J1807 — Ethacrynate Sodium 50 Mg Intravenous Solution
Cite this view
HANK Price Transparency. (n.d.). ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION (HCPCS J1807) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1807?code_type=HCPCS
“ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION (HCPCS J1807) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1807?code_type=HCPCS. Accessed .
“ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION (HCPCS J1807) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1807?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $35–$5,086 (25th–75th percentile) across 692 hospitals · 2,133 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1807 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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).
The middle 50% of negotiated facility rates for this procedure, measured across 692 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,221 |
| Likely subtotal | $1,221 |
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 $35–$5,086.
- 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 |
|---|---|---|---|---|---|---|---|
| SAN ANTONIO REGIONAL HOSPITAL Outpatient | ANTHEM BLUE CROSS EXCHG | ANTHEM BLUE CROSS EXCHG | $0.22 | $18,377.00 | $9,188.50 | 2026-04-02 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | MBN | $0.95 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Pathway/Pathway X | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Direct Contracted Employers | Generic | — | $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 | Custom Powder Systems | Commercial | — | $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 | United Healthcare | All Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Non Contracted | Managed Care | — | $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 | Employee Plan | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Loren Cook | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Phcs | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Humana | Medicare Advantage | — | $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 | Freeman Pho | Commercial | — | $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 | Merril Iron And Steel | Commercial | — | $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 ↗ |
| COX MONETT HOSPITAL Outpatient | Flora Farms | Commercial | — | $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 | Ozark Anesthesia Assoc. Inc | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Compalliance | Workers Compensation | — | $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 | Ozark County | 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 | Cox Healthplans | Bjc Consortium | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Cox Healthplans | Epo | — | $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 | United Behavioral Health | Optum Medicare | — | $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 | Cox Healthplans | Ppo | — | $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 | Anthem | Blue Preferred | — | $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 | Centene Home State Health | Medicaid | — | $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 | Texas Co Memorial Hospital | Commercial | — | $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 | Justice Furniture And Bedding Co | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Architectural Systems Inc | 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 | The Durham Company | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Self-Pay | Generic | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | City Of Lebanon | Commercial | — | $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 | Centene Wellcare | Medicare Advantage | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Phelps Health | 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 | Amprod | 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 | Anthem | Blue Access | — | $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 | Src Holdings Corporation | Commercial | — | $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 | Other Contracted Managed Care | Generic | — | $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 | Cox Healthplans | Medicare Advantage | — | $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 | Workers Compensation | Workers Compensation | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Aetna | Premier Network | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Mihlfeld & Associates | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Anthem | Blue Traditional | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $15,200.00 | $7,600.00 | 2026-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Springfieldgreene Co Library | Commercial | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Medicaid | — | $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 | Cigna | Commercial Test | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $15,200.00 | $7,600.00 | 2026-07-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | HIX | $1.08 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $15,200.00 | $7,600.00 | 2026-07-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | United | OptionsPPO | $1.15 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $15,200.00 | $7,600.00 | 2026-07-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | SBN | $1.20 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | HMO | $1.20 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $15,200.00 | $7,600.00 | 2026-07-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | PPO | $1.26 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | NWB | $1.26 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | MGMCR | $1.39 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Self Pay | Self Pay | $1.40 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $8,476.10 | $8,476.10 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $15,200.00 | $7,600.00 | 2026-07-01 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Chs Group Health Plan Umr | Chs Group Health Plan Umr | $1.54 | $7.78 | $2.10 | 2026-07-15 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $2.00 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $2.00 | $4.00 | — | 2026-02-27 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | HMOFI | $2.07 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Self Pay | Self Pay | $2.10 | $7.78 | $2.10 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | PHS | $2.17 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | BCBS | BSLNON-PAR | $2.17 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $13,680.00 | $8,892.00 | 2026-06-15 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $2.20 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $2.20 | $4.00 | — | 2026-02-27 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Centurion | PRISN | $2.49 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $15,200.00 | $7,600.00 | 2026-07-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | AvMed | ASOEO | $2.52 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | United Healthcare | Uhc Apa | $2.60 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $2.60 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $2.60 | $4.00 | — | 2026-02-27 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | United Healthcare | Uhc Nhp | $2.62 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Corizon Health Inc | Corizon Health Inc | $2.63 | $7.78 | $2.10 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Corizon | COMM | $2.70 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Aetna | ASA | $2.70 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $2.72 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $2.72 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $3.00 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $3.00 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $3.20 | $4.