J1944 — Aripiprazole Lauroxil 1 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Aripiprazole lauroxil 1 mg (HCPCS J1944) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1944?code_type=HCPCS
MLA (9th ed.)
“Aripiprazole lauroxil 1 mg (HCPCS J1944) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1944?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Aripiprazole lauroxil 1 mg (HCPCS J1944) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1944?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$5,976 (25th–75th percentile) across 1,764 hospitals · 3,474 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1944 — 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
$4
$1,904 typical
$5,976
The middle 50% of negotiated facility rates for this procedure, measured across 1,764 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,904 |
| Likely subtotal | $1,904 |
Facility charge (no separate professional fee)
$1,904
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 $4–$5,976.
- 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 |
|---|---|---|---|---|---|---|---|
| LUMINIS HEALTH DOCTORS COMMUNITY MEDICAL CTR, INC Both | — | — | — | $0.01 | $0.01 | 2026-01-15 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $4,262.34 | $2,344.29 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $3,900.66 | $3,315.56 | 2025-01-01 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | 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 ↗ |
| 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 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 ↗ |
| 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 | $15.88 | $2.98 | 2024-12-31 | MRF ↗ |
| ST FRANCIS COMMUNITY HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HIGHLINE MEDICAL CENTER 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 ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Kaiser | Commercial|PPO | $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 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 ANTHONY HOSPITAL 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 CLARE HOSPITAL Inpatient | Cigna | Commercial|All Plans | $0.03 | $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 CLARE HOSPITAL 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 | MultiPlan | 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 ↗ |
| ST ELIZABETH HOSPITAL 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|All Other Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Aetna | Commercial|Sound Health | $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 | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | Aetna | Commercial|All Other Plans | $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 ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 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 | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.02 | 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 ANTHONY 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 ↗ |
| ST ANTHONY 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|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 JOSEPH MEDICAL CENTER Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 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 ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | First Choice | Commercial|All Plans | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST ANTHONY HOSPITAL Inpatient | MultiPlan | 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 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 ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Cigna | Commercial|All Plans | $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 ↗ |
| ST ANTHONY HOSPITAL Inpatient | First Choice | Commercial|All Plans | $0.04 | $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 CLARE HOSPITAL Inpatient | First Choice | Commercial|All Plans | $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 FRANCIS COMMUNITY HOSPITAL Inpatient | First Choice | 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 ELIZABETH HOSPITAL 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 ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | Aetna | Commercial|Sound Health | $0.04 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | MultiPlan | 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 ↗ |
| ST ANTHONY HOSPITAL Inpatient | Aetna | Commercial|Rental | $0.04 | $0.05 | $0.02 | 2026-02-28 | MRF ↗ |
| HARRISON MEDICAL CENTER Inpatient | MultiPlan | Commercial|All 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 ↗ |
| HIGHLINE MEDICAL CENTER 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 ↗ |
| HIGHLINE MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $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 ↗ |
| HARRISON MEDICAL CENTER Inpatient | United | Commercial|All Other Plans | $0.05 | $0.05 | $0.03 | 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 ↗ |
| ST ELIZABETH HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $0.05 | $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 | United | Commercial|All Other Plans | $0.05 | $0.05 | $0.03 | 2026-02-28 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue | Medicaid Managed Care | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Alliance Behavioral Health | Medicaid | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Partners Behavioral Health | Medicaid | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Amerihealth Caritas | Medicaid Managed Care | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Vaya Behavioral Health | Medicaid | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | United HealthCare | Medicaid Managed Care | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | 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 | Carolina Complete Health Tailored Plans | Medicaid Managed Care | $0.15 | $1.00 | $1.00 | 2026-05-11 | 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 | Blue Cross Blue | 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 | Partners Behavioral Health | Medicaid | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER 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 | Carolina Complete Health | Medicaid Managed Care | $0.15 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Carolina Complete Health | Medicaid Managed Care | $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 | Amerihealth Caritas | Medicaid Managed Care | $0.15 | $1.00 | $1.00 | 2026-05-11 | 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 | 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 ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.17 | — | — | 2026-03-18 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Partners Behavioral Health-Medicaid | Partners Bh Caid | $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 ↗ |
