J1640 — Hemin 350 Mg Intravenous Powder For Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION (HCPCS J1640) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1640?code_type=HCPCS
MLA (9th ed.)
“HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION (HCPCS J1640) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1640?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“HEMIN 350 MG INTRAVENOUS POWDER FOR SOLUTION (HCPCS J1640) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1640?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $36–$16,730 (25th–75th percentile) across 1,813 hospitals · 4,204 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1640 — 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
$36
$80 typical
$16,730
The middle 50% of negotiated facility rates for this procedure, measured across 1,813 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $80 |
| Likely subtotal | $80 |
Facility charge (no separate professional fee)
$80
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 $36–$16,730.
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $31,240.08 | $26,554.07 | 2025-01-01 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $0.10 | — | — | 2026-03-04 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $359.00 | $269.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $359.00 | $269.25 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $86.00 | $64.50 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $86.00 | $64.50 | 2026-09-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Medicare | — | $0.49 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | $86.00 | $64.50 | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $172.68 | — | 2026-07-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Blue Cross Blue Shield Ip | — | $0.91 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Blue Cross Blue Shield Op | — | $0.93 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | United Healthcare | — | $0.95 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Cigna | — | $0.95 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Aetna | — | $0.95 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| PROWERS MEDICAL CENTER Both | Multiplan | — | $0.95 | $1.00 | $0.60 | 2026-08-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | $86.00 | $64.50 | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $127.91 | $63.96 | 2026-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | $86.00 | $64.50 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $24,943.16 | $20,453.39 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | $86.00 | $64.50 | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $361.00 | $270.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $361.00 | $270.75 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $24,943.16 | $20,453.39 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $24,943.16 | $20,453.39 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $24,943.16 | $20,453.39 | 2025-11-26 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $361.00 | $270.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $361.00 | $270.75 | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $127.91 | $63.96 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $127.91 | $63.96 | 2026-07-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1.45 | — | — | 2026-03-18 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $41,137.77 | $26,739.55 | 2026-06-15 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.51 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.51 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $2.51 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.51 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $2.51 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.51 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $2.51 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $2.51 | — | — | 2026-04-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | Freedom Health | MGMCR | $3.07 | $33.00 | $33.00 | 2024-10-01 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Medicare Advantage | Hmo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Essentials Hix | Hmo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Medcost | Ppo | $3.58 | $11,539.00 | $7,500.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Molina Healthcare Of Sc Qhp | Hmo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bardavon Health Innovations, Llc | Wc | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Absolute Total Care Hix | Hmo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Medicare Advantage | Hmo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Medicare Advantage | Hmo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medcost | Ppo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bluechoice Blueoption Hix | Ppo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Blue Cross Commercial Choice | Ppo | $3.58 | $11,539.00 | $7,500.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Select Health Of Sc Qhp | Hmo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicare Advantage | Hmo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Allwell Medicare Advantage | Hmo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Upmc Medicare Advantage | Hmo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Medicare Advantage | Hmo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Commercial Choice | Ppo | — | $11,539.00 | $7,500.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Prime Health Services | Wc | $3.58 | $11,539.00 | $7,500.00 | 2026-09-21 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $3.87 | $19.36 | $2.17 | 2026-03-02 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $4.00 | $36.30 | $18.15 | 2024-12-15 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $4.17 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $4.17 | — | — | 2024-10-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $4.55 | $91.00 | $91.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $4.55 | $91.00 | $91.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $4.55 | $91.00 | $91.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $4.55 | $91.00 | $91.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | BCBS | BSL | $4.62 | $33.00 | $33.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | BCBS | SBN | $4.62 | $33.00 | $33.00 | 2024-10-01 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $4.92 | $19.36 | $2.17 | 2026-03-02 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $5.25 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $5.25 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $5.25 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $5.25 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | BCBS | BSL | $5.45 | $49.50 | $49.50 | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | BCBS | MBN | $5.45 | $49.50 | $49.50 | 2024-10-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | BCBS | SBN | $5.45 | $49.50 | $49.50 | 2024-10-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $5.54 | $22,030.00 | $22,030.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $5.54 | $22,030.00 | $22,030.