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $3.20 | $4.00 | — | 2026-02-27 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $3.67 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Medicaid | Node Tx Medicaid | $3.67 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $3.85 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Amerigroup | Node Wellpoint Star Plus Medicaid Tx | $3.85 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Star Medicaid Tx | Node Wellpoint Star Medicaid Tx | $3.85 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $3.85 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $3.85 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Cigna | Cigna Ppo | $3.97 | $7.78 | $2.10 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | United | GlobalBenefitPlanAppendix | $4.05 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Cigna | Cigna Hmo | $4.33 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Aetna | Aetna | $4.48 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Plotkin Health | COMM | $4.50 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Aetna | Aetna Intl Passport | $4.75 | $7.78 | $2.10 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Aetna | Aetna Asa | $4.93 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Aetna | Aetna First Health | $5.06 | $7.78 | $2.10 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Self Pay | Self Pay | $5.10 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $5.27 | $39.34 | $15.34 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Evolutions | Evolutions Healthcare | $5.45 | $7.78 | $2.10 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $5.59 | $155.19 | $27.93 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Medicaid | Node Tx Medicaid | $5.59 | $155.19 | $27.93 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $5.59 | $155.19 | $27.93 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Aetna | Aetna First Health | $5.83 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Superior | Node Superior Star Plus Medicaid Tx | $5.87 | $155.19 | $27.93 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $5.87 | $155.19 | $27.93 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $5.87 | $155.19 | $27.93 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $5.87 | $155.19 | $27.93 | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Outpatient | Node Wellpoint Star Plus Medicaid Tx | Node Wellpoint Star Plus Medicaid Tx | $5.87 | $155.19 | $27.93 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $5.90 | $39.34 | $14.16 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $6.07 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $6.73 | $37.38 | $37.38 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Molina | HIX | $6.73 | $37.38 | $37.38 | 2026-03-01 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Priority Health | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $6.74 | — | — | 2026-04-17 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Evolutions | Evolutions Healthcare | $6.85 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $6.86 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Phcs | Phcs | $7.00 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | MultiPlan | PRIMARYNETWORK | $7.02 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $7.03 | — | — | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $7.03 | — | — | 2026-03-29 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Aetna | Aetna Asbait | $7.08 | $39.34 | $14.16 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $7.08 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Self Pay | Self Pay | $7.08 | $39.34 | $7.08 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evolutions Healthcare | MANAGEDCAREPPO | $7.20 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evernorth | COMM | $7.20 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $7.20 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Node Superior Star Medicaid Tx | Node Superior Star Medicaid Tx | $7.43 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $7.45 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | MultiPlan | COMPLEMENTARYNETWORK | $7.65 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | PPO Next | PPO | $7.65 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | PPO Next | COMM | $7.65 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | Evolutions Healthcare | TRADITIONALPPO | $7.65 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Bcbs Fl Ppo | $7.78 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Bcbs Fl Phs | $7.78 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Bcbs Fl Hmo | $7.78 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Bcbs Fl Bsl | $7.78 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Bcbs Fl Sbn | Bcbs Fl Sbn | $7.78 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Bcbs Fl Mbn | $7.78 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Bcbs Fl Nwb | $7.78 | $7.78 | $1.40 | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Outpatient | Superior | Node Superior Star Plus Medicaid Tx | $7.82 | $72.90 | $17.50 | 2026-07-15 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $7.96 | $37.38 | $37.38 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $7.96 | $37.38 | $37.38 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | AFA | $7.96 | $37.38 | $37.38 | 2026-03-01 | MRF ↗ |
| TRIDENT MEDICAL CENTER Outpatient | Aetna SC | NB | $7.96 | $37.38 | $37.38 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA MEMORIAL HOSPITAL Outpatient | NovaNet | COMM | $8.10 | $9.00 | $9.00 | 2026-03-01 | MRF ↗ |
| Westchester Medical Center T C Outpatient | Veterans (Mcr) | Veterans (Mcr) | $8.70 | $4,555.00 | $4,555.00 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Outpatient | Veterans (Mcr) | Veterans (Mcr) | $8.70 | $13,680.00 | $13,680.00 | 2026-10-16 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $9.08 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Meridian | Managed Medicaid | $9.08 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $9.08 | — | — | 2026-04-17 | 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.