J2507 — Pegloticase 8 Mg/ml Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION (HCPCS J2507) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J2507?code_type=HCPCS
MLA (9th ed.)
“PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION (HCPCS J2507) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J2507?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PEGLOTICASE 8 MG/ML INTRAVENOUS SOLUTION (HCPCS J2507) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J2507?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,825–$51,711 (25th–75th percentile) across 1,817 hospitals · 4,066 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J2507 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$3,825
$9,188 typical
$51,711
The middle 50% of negotiated facility rates for this procedure, measured across 1,817 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $9,188 |
| Likely subtotal | $9,188 |
Facility charge (no separate professional fee)
$9,188
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $3,825–$51,711.
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $64,638.66 | $54,942.86 | 2025-01-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP HEALTH PLAN [1079] | SHARP HEALTH PLAN | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | INTERLINK HEALTH SERVICES TRANSPLANT [1124] | INTERLINK HEALTH SERVICES INC | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA BEHAVIORAL EATING DISORDER | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE UNITED HEALTHCARE [1008] | OPTUM HEALTHCARE SOLUTIONS | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE AETNA [1004] | AETNA | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE HEALTH NET BH [2059] | HEALTH NET COMMERCIAL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | USOC - US OLYMPIC COMMITTEE [1123] | USOC VIK (BSC UC CARE) | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE HEALTHNET [1007] | HEALTH NET COMMERCIAL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | GLOBAL EXCEL [1036] | GLOBAL EXCEL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD [1014] | BLUE SHIELD OF CALIFORNIA UC CARE / HSP | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD [1014] | BLUE SHIELD OF CA EPN/IFP | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET [1039] | HEALTH NET COMMERCIAL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE CIGNA [1006] | CIGNA HMO | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA HMO | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | EVERNORTH (FKA CIGNA) BEHAVIORAL AND EATING DISORDER TREATMENT | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ETS - LIFETRAC NETWORK [1103] | LIFETRAC | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA [1003] | AETNA | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AETNA TRANSPLANTS [1112] | AETNA | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTHNET TRANSPLANTS [1114] | HEALTH NET COMMERCIAL | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MULTICULTURAL MED GRP [1057] | MULTICULTURAL MED GRP [10570001] | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | INTERLINK HEALTH TRANSPLANT [2085] | INTERLINK HEALTH SERVICES INC | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA PPO | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OPTUM TRANSPLANT [1118] | OPTUM HEALTHCARE SOLUTIONS | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE CIGNA [1006] | EVERNORTH (FKA CIGNA) BEHAVIORAL AND EATING DISORDER TREATMENT | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UNITED HEALTHCARE [1088] | OPTUM HEALTHCARE SOLUTIONS | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SAN DIEGO COUNTY [1071] | CMH - COUNTY MENTAL HEALTH [10710005] | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OLYMPUS MANAGED HEALTHCARE INC [1102] | AETNA | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SAN DIEGO COUNTY [1071] | CMS ADULT TB SERVICES | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OLYMPUS MANAGED HEALTHCARE INC [1102] | OLYMPUS MANAGED HEALTHCARE INC [11020001] | $0.03 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | KUWAIT OIL COMPANY [11010005] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA LIFESOURCE TRANSPLANT [1117] | CIGNA LIFESOURCE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | INTERPLAN [1045] | INTERPLAN | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PACIFIC FOUNDATION [1063] | PACIFIC FOUNDATION FOR MEDICAL CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA LIFESOURCE TRANSPLANT [1117] | CIGNA LIFESOURCE TRANSPLANT [11170001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD TRANSPLANTS [1113] | BLUE SHIELD OF CA PPO AND BARIATRIC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE BLUE SHIELD [2002] | BLUE SHIELD OF CA PPO AND BARIATRIC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | NATIONAL