J1942 — Aripiprazole Lauroxil 1mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Aripiprazole lauroxil 1mg (HCPCS J1942) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1942?code_type=HCPCS
MLA (9th ed.)
“Aripiprazole lauroxil 1mg (HCPCS J1942) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1942?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Aripiprazole lauroxil 1mg (HCPCS J1942) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1942?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $17–$3,207 (25th–75th percentile) across 295 hospitals · 451 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1942 — 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
$17
$1,432 typical
$3,207
The middle 50% of negotiated facility rates for this procedure, measured across 295 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,432 |
| Likely subtotal | $1,432 |
Facility charge (no separate professional fee)
$1,432
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 $17–$3,207.
- 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 ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.75 | — | — | 2026-01-29 | MRF ↗ |
| GLENWOOD REGIONAL MEDICAL CENTER Outpatient | United Healthcare Medicaid | United Healthcare Medicaid | $0.90 | $10.00 | — | 2026-10-28 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $0.97 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $0.97 | — | — | 2026-05-13 | MRF ↗ |
| ST LUKE HOSPITAL & LIVING CENTER Outpatient | United Healthcare Medicare Advantage | Medicare Advantage | $1.02 | $2.00 | — | 2026-02-24 | MRF ↗ |
| ST LUKE HOSPITAL & LIVING CENTER Outpatient | BlueStem Pace | Other | $1.02 | $2.00 | — | 2026-02-24 | MRF ↗ |
| ST LUKE HOSPITAL & LIVING CENTER Outpatient | Humana ChoiceCare | Medicare Advantage | $1.02 | $2.00 | — | 2026-02-24 | MRF ↗ |
| ST LUKE HOSPITAL & LIVING CENTER Outpatient | Kansas Department of Health and Environment | Other | $1.02 | $2.00 | — | 2026-02-24 | MRF ↗ |
| ST LUKE HOSPITAL & LIVING CENTER Outpatient | VA CCN | Government | $1.02 | $2.00 | — | 2026-02-24 | MRF ↗ |
| ST LUKE HOSPITAL & LIVING CENTER Outpatient | BCBS Medicare | Medicare Advantage | $1.02 | $2.00 | — | 2026-02-24 | MRF ↗ |
| ST LUKE HOSPITAL & LIVING CENTER Outpatient | United Healthcare - AARP/Secure Horizons Medicare Complete | Medicare Advantage | $1.02 | $2.00 | — | 2026-02-24 | MRF ↗ |
| ST LUKE HOSPITAL & LIVING CENTER Outpatient | BCBS Health Blue Medicare | Medicare Advantage | $1.02 | $2.00 | — | 2026-02-24 | MRF ↗ |
| ST LUKE HOSPITAL & LIVING CENTER Outpatient | Ambetter (Celtic Insurance Company) | Healthcare Exchange | $1.03 | $2.00 | — | 2026-02-24 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $1.40 | — | — | 2026-01-28 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | UHC | UHC Medicaid | $1.55 | — | $3.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Meridian Health Plan Medicaid | Meridian Health Plan Medicaid | $1.55 | — | $3.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Harbor Health Plan | Harbor Health Plan - MEDBASIC Medicaid | $1.55 | — | $3.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Molina Health Plan | Molina Medicaid Non-contracted | $1.55 | — | $3.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Traditional Medicaid | Traditional Medicaid | $1.55 | — | $3.00 | 2024-12-19 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $1.55 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $1.55 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $1.55 | — | — | 2026-09-21 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Non-contracted Medicaid | Non-contracted Medicaid | $1.55 | — | $3.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Priority Health | Priority Health Medicaid | $1.55 | — | $3.00 | 2024-12-19 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $1.55 | — | — | 2026-05-06 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Beacon Health Strategies | Beacon Health Strategies Medicaid | $1.55 | — | $3.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Total Health Care Priority Health | Total Health Care Priority Health MIChild | $1.55 | — | $3.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Mclaren Health Plan | Mclaren Health Plan MICHILD Medicaid | $1.55 | — | $3.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Aetna Better Health Coventry Cares | Aetna Better Health Medicaid | $1.55 | — | $3.00 | 2024-12-19 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $1.57 | — | — | 2026-02-06 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $1.57 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $1.57 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $1.57 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $1.57 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | PMAP | $1.57 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $1.57 | — | — | 2026-02-06 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Health Alliance Plan | Health Alliance Plan Midwest Medicaid - Non-Contracted | $1.58 | — | $3.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Harbor Health Plan | Harbor Health Plan - MICHILD Medicaid | $1.70 | — | $3.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Community Care Associates Medicaid | Community Care Associates Medicaid | $1.70 | — | $3.00 | 2024-12-19 | MRF ↗ |
