J1726 — Makena, 10 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Makena, 10 mg (HCPCS J1726) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1726?code_type=HCPCS
MLA (9th ed.)
“Makena, 10 mg (HCPCS J1726) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1726?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Makena, 10 mg (HCPCS J1726) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1726?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $20–$721 (25th–75th percentile) across 1,410 hospitals · 2,252 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1726 — 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
$20
$60 typical
$721
The middle 50% of negotiated facility rates for this procedure, measured across 1,410 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $60 |
| Likely subtotal | $60 |
Facility charge (no separate professional fee)
$60
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 $20–$721.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $356.03 | $178.02 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $356.03 | $178.02 | 2024-12-15 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Anthem | Anthem - HMO/PPO | $0.03 | $4.83 | — | 2026-07-01 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Cigna | PPO | $0.28 | — | — | 2026-05-11 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.28 | — | — | 2026-05-11 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | TRICARE | TRICARE | $0.29 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | MEDICARE | MEDICARE | $0.30 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | MEDADV_HUMANA | HUMANA MEDICARE ADVANTAGE | $0.30 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | MEDADV_AETNA | AETNA MEDICARE ADVANTAGE | $0.30 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | VA_CCN | VA CCN | $0.30 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | MEDADV_ALLWELL | ALLWELL MEDICARE ADVANTAGE | $0.30 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | MEDADV_BCBS | BLUE CROSS MEDICARE ADVANTAGE | $0.30 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | MEDADV_UHC | UNITED MEDICARE ADVANTAGE | $0.30 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $0.40 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP-GS | GOVERNMENT SPONSORED CDPHP | $0.40 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | AMBETTER | AMBETTER INSURANCE EXCHANGE | $0.47 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Cigna | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRCDPHP | MEDICARE ADVANTAGE CDPHP | $0.50 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRCDPHP | MEDICARE ADVANTAGE CDPHP | $0.50 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $4.83 | — | 2026-07-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PACE | Senior Care Partners | $0.62 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PACE | Senior Care Partners | $0.62 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | POMCO-OIN | POMCO ONEIDA INDIAN NATION | $0.65 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Exchange | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Health Alliance Plan | Medicare Advantage | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | POMCO-OIN | POMCO ONEIDA INDIAN NATION | $0.65 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCN | Medicare Advantage | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Dual Complete DSNP | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PACE | SWMI | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PHP | Medicare Advantage | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PHP | Medicare Advantage | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | VA | VA | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | VA | VA | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCBS | MAPPO | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Railroad Medicare | Medicare | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Health Alliance Plan | Medicare Advantage | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Dual Complete DSNP | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Railroad Medicare | Medicare | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCBS | MAPPO | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PACE | SWMI | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Exchange | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCN | Medicare Advantage | $0.65 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Priority Health | Medicare | $0.66 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Priority Health | Medicare | $0.66 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Aetna | Medicare | $0.68 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Aetna | Medicare | $0.68 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Meridian | Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage | $0.68 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Meridian | Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage | $0.68 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | AETNA | AETNA | $0.72 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | AETNA | AETNA | $0.72 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | POMCO | POMCO | $0.75 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | MI Amish Medical Board | Commercial | $0.75 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | POMCO | POMCO | $0.75 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | MI Amish Medical Board | Commercial | $0.75 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | WPPA_PROVIDRSCARE | WPPA PROVIDERSCARE NETWORK | $0.78 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | UNITED | UNITED HEALTHCARE | $0.78 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Allen County Amish Medical Aid | Commercial | $0.81 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Amish Plain Church Group | Commercial | $0.81 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Amish Plain Church Group | Commercial | $0.81 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Allen County Amish Medical Aid | Commercial | $0.81 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CASH | CASH DISCOUNT | $0.82 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CASH | CASH DISCOUNT | $0.82 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MULTIPLAN | MULTIPLAN | $0.85 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MULTIPLAN | MULTIPLAN | $0.85 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | EMBLEM | EMBLEM HEALTH | $0.85 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | EMBLEM | EMBLEM HEALTH | $0.85 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | COVENTRY | COVENTRY HEALTH CARE | $0.89 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | CIGNA | CIGNA | $0.89 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | HPK | HEALTH PARTNERS OF KANSAS | $0.89 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN | $0.90 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | CDPHP | CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN | $0.90 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| NEOSHO MEMORIAL REGIONAL MEDICAL CENTER Both | BCBS_KANSAS | BLUE CROSS BLUE SHIELD OF KANSAS | $0.94 | $0.94 | $0.71 | 2026-03-30 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | UMR Bronson | Commercial | $0.96 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRMVP | MEDICARE MVP | $1.00 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetWholecarePurecareHIX | — | — | — | 2025-01-31 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | UNITED | UNITED HEALTHCARE | $1.00 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaNonGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRHUMANA | MEDICARE HUMANA | $1.00 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | CentralHealthPlanofCaliforniaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Affiliated Health Fund | AffiliatedHealthFundAHF | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetEnhancedCareSBGPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | UNITED | UNITED HEALTHCARE | $1.00 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCaidDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldReciprocity | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Scan | SCANMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRMVP | MEDICARE MVP | $1.00 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageCommercialDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdComm | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageTrioHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Corvel | CorvelWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCareDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Naval Medical Center | NavalMedicalCenter | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Live Well | LiveWellIPAAncillary | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CAHealthandWellnessMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedBehavioral | — | — | — | 2025-01-31 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRUHC | MEDICARE UNITED HEALTHCARE | $1.00 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRHUMANA | MEDICARE HUMANA | $1.00 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Morongo Basin Community Health | MorongoBasinCommunityHealth | — | — | — | 2025-01-31 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Imperial Health Plan | ImperialHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | MCRUHC | MEDICARE UNITED HEALTHCARE | $1.00 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldofCA | — | — | — | 2025-01-31 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Both | Emblem Hip | Commercial | $1.00 | $39.00 | $39.00 | 2026-07-15 | MRF ↗ |
| SUNY/DOWNSTATE UNIVERSITY HOSPITAL OF BROOKLYN Both | Emblem Ghi | Commercial | $1.00 | $39.00 | $39.00 | 2026-07-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Central California Alliance For Health | CentralCAAllianceMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | BrandNewDayMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldPromiseMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | — | — | 2025-01-31 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Alignment Health Plan | AlignmentHealthPlanMedicare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2025-01-31 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | BLUE-SP_0000 | BC SPEC PROGRAMS IP AND OP NO RATE CODE | $1.02 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | BLUE-MCD_0000 | BC MEDICAID IP AND NO OP RATE CODE | $1.02 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | BLUE-CHP_0000 | BC CHILD HEALTH PLUS IP AND NO OP RATE CODE | $1.02 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | UNITED-MCD_0000 | UNITED MEDICAID IP AND OP NO RATE CODE | $1.02 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | FIDELIS_0000 | FIDELIS MEDICAID IP AND OP NO RATE CODE | $1.02 | $1.00 | $0.01 | 2026-05-14 