J2787 — Riboflavin 5'phos Opth<=3ml
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RIBOFLAVIN 5'PHOS OPTH<=3ML (HCPCS J2787) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J2787?code_type=HCPCS
MLA (9th ed.)
“RIBOFLAVIN 5'PHOS OPTH<=3ML (HCPCS J2787) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J2787?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“RIBOFLAVIN 5'PHOS OPTH<=3ML (HCPCS J2787) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J2787?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,395–$6,580 (25th–75th percentile) across 1,068 hospitals · 938 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J2787 — 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
$2,395
$4,090 typical
$6,580
The middle 50% of negotiated facility rates for this procedure, measured across 1,068 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $4,090 |
| Likely subtotal | $4,090 |
Facility charge (no separate professional fee)
$4,090
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 $2,395–$6,580.
- 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 |
|---|---|---|---|---|---|---|---|
| M Health Fairview Bethesda Hospital InpatientFacility | Sanford Health Plan | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | First Health | First Health | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Optum | Behavioral Commercial | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | UCare | Individual and Family with M Health Fairview | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital OutpatientFacility | UCare | PMAP | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | UCare | Medicare Advantage/MSHO | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Emblem | Emblem Leased Network | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | United Healthcare | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Primewest | MSHO | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | WellCare | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Blue Cross of Minnesota | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Cdphp | Cdphp Medicare | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Health Partners | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | South Country Health Alliance | PMAP | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Itasca Medical Care | Medicare Advantage/MSHO | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Hennepin Health | PMAP | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Primewest | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Consolidated Health | Consolidated Health | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Optum | Behavioral Medicare | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | UCare | Individual and Family | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | South Country Health Alliance | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Optum | Behavioral Medicaid | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Itasca Medical Care | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Security Health Plan | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M Health Fairview Bethesda Hospital InpatientFacility | Medica | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| WESTCHESTER MEDICAL CENTER Outpatient | Phcs | Phcs | — | $0.01 | — | 2026-07-15 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | UCare | Individual and Family with M Health Fairview | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Blue Cross of Minnesota | Medicare Advantage | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Primewest | MSHO | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Blue Cross of Minnesota | National Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Health Partners | Federal | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Itasca Medical Care | Medicare Advantage/MSHO | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Health Partners | Cigna Commercial | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Primewest | Managed Medicaid | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Health Partners | Medicare Cost | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Medica | Bold | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Medica | MSHO/Medicare Advantage SNP | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Health Partners | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Itasca Medical Care | Medicare Advantage/MSHO | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | United Healthcare | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Hennepin Health | Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | UCare | Individual and Family | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Humana | Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Itasca Medical Care | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Primewest | MSHO | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Medica | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Blue Cross of Minnesota | PMAP | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Cigna | LifeSource Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Security Health Plan | Medicare Advantage | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Optum | Behavioral Medicaid | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Interlink | Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | South Country Health Alliance | PMAP | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Health Partners | PMAP | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Medica | City of St. Paul/Essential | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | South Country Health Alliance | Medicare Advantage | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | WellCare | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Medica | AccessAbility | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Medica | Vantage Self Insured | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Optum | Behavioral Medicaid | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | UCare | Individual and Family Plans | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Optum | Behavioral Commercial | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | UCare | PMAP | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Health Partners | Cigna Great West | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Emerging Therapies | Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Optum | Behavioral Commercial | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Medica | Choice | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | UCare | Government Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Optum | Behavioral Medicare | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Health Partners | Commercial | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | UCare | Commercial Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | UCare | Medicare Advantage/MSHO | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Primewest | Managed Medicaid | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Security Health Plan | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Sanford Health Plan | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Medica | MSHO-Dual/Medicare Advantage SNP | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Blue Cross of Minnesota | Aware Federal | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Blue Cross of Minnesota | Medicare Advantage | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Health Partners | Commercial Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Sanford Health Plan | Medicare Advantage | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Optum | Medicaid Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Blue Cross of Minnesota | Aware Federal | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Health Partners | Medicare Advantage | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Medica | Individual and Family Business Except ACO | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Itasca Medical Care | Managed Medicaid | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Optum | Medicare Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | WellCare | Medicare Advantage | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Aetna | Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Health Partners | Medicaid Transplant | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | UCare | Medicare Advantage/MSHO | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Medica | Medicare Advantage Non-SNP | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES InpatientFacility | Blue Cross of Minnesota | PMAP | — | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Medica | Managed Medicaid/AccessAbility | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Hennepin