J1943 — Inj., Aristada Initio, 1 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj., aristada initio, 1 mg (HCPCS J1943) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1943?code_type=HCPCS
MLA (9th ed.)
“Inj., aristada initio, 1 mg (HCPCS J1943) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1943?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj., aristada initio, 1 mg (HCPCS J1943) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1943?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3–$1,463 (25th–75th percentile) across 1,527 hospitals · 2,605 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1943 — 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
$3
$5 typical
$1,463
The middle 50% of negotiated facility rates for this procedure, measured across 1,527 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $5 |
| Likely subtotal | $5 |
Facility charge (no separate professional fee)
$5
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 $3–$1,463.
- 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $6,524.01 | $5,545.41 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $6,524.01 | $3,588.21 | 2025-01-01 | MRF ↗ |
| LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CTR, INC Both | — | — | — | $0.01 | $0.01 | 2026-01-15 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Inpatient | Aetna | Commercial|All Other Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.03 | $16.46 | $2.95 | 2024-12-31 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Inpatient | Aetna | Commercial|All Other Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Kaiser | Commercial|HMO | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Kaiser | Commercial|HMO | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Kaiser | Commercial|PPO | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Kaiser | Commercial|PPO | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Cigna | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Aetna | Commercial|Sound Health | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Cigna | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Aetna | Commercial|AWH | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Aetna | Commercial|WEA | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Aetna | Commercial|All Other Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Aetna | Commercial|Sound Health | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST CLARE HOSPITAL Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Aetna | Commercial|WEA | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Aetna | Commercial|All Other Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Aetna | Commercial|AWH | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | United | Commercial|Cascade Care | $0.05 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $0.05 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $0.05 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | United | Commercial|All Other Plans | $0.05 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $0.05 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | United | Commercial|All Other Plans | $0.05 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $0.05 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $0.05 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | United | Commercial|Cascade Care | $0.05 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST ELIZABETH HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $0.05 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Aetna | Commercial|Rental | $0.05 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Aetna | Commercial|Rental | $0.05 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Wellcare | Medicaid Managed Care | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Carolina Complete Health | Medicaid Managed Care | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | United HealthCare | Medicaid Managed Care | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Alliance Behavioral Health | Medicaid | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Vaya Behavioral Health | Medicaid | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Partners Behavioral Health | Medicaid | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Amerihealth Caritas | Medicaid Managed Care | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Carolina Complete Health Tailored Plans | Medicaid Managed Care | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Blue Cross Blue | Medicaid Managed Care | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Amerihealth Caritas Medicaid | Amerihealth Caritas Medicaid Nc | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Partners-Indigent | Partners Bh State | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | United Healthcare Behavioral Health Nc Medicaid | Ubh Medicaid | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | United Healthcare Community Medicaid | Nchc Uhc Community Plan Medicaid Nc | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Vaya (Smoky Mountains) | Vaya Health | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Vaya (Smoky Mountain) | Cardinal Innovations | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Partners Behavioral Health-Medicaid | Partners Bh Caid | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.17 | — | — | 2026-03-18 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Partners Behavioral Health-Medicaid | Partners Tailored Plan | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Bcbs Healthy Blue Medicaid | Healthy Blue Medicaid Nc | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Alliance Healthplan | Alliance Health | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Wellcare Medicaid | Nchc Wellcare Medicaid Nc | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Wellcare Medicaid | Wellcare Medicaid Nc | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Trillium Health Tailored Medicaid Plan | Trillium Health Tailored Medicaid Plan | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Carolina Complete Health Medicaid | Carolina Complete Health Medicaid | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PLANNED ADMINISTRATORS [886] | AH HB XR BCBS PREFERRED (PAI ANMED ONLY) | $0.20 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Bcbs | Hix | $0.20 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | PLANNED ADMINISTRATORS [886] | AH HB XR BCBS PREFERRED (PAI ANMED ONLY) | $0.20 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Bcbs | Hix | $0.20 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Hix | $0.24 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Bcbs | Hix | $0.24 