J1952 — Leuprolide Inj, Camcevi, 1mg
Cite this view
HANK Price Transparency. (n.d.). Leuprolide inj, camcevi, 1mg (HCPCS J1952) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J1952?code_type=HCPCS
“Leuprolide inj, camcevi, 1mg (HCPCS J1952) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J1952?code_type=HCPCS. Accessed .
“Leuprolide inj, camcevi, 1mg (HCPCS J1952) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J1952?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $57–$107 (25th–75th percentile) across 1,335 hospitals · 1,221 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J1952 — 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 1,335 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $79 |
| Likely subtotal | $79 |
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 $57–$107.
- 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 |
|---|---|---|---|---|---|---|---|
| SUMMIT MEDICAL CENTER Outpatient | BCBS Blue Lincs HMO | BCBS Blue Lincs HMO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Advantage PPO | BCBS Advantage PPO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Preferred | BCBS Preferred | $0.18 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Choice | BCBS Choice | $0.21 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Traditional | BCBS Traditional | $0.24 | — | — | 2026-08-30 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Friday Health Plan | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Cigna | PPO/POS | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Humana Military Tricare | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Friday Health Plan | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | OSMA Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Humana Military Tricare | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | OSMA Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Cigna | PPO/POS | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2026-03-14 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.70 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.70 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.70 | — | — | 2026-01-12 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $0.96 | — | — | 2026-03-04 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $1.46 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $1.46 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $1.46 | — | — | 2026-01-12 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $2.86 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $2.86 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | AMERIGROUP | AMERIGROUP | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | THREE RIVERS-WORKER'S COMP | THREE RIVERS-WORKER'S COMP | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | NOVA NET | NOVA NET | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | NOVA NET-WORKER'S COMP | NOVA NET-WORKER'S COMP | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | BEECH STREET | BEECH STREET | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | SELFPAY | SELFPAY | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | THREE RIVERS-WORKER'S COMP | THREE RIVERS-WORKER'S COMP | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | PEACHSTATE | PEACHSTATE | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | AETNA | AETNA | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | BEECH STREET | BEECH STREET | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | CHOICE CARE NETWORK/HUMANA | CHOICE CARE NETWORK/HUMANA | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | CHOICE CARE NETWORK/HUMANA | CHOICE CARE NETWORK/HUMANA | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | FIRST HEALTH/Prev. SOUTHCARE | FIRST HEALTH/Prev. SOUTHCARE | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | FIRST HEALTH/Prev. SOUTHCARE | FIRST HEALTH/Prev. SOUTHCARE | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | CIGNA/GREAT WEST LIFE | CIGNA/GREAT WEST LIFE | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | INTEGRATED HEALTH PLAN-W/C | INTEGRATED HEALTH PLAN-W/C | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | MEDICAID | MEDICAID | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | SELFPAY | SELFPAY | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | NOVA NET | NOVA NET | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | CIGNA/GREAT WEST LIFE | CIGNA/GREAT WEST LIFE | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | MEDICAID | MEDICAID | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | CARESOURCE | CARESOURCE | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | INTEGRATED HEALTH PLAN-W/C | INTEGRATED HEALTH PLAN-W/C | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | CARESOURCE | CARESOURCE | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | NOVA NET-WORKER'S COMP | NOVA NET-WORKER'S COMP | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | AETNA | AETNA | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | AMERIGROUP | AMERIGROUP | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| COLQUITT REGIONAL MEDICAL CENTER Both | PEACHSTATE | PEACHSTATE | $3.25 | $3.25 | $3.25 | 2026-04-13 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $7.38 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $7.38 | — | — | 2024-10-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $8.84 | — | — | 2026-03-31 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | Medicaid | $10.56 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Medicaid | $10.56 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Shield | Medicaid | $10.88 | — | — | 2026-07-18 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $11.31 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $11.31 | — | — | 2025-12-23 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $19.01 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $19.01 | — | — | 2026-03-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Medicaid | $19.54 | — | — | 2026-07-18 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $20.86 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $20.89 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $20.89 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $20.89 