HEALTHCARE SOLUTIONS INC [1100] | NATIONAL HEALTHCARE SOLUTIONS INC [11000001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET [1039] | HEALTH NET BEHAVIORAL HEALTH COMMERCIAL (FKA:MANAGED HEALTH NETWORK,INC) | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SCRIPPS COASTAL MED GRP [1074] | SCRIPPS COASTAL MED GRP [10740001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CMN - CANADIAN MEDICAL NETWORK [1024] | CMN GLOBAL INC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | EMBASSY OF STATE OF KUWAIT [11010001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SAN DIEGO COUNTY SHERIFF CUSTODY [2012] | SHERIFF COUNTY CONTRACT # 514250 | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MGM RESORTS [1053] | MGM RESORT | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UNITED HEALTHCARE [1088] | US BEHAVIORAL MENTAL/EATING DISORDER | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | VANTAGE [1092] | PROSPECT VANTAGE COMMERCIAL [10920001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | KAISER [1046] | KAISER | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE SHERIFF CUSTODY [1106] | SHERIFF COUNTY CONTRACT # 514250 | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SD PHYSICIANS MED GRP [1076] | SD PHYSICIANS MED GRP [10760001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP COMMUNITY MED GRP [1078] | SHARP HEALTH CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OPTUM CARE NETWORK - PCAMG [1064] | PRIMARY CARE ASSOCIATES MEDICAL GROUP | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP REES STEALY [1080] | SHARP HEALTH CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OPTUM CARE NETWORK - PRIMECARE MED GRP [1065] | PRIMECARE MEDICAL NETWORK | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET BH (MHN) [1038] | HEALTH NET BEHAVIORAL HEALTH COMMERCIAL (FKA:MANAGED HEALTH NETWORK,INC) | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP HEALTH PLAN [1079] | SHARP HEALTH CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE BLUE CROSS [1005] | ANTHEM BLUE CROSS | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET BH (MHN) [2010] | HEALTH NET BEHAVIORAL HEALTH COMMERCIAL (FKA:MANAGED HEALTH NETWORK,INC) | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | TRI-CITY [1085] | TRI-CITY [10850001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CMS - COUNTY MEDICAL SERVICES [1025] | SHERIFF COUNTY CONTRACT # 514250 | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | KAISER [1046] | KAISER MEDICARE ADVANTAGE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA LIFESOURCE [10230006] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA LIFESOURCE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CASSIDY MED GRP [1019] | PRIMARY CARE ASSOCIATES MEDICAL GROUP | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AXA ASSISTANCE [1098] | AXA ASSISTANCE USA,INC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | QUALITY HEALTH [1069] | QUALITY HEALTH MANAGEMENT | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | INTERNATIONAL EMBASSY OF KUWAIT | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MERCY PHYSICIANS MED GRP [1052] | MERCY PHYSICIANS MED GRP [10520001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | GRAYBILL MED GRP [1037] | SHARP HEALTH CARE | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | ROYAL EMBASSY | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ARCH HEALTH PARTNERS [2000] | ARCH HEALTH PARTNERS [20000001] | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD [1014] | BLUE SHIELD OF CA PPO AND BARIATRIC | $0.04 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MULTIPLAN [1058] | MULTIPLAN | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | FIRST HEALTH [1032] | FIRST HEALTH | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HUMANA [1042] | HUMANA COMMERCIAL | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PRIVATE HEALTHCARE SYSTEMS [1067] | PRIVATE HEALTHCARE SYSTEM | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE HUMANA [1120] | HUMANA COMMERCIAL | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BEECH STREET [1012] | CAPPCARE/BEECH STREET | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ADMAR [1001] | MULTIPLAN | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SCRIPPS CLINIC [1073] | SCRIPPS CLINIC HEALTH PLAN SERVICES | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SCRIPPS HEALTH PLAN SERVICES [1075] | SCRIPPS CLINIC HEALTH PLAN SERVICES | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CARNIVAL CRUISES [1018] | CARNIVAL CRUISES [10180001] | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BPS - BENEFIT PLAN SERVICES [1015] | MULTIPLAN | $0.05 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE KAISER RAD ONC [2089] | KAISER RAD ONC | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PRIVATE HEALTHCARE SYSTEMS [1067] | KAISER RAD ONC | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CHARGERS FOOTBALL COMPANY [1109] | CHARGER FOOTBALL COMPANY [11090001] | $0.06 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP HEALTHCARE TRANSPLANT [1119] | SHARP HEALTHCARE TRANSPLANT [11190001] | $0.08 | $0.06 | $0.03 | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $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 ↗ |