| GARDEN CITY HOSPITAL Outpatient | Harbor Health Plan | Harbor Health Plan - Health Choice Medicaid | $1.70 | — | $3.00 | 2024-12-19 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Blue Cross Blue Shield Co | — | $1.72 | $3.50 | — | 2026-07-30 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare National Hospital | Commercial | — | $15.00 | $10.50 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna All Programs | Commercial | $1.95 | $15.00 | $10.50 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Celtic/Ambetter | Commercial | — | $15.00 | $10.50 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare National Hospital | PPO | — | $15.00 | $10.50 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna I-35 NN | Commercial | — | $15.00 | $10.50 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PHP | Commercial | — | $15.00 | $10.50 | 2026-04-07 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Outpatient | SEIU1199 | Local 1199 | $2.00 | — | — | 2026-04-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Humana | Humana Tricare | $2.13 | — | $3.00 | 2024-12-19 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Humana | HUMANA MILITARY TRICARE | $2.13 | — | $3.00 | 2024-12-19 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | BLUE CROSS - ALL PLANS | BLUE CROSS - ALL PLANS | $2.16 | $3.09 | $2.16 | 2026-02-02 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Cross Anthem | HMO/POS/PPO | $2.24 | — | — | 2025-06-11 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HEALTH PARTNERS | $2.29 | — | — | 2025-12-28 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL OutpatientFacility | HEALTH PARTNERS | HPI | $2.29 | — | — | 2025-12-28 | MRF ↗ |
| GROVE CREEK MEDICAL CENTER Outpatient | SELECT HEALTH COMM - ALL OTHER PLANS | SELECT HEALTH COMM - ALL OTHER PLANS | $2.32 | $3.09 | $2.16 | 2026-02-02 | MRF ↗ |
| LANDMARK MEDICAL CENTER Outpatient | Neighborhood Health Plan | Neighborhood Health Plan Integrity | $2.36 | — | $3.00 | 2024-12-19 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Individual Network | $2.36 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | Small Group | $2.36 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | Empire | PPO | $2.36 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicare Adv - Brook | $2.38 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Exchange - Brook | $2.38 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Medicare Advantage | $2.38 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Essential Plan 1-2 | $2.38 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Essential Plan 3-4 | $2.38 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Medicaid - Brook | $2.38 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Medicaid Advantage | $2.38 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 3-4 - Brook | $2.38 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Queens OutpatientFacility | MetroPlus | Exchange | $2.38 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Metroplus | Metroplus Ep 1-2 - Brook | $2.38 | — | — | 2026-04-01 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $2.40 | — | — | 2025-07-22 | MRF ↗ |
| MOUNT SINAI HOSPITAL OutpatientFacility | 1199 SEIU | Commercial | $2.43 | — | — | 2026-04-01 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Commercial | — | $2.45 | $3.50 | — | 2026-07-30 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | BCBS | BCBS Ill Dual Eligible HMO | $2.47 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | BCBS | BCBS Ill Dual Eligible HMO | $2.47 | — | $3.00 | 2025-05-01 | MRF ↗ |
| OSF SAINT ANTHONY'S HEALTH CENTER OutpatientFacility | Humana | All Commercial Plans | $2.48 | — | — | 2026-03-31 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Humana | HMO/POS | $2.48 | — | — | 2026-03-31 | MRF ↗ |
| SAINT FRANCIS MEDICAL CENTER OutpatientFacility | Humana | PPO | $2.48 | — | — | 2026-03-31 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Pathway Ppo/Hmo | $2.51 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Traditional | $2.51 | — | — | 2026-07-15 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | BCBS | BCBS Dual Eligible | $2.52 | — | $3.00 | 2025-05-01 | MRF ↗ |
| PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER Outpatient | BCBS | BCBS Dual Eligible | $2.52 | — | $3.00 | 2025-05-01 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | EPO/PPO | $2.53 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Shield | EPO/PPO | $2.53 | — | — | 2025-03-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Wellpoint | Wellpoint Tenncare | $2.54 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Wellpoint | Wellpoint Tenncare | $2.54 | — | — | 2026-05-13 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst - Medicare Inn - Msq | $2.57 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst - Medicare Onn - Msq | $2.57 | — | — | 2026-04-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | UNITEDHEALTHCARE | ALL PRODUCTS | $2.57 | — | — | 2025-07-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicaid Chp Inn/Onn - Snch | $2.57 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicare Inn - Snch | $2.57 | — | — | 2026-04-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicare Onn - Snch | $2.57 | — | — | 2026-04-01 