J1571 — Hepagam B IM Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Hepagam b im injection (HCPCS J1571) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1571?code_type=HCPCS
MLA (9th ed.)
“Hepagam b im injection (HCPCS J1571) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1571?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Hepagam b im injection (HCPCS J1571) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1571?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $71–$321 (25th–75th percentile) across 1,681 hospitals · 3,322 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1571 — 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
$71
$132 typical
$321
The middle 50% of negotiated facility rates for this procedure, measured across 1,681 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $132 |
| Likely subtotal | $132 |
Facility charge (no separate professional fee)
$132
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 $71–$321.
- 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 |
|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $266.87 | — | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Commercial | — | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | $1.00 | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina Medi-Cal | — | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - MCS | — | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medicare | $1.00 | $2,033.50 | $1,525.13 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medicare | $1.00 | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | — | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | $1.00 | $2,033.50 | $1,525.13 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | — | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | — | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - HMO/POS | — | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Cal Medi-Connect | — | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Allianz Global Assistance | AZGA Services Canada | — | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | $1.10 | $2,033.50 | $1,525.13 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | $1.10 | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | $1.15 | $2,033.50 | $1,525.13 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | $1.15 | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | $1.30 | $2,033.50 | $1,525.13 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | $1.30 | $2,033.50 | $1,525.13 | 2025-07-01 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $2.99 | $561.36 | $561.36 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $2.99 | $561.36 | $561.36 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $2.99 | $561.36 | $561.36 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $3.02 | $567.52 | $567.52 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $3.02 | $567.52 | $567.52 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $3.02 | $567.52 | $567.52 | 2026-07-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $3.62 | — | — | 2026-03-18 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Self-Pay - Cc 30% | Self-Pay - Cc 30 Percent | $4.20 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Emblem Ghi/Hip Ppo/Cbp | Emblem Ghi/Hip Ppo/Cbp | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Aetna | Aetna | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Blue Cross Access | Blue Cross Access | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Aetna Hp Network | Aetna Hp Network | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Emblem Ghi/Hip Ppo | Emblem Ghi/Hip Ppo | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Outpatient | Fidelis Exchange | Fidelis Exchange | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Magnacare Preferred | Magnacare Preferred | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Mvp Hmo/Ppo | Mvp Hmo/Ppo | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Magnacare Standard | Magnacare Standard | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Aetna Employee | Aetna Employee | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Blue Cross Small Group | Blue Cross Small Group | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Mvp Exchange | Mvp Exchange | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Self-Pay | Self-Pay | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Blue Cross Commercial/Healthy Ny | Blue Cross Commercial/Healthy Ny | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Emblem Ghi/Hip Hmo/Epo/Pos | Emblem Ghi/Hip Hmo/Epo/Pos | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Cigna Ppo | Cigna Ppo | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $4.76 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Uhc Exchange | Uhc Exchange | $4.90 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Uhc Commercial | Uhc Commercial | $4.90 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Oxford Exchange | Oxford Exchange | $4.90 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Uhc Compass | Uhc Compass | $4.90 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Uhc Empire | Uhc Empire | $4.90 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Outpatient | Mvp Hmo/Ppo | Mvp Hmo/Ppo | $5.04 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Outpatient | Mvp Exchange | Mvp Exchange | $5.04 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Cdphp | Cdphp | $5.60 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Multiplan | Multiplan | $6.16 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Self-Pay - Cc 50% | Self-Pay - Cc 50 | $7.00 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $307.41 | $119.89 | 2026-07-31 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $8.81 | $422.00 | $422.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $8.81 | — | — | 2024-10-01 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $9.00 | $86.78 | $43.39 | 2024-12-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Consolidated Health | Consolidated Health | $10.50 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $11.00 | $86.78 | $43.39 | 2024-12-15 | MRF ↗ |
| JASPER GENERAL HOSPITAL Both | Mpcn | Commercial | $11.25 | $25.00 | — | 2026-10-07 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $11.58 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $11.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $11.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $11.58 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $11.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $11.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $11.58 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $11.58 | — | — | 2026-04-01 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Phcs | Phcs | $11.90 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Emblem Leased Network | Emblem Leased Network | $11.90 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $12.33 | — | — | 2026-03-31 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | $12.41 | $1,779.88 | $1,334.91 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | County Medical Services | County of San Diego | $12.41 | $1,779.88 | $1,334.91 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Medicare | Medicare | $12.41 | $1,779.88 | $1,334.91 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | $12.41 | $2,033.50 | $1,525.13 | 2026-04-01 | MRF ↗ |
| JASPER GENERAL HOSPITAL Both | Mpcn | Commercial | $12.94 | $28.75 | — | 2026-10-07 | MRF ↗ |
| Westchester Medical Center T C Outpatient | Tricare | Tricare | $14.00 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Non Contracted (100% Poc) | Non Contracted (100 Percent Poc) | $14.00 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $14.00 | $86.78 | $43.39 | 2024-12-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Medigap | Medigap | $14.00 | $14.00 | $14.00 | 2026-10-16 | MRF ↗ |