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $0.26 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $0.26 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | SENTARA HEALTH | SENTARA HEALTH | $0.26 | $1.00 | $0.15 | 2025-01-17 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Molina | Medicaid Managed Care | $0.28 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Carolina Complete Health | Managed Medicaid | $0.28 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL InpatientFacility | Anderson County Employees/EBMS | Commercial | $0.28 | $1.00 | $0.50 | 2024-11-21 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Absolute Total Care | Medicaid Managed Care | $0.28 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | EMPLOYEE BENEFIT MANAGEMENT SERVICES [869] | AH HB XR Anderson County (EBMS) | $0.28 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| ANMED HEALTH OutpatientFacility | EMPLOYEE BENEFIT MANAGEMENT SERVICES [869] | AH HB XR Anderson County (EBMS) | $0.28 | $1.00 | $0.50 | 2026-03-06 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.28 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| ANMED HEALTH InpatientFacility | Anderson County Employees/EBMS | Commercial | $0.28 | $1.00 | $0.50 | 2024-11-21 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.28 | $1.00 | $0.15 | 2025-01-17 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Non Contracted Commercial | Non Contracted Commercial | $0.29 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CANNON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Health Exchange | $0.29 | $1.00 | $0.50 | 2024-11-21 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Gaston County Jail | Other | $0.30 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.33 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.33 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $0.33 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.33 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.33 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $0.33 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $0.33 | — | — | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | HUMANA MCAID | HUMANA MCAID | $0.34 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | ANTHEM MCAID | ANTHEM MCAID | $0.34 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $0.34 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | WELLCARE MCAID | WELLCARE MCAID | $0.34 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | UHC MCAID | UHC MCAID | $0.34 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.34 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | HUMANA MCAID | HUMANA MCAID | $0.34 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $0.34 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $0.34 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | UHC MCAID | UHC MCAID | $0.34 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $0.34 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | WELLCARE MCAID | WELLCARE MCAID | $0.34 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | ANTHEM MCAID | ANTHEM MCAID | $0.34 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.34 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2025-01-17 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Compass | $0.35 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.36 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| RUSSELL COUNTY HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.36 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Healthy Blue | Managed Medicaid | $0.38 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $0.38 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | HUMANA MCAID | HUMANA MCAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LEXINGTON Outpatient | WELLCARE MCAID | WELLCARE MCAID | $0.38 | $4.20 | $3.15 | 2026-03-31 | MRF ↗ |
| BAPTIST HEALTH LEXINGTON Outpatient | HUMANA MCAID HMO | HUMANA MCAID HMO | $0.38 | $4.20 | $3.15 | 2026-03-31 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | $0.38 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| BAPTIST HEALTH LEXINGTON Outpatient | UHC MCAID | UHC MCAID | $0.38 | $4.20 | $3.15 | 2026-03-31 | MRF ↗ |
| BAPTIST HEALTH LEXINGTON Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $0.38 | $4.20 | $3.15 | 2026-03-31 | MRF ↗ |
| BAPTIST HEALTH LEXINGTON Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $0.38 | $4.20 | $3.15 | 2026-03-31 | MRF ↗ |
| BAPTIST HEALTH LEXINGTON Outpatient | ANTHEM MCAID | ANTHEM MCAID | $0.38 | $4.20 | $3.15 | 2026-03-31 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | UHC MCAID | UHC MCAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | MOLINA MCAID-ALL PLANS | MOLINA MCAID-ALL PLANS | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | UHC MCAID | UHC MCAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | ANTHEM MCAID | ANTHEM MCAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | WELLCARE MCAID | WELLCARE MCAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | ANTHEM MCAID | ANTHEM MCAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | WELLCARE MCAID | WELLCARE MCAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH HARDIN Outpatient | MOLINA MEDICAID - ALL PLANS | MOLINA MEDICAID - ALL PLANS | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH HARDIN Outpatient | WELLCARE MEDICAID | WELLCARE MEDICAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH HARDIN Outpatient | ANTHEM MEDICAID | ANTHEM MEDICAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | HUMANA MCAID | HUMANA MCAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH HARDIN Outpatient | UHC MEDICAID | UHC MEDICAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH HARDIN Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $0.38 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH HARDIN Outpatient | HUMANA MCAID | HUMANA MCAID | $0.39 | $4.20 | $3.15 | 2026-04-01 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Blue Cross Blue Value Individual | Commercial | $0.41 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA PPO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA HMO | $0.42 | $1.00 | $0.15 | 2025-01-17 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA HMO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA PPO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.42 | $1.00 | $0.15 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA OPEN ACCESS PLUS | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA HMO | $0.42 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA PPO | $0.42 | $1.00 | $0.15 | 2025-01-17 | 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.