J2802 — Romiplostim 250 Mcg Subcutaneous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION (HCPCS J2802) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J2802?code_type=HCPCS
MLA (9th ed.)
“ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION (HCPCS J2802) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J2802?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ROMIPLOSTIM 250 MCG SUBCUTANEOUS SOLUTION (HCPCS J2802) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J2802?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $24–$7,078 (25th–75th percentile) across 2,006 hospitals · 5,658 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J2802 — 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
$24
$2,850 typical
$7,078
The middle 50% of negotiated facility rates for this procedure, measured across 2,006 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,850 |
| Likely subtotal | $2,850 |
Facility charge (no separate professional fee)
$2,850
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 $24–$7,078.
- 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 |
|---|---|---|---|---|---|---|---|
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-POS | Aetna | — | $146.00 | $80.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-HMO | Aetna | — | $146.00 | $80.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-HMO | Aetna | — | $146.00 | $80.30 | 2026-01-01 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Medigap | Medigap | $0.03 | $0.03 | $0.03 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Emblem Leased Network | Emblem Leased Network | $0.03 | $0.03 | $0.03 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Phcs | Phcs | $0.03 | $0.03 | $0.03 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Non Contracted (100% Poc) | Non Contracted (100 Percent Poc) | $0.03 | $0.03 | $0.03 | 2026-10-16 | MRF ↗ |
| Westchester Medical Center T C Outpatient | Tricare | Tricare | $0.03 | $0.03 | $0.03 | 2026-10-16 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | — | $146.00 | $80.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-POS | Aetna | — | $146.00 | $80.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-Indemnity | Aetna | — | $146.00 | $80.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-Indemnity | Aetna | — | $146.00 | $80.30 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | — | $146.00 | $80.30 | 2026-01-01 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Centivo | Commercial | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Exclusive | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | Local | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | National | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Occunet Network | Commercial | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Centrus Health Direct | Non-Exclusive | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Exclusive Network | $0.04 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Cigna | Commercial | $0.05 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL OutpatientFacility | Wellfit | Non-Exclusive Network | $0.05 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | FN | $0.06 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | QuikTrip | Commercial | $0.06 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PC | $0.06 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | BCBS of KC | PAR | $0.07 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Primary Network | $0.07 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | Aetna | First Health | $0.08 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| NORTH KANSAS CITY HOSPITAL InpatientFacility | MultiPlan | Complementary Network | $0.08 | $0.10 | $0.03 | 2026-03-06 | MRF ↗ |
| ST PETERS HEALTH Outpatient | CIGNA | Allegiance | $0.09 | $0.11 | $0.09 | 2026-03-16 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $0.12 | $57.00 | $11.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $0.12 | $57.00 | $11.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $0.12 | $57.00 | $11.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $0.12 | $57.00 | $11.00 | 2026-07-18 | MRF ↗ |
| LAKELAND REGIONAL MEDICAL CENTER Both | Uhc Hmo | Op | $0.12 | $57.00 | $11.00 | 2026-07-18 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $0.16 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $0.16 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Cigna | NPR | $0.17 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $11,739.00 | $8,334.69 | 2026-07-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $0.17 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $0.17 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $11,739.00 | $8,334.69 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $11,739.00 | $8,334.69 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $10,847.00 | $7,701.37 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $10,847.00 | $7,701.37 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $10,847.00 | $7,701.37 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $11,171.00 | $7,931.41 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $11,171.00 | $7,931.41 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $11,171.00 | $7,931.41 | 2026-07-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $0.17 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $0.18 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $0.18 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $0.18 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $0.18 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Humana Choicecare Plan | Commercial | $0.19 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Multiplan Plan | Commercial | $0.19 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Network Plan | Medicare | $0.20 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.21 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Medicaid Plan | Medicaid | $0.21 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $0.21 | $41.73 | $41.73 | 2026-06-05 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.21 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid New Mexico Plan | Medicaid | $0.21 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Access Medicaid Hmo Plan | Medicaid Hmo | $0.21 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.21 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid Plan | Medicaid | $0.21 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Western Sky Community Care Plan | Commercial | $0.21 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.21 | $0.21 | $0.17 | 2026-09-25 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $0.27 | $41.73 | $41.73 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $0.29 | $41.73 | $41.73 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $0.32 | $41.73 | $41.73 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $0.32 | $41.73 | $41.73 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $0.32 | $41.73 | $41.73 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Aetna | All Commercial Plans | $0.35 | $41.73 | $41.73 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | First Health | PPO | $0.35 | $41.73 | $41.73 | 2026-06-05 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Virginia Health Network | ULTRA | $0.35 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | All Commercial Plans | $0.36 | $41.73 | $41.73 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Connecticare | CBI Other Commercial Plan | $0.36 | $41.73 | $41.73 | 2026-06-05 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | United | OptionsPPO | $0.39 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Coventry | Health Care Workers Comp | $0.41 | $41.73 | $41.73 | 2026-06-05 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Cigna | HMO | $0.42 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Cigna | PPO | $0.42 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | United | GlobalBenefitPlan | $0.45 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Greenvbrier Sporting Club | COMM | $0.60 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $50.10 | — | 2026-07-01 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Virginia Health Network | WC | $0.71 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Virginia Health Network | COMM | $0.71 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | CorVel | WorkersComp | $0.72 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Richfield Nursing Center | COMM | $0.75 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Richfield Retirement Community | COMM | $0.75 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Multiplan | PHCS | $0.77 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | One Health Plan | POS | $0.80 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | One Health Plan | PPO | $0.80 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Community Care Network | COMM | $0.80 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | OccuNet Workers Comp | WorkersComp | $0.80 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Graham-White Manufacturing | COMM | $0.80 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | PHCS | COMM | $0.85 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Patients Choice | COMM | $0.88 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | Star Transportation | COMM | $0.90 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | American Postal Workers Union | COMM | $0.90 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL MONTGOMERY Outpatient | 4Most | COMM | $0.90 | $1.00 | $1.00 | 2026-03-07 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.90 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.93 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.93 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.93 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $122.00 | $91.50 | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $122.00 | $91.50 | 2026-05-20 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $122.00 | $91.50 | 2026-05-20 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $1.00 | $9,111.25 | — | 2026-04-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $122.00 | $91.50 | 2026-09-02 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $1.00 | $9,111.25 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $1.00 | $9,111.25 | — | 2026-04-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $122.00 | $91.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $122.00 | $91.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $122.00 | $91.50 | 2026-09-02 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $1.00 | $9,111.25 | — | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $11,012.08 | $5,506.04 | 2026-07-01 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $122.00 | $91.50 | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $11,012.08 | $5,506.04 | 2026-07-01 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $1.09 | $3,630.37 | $3,448.85 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $11,012.08 | $5,506.04 | 2026-07-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $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 | 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 | AETNA | BETTER HEALTH | $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 | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $13,322.09 | $13,322.09 | 2026-04-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $1.49 | $24.78 | $24.78 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $1.49 | $24.78 | $24.78 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $1.49 | $24.78 | $24.78 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $1.49 | $24.78 | $24.78 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $1.49 | $24.78 | $24.78 | 2026-03-01 | 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 ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $1.74 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $1.76 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $1.84 | $2.32 | $1.86 | 2026-09-25 | 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 ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $1.86 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $1.86 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $1.88 | $44.00 | $44.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $1.88 | $44.00 | $44.00 | 2026-04-30 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $1.89 | — | — | 2026-03-31 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.91 | $44.00 | $44.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $1.91 | $44.00 | $44.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $1.92 | $48.00 | $48.00 | 2026-06-24 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $1.94 | $47.00 | $47.00 | 2026-03-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $1.94 | $47.00 | $47.00 | 2026-03-01 | 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 ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $1.97 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $1.97 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $1.97 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $1.97 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHIP | $2.05 | $29.35 | $29.35 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | CHPFC | $2.05 | $29.35 | $29.35 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $2.05 | $48.00 | $48.00 | 2026-06-24 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARKids | $2.05 | $29.35 | $29.35 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STARPLUS | $2.05 | $29.35 | $29.35 | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | Superior Health Plan | STAR | $2.05 | $29.35 | $29.35 | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Amerigroup | MCD | $2.06 | $15.36 | $15.36 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $2.07 | $48.00 | $48.00 | 2026-06-24 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Humana Choicecare Plan | Commercial | $2.09 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Multiplan Plan | Commercial | $2.09 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $2.14 | $10.49 | $8.40 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $2.14 | $10.49 | $8.40 | 2026-01-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $9,910.86 | $6,442.06 | 2026-06-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Network Plan | Medicare | $2.20 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.31 | $44.00 | $44.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $2.31 | $44.00 | $44.00 | 2026-04-30 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Both | Promise Health | Commerical | $2.31 | $2,462.00 | $1,748.02 | 2026-08-13 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Medicaid Plan | Medicaid | $2.32 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid New Mexico Plan | Medicaid | $2.32 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Access Medicaid Hmo Plan | Medicaid Hmo | $2.32 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid Plan | Medicaid | $2.32 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Western Sky Community Care Plan | Commercial | $2.32 | $2.32 | $1.86 | 2026-09-25 | MRF ↗ |
| HCA FLORIDA TRINITY HOSPITAL Outpatient | Truli | BSL | $2.38 | $33.78 | $33.78 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.39 | $44.00 | $44.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.39 | $44.00 | $44.00 | 2026-04-30 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $2.42 | $8,303.00 | $1,245.45 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $2.42 | $8,303.00 | $1,245.45 | 2025-12-23 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Truli for Health | BSL | $2.44 | $28.75 | $28.75 | 2026-03-01 | 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 ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | BCBS | MBN | $2.50 | $28.75 | $28.75 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | BCBS | SBN | $2.50 | $28.75 | $28.75 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | BCBS | BSL | $2.50 | $28.75 | $28.75 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $2.59 | $48.00 | $48.00 | 2026-06-24 | 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.