J2785 — Regadenoson 0.4 Mg/5 Ml Intravenous Syringe
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE (HCPCS J2785) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J2785?code_type=HCPCS
MLA (9th ed.)
“REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE (HCPCS J2785) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J2785?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“REGADENOSON 0.4 MG/5 ML INTRAVENOUS SYRINGE (HCPCS J2785) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J2785?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $28–$274 (25th–75th percentile) across 2,466 hospitals · 7,203 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J2785 — 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
$76 typical
$274
The middle 50% of negotiated facility rates for this procedure, measured across 2,466 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $76 |
| Likely subtotal | $76 |
Facility charge (no separate professional fee)
$76
- 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 FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $711.27 | $391.20 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $82.80 | $70.38 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $66.14 | $33.07 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $124.20 | $105.57 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $66.14 | $33.07 | 2024-12-15 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,185.45 | $652.00 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $711.27 | $391.20 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1,185.45 | $652.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $711.27 | $391.20 | 2025-01-01 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Peach State | Medicaid|All Plans | $0.05 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.08 | $177.00 | $65.49 | 2026-03-31 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.11 | $28.44 | $27.02 | 2026-02-20 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Employers Health Network | Commercial|All Plans | $0.12 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | United | Commercial|Options | $0.13 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | United | Commercial|Non-Options | $0.13 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Outpatient | United | Commercial|Options | $0.13 | $0.25 | $0.11 | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Outpatient | United | Commercial|Options | $0.13 | $0.25 | $0.11 | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Outpatient | United | Commercial|Non-Options | $0.13 | $0.25 | $0.11 | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Outpatient | United | Commercial|Non-Options | $0.13 | $0.25 | $0.11 | 2026-02-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.14 | $28.44 | $27.02 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.14 | $28.44 | $27.02 | 2026-02-20 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $1,087.58 | $891.82 | 2025-11-26 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Multiplan | Commercial|All Plans | $0.15 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Alliant Health | Commercial|All Plans | $0.16 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Alliant Health | Commercial|All Plans | $0.17 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Humana | Commercial|All Plans | $0.18 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Aetna | Commercial|Gatekeeper | $0.18 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Aetna | Commercial|Non-Gatekeeper | $0.18 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Aetna | Commercial|Gatekeeper | $0.22 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Aetna | Commercial|Non-Gatekeeper | $0.22 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Cigna | Commercial|LocalPlus | $0.25 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Outpatient | Cigna | Commercial|Open Access | $0.25 | $0.25 | $0.11 | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Outpatient | BCBS - TN | Medicaid|BlueCare | $0.25 | $0.25 | $0.11 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | Cigna | Commercial|Open Access | $0.25 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Outpatient | Cigna | Commercial|LocalPlus | $0.25 | $0.25 | $0.11 | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Outpatient | Cigna | Commercial|Open Access | $0.25 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Outpatient | Cigna | Commercial|Open Access | $0.25 | $0.25 | $0.11 | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Outpatient | Cigna | Commercial|LocalPlus | $0.25 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Outpatient | Cigna | Commercial|LocalPlus | $0.25 | $0.25 | $0.11 | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Outpatient | BCBS - TN | Medicaid|BlueCare | $0.25 | $0.25 | $0.08 | 2026-02-28 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Outpatient | BCBS - TN | Medicaid|BlueCare | $0.25 | $0.25 | $0.11 | 2026-02-28 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $3,602.25 | $2,341.46 | 2025-11-26 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $223.00 | $144.95 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $3,602.25 | $2,341.46 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $3,602.25 | $2,341.46 | 2025-11-26 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.31 | $84.90 | $31.41 | 2026-03-31 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $190.00 | $123.50 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $3,842.40 | $2,497.56 | 2025-11-26 | MRF ↗ |
| GOODLAND REGIONAL MEDICAL CENTER Inpatient | WPPA | Commercial | $0.34 | $0.40 | $0.36 | 2026-03-27 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $1,268.00 | $1,039.76 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.35 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.35 | $1.00 | $0.80 | 2025-12-16 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.35 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| GOODLAND REGIONAL MEDICAL CENTER Inpatient | UHC | Commercial | $0.36 | $0.40 | $0.36 | 2026-03-27 | MRF ↗ |
