J1572 — Flebogamma Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Flebogamma injection (HCPCS J1572) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1572?code_type=HCPCS
MLA (9th ed.)
“Flebogamma injection (HCPCS J1572) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1572?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Flebogamma injection (HCPCS J1572) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1572?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $57–$2,066 (25th–75th percentile) across 1,638 hospitals · 3,305 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1572 — 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
$57
$144 typical
$2,066
The middle 50% of negotiated facility rates for this procedure, measured across 1,638 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $144 |
| Likely subtotal | $144 |
Facility charge (no separate professional fee)
$144
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 $57–$2,066.
- 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 |
|---|---|---|---|---|---|---|---|
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.05 | $12.47 | $11.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.05 | $12.47 | $11.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.05 | $12.47 | $11.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.05 | $12.47 | $11.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.05 | $14.59 | $13.86 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.05 | $12.47 | $11.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.05 | $14.59 | $13.86 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.05 | $12.47 | $11.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.05 | $14.59 | $13.86 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.06 | $14.59 | $13.86 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.06 | $14.59 | $13.86 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.06 | $14.59 | $13.86 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.11 | $29.77 | $28.29 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.11 | $29.78 | $28.29 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.11 | $29.78 | $28.29 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.11 | $29.78 | $28.29 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.11 | $29.77 | $28.29 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.11 | $29.77 | $28.29 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.11 | $29.78 | $28.29 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.11 | $29.77 | $28.29 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.12 | $29.77 | $28.29 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.12 | $29.77 | $28.29 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.15 | $29.77 | $28.29 | 2026-02-20 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $25,279.23 | $2,527.92 | 2026-07-18 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $25,279.23 | $2,527.92 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $25,279.23 | $2,527.92 | 2026-07-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $25,279.23 | $2,527.92 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $25,279.23 | $2,527.92 | 2026-07-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Idemnity | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $25,279.23 | $2,527.92 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Bcbs | Ppo | $0.21 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Bcbs | Hmo | $0.21 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $25,279.23 | $2,527.92 | 2026-07-18 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $25,279.23 | $2,527.92 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $25,279.23 | $2,527.92 | 2026-07-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $25,279.23 | $2,527.92 | 2026-07-18 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $25,279.23 | $2,527.92 | 2026-07-18 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| VIRTUA MOUNT HOLLY HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $26,797.80 | $2,679.78 | 2026-08-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $25,279.23 | $2,527.92 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $25,279.23 | $2,527.92 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Ppo | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Cigna | Hmo | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| VIRTUA WILLINGBORO HOSPITAL Outpatient | Cigna | Local Plus | $0.22 | $25,279.23 | $2,527.92 | 2026-07-15 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $0.22 | $26,797.80 | $2,679.78 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $178.00 | $133.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $178.00 | $133.50 | 2026-09-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Managed Health Network | MHN - Medicare | $0.52 | $55.41 | $41.55 | 2026-04-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $178.00 | $133.50 | 2026-09-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | United Healthcare | United Healthcare - PPO | $0.65 | $55.41 | $41.55 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Managed Health Network | MHN - Medicare | $0.86 | $55.38 | $41.53 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Medi-Cal | Medi-Cal | $0.86 | $55.38 | $41.53 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | United Healthcare | United Healthcare - Medicare | $0.86 | $55.41 | $41.55 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Medicare | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Commercial | — | $55.38 | $41.53 | 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 | Blue Cross | Blue Cross - PPO | — | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Medicare | — | $55.42 | $41.57 | 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 - PPO | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | — | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medicare | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - HMO/POS | — | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - HMO | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Justice Furniture And Bedding Co | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Flora Farms | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Interplan | Interplan | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | — | $55.41 | $41.55 | 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 - MCS | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medicare | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - PPO | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | — | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Loren Cook | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - Medicare | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medicare | Medicare | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Missouri Affiliated School Consortium (Masc) | Missouri Affiliated School Consortium (Masc) | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Springfieldgreene Co Library | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | All Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Parkcrest Dental Group | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark County | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozarks Cocacola | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Src Holdings Corporation | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | The Durham Company | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Core Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Coastal Energy Corporation | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Advanced Concrete Technology | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Heart Of America Beverage Company | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | — | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | $1.00 | $55.38 | $41.53 | 2026-04-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark Anesthesia Assoc. Inc | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | $178.00 | $133.50 | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - Rehab | — | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | $178.00 | $133.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | $178.00 | $133.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | $1.00 | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Indian Health Council | Indian Health Council | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | County Medical Services | County of San Diego | — | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | — | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| HOSPITAL SAN ANTONIO INC Both | — | — | — | $346.35 | $346.35 | 2026-05-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | — | $55.42 | $41.57 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| EXCELA HEALTH WESTMORELAND REGIONAL HOSPITAL Both | Va | Ccn | $1.00 | $15.72 | $9.43 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | $1.10 | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina Medi-Cal | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | — | $55.38 | $41.53 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | $1.10 | $55.38 | $41.53 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | $1.15 | $55.41 | $41.55 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | $1.15 | $55.41 | $41.55 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - PPO | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | $1.15 | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | — | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | $1.15 | $55.41 | $41.55 | 2025-07-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.