J1569 — Immune Glob,gamma (igg) 10 %-gly-iga Over 50 Mcg/ml Injection Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION (CPT J1569) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1569?code_type=CPT
MLA (9th ed.)
“IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION (CPT J1569) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1569?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“IMMUNE GLOB,GAMMA (IGG) 10 %-GLY-IGA OVER 50 MCG/ML INJECTION SOLUTION (CPT J1569) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1569?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $119–$3,520 (25th–75th percentile) across 2,166 hospitals · 7,472 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J1569 — 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
$119
$956 typical
$3,520
The middle 50% of negotiated facility rates for this procedure, measured across 2,166 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $956 |
| Likely subtotal | $956 |
Facility charge (no separate professional fee)
$956
- 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 |
|---|---|---|---|---|---|---|---|
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,635.30 | $1,390.01 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $9,811.80 | $5,396.49 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,635.30 | $1,390.01 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,635.30 | $899.42 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,635.30 | $1,390.01 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $9,811.80 | $5,396.49 | 2025-01-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | MercyCare Health | MercyCare Health - HMO/PPO | $0.03 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Blue Cross Blue Shield | BCBS HMO | $0.03 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Cigna | Cigna Local Plus | $0.03 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Aetna | Aetna Illinois Preferred | $0.04 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Blue Cross Blue Shield | Unified Physicians Network | $0.04 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Blue Cross Blue Shield | BCBS PPO | $0.04 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | La Rabida Childrens Hospital | La Rabida Childrens Hospital | $0.04 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Aetna | Aetna Northwestern | $0.04 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Beacon Health Options | Beacon Health Options - Value Options | $0.04 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Independent Physicians at Mercy | Independent Physicians at Mercy | $0.05 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Cigna | Cigna C-5 | $0.05 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Northshore Physician Associates | $0.05 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Centegra | Centegra | $0.05 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Dupage Medical Group | $0.05 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $13,474.35 | $8,758.33 | 2025-11-26 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Northwestern Medicine Physician Network IPA | $0.05 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Lake County Physician Association | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cigna | Cigna | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Health Alliance | Health Alliance - PPO | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Northwest Community Healthcare | Northwest Community Healthcare | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Methodist First Choice | Methodist First Choice | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | American Psych Systems | American Psych Systems | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Presence Health Partners | Presence Health Partners - Family Med Network | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Magellan | Magellan Behavioral Health | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | UI Health | UI Health | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | West Suburban Health Providers | West Suburban Health Providers | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Imagine Health | Imagine Health | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Health Plus | Health Plus - PHO | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Illinois Health Partners | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Macneal Health | Macneal Health | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Aetna | Aetna | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Shriners Hospital | Shriners Hospital | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Swedish Covenant Physician Partners | Swedish Covenant Physician Partners | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Advanced Physicians Association IPA | Advanced Physicians Association IPA | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Sherman Choice - PHO | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | St. Francis | St. Francis - IPA | $0.06 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Swedish American | Swedish American | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Security Health Plan | Security Health Plan - HMO | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Private Health Care System | PHCS - PPO | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Wellmark/Healthnetwork | Wellmark/Healthnetwork - PPO | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Healthlink Inc. | Healthlink Inc. | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Employer's Coalition on Health | Employer's Coalition on Health | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Principal Healthcare | Principal Healthcare - PPO | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | HFN Inc | HFN - EPO | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | HFN Inc | HFN - PPO | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Preferred Health Network | Preferred Health Network - PPO | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Sagamore Health Network | Sagamore Health Network - PPO | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | First Health | First Health | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Humana | Humana | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Healthstar | Healthstar - PPO Next | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Benchmark Health | Benchmark Health | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Private Health Care System | Private Health Care System - Northwestern | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Beech Street | Beech Street - PPO | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Humana | Humana National POS | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | St. Elizabeth | St. Elizabeth - PHO | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Private Health Care System | Private Health Care System - EPO | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Cofinity | Cofinity | $0.07 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Health Smart | Health Smart Preferred Care | $0.08 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Integrated Health Plan | Integrated Health Plan | $0.08 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Multiplan | Multiplan - PPO | $0.08 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | National Provider Network | National Provider Network - PPO | $0.08 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | WEA Insurance Group | WEA Insurance Group - PPO | $0.08 | $0.08 | $0.06 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | United Healthcare | United Healthcare - PPO | $0.16 | $97.41 | $73.06 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.16 | $42.94 | $40.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.17 | $45.79 | $43.50 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.20 | $53.57 | $50.89 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.21 | $42.94 | $40.80 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.21 | $53.57 | $50.89 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.21 | $42.94 | $40.80 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.22 | $45.79 | $43.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.22 | $45.79 | $43.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.22 | $42.94 | $40.80 | 2026-02-20 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | HEALTHFIRST MEDICAID [1059] | HEALTHFIRST MEDICAID MANAGED CARE [105900] | — | $4,419.00 | $3,423.62 | 2026-04-01 | MRF ↗ |
