J2323 — Natalizumab 300 Mg/15 Ml Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION (HCPCS J2323) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J2323?code_type=HCPCS
MLA (9th ed.)
“NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION (HCPCS J2323) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J2323?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“NATALIZUMAB 300 MG/15 ML INTRAVENOUS SOLUTION (HCPCS J2323) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J2323?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $28–$15,803 (25th–75th percentile) across 1,869 hospitals · 5,678 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J2323 — 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
$28
$135 typical
$15,803
The middle 50% of negotiated facility rates for this procedure, measured across 1,869 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $135 |
| Likely subtotal | $135 |
Facility charge (no separate professional fee)
$135
- 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 |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $24,628.05 | $13,545.43 | 2025-01-01 | MRF ↗ |
| NOVANT HEALTH THOMASVILLE MEDICAL CENTER OutpatientFacility | Cigna | Commercial | — | — | — | 2026-03-31 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $1,240.33 | $620.17 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $24,628.05 | $20,933.84 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $1,240.33 | $620.17 | 2024-12-15 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Occunet Network | Commercial | $0.05 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Occunet Network | Commercial | $0.05 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Centivo | Commercial | $0.06 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Exclusive | $0.06 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | National | $0.06 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Exclusive Network | $0.06 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Exclusive Network | $0.06 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | Local | $0.06 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Centivo | Commercial | $0.06 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | Local | $0.06 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Exclusive | $0.06 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | National | $0.06 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Non-Exclusive Network | $0.07 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Non-Exclusive | $0.07 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Non-Exclusive | $0.07 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Cigna | Commercial | $0.07 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Cigna | Commercial | $0.07 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Non-Exclusive Network | $0.07 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.09 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.09 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.09 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.09 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.10 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.10 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.10 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.10 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.10 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.10 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $0.11 | $37,092.00 | $33,382.87 | 2026-05-23 | MRF ↗ |
| AVERA ST ANTHONY'S HOSPITAL Outpatient | Medica Insurance | Ind | $0.11 | $30,524.00 | $29,608.86 | 2026-05-09 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Outpatient | Medica Insurance | Com | $0.11 | $37,092.00 | $35,979.32 | 2026-05-09 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Com | $0.11 | $37,092.00 | $35,979.32 | 2026-05-09 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $0.11 | $37,092.00 | $33,382.87 | 2026-05-13 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Ind | $0.11 | $37,092.00 | $35,979.32 | 2026-05-09 | MRF ↗ |
| AVERA ST ANTHONY'S HOSPITAL Outpatient | Medica Insurance | Com | $0.11 | $30,524.00 | $29,608.86 | 2026-05-09 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $0.11 | $37,092.00 | $33,382.87 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $0.11 | $37,092.00 | $33,382.87 | 2026-05-23 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Outpatient | Medica Insurance | Ind | $0.11 | $37,092.00 | $35,979.32 | 2026-05-09 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.12 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.12 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.12 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.12 | $0.15 | $0.04 | 2026-03-06 | MRF ↗ |
| STURDY MEMORIAL HOSPITAL Outpatient | Blue Cross Ri | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | PERSONIFY [541] | HB CC WSA FIRSTCHOICE HEALTHCOMP | $0.20 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | FIRST CHOICE HEALTH ADMIN [1294] | HB CC WSA FIRSTCHOICE HEALTHCOMP | $0.20 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | MAILHANDLERS BENEFIT PLN [547] | HB CC WSA AETNA | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | UMR [596] | HB CC WSA AETNA | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | TRUSTMARK [524] | HB CC WSA AETNA | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | GEHA [531] | HB CC WSA AETNA | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | EMPLOYEE BENE ADMIN MGMT [525] | HB CC WSA AETNA | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | EMPLOYEE BENE ADMIN MGMT [525] | HB CC WSA FIRST CHOICE | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | AETNA [511] | HB CC WSA AETNA | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | MERITAIN [550] | HB CC WSA AETNA | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | ZENITH ADMINISTRATORS [586] | HB CC WSA AETNA | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | NW SHEET METAL WORKERS [597] | HB CC WSA AETNA | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | FIRST CHOICE [528] | HB CC WSA FIRST CHOICE | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | COASTAL ADMINSTRATIVE SERVICES [2269] | HB CC WSA FIRST CHOICE | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | CITY OF PASCO [2247] | HB CC WSA FIRST CHOICE | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| SAMARITAN HOSPITAL OutpatientFacility | BRMS [1270] | HB CC WSA FIRST CHOICE | $0.23 | $0.25 | $0.25 | 2026-05-13 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.26 | $1,567.85 | $1,019.10 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.26 | $1,567.85 | $1,019.10 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $0.26 | $1,567.85 | $1,019.10 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $0.26 | $1,567.85 | $1,019.10 | 2026-03-30 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Empower Healthcare Solutions | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Covenant | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | UHC | MEDICAID | $0.85 | $5.34 | — | 2025-11-10 | MRF ↗ |