| 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 | United Healthcare Behavioral Health Nc Medicaid | Ubh Medicaid | $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 ↗ |
| MCLEOD HEALTH CLARENDON 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 ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 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 ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Carolina Complete Health Medicaid | Carolina Complete Health Medicaid | $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 ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1.00 | $0.71 | 2026-07-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER Outpatient | Partners-Indigent | Partners Bh State | $0.17 | $1.00 | $0.90 | 2026-07-15 | 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 | United Healthcare Community Medicaid | Nchc Uhc Community Plan Medicaid Nc | $0.17 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Bcbs | Hix | $0.20 | $1.00 | $0.71 | 2026-07-15 | 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 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 | 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 OutpatientFacility | Absolute Total Care | Medicaid Managed Care | $0.28 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER 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 ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Molina | Medicaid Managed Care | $0.28 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.28 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.28 | $1.00 | $0.15 | 2025-01-17 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Absolute Total Care | Medicaid Managed Care | $0.28 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| BETSY JOHNSON REGIONAL HOSPITAL Outpatient | Non Contracted Commercial | Non Contracted Commercial | $0.29 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Gaston County Jail | Other | $0.30 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Gaston County Jail | Other | $0.30 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.32 | $7,103.90 | $4,617.54 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.32 | $7,103.90 | $4,617.54 | 2025-01-01 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $0.33 | $5,881.54 | $5,587.46 | 2026-07-15 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.34 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | SENTARA HEALTH | SENTARA HEALTH | $0.34 | $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 ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2025-01-17 | MRF ↗ |
| JOHNSTON MEMORIAL HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Compass | $0.35 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| SYCAMORE SHOALS HOSPITAL Both | MEDCOST | MEDCOST VHN | $0.35 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.00 | $0.90 | 2026-07-15 | 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 ↗ |
| 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 | United Healthcare | Managed Medicaid | $0.38 | $1.01 | $0.61 | 2026-08-01 | 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 | Wellcare | Managed Medicaid | $0.38 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Value Individual | Commercial | $0.41 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $0.41 | $0.70 | $0.53 | 2026-06-04 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $0.41 | $0.70 | $0.53 | 2026-06-04 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Blue Cross Blue Value Individual | Commercial | $0.41 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.00 | $0.90 | 2026-07-15 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $0.41 | $0.70 | $0.53 | 2026-06-04 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | ANTHEM MCAID | ANTHEM MCAID | $0.42 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | UHC MCAID | UHC MCAID | $0.42 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $0.42 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $0.42 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | UHC MCAID | UHC MCAID | $0.42 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | ANTHEM MCAID | ANTHEM MCAID | $0.42 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $0.42 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | WELLCARE MCAID | WELLCARE MCAID | $0.42 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $0.42 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH CORBIN Outpatient | HUMANA MCAID | HUMANA MCAID | $0.42 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | WELLCARE MCAID | WELLCARE MCAID | $0.42 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA LOCAL PLUS | $0.42 | $1.00 | $0.15 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA HMO | $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 | 2025-01-17 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | CIGNA HEALTHCARE | CIGNA INDIVIDUAL FAMILY PLAN | $0.42 | $1.00 | $0.15 | 2025-01-17 | MRF ↗ |
| BAPTIST HEALTH PADUCAH Outpatient | HUMANA MCAID | HUMANA MCAID | $0.42 | $5.26 | $3.95 | 2026-04-01 | 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 PPO | $0.42 | $1.00 | $0.15 | 2025-01-17 | MRF ↗ |
| WELLMONT HOLSTON VALLEY 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 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 | 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 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 | AETNA | AETNA | $0.43 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | AETNA | AETNA | $0.43 | $1.00 | $0.15 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | AETNA | AETNA | $0.43 | $1.00 | $0.15 | 2025-01-17 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross | HMO PPO | $0.45 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Blue Cross | HMO PPO | $0.45 | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | MOLINA MCAID-ALL PLANS | MOLINA MCAID-ALL PLANS | $0.47 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH LAGRANGE Outpatient | UHC MCAID | UHC MCAID | $0.47 | $5.26 | $3.95 | 2026-04-01 | MRF ↗ |
| BAPTIST HEALTH RICHMOND Outpatient | AETNA BETTER HLTH MCAID | AETNA BETTER HLTH MCAID | $0.47 | $5.26 | $3.95 | 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.