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $20.89 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $20.89 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $20.89 | — | — | 2026-04-17 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Essential Plan Aliessa | $21.12 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Essential Plan Qhp | $21.12 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Fidelis | Medicaid | $21.12 | — | — | 2026-07-18 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $21.59 | — | — | 2026-02-13 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | Cle-Care Hmo | $21.75 | — | — | 2026-04-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Essential Plan Qhp | $22.18 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Mvp | Essential Plan Aliessa | $22.18 | — | — | 2026-07-18 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Independent Health Association | Essential Plan Medicaid Managed Care Plan | $23.24 | — | — | 2026-04-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | All Products | $23.65 | — | — | 2026-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $23.65 | — | — | 2026-07-01 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Cdphp | Essential Plans 1-4 | $23.76 | — | — | 2026-07-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Outpatient | Blue Cross | Essential Plan Non Aliessa | $23.76 | — | — | 2026-07-18 | MRF ↗ |
| GIFFORD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Hampshire | Qualified Health Plan | $23.90 | $53.97 | $26.98 | 2026-02-12 | MRF ↗ |
| GIFFORD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of New Hampshire | Qualified Health Plan | $23.90 | $53.97 | $26.98 | 2025-10-28 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Independent Health Association - Wchob | Essential Plan Medicaid Managed Care Plan | $24.11 | — | — | 2026-04-01 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | United Healthcare | POS | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Tricare | POS | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Kaiser Foundation Health Plan of Washington | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Regence Blueshield of Idaho | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $24.15 | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Washington L & I | Workers Comp | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Blue Cross of Idaho | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Regence Blueshield of Idaho | PPO | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Aetna | All Other Plans | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Pacific Source | Medicare Advantage | — | — | — | 2026-08-19 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-08-19 | MRF ↗ |
| GIFFORD MEDICAL CENTER OutpatientFacility | MVP Health Care of NY | Medicare Advantage | $24.29 | $53.97 | $26.98 | 2026-02-12 | MRF ↗ |
| GIFFORD MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $24.29 | $53.97 | $26.98 | 2026-02-12 | MRF ↗ |
| GIFFORD MEDICAL CENTER OutpatientFacility | United Healthcare | Medicare Advantage | $24.29 | $53.97 | $26.98 | 2025-10-28 | MRF ↗ |
| GIFFORD MEDICAL CENTER OutpatientFacility | United Healthcare | VA CCN | $24.29 | $53.97 | $26.98 | 2025-10-28 | MRF ↗ |
| GIFFORD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Vermont | Medicare Advantage | $24.29 | $53.97 | $26.98 | 2025-10-28 | MRF ↗ |
| GIFFORD MEDICAL CENTER OutpatientFacility | Martins Point Health Care | Commercial | $24.29 | $53.97 | $26.98 | 2025-10-28 | MRF ↗ |
| GIFFORD MEDICAL CENTER OutpatientFacility | MVP Health Care of NY | Medicare Advantage | $24.29 | $53.97 | $26.98 | 2025-10-28 | MRF ↗ |
| GIFFORD MEDICAL CENTER OutpatientFacility | United Healthcare | VA CCN | $24.29 | $53.97 | $26.98 | 2026-02-12 | MRF ↗ |
| GIFFORD MEDICAL CENTER OutpatientFacility | Martins Point Health Care | Commercial | $24.29 | $53.97 | $26.98 | 2026-02-12 | MRF ↗ |
| GIFFORD MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Vermont | Medicare Advantage | $24.29 | $53.97 | $26.98 | 2026-02-12 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | All Products | $26.40 | — | — | 2026-07-01 | MRF ↗ |
| KALEIDA HEALTH OutpatientFacility | Bcbs | Advantage - Healthnow Medicare Managed Care Plan | $27.24 | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Highmark | Highmark Together Blue | $28.03 | — | — | 2026-04-14 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $28.16 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $28.16 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $28.16 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $28.16 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $28.16 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $28.16 | — | — | 2026-04-17 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | All Commercial Plans | $28.99 | — | — | 2026-04-01 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Molina | Managed Medicaid | $29.48 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Priority Health | Managed Medicaid | $29.48 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Meridian | Managed Medicaid | $29.48 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Blue Cross Complete | Managed Medicaid | $29.48 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan McLaren | Managed Medicaid | $29.48 | — | — | 2025-03-12 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Highmark | Highmark Together Blue | $29.76 | — | — | 2026-04-14 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Priority Health | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $29.83 | — | — | 2026-04-17 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $29.97 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $29.97 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $29.97 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $29.97 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $29.97 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $29.97 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $29.97 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $29.97 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $29.97 | — | — | 2025-06-28 | 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.