2026-02-18 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Greater Omaha Packing | Commercial|Broad Network | $2.60 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $2.60 | $19.00 | $11.40 | 2026-03-06 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Inpatient | Medica | Commercial|Open Access | $2.60 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | One World | Commercial|Broad Network | $2.60 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Timpte | Commercial|Broad Network | $2.60 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Millard Public Schools | Commercial|Broad Network | $2.60 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH TURTLE LAKE Outpatient | United | Medicare|All Plans | $2.60 | $3.66 | $2.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Millard Public Schools | Commercial|Broad Network | $2.60 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $2.60 | $19.00 | $11.40 | 2026-03-06 | MRF ↗ |
| CHI ST ALEXIUS HEALTH TURTLE LAKE Inpatient | United | Commercial|All Plans | $2.60 | $3.66 | $2.60 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH TURTLE LAKE Outpatient | Medica | Medicare|All Plans | $2.60 | $3.66 | $2.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | One World | Commercial|Broad Network | $2.60 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Greater Omaha Packing | Commercial|Broad Network | $2.60 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH TURTLE LAKE Outpatient | Humana | Medicare|All Plans | $2.60 | $3.66 | $2.60 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Timpte | Commercial|Broad Network | $2.60 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Inpatient | Medica | Commercial|Open Access | $2.60 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH TURTLE LAKE Outpatient | BCBS - ND | Medicare|All Plans | $2.66 | $3.66 | $2.60 | 2026-02-28 | 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 ↗ |
| GARRISON MEMORIAL HOSPITAL Inpatient | United | Commercial|All Plans | $2.71 | $3.66 | $2.49 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Medica | Commercial|All Plans | $2.71 | $3.66 | $1.87 | 2025-09-30 | MRF ↗ |
| CHI ST ALEXIUS HEALTH TURTLE LAKE Inpatient | Medica | Commercial|All Plans | $2.71 | $3.66 | $2.60 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Medica | Commercial|All Plans | $2.71 | $3.66 | $1.87 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Medica | Commercial|All Plans | $2.71 | $3.66 | $1.87 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Inpatient | MultiPlan PHCS | Commercial|All Plans | $2.75 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Health Partners | Commercial|All Plans | $2.75 | $3.66 | $1.87 | 2025-09-30 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Inpatient | MultiPlan PHCS | Commercial|All Plans | $2.75 | $3.66 | $1.69 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Health Partners | Commercial|All Plans | $2.75 | $3.66 | $1.87 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | BCBS - NE | Commercial|BluePrint | $2.75 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | BCBS - NE | Commercial|BluePrint | $2.75 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Health Partners | Commercial|All Plans | $2.75 | $3.66 | $1.87 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Inpatient | United | Commercial|All Plans | $2.79 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Inpatient | United | Commercial|All Plans | $2.79 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $2.80 | $11.65 | $6.41 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $2.80 | $11.65 | $6.41 | 2026-02-19 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Inpatient | Midlands Choice | Commercial|Premier | $2.86 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Inpatient | Medica | Commercial|Open Access | $2.86 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Inpatient | Medica | Commercial|Open Access | $2.86 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Inpatient | Midlands Choice | Commercial|Premier | $2.86 | $3.66 | $2.24 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | LLUH Dept of Risk Management | WC | $2.91 | $11.65 | $6.41 | 2026-02-19 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Inpatient | United | Commercial|All Plans | $2.93 | $3.66 | $2.16 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Inpatient | MultiPlan PHCS | Commercial|All Plans | $2.93 | $3.66 | $1.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Inpatient | United | Commercial|All Plans | $2.93 | $3.66 | $2.16 | 2025-09-30 | MRF ↗ |
| BANNER GATEWAY MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $2.99 | $9.97 | $3.28 | 2026-05-01 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $3.00 | $7.50 | $6.23 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $3.00 | $7.50 | $6.23 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $3.00 | $7.50 | $6.23 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $3.00 | $7.50 | $6.23 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $3.00 | $7.50 | $6.23 | 2026-02-28 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.