| BANNER GATEWAY MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $0.86 | $4.28 | $1.41 | 2026-05-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIDELIS | MEDICAID | $0.88 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON NJ HEALTH | HORIZON NJ HEALTH | $0.90 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH MCD/CHIP | $0.90 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | WELLPOINT | MEDICAID | $0.90 | $5.34 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE PRIME | $0.97 | $5.34 | — | 2025-11-10 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $0.99 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Aetna Health of California, Inc. and Aetna Health Management LLC | Medicare Advantage | — | $23,973.88 | $19,658.58 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $23,973.88 | $19,658.58 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $23,973.88 | $19,658.58 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | Medicare Advantage | — | $23,973.88 | $19,658.58 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Health Net of California, Inc. | HMO | — | $23,973.88 | $19,658.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $68,301.72 | $44,396.12 | 2025-11-26 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $23,973.88 | $19,658.58 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $68,301.72 | $44,396.12 | 2025-11-26 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | HMO/POS | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Cigna | Commercial | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | My Choice | Managed Medicaid | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Blue Priority/Pathway | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Medicare Advantage | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $1.03 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Medicare Advantage | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Medicare Advantage | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Health Partners Open Network | Commercial | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | MeridianCare | Medicare Advantage | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Managed Medicaid | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | PPO | $1.03 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Dean Health Plan | Managed Medicaid | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - Eau Claire | Managed Medicaid | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Health Partners Open Network | Commercial | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Commercial | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Cigna | Commercial | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Commercial | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Managed Medicaid | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | Blue Priority/Pathway | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | MeridianCare | Medicare Advantage | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Prevea 360 | Medicare Advantage | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | United Healthcare | Medicare Advantage | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Prevea 360 | Medicare Advantage | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | PPO | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - Eau Claire | Managed Medicaid | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Humana | Medicare Advantage | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | My Choice | Managed Medicaid | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Humana | Medicare Advantage | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | PPO | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Quartz | HMO | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - South Central WI | Managed Medicaid | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Dean Health Plan | Managed Medicaid | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | GHC - South Central WI | Managed Medicaid | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Quartz | HMO | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | IlliniCare | Medicare Advantage | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Anthem Blue Cross and Blue Shield | HMO/POS | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | IlliniCare | Medicare Advantage | — | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $1.06 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| BANNER GATEWAY MEDICAL CENTER OutpatientFacility | Aetna | Qualified Health Plan | $1.09 | $4.28 | $1.41 | 2026-05-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | GOLDEN MEDICARE | $1.18 | $5.34 | — | 2025-11-10 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $1.19 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE MCR | $1.22 | $5.34 | — | 2025-11-10 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $68,301.72 | $44,396.12 | 2025-11-26 | MRF ↗ |
| TRINITY REGIONAL MEDICAL CENTER OutpatientFacility | Health Partners Open Network | Commercial | $1.24 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.28 | — | — | 2026-04-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1.28 | — | — | 2026-03-18 | MRF ↗ |
| BANNER GATEWAY MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $1.28 | $4.28 | $1.41 | 2026-05-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $1.28 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $1.28 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.28 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $1.28 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.28 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.28 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.28 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $1.28 | — | — | 2026-04-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | QUALIFIED HEALTH PLANS | $1.29 | $5.34 | — | 2025-11-10 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | $1.30 | $621.21 | $465.91 | 2026-04-01 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Cigna | Commercial | $1.34 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Cigna | Commercial | $1.34 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER | $1.34 | $5.34 | — | 2025-11-10 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Security Health Plan | HMO/POS/SAS | $1.39 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Security Health Plan | HMO/POS/SAS | $1.39 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE | $1.39 | $5.34 | — | 2025-11-10 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Quartz | HMO | $1.40 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Quartz | HMO | $1.40 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| BANNER GATEWAY MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $1.44 | $4.28 | $1.41 | 2026-05-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $42,911.63 | $42,911.63 | 2026-04-01 | MRF ↗ |
| TRINITY REGIONAL MEDICAL CENTER OutpatientFacility | Medica Exchange Insure | Commercial | $1.46 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Mercy Care | HMO/POS | $1.49 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Mercy Care | HMO/POS | $1.49 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| BANNER GATEWAY MEDICAL CENTER OutpatientFacility | Hospice of the Valley | Medicare | $1.50 | $4.28 | $1.41 | 2026-05-01 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | HMO/POS | $1.61 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | $1.61 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER InpatientFacility | Aspirus | HMO/POS | $1.61 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Medical Associates Health Plan | HMO/POS/PPO | $1.61 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Health Partners Open Network | Commercial | $1.64 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - MERITER OutpatientFacility | Health Partners Open Network | Commercial | $1.64 | $4.48 | $3.59 | 2026-01-28 | MRF ↗ |
| BANNER GATEWAY MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $1.71 | $4.28 | $1.41 | 2026-05-01 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.72 | $5.34 | — | 2025-11-10 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Medica Exchange Inspire | Commercial | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Health Partners Open Network | Commercial | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Aetna | PPO | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Amerigroup | Managed Medicaid | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | United Healthcare | PPO | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | United Healthcare | HMO | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Amerivantage | Medicare Advantage | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Molina | Medicare Advantage | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Iowa Total Care | Managed Medicaid | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Cigna/Midlands | Commercial | $1.73 | $3.16 | $2.53 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL InpatientFacility | Aetna | HMO | — | $3.16 | $2.53 | 2026-01-28 | 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.