J1786 — Imuglucerase Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Imuglucerase injection (HCPCS J1786) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1786?code_type=HCPCS
MLA (9th ed.)
“Imuglucerase injection (HCPCS J1786) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1786?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Imuglucerase injection (HCPCS J1786) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1786?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $45–$3,903 (25th–75th percentile) across 1,603 hospitals · 2,954 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1786 — 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
$45
$90 typical
$3,903
The middle 50% of negotiated facility rates for this procedure, measured across 1,603 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $90 |
| Likely subtotal | $90 |
Facility charge (no separate professional fee)
$90
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 $45–$3,903.
- 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 | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $0.38 | $251.00 | $50.00 | 2026-07-18 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.41 | $229.38 | $44.33 | 2024-12-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $13,873.04 | $9,017.48 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $13,873.04 | $9,017.48 | 2025-11-26 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Texas Co Memorial Hospital | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Humana | Medicare Advantage | — | $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 ↗ |
| COX MONETT HOSPITAL Outpatient | City Of Lebanon | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Phcs | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Phelps Health | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Traditional | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Workers Compensation | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Src Holdings Corporation | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark County | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Blu Current Credit Union | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Epo | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Non Contracted | Managed Care | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Preferred | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Compalliance | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - Rehab | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozarks Cocacola | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Multiplan | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Merril Iron And Steel | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Mirma Health | 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 ↗ |
| COX MONETT HOSPITAL Outpatient | Xerox | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Ppo | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Va Ccn | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Healthy Blue Mo | Medicaid Managed Care | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Medicaid | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Pathway/Pathway X | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Show Me Benefit Consortium | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | County Medical Services | County of San Diego | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - PPO | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Flora Farms | Commercial | — | $1.00 | $0.31 | 2026-07-15 | 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 | Centene Wellcare | Medicare Advantage | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Employee Plan | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Behavioral Health | Optum Medicare | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Amprod | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Freeman Pho | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Custom Powder Systems | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Bjc Consortium | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Town And Country Super Market | Commercial | — | $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 | United Healthcare | All Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Medicare Advantage | Non Contracted Payors | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Ozark Anesthesia Assoc. Inc | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Aetna | Premier Network | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Direct Contracted Employers | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Loren Cook | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Self-Pay | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $173.41 | $86.71 | 2026-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Centene Home State Health | Medicaid | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Architectural Systems Inc | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Mihlfeld & Associates | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Justice Furniture And Bedding Co | Commercial | — | $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 | Missouri Eye Institute | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Aca Marketplace | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Medicare Advantage | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Medicare / Medicare Advantage | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Corvel | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Behavioral Health | Optum Medicaid | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Other Contracted Managed Care | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Medicare | — | $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 | First Health | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Access | — | $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 | Springfieldgreene Co Library | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Interplan | Interplan | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Allianz Global Assistance | AZGA Services Canada | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Indian Health Council | Indian Health Council | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Medicare | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | — | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cigna | Commercial Test | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $173.41 | $86.71 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $173.41 | $86.71 | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $13,873.04 | $9,017.48 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - MCS | $1.30 | $12,601.32 | $9,450.99 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - MCS | $1.30 | $12,601.32 | $9,450.99 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $8,317.92 | $8,317.92 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Health Net | Health Net - PPO | $1.60 | $12,601.32 | $9,450.99 | 