J2278 — Ziconotide Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Ziconotide injection (HCPCS J2278) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J2278?code_type=HCPCS
MLA (9th ed.)
“Ziconotide injection (HCPCS J2278) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J2278?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Ziconotide injection (HCPCS J2278) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J2278?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10–$860 (25th–75th percentile) across 1,605 hospitals · 2,471 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J2278 — 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
$10
$16 typical
$860
The middle 50% of negotiated facility rates for this procedure, measured across 1,605 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $16 |
| Likely subtotal | $16 |
Facility charge (no separate professional fee)
$16
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 $10–$860.
- 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 |
|---|---|---|---|---|---|---|---|
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.03 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.03 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $0.03 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.07 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.07 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.07 | — | — | 2026-01-12 | MRF ↗ |
| 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 ↗ |
| 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 | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | ANTHEM BHS1 | ANTHEM BHS1 | $0.39 | $1.59 | $1.19 | 2026-07-31 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | AETNA NEW BUSINESS | AETNA NEW BUSINESS | $0.46 | $1.59 | $1.19 | 2026-07-31 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.49 | — | — | 2026-03-18 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | ANTHEM MCR SELECT | ANTHEM MCR SELECT | $0.52 | $1.59 | $1.19 | 2026-07-31 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | AETNA UPS CUSTOM | AETNA UPS CUSTOM | $0.54 | $1.59 | $1.19 | 2026-07-31 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | AETNA COMM-ALL OTHER PLANS | AETNA COMM-ALL OTHER PLANS | $0.59 | $1.59 | $1.19 | 2026-07-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $30.00 | — | 2026-07-01 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | SIHO EXCLUSIVE NTWRK | SIHO EXCLUSIVE NTWRK | $0.80 | $1.59 | $1.19 | 2026-07-31 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | MULTIPLAN/PHCS-ALL PLANS | MULTIPLAN/PHCS-ALL PLANS | $0.87 | $1.59 | $1.19 | 2026-07-31 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | SIHO DUAL NTWRK | SIHO DUAL NTWRK | $0.87 | $1.59 | $1.19 | 2026-07-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCaidDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Morongo Basin Community Health | MorongoBasinCommunityHealth | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Scan | SCANMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdComm | — | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Affiliated Health Fund | AffiliatedHealthFundAHF | — | — | — | 2025-01-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CAHealthandWellnessMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldReciprocity | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedBehavioral | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Central California Alliance For Health | CentralCAAllianceMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaNonGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetEnhancedCareSBGPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetWholecarePurecareHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldPromiseMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCareDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageTrioHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | — | — | 2025-01-31 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $1.00 | $11.38 | $5.69 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageCommercialDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Alignment Health Plan | AlignmentHealthPlanMedicare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Corvel | CorvelWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Imperial Health Plan | ImperialHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | CentralHealthPlanofCaliforniaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $1.00 | $11.38 | $5.69 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldofCA | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | BrandNewDayMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Naval Medical Center | NavalMedicalCenter | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Live Well | LiveWellIPAAncillary | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | SIHO PPO - ALL OTHER PLANS | SIHO PPO - ALL OTHER PLANS | $1.27 | $1.59 | $1.19 | 2026-07-31 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $1.34 | $1.59 | $1.19 | 2026-07-31 | MRF ↗ |
| UPMC EAST InpatientFacility | UPMC Work Partners | Workers Comp | $1.55 | $13.00 | $7.80 | 2026-03-06 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | MHS MCAID - ALL PLANS | MHS MCAID - ALL PLANS | $1.59 | $1.59 | $1.19 | 2026-07-31 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $1.74 | — | — | 2026-03-31 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.78 | $482.37 | $458.26 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.78 | $482.37 | $458.26 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.78 | $482.37 | $458.26 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.83 | $482.37 | $458.26 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.88 | $482.37 | $458.26 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.93 | $482.37 | $458.26 | 2026-02-20 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $2.00 | $11.38 | $5.69 | 2024-12-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $4,520.82 | $2,938.53 | 2026-06-15 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $2.23 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $2.23 | — | — | 2025-12-23 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $2.26 | — | — | 2026-01-29 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | UPMC Work Partners | Workers Comp | $2.29 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.36 | $482.37 | $458.26 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.36 | $482.37 | $458.26 | 2026-02-20 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | AMBETTER EXH-ALL PLANS | AMBETTER EXH-ALL PLANS | $2.39 | $1.59 | $1.19 | 2026-07-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.41 | $482.37 | $458.26 | 2026-02-20 | MRF ↗ |