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | PPO | $2.59 | — | — | 2025-03-17 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Health Alliance Medical Plan | Health Alliance Medical Plan Medicare | $2.60 | — | $3.00 | 2025-05-01 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Uhc Ip | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cofinity | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Managed Medicaid | $2.63 | — | — | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Commercial | $2.63 | — | — | 2026-07-15 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $2.66 | — | — | 2025-09-05 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Tricare | Tricare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Brook | $2.66 | — | — | 2026-04-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Workers Comp | Workers Comp | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Horizon | Horizon Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $2.66 | — | — | 2025-09-05 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | BCBS | BCBS Ill Medicare PPO | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | BCBS | BCBS Ill Medicare HMO | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Hmo/Ppo | $2.66 | — | — | 2026-04-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Devoted Health | Devoted Health Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Non Contracted Medicare | Non Contracted Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| THE MIRIAM HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Hmo/Ppo | $2.66 | — | — | 2026-04-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Cigna Healthspring | Cigna Healthspring Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | UHC | UHC Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Non-Contracted Medicare | Non-Contracted Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Americhoice (UHC) | Americhoice Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Self-Pay | Self-Pay (100% of MCR) | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | UHC | UHC VA | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Coventry | Coventry Work Comp | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Local 1199 | 1199 Seiu - Msq | $2.66 | — | — | 2026-04-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Traditional Medicare | Traditional Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Humana | Humana Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Traditional Medicare | Traditional Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Wellpoint Amerigroup | Wellpoint Amerigroup Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $2.66 | — | — | 2025-09-05 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Village MD Chicago | Village MD Chicago Medicare Advantage HMO | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Fully Insured Other Commercial Plan | $2.66 | — | — | 2026-04-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Resurrection Physicians Provider Group IPA | Resurrection Physicians Provider Group IPA Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Clear Spring Health of Illinois | Clear Spring Health Of illinois Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Non-Contracted Medicare | Non-Contracted Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Health Partners Plan | Health Partners Plan Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Molina | Molina Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Celtic Wellcare Complete (Centene Venture Company) | Centene Venture Company (Celtic Wellcare Complete) Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Longevity Health Plan of Illinois | Longevity Health Plan of Illinois Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER OutpatientFacility | Local 1199 | Local 1199 | $2.66 | — | $1,517.53 | 2025-08-06 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Illinois Physicians Alliance | Illinois Physicians Alliance Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Ravenswood Physicians Associates IPA | Ravenswood Physicians Associates IPA Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Traditional Medicare | Traditional Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Molina | Molina Exchange | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Village MD Chicago | Village MD Chicago Commercial BCBS HMO Non-Contracted | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Aetna | Aetna Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | UHC | UHC VA CCN | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured All Commercial Plans | $2.66 | — | — | 2026-04-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Coventry | Coventry Work Comp | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | UHC | UHC Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Humana | Humana Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | BCBS | BCBS Medicare HMO | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Independence Blue Cross | IBC Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | WellCare | Wellcare Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Fully Insured Other Commercial Plan | $2.66 | — | — | 2026-04-01 | MRF ↗ |
