J2760 — Phentolamine 5 Mg Injection Solution
Cite this view
HANK Price Transparency. (n.d.). PHENTOLAMINE 5 MG INJECTION SOLUTION (CPT J2760) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J2760?code_type=CPT
“PHENTOLAMINE 5 MG INJECTION SOLUTION (CPT J2760) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J2760?code_type=CPT. Accessed .
“PHENTOLAMINE 5 MG INJECTION SOLUTION (CPT J2760) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J2760?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $437–$1,310 (25th–75th percentile) across 2,265 hospitals · 8,034 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J2760 — 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 2,265 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $735 |
| Likely subtotal | $735 |
- 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,352.04 | $1,149.23 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,352.04 | $1,149.23 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,352.04 | $743.62 | 2025-01-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $5,701.38 | $570.14 | 2026-04-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $5,701.38 | $570.14 | 2026-06-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $779.46 | $389.73 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $779.46 | $389.73 | 2024-12-15 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | None | — | — | $5,701.38 | $570.14 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $6,938.88 | $4,510.27 | 2025-11-26 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PHP | Commercial | — | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna All Programs | Commercial | $0.42 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna I-35 NN | Commercial | — | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Celtic/Ambetter | Commercial | — | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare National Hospital | PPO | — | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna SureFit, Local Plus | Commercial | $0.76 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare National Hospital | PPO | $0.82 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $0.85 | $2.00 | $1.60 | 2025-12-16 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna HIX | Commercial | $0.98 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PAR | Commercial | $0.98 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina Medi-Cal | $1.00 | $2,934.90 | $2,201.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | $1.00 | $2,934.90 | $2,201.17 | 2026-04-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CAHealthandWellnessMgdMCaid | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCaid | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCareDOHC | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldPromiseMgdMCaid | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | Covered | — | $1,478.57 | $1,212.43 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetEnhancedCareSBGPPO | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | California Physicians' Service dba Blue Shield of California | HMO | — | $1,478.57 | $1,212.43 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedChoicePlus | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldHIX | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Morongo Basin Community Health | MorongoBasinCommunityHealth | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetWholecarePurecareHIX | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCaid | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $1.00 | $2.00 | $1.60 | 2025-12-16 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldofCA | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetCommercial | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | BrandNewDayMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Inpatient | Health Net of California, Inc. | HMO | — | $1,478.57 | $1,212.43 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdComm | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Alignment Health Plan | AlignmentHealthPlanMedicare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPHIX | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Both | SCAN | Medicare Advantage | — | $1,478.57 | $1,212.43 | 2025-11-26 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $1.00 | $2.00 | $1.60 | 2025-12-16 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesWC | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageTrioHIXDOHC | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Scan | SCANMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Imperial Health Plan | ImperialHealthPlanMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedBehavioral | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedOptions | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMediCal | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaGatekeeper | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Naval Medical Center | NavalMedicalCenter | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedHealthcareHMO | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageCommercialDOHC | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $6,938.88 | $4,510.27 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Corvel | CorvelWC | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaNonGatekeeper | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,938.88 | $4,510.27 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Affiliated Health Fund | AffiliatedHealthFundAHF | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCaidDOHC | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldReciprocity | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCareMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | CentralHealthPlanofCaliforniaMgdMCare | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageHIXDOHC | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetMgdMCaid | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Central California Alliance For Health | CentralCAAllianceMediCal | — | $5,851.00 | $4,388.25 | 2025-01-31 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $1.07 | — | — | 2026-03-04 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield PHP | Commercial | $1.11 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | Aetna - PPO | $1.12 | $2,934.90 | $2,201.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | $1.15 | $4,044.20 | $3,033.15 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | $1.30 | $2,934.90 | $2,201.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | $1.30 | $2,934.90 | $2,201.17 | 2026-04-01 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Celtic/Ambetter | Commercial | $1.33 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.44 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare National Hospital | Commercial | $1.44 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.44 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.44 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $1,836.20 | $1,836.20 | 2026-04-01 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Blue Access | Commercial | $1.46 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield BC | Commercial | $1.46 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.48 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medcost | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Absolute Total Care Hix | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Upmc Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Essentials Hix | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bardavon Health Innovations, Llc | Wc | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bluechoice Blueoption Hix | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bluechoice Blueoption Hix | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Select Health Of Sc Qhp | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Upmc Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Allwell Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Commercial Choice | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Molina Healthcare Of Sc Qhp | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Allwell Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Select Health Of Sc Qhp | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bardavon Health Innovations, Llc | Wc | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medcost | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Essentials Hix | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Molina Healthcare Of Sc Qhp | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Absolute Total Care Hix | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Commercial Choice | Ppo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Medicare Advantage | Hmo | — | $1,643.00 | $1,068.00 | 2026-05-22 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.52 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield FN | Commercial | $1.53 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.55 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Humana | PPO | $1.56 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Oscar | Commercial | $1.63 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield Blue Access | Commercial | $1.76 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | IVL/Carelink | Commercial | $1.76 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PC | Commercial | $1.76 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield FNS | Commercial | $1.76 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield BC | Commercial | $1.76 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PCB | Commercial | $1.79 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $1.84 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $1.84 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.86 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.86 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.87 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.87 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $1.88 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.90 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.90 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.90 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.90 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Humana | HMO | $1.93 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.94 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna I-35 NN | Commercial | $1.96 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.98 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $2.01 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.02 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $2.03 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.10 | $388.50 | $369.08 | 2026-02-20 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $2.10 | $1,384.00 | $1,246.45 | 2026-05-23 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Outpatient | Medica Insurance | Ind | $2.10 | $1,388.00 | $1,388.36 | 2026-05-22 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Outpatient | Medica Insurance | Com | $2.10 | $1,388.00 | $1,388.36 | 2026-05-22 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $2.10 | $1,384.00 | $1,246.45 | 2026-05-13 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Outpatient | Medica Insurance | Com | $2.10 | $1,388.00 | $1,388.36 | 2026-05-13 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $2.10 | $1,384.00 | $1,246.45 | 2026-05-13 | MRF ↗ |
| AVERA ST LUKES Outpatient | Medica Insurance | Ind | $2.10 | $1,388.00 | $1,249.52 | 2026-05-09 | MRF ↗ |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA Outpatient | Medica Insurance | Ind | $2.10 | $1,388.00 | $1,388.36 | 2026-05-13 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Ind | $2.10 | $1,388.00 | $1,346.71 | 2026-05-09 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Com | $2.10 | $1,388.00 | $1,346.71 | 2026-05-09 | MRF ↗ |
| AVERA ST LUKES Outpatient | Medica Insurance | Com | $2.10 | $1,388.00 | $1,249.52 | 2026-05-09 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $2.10 | $1,384.00 | $1,246.45 | 2026-05-23 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.26 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.26 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.34 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.34 | $43.00 | $43.00 | 2026-04-30 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | WPPA Unified Health Plan | Commercial | $2.44 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Local | Commercial | $2.53 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.54 | $47.00 | $47.00 | 2026-05-15 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna NAP | Commercial | $2.71 | $3.25 | $2.28 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Multiplan | Commercial | $2.73 | $3.25 | $2.28 | 2026-04-07 | 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.