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $5.54 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $5.54 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $5.54 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $5.54 | — | — | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | BCBS | MBN | $5.69 | $53.71 | $53.71 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | BCBS | SBN | $5.69 | $53.71 | $53.71 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | BCBS | MBN | $5.69 | $53.71 | $53.71 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | BCBS | BSL | $5.69 | $53.71 | $53.71 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | BCBS | SBN | $5.69 | $53.71 | $53.71 | 2026-03-01 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | BCBS | BSL | $5.69 | $53.71 | $53.71 | 2026-03-01 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $5.73 | $42.75 | $16.67 | 2026-07-15 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $5.81 | $19.36 | $2.17 | 2026-03-02 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $5.88 | — | — | 2026-03-31 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $5.99 | $85.54 | $85.54 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $5.99 | $85.54 | $85.54 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $5.99 | $85.54 | $85.54 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $5.99 | $85.54 | $85.54 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $5.99 | $85.54 | $85.54 | 2026-03-01 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $6.00 | $36.30 | $18.15 | 2024-12-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $6.02 | $141.00 | $141.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $6.02 | $141.00 | $141.00 | 2026-04-30 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso Health Plans | Medicaid | $6.08 | $33.80 | $6.76 | 2026-07-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $6.13 | $141.00 | $141.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $6.13 | $141.00 | $141.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $6.20 | $155.00 | $155.00 | 2026-06-24 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $6.41 | $42.75 | $15.39 | 2026-07-15 | MRF ↗ |
| MARION COMMUNTIY HOSPITAL Outpatient | AvMed | HIX | $6.43 | $49.50 | $49.50 | 2024-10-01 | MRF ↗ |
| BANNER ESTRELLA MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $6.50 | $19.36 | $2.17 | 2026-03-02 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Cross Anthem | HMO/POS/PPO | $6.51 | $4,897.00 | $4,897.00 | 2025-06-11 | MRF ↗ |
| HCA FLORIDA HIGHLANDS HOSPITAL Outpatient | BCBS | HMO | $6.53 | $33.00 | $33.00 | 2024-10-01 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $6.54 | $42.75 | $17.96 | 2026-07-17 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $6.60 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $6.60 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $6.60 | — | — | 2026-07-15 | MRF ↗ |
| NORTHSIDE HOSPITAL CHEROKEE Outpatient | Amerigroup | Amerigroup Medicaid | $6.62 | $174.50 | $130.88 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL GWINNETT Outpatient | Amerigroup | Amerigroup Medicaid | $6.62 | $174.50 | $130.88 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL DULUTH Outpatient | Amerigroup | Amerigroup Medicaid | $6.62 | $174.50 | $130.88 | 2026-02-14 | MRF ↗ |
| NORTHSIDE HOSPITAL FORSYTH Outpatient | Amerigroup | Amerigroup Medicaid | $6.62 | $174.50 | $130.88 | 2026-02-15 | MRF ↗ |
| NORTHSIDE HOSPITAL Outpatient | Amerigroup | Amerigroup Medicaid | $6.62 | $174.50 | $130.88 | 2026-02-14 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $6.62 | $155.00 | $155.00 | 2026-06-24 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Molina | Star Plus KM | — | — | — | 2026-01-13 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | HealthSmart | Accel PPO | — | — | — | 2026-01-13 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Wellcare | Medicare | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | UMR | — | — | — | 2026-04-08 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | United Healthcare | Star Kid KM | — | — | — | 2026-01-13 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | United Healthcare | Star Plus KM | — | — | — | 2026-01-13 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | United Healthcare | Care Improvement Plus | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Arkansas Superior Select Tribute | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Ambetter Exchange | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Municipal Health Benefit Fund | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| LAWRENCE MEMORIAL HOSPITAL OutpatientFacility | Arkansas Total Care | Managed Medicaid | $6.63 | $6,256.00 | $3,565.92 | 2024-11-12 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Empower | MANAGED MEDICAID | $6.63 | — | — | 2025-07-01 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Zelis | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Aetna | All Plans | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Humana | Medicare | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Corvel | Workers Comp | — | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Summit Community Care | Medicaid | $6.63 | — | — | 2026-04-08 | MRF ↗ |
| BRADLEY COUNTY MEDICAL CENTER OutpatientFacility | Vantage | Medicare | — | — | — | 2026-04-08 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | United Healthcare | Star Plus KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | QualChoice | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Beechstreet | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Superior | Star Kids KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | United Healthcare | Chip KM | — | — | — | 2026-01-13 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Molina | Star KM | — | — | — | 2026-01-13 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Texas Children's Health Plan | Star Kids KM | — | — | — | 2026-01-13 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $6.63 | $69,296.59 | $10,394.49 | 2026-03-23 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Superior | Foster Care KM | — | — | — | 2026-01-13 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Molina | Healthspring Star Plus KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | United Healthcare | Star KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Provider Select | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Summit Community Care | KM | — | — | — | 2026-01-13 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Superior | Star Plus KM | — | — | — | 2026-01-13 | MRF ↗ |
| Christus St Michael Rehab Hospital OutpatientFacility | Cigna | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| Five Rivers Medical Center OutpatientFacility | Arkansas Total Care | Managed Care | $6.63 | $9,482.54 | $6,163.65 | 2025-06-11 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Cigna | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Amerigroup | Star KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Superior | Star Plus KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Five Point Credit Union | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS ST MICHAEL HEALTH SYSTEM OutpatientFacility | Zelis | PPO | — | — | — | 2026-01-13 | 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.