| SAINT ANNE'S HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Gic Other Commercial Plan | $2.66 | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | UHC | UHC Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Tricare | Tricare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | Local 1199 | ALL PRODUCTS | $2.66 | — | — | 2025-09-05 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Humana | Humana Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Resurrection Physicians Provider Group IPA | Resurrection Physicians Provider Group IPA Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Traditional Medicare | Traditional Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Essential Health Partners | Essential Health Partners Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | Cigna | Cigna Healthspring | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| SAINT MICHAEL'S MEDICAL CENTER Outpatient | Humana | Humana Medicare Non-Contracted | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | HFN, Inc. (Healthcares Finest Network) | HFN Workers Comp | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Aetna | Aetna Medicare - Non-Contracted | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| LOWER BUCKS HOSPITAL Outpatient | PA Health & Wellness | PA Health & Wellnes | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $2.66 | — | — | 2025-09-05 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Humana | Humana Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | Longevity Health Plan of Illinois | Longevity Health Plan of Illinois Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| AMITA HEALTH RESURRECTION MEDICAL CENTER Outpatient | BCBS | BCBS Ill Medicare PPO | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $2.66 | — | — | 2025-09-05 | MRF ↗ |
| PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER Outpatient | BCBS | BCBS Medicare PPO | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $2.66 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $2.66 | — | — | 2026-05-23 | MRF ↗ |
| PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER Outpatient | BCBS | BCBS Medicare HMO | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SIGNATURE HEALTHCARE BROCKTON HOSPITAL OutpatientFacility | Harvard PIlgrim HealthCare | All Plans | $2.66 | — | — | 2026-01-28 | MRF ↗ |
| ATRIUM HEALTH NAVICENT THE MEDICAL CENTER OutpatientFacility | SecureHealth | Commercial | $2.66 | — | — | 2025-11-19 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $2.66 | — | — | 2025-09-05 | MRF ↗ |
| NAVICENT HEALTH BALDWIN OutpatientFacility | SecureHealth | Commercial | $2.66 | — | — | 2025-11-19 | MRF ↗ |
| NY EYE AND EAR INFIRMARY OF MOUNT SINAI OutpatientFacility | 1199 Seiu | 1199 Seiu - Nyeei | $2.66 | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Centene Venture Company (Celtic Wellcare Complete) | Centene Venture Company (Celtic Wellcare Complete) Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Longevity Health Plan of Illinois | Longevity Health Plan of Illinois Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Illinois Physicians Alliance | Illinois Physicians Alliance Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Clear Spring Health of Illinois | Clear Spring Health of Illinois Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Resurrection Physicians Provider Group IPA | Resurrection Physician Provider Group IPA Commercial | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER Outpatient | Meridian | Meridian Dual Eligible | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Non-Contracted Medicare | Non-Contracted Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Cigna Healthspring | Cigna Healthspring Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Traditional Medicare | Traditional Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Aetna | Aetna Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | UHC | UHC VA | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| NEWPORT HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Hmo/Ppo | $2.66 | — | — | 2026-04-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | BCBS | BCBS Medicare PPO | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER Outpatient | UHC | UHC Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER Outpatient | UHC | UHC VA | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| SAINT FRANCIS HOSPITAL-EVANSTON Outpatient | Devoted Health | Devoted Health Medicare | $2.66 | — | $3.00 | 2025-05-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | Local 1199 | ALL PRODUCTS | $2.66 | — | — | 2025-09-05 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Rental Payer Solutions | Rental Payer Solutions Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Blue Shield Of CA Triwest | Blue Shield Of CA Triwest | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Non contracted Medicare | Non-Contracted Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Health Net Of CA | Health Net Of Federal Services Tricare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| WEST ANAHEIM MEDICAL CENTER Outpatient | Health Net Of CA | Health Net Of CA Medicare | $2.66 | — | $3.00 | 2024-12-19 | MRF ↗ |
| BROWN UNIVERSITY HEALTH MORTON HOSPITAL OutpatientFacility | Harvard Pilgrim Health Care | Gic Other Commercial Plan | $2.66 | — | — | 2026-04-01 | 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.