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | BLUE-MCD_0000 | BC MEDICAID IP AND NO OP RATE CODE | $1.02 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | BLUE-CHP_0000 | BC CHILD HEALTH PLUS IP AND NO OP RATE CODE | $1.02 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | FIDELIS_0000 | FIDELIS MEDICAID IP AND OP NO RATE CODE | $1.02 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | BLUE-SP_0000 | BC SPEC PROGRAMS IP AND OP NO RATE CODE | $1.02 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| ONEIDA HEALTH HOSPITAL Outpatient | UNITED-MCD_0000 | UNITED MEDICAID IP AND OP NO RATE CODE | $1.02 | $1.00 | $0.01 | 2026-05-23 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | BCBS | Complete | $1.04 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL OutpatientFacility | BCBS | Complete | $1.04 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON SOUTH HAVEN HOSPITAL OutpatientFacility | BCBS | Complete | $1.04 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCBS | Complete | $1.04 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCBS | Complete | $1.04 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL OutpatientFacility | BCBS | Complete | $1.04 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Healthspan | Healthspan - Medicare | $1.06 | $4.83 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | MediGold | MediGold | $1.06 | $4.83 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Medicare | Medicare Perennial Advantage | $1.07 | $4.83 | — | 2026-07-01 | MRF ↗ |
| BRONSON METHODIST HOSPITAL InpatientFacility | UMR Bronson | Commercial | $1.14 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Aetna | Medicare Advantage | $1.15 | $4.24 | $2.54 | 2025-12-15 | MRF ↗ |
| Henry Ford Health Warren Hospital Outpatient | PPOM | 934_PPOM 20191001 | $1.18 | $1.18 | $0.66 | 2026-01-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1.23 | — | — | 2026-03-18 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL OutpatientFacility | Aetna | Medicare | $1.30 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON SOUTH HAVEN HOSPITAL OutpatientFacility | Aetna | Medicare | $1.30 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL OutpatientFacility | Aetna | Medicare | $1.30 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | Aetna | Medicare | $1.30 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Medicaid | Medicaid | $1.32 | $4.83 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Amerihealth | Amerihealth | $1.32 | $4.83 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Aetna | Aetna Better Health | $1.39 | $4.83 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | United | United Healthcare - Medicaid | $1.45 | $4.83 | — | 2026-07-01 | MRF ↗ |
| UM Capital Region Medical Center OutpatientFacility | Medica with MU Health | Exchange | $1.45 | $4.24 | $2.54 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center InpatientFacility | Medica with MU Health | Exchange | $1.48 | $4.24 | $2.54 | 2025-12-15 | MRF ↗ |
| UM Capital Region Medical Center BothFacility | Immergun | Direct | $1.48 | $4.24 | $2.54 | 2025-12-15 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Prime Care | $1.50 | $4.83 | — | 2026-04-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $1.51 | $4.83 | — | 2026-07-01 | MRF ↗ |
| SAN JOAQUIN GENERAL HOSPITAL Outpatient | Healthnet | Ppo | $1.58 | $6.88 | $3.78 | 2026-07-18 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Molina | Molina - Medicare-Medicaid Program | $1.59 | $4.83 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Molina | Molina - Medicare | $1.59 | $4.83 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Medicare | Medicare | $1.59 | $4.83 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Aetna | Aetna - Medicare | $1.59 | $4.83 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Aetna | Aetna Better Health - Dual Eligible | $1.59 | $4.83 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | MMO | MMO - Medicare | $1.59 | $4.83 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Medicaid | Medicaid | $1.63 | $4.83 | — | 2026-07-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Inpatient | Amerihealth | Amerihealth | $1.63 | $4.83 | — | 2026-07-01 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL InpatientFacility | Priority Health | SBD | $1.64 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL InpatientFacility | Priority Health | SBD | $1.64 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON METHODIST HOSPITAL InpatientFacility | Priority Health | SBD | $1.64 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Student Health Plan | $1.64 | $4.83 | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | OSU Health Plan | OSU Health Plan - Partner | $1.65 | $4.83 | — | 2026-04-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL InpatientFacility | Priority Health | Cigna Priority Health | $1.69 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON SOUTH HAVEN HOSPITAL InpatientFacility | Priority Health | Cigna Priority Health | $1.69 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON METHODIST HOSPITAL InpatientFacility | Aetna | New Business (MI Preferred) | $1.69 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL InpatientFacility | Aetna | New Business (MI Preferred) | $1.69 | $2.60 | $2.08 | 2026-02-01 | MRF ↗ |
| BRONSON BATTLE CREEK HOSPITAL InpatientFacility | Priority Health | Cigna Priority Health | $1.69 | $2.60 | $2.08 | 2026-02-01 | 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.