| 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 | $20,958.89 | — | 2026-07-01 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Medicare Advantage | Hmo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medcost | Ppo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Medicare Advantage | Hmo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Humana Commercial | Ppo | $0.92 | $1.00 | $1.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Wellcare Medicaid | Hmo | $0.92 | $1.00 | $1.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Commercial Choice | Ppo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bluechoice Blueoption Hix | Ppo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Molina Healthcare Of Sc Qhp | Hmo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Prime Health Services | Wc | $0.92 | $1.00 | $1.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bardavon Health Innovations, Llc | Wc | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicare Advantage | Hmo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Upmc Medicare Advantage | Hmo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Medicare Advantage | Hmo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Essentials Hix | Hmo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Medicare Advantage | Hmo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Allwell Medicare Advantage | Hmo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Aetna Commerical | Ppo | $0.92 | $1.00 | $1.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Absolute Total Care Hix | Hmo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Select Health Of Sc Qhp | Hmo | — | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Cigna Commerical | Ppo | $0.94 | $1.00 | $1.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Galaxy Health Network | Ppo | $0.97 | $1.00 | $1.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Multiplan Commercial | Ppo | $0.97 | $1.00 | $1.00 | 2026-09-21 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Cal Medi-Connect | $1.00 | $80,855.02 | $60,641.27 | 2026-04-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | $1.00 | $80,855.02 | $60,641.27 | 2026-04-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Indian Health Council | Indian Health Council | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Standard | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Commercial | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - Medicare | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medicare | Medicare | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | County Medical Services | County of San Diego | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Cal Medi-Connect | $1.00 | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | $1.00 | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Allianz Global Assistance | AZGA Services Canada | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | — | $80,855.02 | $60,641.27 | 2025-07-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $2,213.49 | $1,438.77 | 2026-06-15 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| METHODIST HOSPITALS INC Outpatient | Bcbsil | Hmo And Ppo Contracted Plans | $3.61 | $80,110.64 | $56,077.45 | 2026-08-31 | MRF ↗ |
| METHODIST HOSPITALS INC Outpatient | Bcbsil | Hmo And Ppo Contracted Plans | $3.61 | $80,110.64 | $56,077.45 | 2026-10-01 | MRF ↗ |
| METHODIST HOSPITALS INC Outpatient | Bcbsil | Hmo And Ppo Contracted Plans | $3.61 | $80,110.64 | $56,077.45 | 2026-08-24 | MRF ↗ |
| METHODIST HOSPITALS INC Outpatient | Bcbsil | Hmo And Ppo Contracted Plans | $3.61 | $80,110.64 | $56,077.45 | 2026-07-15 | MRF ↗ |
| METHODIST HOSPITALS INC Outpatient | Bcbsil | Hmo And Ppo Contracted Plans | $3.61 | $80,110.64 | $56,077.45 | 2026-07-15 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| GOODLAND REGIONAL MEDICAL CENTER Inpatient | WPPA | Commercial | $6.80 | $8.00 | $7.20 | 2026-03-27 | MRF ↗ |
| GOODLAND REGIONAL MEDICAL CENTER Inpatient | UHC | Commercial | $7.20 | $8.00 | $7.20 | 2026-03-27 | MRF ↗ |
| GOODLAND REGIONAL MEDICAL CENTER Outpatient | WPPA | Commercial | $7.20 | $8.00 | $7.20 | 2026-03-27 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $71,565.97 | $27,910.73 | 2026-07-31 | 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.