| GOODLAND REGIONAL MEDICAL CENTER Outpatient | WPPA | Commercial | $0.36 | $0.40 | $0.36 | 2026-03-27 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.38 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $3,602.25 | $2,341.46 | 2025-11-26 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $0.42 | $1.00 | $0.80 | 2025-12-16 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.46 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.46 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.46 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.46 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.46 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.48 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.49 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | Medicare Advantage | — | $3,602.25 | $2,341.46 | 2025-11-26 | MRF ↗ |
| COVINGTON COUNTY HOSPITAL CAH Both | Medicaid Mississippi | Default | $0.50 | $1,301.16 | $650.58 | 2025-01-10 | MRF ↗ |
| COVINGTON COUNTY HOSPITAL CAH Both | Magnolia Health Plan MCD Rep | Default | $0.50 | $1,301.16 | $650.58 | 2025-01-10 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $0.50 | $1.00 | $0.80 | 2025-12-16 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | PPO | — | $190.00 | $123.50 | 2025-11-26 | MRF ↗ |
| COVINGTON COUNTY HOSPITAL CAH Both | Molina Healthcare of MS MCD Adv | Default | $0.50 | $1,301.16 | $650.58 | 2025-01-10 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $0.50 | $1.00 | $0.80 | 2025-12-16 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $1,087.58 | $891.82 | 2025-11-26 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.51 | $94.80 | $90.06 | 2026-02-20 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $0.54 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $0.55 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $0.55 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UHC VEBA HMO [164033] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC BRAND NEW DAY GENERIC PAYOR [164031] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF MC HUMANA GENERIC PAYOR [164027] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC AETNA GENERIC PAYOR [164008] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF ANTHEM/XIMED HMO [164022] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF HUMANA/SDSM [164025] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC BRAND NEW DAY HMO [164030] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HUMANA GENERIC PAYOR [164014] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UHC HARMONY HMO [164026] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC SCAN HMO [164035] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC BLUE SHIELD GENERIC PAYOR [164016] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC SCAN GENERIC PAYOR [164034] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC ANTHEM BLUE CROSS HMO [164002] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HEALTHNET HMO [164004] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UHC VEBA GENERIC HMO [164032] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UNITED HEALTHCARE GENERIC PAYOR [164011] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HUMANA HMO [164013] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF BLUE SHIELD SR/SDSM [164037] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC ANTHEM BLUE CROSS GENERIC PAYOR [164009] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF ANTHEM/SDSM HMO [164024] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HEALTHNET GENERIC PAYOR [164010] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UHC ALLIANCE HMO [164020] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC AETNA HMO [164001] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC CIGNA HMO [164003] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC CIGNA GENERIC PAYOR [164007] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HNET BLUE&GOLD ACO [164017] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UNITED HEALTHCARE HMO [164005] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC BLUE SHIELD HMO [164015] | UC MANAGED CARE | $0.56 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.60 | $162.90 | $154.76 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.60 | $162.90 | $154.76 | 2026-02-20 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | ANTHEM | HMO EXCHANGE | $0.60 | $1.00 | $0.80 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $0.63 | $1.00 | $0.80 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $0.63 | $1.00 | $0.80 | 2025-12-16 | MRF ↗ |
| CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | MM | $0.64 | $2.82 | $1.69 | 2026-01-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.65 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.65 | $162.90 | $154.76 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.65 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.65 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | KAISER FOUNDATION HOSPITALS and CENTINELA FREEMAN HEALTHSYSTEM dba DANIEL FREEMAN MARINA HOSPITAL | Medicare Advantage | — | $3,602.25 | $2,341.46 | 2025-11-26 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.65 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.65 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.65 | $3.96 | $0.80 | 2026-02-13 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | Medicare | $0.66 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $3,842.40 | $2,497.56 | 2025-11-26 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $0.66 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | Medicare | $0.66 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $0.67 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $1,087.58 | $891.82 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Medicare | $0.67 | $432.08 | $324.06 | 2026-04-01 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $0.69 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $1,087.58 | $891.82 | 2025-11-26 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $0.69 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER OutpatientFacility | Ambetter | Western Sky HIX | $0.70 | $2.82 | $1.69 | 2026-01-13 | MRF ↗ |
| CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER OutpatientFacility | Western Sky | Centennial Care MM | $0.70 | $2.82 | $1.69 | 2026-01-13 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Blue Cross Blue Shield of Nevada | Anthem PPO | — | — | — | 2025-12-27 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH COMMUNITY PLAN [5034] | CSMC UNITED HEALTH COMMUNITY | — | $7,816.92 | $1,661.73 | 2026-04-01 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Independence Blue Cross | Medicare Advantage | $0.73 | $7.58 | $6.29 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Independence Blue Cross | Medicare Advantage | $0.73 | $7.58 | $6.29 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Independence Blue Cross | Medicare Advantage | $0.73 | $7.58 | $6.29 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Independence Blue Cross | Medicare Advantage | $0.73 | $7.58 | $6.29 | 2026-02-26 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Independence Blue Cross | Medicare Advantage | $0.73 | $7.58 | $6.29 | 2026-02-26 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.75 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | ANTHEM | HMO-PPO-PAR | $0.75 | $1.00 | $0.80 | 2025-12-16 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.75 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.75 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.75 | $3.96 | $0.80 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.75 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.75 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.76 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.76 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.76 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.76 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PADRES [2014] | GLOBAL SPORTS SERVICES PROVIDER ALLIANCE (PADRES) | $0.76 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PADRES WORKERS COMPENSATION [2013] | GLOBAL SPORTS SERVICES PROVIDER ALLIANCE (PADRES) | $0.76 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.78 | $162.90 | $154.76 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.78 | $162.90 | $154.76 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.79 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.79 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.79 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.79 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | EPO | — | $1,087.58 | $891.82 | 2025-11-26 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.79 | $3.96 | $0.80 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.79 | $3.96 | $0.80 | 2026-02-11 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.80 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.80 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.80 | $162.90 | $154.76 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.80 | $162.90 | $154.76 | 2026-02-20 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.80 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Prime Net | Managed Medicare | $0.80 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC LITITZ OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.80 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.80 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.80 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.80 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.80 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.80 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| UPMC PINNACLE HOSPITALS OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.80 | $4.00 | $2.40 | 2026-03-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.80 | $162.90 | $154.76 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.81 | $162.90 | $154.76 | 2026-02-20 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $0.82 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | Medicare | $0.82 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Prime Net | Managed Medicare | $0.82 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| UPMC MEMORIAL OutpatientFacility | Prime Net | Managed Medicare | $0.82 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC CARLISLE OutpatientFacility | Aetna | Medicare | $0.82 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.83 | $162.90 | $154.76 | 2026-02-20 | MRF ↗ |
| CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER OutpatientFacility | Molina | MM | $0.84 | $2.82 | $1.69 | 2026-01-13 | MRF ↗ |
| CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicare Adv MM | $0.84 | $2.82 | $1.69 | 2026-01-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.85 | $162.90 | $154.76 | 2026-02-20 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MA-BEHAVIORAL HEALTH | $0.85 | $2.94 | $2.35 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MEDICARE ADV. | $0.85 | $2.94 | $2.35 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $0.86 | $2.94 | $2.35 | 2026-01-31 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $0.87 | $4.80 | $2.64 | 2026-02-19 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.88 | $162.90 | $154.76 | 2026-02-20 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $190.00 | $123.50 | 2025-11-26 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | HEALTHNET | MEDICARE ADV. | $0.94 | $2.94 | $2.35 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $0.94 | $2.94 | $2.35 | 2026-01-31 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | SALUDPOL Peru Police | $0.94 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD PROMISE [1017] | BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) | $0.94 | $4.70 | $2.59 | 2026-04-01 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.95 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.95 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Keystone Health Plan | Medicare Advantage | $0.95 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| UPMC HANOVER OutpatientFacility | Capital Blue Cross | Medicare Advantage | $0.95 | $5.00 | $3.00 | 2026-03-06 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $0.95 | $2.94 | $2.35 | 2026-01-31 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UCR PROMPT PAY PAYOR [8240] | UCSD CHARITY MEDICARE CONTRACT | $0.95 | $4.70 | $2.59 | 2026-04-01 | 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.