2026-04-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $6,305.28 | $4,098.43 | 2026-06-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.61 | — | — | 2026-03-18 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $13,873.04 | $9,017.48 | 2025-11-26 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State (Ambetter) | HIX | $5.02 | $33.00 | $33.00 | 2024-10-01 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $5.19 | — | — | 2026-03-04 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $5.35 | $8,578.08 | $5,575.75 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $5.35 | $8,578.08 | $5,575.75 | 2026-03-30 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $5.71 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $5.71 | — | — | 2024-10-01 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $6.00 | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $7.00 | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | United | OptionsPPO | $7.29 | $33.00 | $33.00 | 2024-10-01 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $5,308.88 | $2,070.46 | 2026-07-31 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $7.45 | — | — | 2026-03-31 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Amerigroup | MCD | $8.35 | $33.00 | $33.00 | 2024-10-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $8.83 | $126.17 | $126.17 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $8.83 | $126.17 | $126.17 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $8.83 | $126.17 | $126.17 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $8.83 | $126.17 | $126.17 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $8.83 | $126.17 | $126.17 | 2026-03-01 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $9.00 | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Medica | Medica Pmap | $9.46 | $44.50 | $44.50 | 2026-07-18 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $9.52 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $9.52 | — | — | 2025-12-23 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $13,873.04 | $9,017.48 | 2025-11-26 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $9.78 | $229.00 | $229.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $9.78 | $229.00 | $229.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $9.96 | $229.00 | $229.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $9.96 | $229.00 | $229.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $10.08 | $252.00 | $252.00 | 2026-06-24 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | HMO | $10.23 | $33.00 | $33.00 | 2024-10-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $10.76 | $252.00 | $252.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $10.89 | $252.00 | $252.00 | 2026-06-24 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | PPO | $12.04 | $33.00 | $33.00 | 2024-10-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $12.05 | $229.00 | $229.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $12.05 | $229.00 | $229.00 | 2026-04-30 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $12.33 | — | — | 2026-01-29 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $12.46 | $229.00 | $229.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $12.46 | $229.00 | $229.00 | 2026-04-30 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Dan Vaden Chevrolet Cadillac | COMM | $13.20 | $33.00 | $33.00 | 2024-10-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $13.30 | $430.50 | $430.50 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $13.30 | $430.50 | $430.50 | 2026-03-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $13.48 | $42.93 | $34.35 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $13.61 | $252.00 | $252.00 | 2026-06-24 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Humana Military | TRICARE | $13.69 | $48.89 | $48.89 | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Excellus BlueCross BlueShield | Medicare Advantage | $13.69 | $48.89 | $48.89 | 2026-10-12 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $13.70 | $3,703.00 | $3,517.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $13.70 | $3,703.00 | $3,517.85 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $13.70 | $3,703.00 | $3,517.85 | 2026-02-20 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | United_HealthCare | Medicaid | — | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Centivo | PPO | $14.00 | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Aetna | QHP_Exchange | $14.00 | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Aetna | Better_Health_Medicaid | — | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Cigna_HealthCare | HMO_PPO | — | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | WPPA | PPO | $14.00 | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Sunflower_State_Health_Plan | Medicaid | — | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $14.07 | $3,703.00 | $3,517.85 | 2026-02-20 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $14.34 | $42.93 | $34.35 | 2026-01-28 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $14.44 | $3,703.00 | $3,517.85 | 2026-02-20 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $14.75 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $14.75 | — | — | 2026-03-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $14.81 | $3,703.00 | $3,517.85 | 2026-02-20 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $14.85 | $33.00 | $33.00 | 2024-10-01 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Inpatient | Medica | Medica Pmap | $15.04 | $44.50 | $44.50 | 2026-07-18 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | AMPS | PPO | $16.00 | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $16.10 | $42.93 | $34.35 | 2026-01-28 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Industry Buying Group | COMM | $16.50 | $33.00 | $33.00 | 2024-10-01 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $16.80 | — | — | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $16.80 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $16.80 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Health_First_Health | HMO_PPO | $17.00 | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $17.00 | $55.50 | $27.75 | 2024-12-15 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $17.13 | — | — | 2026-02-13 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $4,954.52 | $3,220.44 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Humana Health Plan | Commercial | — | $4,954.52 | $3,220.44 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $4,954.52 | $3,220.44 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $4,954.52 | $3,220.44 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $4,954.52 | $3,220.44 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $4,954.52 | $3,220.44 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $17.29 | $4,954.52 | $3,220.44 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Health Net/Centene Health Plan | Commercial | — | $4,954.52 | $3,220.44 | 2026-07-31 | 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.