| UPMC Shadyside InpatientFacility | UPMC Work Partners | Workers Comp | $2.43 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Neighborhood Network | $2.51 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.51 | $482.37 | $458.26 | 2026-02-20 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Neighborhood Network | $2.51 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.60 | $482.37 | $458.26 | 2026-02-20 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $2.64 | — | — | 2026-05-13 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $2.64 | — | — | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $2.64 | — | — | 2026-07-15 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | Multiplan | Worker's Compensation | $2.66 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Home Depot Employer Group | $2.74 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | Home Depot Employer Group | $2.74 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | Neighborhood Network | $2.75 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | Neighborhood Network | $2.75 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | NBR ASO/FI | $2.79 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Aetna | NBR ASO/FI | $2.79 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| UPMC Shadyside InpatientFacility | Multiplan | Worker's Compensation | $2.83 | $7.00 | $4.20 | 2026-03-06 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Managed Medicaid | $2.84 | $12.00 | $12.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Unicare Health Plan Of West Virginia Inc. | Managed Medicaid | $2.84 | $12.00 | $12.00 | 2026-10-22 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $2.91 | $9.70 | $5.63 | 2026-02-28 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Triwest Va | Medicare Advantage | $2.91 | $12.00 | $12.00 | 2026-10-22 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $2.91 | $9.70 | $5.63 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STAR | $2.98 | $49.66 | $49.66 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHPFC | $2.98 | $49.66 | $49.66 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARKids | $2.98 | $49.66 | $49.66 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | CHIP | $2.98 | $49.66 | $49.66 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Superior Health Plan | STARPLUS | $2.98 | $49.66 | $49.66 | 2026-03-01 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Health_First_Health | HMO_PPO | $3.00 | $11.38 | $5.69 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Centivo | PPO | $3.00 | $11.38 | $5.69 | 2024-12-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Optimum Choice Inc. | Va Community Care Network | $3.00 | $12.00 | $12.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Highmark Blue Cross Blue Shield West Virginia | Medicare Advantage | $3.00 | $12.00 | $12.00 | 2026-10-22 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | AMPS | PPO | $3.00 | $11.38 | $5.69 | 2024-12-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Choicecare Network | Medicare Advantage Ppo+ | $3.00 | $12.00 | $12.00 | 2026-10-22 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Cigna_HealthCare | HMO_PPO | — | $11.38 | $5.69 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | United_HealthCare | Medicaid | — | $11.38 | $5.69 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Aetna | Better_Health_Medicaid | — | $11.38 | $5.69 | 2024-12-15 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | Home Depot Employer Group | $3.00 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | WPPA | PPO | $3.00 | $11.38 | $5.69 | 2024-12-15 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | Home Depot Employer Group | $3.00 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Aetna | QHP_Exchange | $3.00 | $11.38 | $5.69 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Sunflower_State_Health_Plan | Medicaid | — | $11.38 | $5.69 | 2024-12-15 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Better Health Of West Virginia | Chip | $3.02 | $12.00 | $12.00 | 2026-10-22 | MRF ↗ |
| UPMC MERCY InpatientFacility | Cigna | New Business ASO | $3.06 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | NBR ASO/FI | $3.06 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Cigna | New Business ASO | $3.06 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | NBR ASO/FI | $3.06 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | United Healthcare | Medicare Advantage | $3.09 | $12.00 | $12.00 | 2026-10-22 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Work Partners | Workers Comp | $3.13 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | UPMC Work Partners | Workers Comp | $3.13 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | West Virginia Senior Advantage Inc. | Medicare Advantage | $3.15 | $12.00 | $12.00 | 2026-10-22 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | The Health Plan Of West Virginia Inc. | Medicare Advantage | $3.15 | $12.00 | $12.00 | 2026-10-22 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Bravo | Medicare | $3.15 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY OutpatientFacility | Bravo | Medicare | $3.15 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Choicecare Network | Medicare Advantage | $3.15 | $12.00 | $12.00 | 2026-10-22 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $3.21 | $9.70 | $5.63 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $3.21 | $9.70 | $5.63 | 2026-02-28 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health ICHN Brightpath | PPO | $3.22 | $10.62 | $10.62 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | HIX | $3.22 | $10.62 | $10.62 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health | PPO | $3.22 | $10.62 | $10.62 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $3.25 | $76.00 | $76.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $3.25 | $76.00 | $76.00 | 2026-04-30 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Aetna | Neighborhood Network | $3.28 | $13.00 | $7.80 | 2026-03-06 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Medicaid | $3.30 | — | — | 2026-05-08 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Community & State (Tenncare) | $3.30 | — | — | 2026-07-15 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Humana | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $3.31 | $76.00 | $76.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $3.31 | $76.00 | $76.00 | 2026-04-30 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $3.33 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $3.33 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $3.33 | — | — | 2026-03-01 | MRF ↗ |
| UPMC MERCY InpatientFacility | UPMC Work Partners | Workers Comp | $3.33 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $3.36 | $84.00 | $84.00 | 2026-06-24 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | UPMC Work Partners | Workers Comp | $3.36 | $13.00 | $7.80 | 2026-03-06 | MRF ↗ |
| CHARLESTON AREA MEDICAL CENTER Both | Aetna Health Inc. | Medicare Advantage | $3.36 | $12.00 | $12.00 | 2026-10-22 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $3.37 | $9.70 | $5.63 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $3.37 | $9.70 | $5.63 | 2026-02-28 | MRF ↗ |
| UPMC ST MARGARET InpatientFacility | Aetna | Neighborhood Network | $3.39 | $13.00 | $7.80 | 2026-03-06 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Select Health Idaho (EIRMC only) | SelectMed | $3.39 | $10.62 | $10.62 | 2026-03-01 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | EBR FI | $3.42 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| UPMC MERCY InpatientFacility | Aetna | EBR FI | $3.42 | $9.00 | $5.40 | 2026-03-06 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $3.50 | $9.70 | $5.63 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $3.50 | $9.70 | $5.63 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $3.50 | $9.70 | $5.63 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $3.50 | $9.70 | $5.63 | 2026-02-28 | MRF ↗ |
| UPMC ST MARGARET OutpatientFacility | Aetna | Home Depot Employer Group | $3.56 | $13.00 | $7.80 | 2026-03-06 | MRF ↗ |
| UPMC ST MARGARET InpatientFacility | UPMC Work Partners | Workers Comp | $3.57 | $13.00 | $7.80 | 2026-03-06 | 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.