| HOSPITAL FOR SPECIAL SURGERY BothFacility | FIDELIS MEDICAID [1049] | FIDELIS MEDICAID [104900] | — | $4,419.00 | $3,423.62 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.26 | $53.57 | $50.89 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.26 | $53.57 | $50.89 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.26 | $53.57 | $50.89 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.29 | $53.57 | $50.89 | 2026-02-20 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Medi-Cal | Medi-Cal | $0.47 | $97.41 | $73.06 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Commercial | $0.82 | $56.38 | $42.28 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Shield | Blue Shield - HMO | $0.86 | $56.60 | $42.45 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Shield | Blue Shield - PPO | $0.86 | $97.41 | $73.06 | 2026-04-01 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET (AIM) | HEALTHNET (AIM) | $0.86 | $10.70 | $1.93 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MCAL | HEALTHNET MCAL | $0.86 | $10.70 | $1.93 | 2026-02-25 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Indian Health Council | Indian Health Council | $0.86 | $56.38 | $42.28 | 2026-04-01 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $0.94 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $0.96 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $0.96 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $13,474.35 | $8,758.33 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $13,474.35 | $8,758.33 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Cal Medi-Connect | $1.00 | $55.99 | $41.99 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | $1.00 | $97.41 | $73.06 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | $1.00 | $41.53 | $31.15 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | $1.15 | $56.60 | $42.45 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | $1.15 | $41.53 | $31.15 | 2026-04-01 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $1.16 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Aetna | Aetna Whole Health | $1.22 | $97.41 | $73.06 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Medicare | Medicare | $1.22 | $41.53 | $31.15 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $11,977.20 | $7,785.18 | 2025-11-26 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $1.27 | $3.00 | $2.40 | 2025-12-16 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $1.27 | $122.10 | $122.10 | 2026-04-24 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina Medi-Cal | $1.30 | $56.60 | $42.45 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | $1.30 | $56.60 | $42.45 | 2026-04-01 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $1.33 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $1.33 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $1.33 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $1.33 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Keystone Health Plan | Medicare Advantage | $1.40 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Capital Blue Cross | Medicare Advantage | $1.40 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Capital Blue Cross | Medicare Advantage | $1.40 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Keystone Health Plan | Medicare Advantage | $1.40 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Keystone Health Plan | Medicare Advantage | $1.40 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $1.40 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $1.40 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $1.40 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $1.40 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Capital Blue Cross | Medicare Advantage | $1.40 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $2,696.72 | $2,696.72 | 2026-04-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $1.50 | $3.00 | $2.40 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $1.50 | $3.00 | $2.40 | 2025-12-16 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.65 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.65 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.65 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.65 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $1.65 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $1.65 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $1.65 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.65 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.65 | — | — | 2026-04-01 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $1.69 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $1.69 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $1.69 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $1.69 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $1.69 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Prime Net | Managed Medicare | $1.69 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $1.69 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | UPMC Work Partners | Workers Comp | $1.72 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | UPMC Work Partners | Workers Comp | $1.83 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $1.89 | $3.00 | $2.40 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $1.89 | $3.00 | $2.40 | 2025-12-16 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $1.91 | $1,877.06 | $1,163.78 | 2025-07-01 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HEALTHNET MED ADV | HEALTHNET MED ADV | $1.93 | $10.70 | $1.93 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | HUMANA MED ADV - ALL PLANS | HUMANA MED ADV - ALL PLANS | $1.93 | $10.70 | $1.93 | 2026-02-25 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | UHC - ALL PLANS | UHC - ALL PLANS | $1.93 | $10.70 | $1.93 | 2026-02-25 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $1.97 | $9.36 | $5.71 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $1.97 | $9.36 | $5.71 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $1.99 | $9.36 | $5.71 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $1.99 | $9.36 | $5.71 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $2.01 | $9.36 | $7.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $2.01 | $9.36 | $7.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $2.05 | $9.36 | $7.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $2.05 | $9.36 | $7.77 | 2026-02-28 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $2.14 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $2.16 | $9.36 | $5.53 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $2.16 | $9.36 | $4.68 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $2.16 | $9.36 | $5.53 | 2025-09-30 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $2.18 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Prime Net | Managed Medicare | $2.18 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $2.18 | $9.36 | $5.53 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $2.18 | $9.36 | $5.53 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $2.18 | $9.36 | $4.68 | 2026-02-28 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $2.19 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $2.19 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $2.25 | $9.36 | $4.31 | 2026-02-28 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Keystone Health Plan | Commercial | $2.25 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $2.25 | $9.36 | $4.31 | 2026-02-28 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Capital Blue Cross | Commercial | $2.25 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Capital Blue Cross | Commercial | $2.25 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Capital Blue Cross | CHIP | $2.25 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Keystone Health Plan | Commercial | $2.25 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE InpatientFacility | Capital Blue Cross | CHIP | $2.25 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $2.27 | $9.36 | $4.31 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $2.27 | $9.36 | $4.31 | 2026-02-28 | MRF ↗ |
| UPMC SOMERSET OutpatientFacility | UPMC Work Partners | Workers Comp | $2.36 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | Aetna | ACO | $2.39 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.45 | — | — | 2026-03-18 | MRF ↗ |
| UPMC SOMERSET InpatientFacility | UPMC Work Partners | Workers Comp | $2.51 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | UPMC Work Partners | Workers Comp | $2.51 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS InpatientFacility | Aetna | PEBTF ACO | $2.53 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| KERN VALLEY HEALTHCARE DISTRICT Outpatient | BRAND NEW DAY - ALL PLANS | BRAND NEW DAY - ALL PLANS | $2.57 | $10.70 | $1.93 | 2026-02-25 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | Legacy Commercial | $2.60 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Prime Net | ACO | $2.62 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ InpatientFacility | Aetna | ACO | $2.62 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $2.64 | $16.00 | $9.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL InpatientFacility | UPMC Work Partners | Workers Comp | $2.67 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Legacy Commercial | $2.73 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Legacy Commercial | $2.73 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Legacy Commercial | $2.73 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | ACO | $2.75 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | ACO | $2.75 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Aetna | ACO | $2.75 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | ACO | $2.75 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | ACO | $2.75 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | ACO | $2.75 | $7.00 | $4.20 | 2026-03-06 | 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.