| JASPER GENERAL HOSPITAL Both | Cigna | Medicare Advantage | $15.00 | $25.00 | — | 2026-10-07 | MRF ↗ |
| JASPER GENERAL HOSPITAL Both | Cigna | Commercial | $15.00 | $25.00 | — | 2026-10-07 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $15.77 | $5,073.00 | $760.95 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $15.77 | $5,073.00 | $760.95 | 2025-12-23 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $15.98 | $3,003.44 | $3,003.44 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $15.98 | $3,003.44 | $3,003.44 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $15.98 | $3,003.44 | $3,003.44 | 2026-07-15 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $17.15 | $128.00 | $76.80 | 2026-03-06 | MRF ↗ |
| JASPER GENERAL HOSPITAL Both | Cigna | Medicare Advantage | $17.25 | $28.75 | — | 2026-10-07 | MRF ↗ |
| JASPER GENERAL HOSPITAL Both | Cigna | Commercial | $17.25 | $28.75 | — | 2026-10-07 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Aetna | MCR | $17.35 | $251.52 | $251.52 | 2026-03-01 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $17.54 | $128.00 | $76.80 | 2026-03-06 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $18.00 | $86.78 | $43.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $18.00 | $86.78 | $43.39 | 2024-12-15 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $18.63 | $139.00 | $83.40 | 2026-03-06 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $18.83 | — | — | 2026-01-29 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $19.00 | $86.78 | $43.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $19.00 | $86.78 | $43.39 | 2024-12-15 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $19.04 | $139.00 | $83.40 | 2026-03-06 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $19.55 | $65.15 | $37.79 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $19.55 | $65.15 | $37.79 | 2026-02-28 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $19.56 | $146.00 | $87.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $20.00 | $146.00 | $87.60 | 2026-03-06 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Suncoast Neighborly Care | MedicarePACE | $20.12 | $251.52 | $251.52 | 2026-03-01 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicaid Replacement | — | $20.39 | $151.00 | $69.46 | 2026-07-31 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $20.52 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $20.52 | — | — | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $20.52 | — | — | 2026-05-13 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $21.12 | $128.00 | $76.80 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | US Family Health Plan | Tricare Prime | — | $159.00 | $95.40 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Tricare | East Region | — | $159.00 | $95.40 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $21.31 | $159.00 | $95.40 | 2026-03-06 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $21.50 | $65.15 | $37.79 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $21.50 | $65.15 | $37.79 | 2026-02-28 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $21.68 | $309.73 | $309.73 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $21.68 | $309.73 | $309.73 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $21.68 | $309.73 | $309.73 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $21.68 | $309.73 | $309.73 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $21.68 | $309.73 | $309.73 | 2026-03-01 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $21.78 | $159.00 | $95.40 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | US Family Health Plan | Tricare Prime | — | $159.00 | $95.40 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Tricare | East Region | — | $159.00 | $95.40 | 2026-03-06 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | BCBS | SBN | $21.88 | $251.52 | $251.52 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | BCBS | BSL | $21.88 | $251.52 | $251.52 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | Truli | BSL | $21.88 | $251.52 | $251.52 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA LARGO HOSPITAL Outpatient | BCBS | MBN | $21.88 | $251.52 | $251.52 | 2026-03-01 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Aetna | QHP_Exchange | $22.00 | $86.78 | $43.39 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Centivo | PPO | $22.00 | $86.78 | $43.39 | 2024-12-15 | MRF ↗ |
| SWEDISH HOSPITAL Outpatient | Medicare Advantage | — | $22.20 | $151.00 | $69.46 | 2026-07-31 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $1,759.00 | $879.50 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Medicare Advantage | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $1,759.00 | $879.50 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicare Advantage | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $1,759.00 | $879.50 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bluechoice Blueoption Hix | Ppo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Medicare Advantage | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Blue Cross Commercial Choice | Ppo | $22.40 | $414.00 | $269.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Medicare Advantage | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $1,759.00 | $879.50 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Molina Medicare Advantage | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $1,759.00 | $879.50 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $1,759.00 | $879.50 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Commercial Choice | Ppo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Medcost | Ppo | $22.40 | $414.00 | $269.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Medicare Advantage | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Devoted Health Medicare Advantage | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medcost | Ppo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Essentials Hix | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bardavon Health Innovations, Llc | Wc | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Absolute Total Care Hix | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Molina Healthcare Of Sc Qhp | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Upmc Medicare Advantage | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Prime Health Services | Wc | $22.40 | $414.00 | $269.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Allwell Medicare Advantage | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Select Health Of Sc Qhp | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Select Health Vip Care Plus Medicare Advantage | Hmo | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $414.00 | $207.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $1,759.00 | $879.50 | 2026-10-22 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $22.42 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $22.42 | — | — | 2026-03-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $22.58 | $65.15 | $37.79 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $22.58 | $65.15 | $37.79 | 2026-02-28 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $22.65 | $169.00 | $101.40 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $22.93 | $139.00 | $83.40 | 2026-03-06 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $23.00 | $86.78 | $43.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $23.00 | $86.78 | $43.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | WPPA | PPO | $23.00 | $86.78 | $43.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | United_HealthCare | Medicaid | — | $86.78 | $43.39 | 2024-12-15 | 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.