Health | PMAP | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Medica | Medicare Advantage Non-SNP | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | UCare | PMAP | — | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE BLUE SHIELD [2002] | BLUE SHIELD OF CA PPO AND BARIATRIC | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER InpatientFacility | Sanford Health Plan | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Commercial | $0.03 | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA HMO | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Optum | Commercial Transplant | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | United Healthcare | Core | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL InpatientFacility | America's PPO | Health EZ | $0.03 | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | America's PPO | Health EZ | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Sanford Health Plan | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP COMMUNITY MED GRP [1078] | SHARP HEALTH CARE | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | KAISER [1046] | KAISER | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ETS - LIFETRAC NETWORK [1103] | LIFETRAC | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | TRI-CITY [1085] | TRI-CITY [10850001] | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | America's PPO | EZCare | $0.03 | $0.05 | $0.03 | 2026-01-29 | 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) | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | America's PPO | EZCare | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | America's PPO | EZCare | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | America's PPO | Health EZ | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL InpatientFacility | America's PPO | Health EZ | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | United Healthcare | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | UCare | Individual and Family with M Health Fairview | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | America's PPO | Health EZ | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | America's PPO | EZCare | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | GLOBAL EXCEL [1036] | GLOBAL EXCEL | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES InpatientFacility | America's PPO | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE CIGNA [1006] | CIGNA HMO | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | UCare | Individual and Family | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | Sanford Health Plan | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | United Healthcare | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | United Healthcare | Core | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | America's PPO | EZCare | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | America's PPO | Health EZ | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES InpatientFacility | America's PPO | Health EZ | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL InpatientFacility | Sanford Health Plan | Commercial | $0.03 | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Cigna | LifeSource Transplant | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | United Healthcare | Core | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | United Healthcare | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | Sanford Health Plan | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | United Healthcare | Core | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA PPO | $0.03 | $0.05 | $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 | $0.05 | $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) | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | NATIONAL HEALTHCARE SOLUTIONS INC [1100] | NATIONAL HEALTHCARE SOLUTIONS INC [11000001] | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES InpatientFacility | America's PPO | EZCare | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | United Healthcare | Core | $0.03 | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL InpatientFacility | America's PPO | EZCare | $0.03 | $0.05 | $0.03 | 2026-01-29 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | Federal | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SHARP REES STEALY [1080] | SHARP HEALTH CARE | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET [1039] | HEALTH NET COMMERCIAL | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | UCare | Individual and Family with M Health Fairview | $0.03 | $0.05 | $0.02 | 2025-02-10 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | America's PPO | EZCare | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | America's PPO | Health EZ | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | America's PPO | EZCare | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH NET [1039] | HEALTH NET BEHAVIORAL HEALTH COMMERCIAL (FKA:MANAGED HEALTH NETWORK,INC) | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | America's PPO | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | Cigna Commercial | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | United Healthcare | Core | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL InpatientFacility | Sanford Health Plan | Commercial | $0.03 | $0.05 | $0.03 | 2026-01-28 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Emerging Therapies | Transplant | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | America's PPO | EZCare | $0.03 | $0.05 | $0.02 | 2025-02-10 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | UCare | Individual and Family Plans | $0.03 | $0.05 | $0.03 | 2026-01-28 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | America's PPO | Health EZ | $0.03 | $0.05 | $0.02 | 2025-02-10 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SAN DIEGO COUNTY [1071] | CMS ADULT TB SERVICES | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA LIFESOURCE TRANSPLANT [1117] | CIGNA LIFESOURCE TRANSPLANT [11170001] | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | UCare | Individual and Family with M Health Fairview | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MGM RESORTS [1053] | MGM RESORT | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL InpatientFacility | America's PPO | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA LIFESOURCE TRANSPLANT [1117] | CIGNA LIFESOURCE | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | UCare | Individual and Family with M Health Fairview | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CASSIDY MED GRP [1019] | PRIMARY CARE ASSOCIATES MEDICAL GROUP | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | Health Partners | Commercial | $0.03 | $0.05 | $0.02 | 2025-02-10 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL InpatientFacility | America's PPO | Health EZ | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL InpatientFacility | America's PPO | EZCare | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | AXA ASSISTANCE [1098] | AXA ASSISTANCE USA,INC | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | UCare | Individual and Family | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC OutpatientFacility | UCare | Individual and Family | $0.03 | $0.05 | $0.02 | 2025-02-10 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | United Healthcare | Commercial | $0.03 | $0.05 | $0.03 | 2026-01-28 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE HEALTH NET BH [2059] | HEALTH NET COMMERCIAL | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE SHERIFF CUSTODY [1106] | SHERIFF COUNTY CONTRACT # 514250 | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | KUWAIT OIL COMPANY [11010005] | $0.03 | $0.05 | $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 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | UCare | Individual and Family | $0.03 | $0.05 | $0.03 | 2026-02-06 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | UCare | Individual and Family | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ARCH HEALTH PARTNERS [2000] | ARCH HEALTH PARTNERS [20000001] | $0.03 | $0.05 | $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 | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | United Healthcare | Commercial | $0.03 | $0.05 | $0.03 | 2026-02-05 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SAN DIEGO COUNTY SHERIFF CUSTODY [2012] | SHERIFF COUNTY CONTRACT # 514250 | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | VANTAGE [1092] | PROSPECT VANTAGE COMMERCIAL [10920001] | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | GRAYBILL MED GRP [1037] | SHARP HEALTH CARE | $0.03 | $0.05 | $0.03 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CIGNA [1023] | CIGNA LIFESOURCE [10230006] | $0.03 | $0.05 | $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 | $0.03 | $0.05 | $0.03 | 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.