J2916 — Sodium Ferric Gluconate Complex In Sucrose 62.5 Mg/5 Ml Intravenous
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS (HCPCS J2916) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J2916?code_type=HCPCS
MLA (9th ed.)
“SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS (HCPCS J2916) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J2916?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE 62.5 MG/5 ML INTRAVENOUS (HCPCS J2916) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J2916?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11–$106 (25th–75th percentile) across 2,882 hospitals · 6,594 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J2916 — 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
$11
$38 typical
$106
The middle 50% of negotiated facility rates for this procedure, measured across 2,882 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $38 |
| Likely subtotal | $38 |
Facility charge (no separate professional fee)
$38
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 $11–$106.
- 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 |
|---|---|---|---|---|---|---|---|
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $87.75 | $74.59 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $40.85 | $22.47 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $87.75 | $74.59 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $865.11 | $432.56 | 2024-12-15 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $87.75 | $48.26 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $24.51 | $13.48 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $65.36 | $45.75 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $865.11 | $432.56 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $87.75 | $74.59 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $40.85 | $22.47 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $24.51 | $13.48 | 2025-01-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.06 | $31.75 | — | 2024-12-31 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.07 | $20.10 | $19.09 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.07 | $20.10 | $19.09 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.07 | $20.10 | $19.09 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.08 | $20.10 | $19.09 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.08 | $20.10 | $19.09 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.08 | $20.10 | $19.09 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.09 | $24.12 | $22.91 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.09 | $24.12 | $22.91 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.09 | $24.12 | $22.91 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.09 | $24.12 | $22.91 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.09 | $24.12 | $22.91 | 2026-02-20 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.10 | $9.95 | $9.95 | 2026-04-24 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.10 | $24.12 | $22.91 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.12 | $24.12 | $22.91 | 2026-02-20 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $0.13 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $0.13 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $0.13 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $0.14 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $0.14 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $0.14 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $0.14 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $0.14 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $0.14 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Humana Choicecare Plan | Commercial | $0.15 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $371.00 | $278.25 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $371.00 | $278.25 | 2026-09-01 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | POS | — | $540.61 | $443.30 | 2025-11-26 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Multiplan Plan | Commercial | $0.15 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Network Plan | Medicare | $0.16 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Medicaid Plan | Medicaid | $0.17 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.17 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Western Sky Community Care Plan | Commercial | $0.17 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $533.00 | $378.43 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $533.00 | $378.43 | 2026-07-15 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Access Medicaid Hmo Plan | Medicaid Hmo | $0.17 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid Plan | Medicaid | $0.17 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.17 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.17 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.17 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid New Mexico Plan | Medicaid | $0.17 | $0.17 | $0.14 | 2026-09-25 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $533.00 | $378.43 | 2026-07-15 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | California PhysiciansÆ Service, dba Blue Shield of California | Medi-Cal | — | $190.00 | $123.50 | 2025-11-26 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $0.22 | $73.82 | $70.13 | 2026-07-15 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | HMO | $0.29 | $1.97 | $0.67 | 2025-03-17 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $360.00 | $270.00 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $360.00 | $270.00 | 2026-09-01 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | CARE WISCONSIN | MEDICARE ADVANTAGE | $0.30 | $1.00 | $0.75 | 2026-03-27 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO | — | $190.00 | $123.50 | 2025-11-26 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, Non-City of LA, Vivity | — | $190.00 | $123.50 | 2025-11-26 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | ANTHEM BLUE CROSS | MEDICARE ADVANTAGE | $0.30 | $1.00 | $0.75 | 2026-03-27 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | HMO, City of LA, Vivity | — | $190.00 | $123.50 | 2025-11-26 | MRF ↗ |
| LAKEVIEW HOSPITAL BothFacility | HP MEDICAID REPLACEMENT [950307] | HP CARE PMAP [50327] | $0.30 | $88.50 | $32.74 | 2026-03-31 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $0.31 | $1.00 | $0.75 | 2026-03-27 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | Precision HMO | $0.33 | $1.97 | $0.67 | 2025-03-17 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $0.34 | $17.20 | — | 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 ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $0.34 | $17.20 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $0.34 | $17.20 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $0.34 | $17.20 | — | 2026-03-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $0.34 | $17.20 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $0.34 | $17.20 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $0.34 | $17.20 | — | 2026-03-31 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Humana | Medicare Advantage | — | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Braven Health | Medicare Advantage | $0.35 | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $0.37 | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $190.00 | $123.50 | 2025-11-26 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.40 | $38.75 | $38.75 | 2026-04-24 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $0.40 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $0.40 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $0.41 | $1.50 | $1.20 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $0.41 | $1.50 | $1.20 | 2026-01-28 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Humana Health Plan, Inc. | Medicare Advantage | — | $190.00 | $123.50 | 2025-11-26 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Braven Health | Medicare Advantage | $0.44 | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $0.46 | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UMR - Commercial-PPO | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-HMO | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-HMO | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO INC - Medicaid | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UMR - Commercial-PPO | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-PPO | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-PPO | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-PPO | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-PPO | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO INC - Medicaid | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO | United Healthcare | — | $102.00 | $56.10 | 2026-01-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | NALC | All Commercial Plans | $0.50 | $1.97 | $0.67 | 2025-03-17 | MRF ↗ |
| HUNTINGTON HOSPITAL Outpatient | Kaiser Foundation Hospitals on behalf of its Southern California Region | Medicare Advantage | — | $190.00 | $123.50 | 2025-11-26 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $0.50 | $1.97 | $0.67 | 2025-03-17 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| TORRANCE MEMORIAL MEDICAL CENTER Outpatient | Blue Cross of California d/b/a Anthem Blue Cross | Medicare Advantage | — | $540.61 | $443.30 | 2025-11-26 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.51 | $1.31 | $1.05 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.52 | $1.31 | $1.05 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.52 | $1.31 | $1.05 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.52 | $1.31 | $1.05 | 2026-09-25 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $0.52 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Aetna Medicare | Medicare Advantage | $0.53 | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Aetna Medicare | Medicare Advantage | $0.53 | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Aetna Medicare | Medicare Advantage | $0.53 | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna Medicare | Medicare Advantage | $0.53 | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $0.53 | $1.50 | $1.20 | 2026-01-28 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Braven Health | Medicare Advantage | $0.54 | $5.93 | $5.94 | 2026-03-24 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $0.55 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $0.56 | $5.93 | $5.94 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Braven Health | Medicare Advantage | $0.56 | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Braven Health | Medicare Advantage | $0.56 | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.57 | $36.78 | $15.63 | 2026-01-29 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $0.58 | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $0.58 | $3.90 | $3.90 | 2026-03-24 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $0.58 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $0.59 | $1.94 | $1.13 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $0.59 | $1.94 | $1.13 | 2026-02-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $0.59 | $1.50 | $1.20 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $0.59 | $1.50 | $1.20 | 2026-01-28 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Prominence Health Plan | HMO | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | SelectHealth | Value Network HMOPOS | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Prominence Health Plan | PPO and Exchange | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | SelectHealth | Med Network | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Health Net | Generic | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Health Net | Tricare West Region | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Dignity Health | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | P3 Health Partners | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | SCAN | Medicare | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Medicare Managed Care | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Sierra Health and Life | HPN Nevada Checkup | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Silver Summit Health Plan (Centene) | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Stations Casinos | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | International Passport to Health | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Clark County Detention Center | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Beech Street | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Alignment Health | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | State of Nevada | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Arroweye Solutions | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Sierra Health and Life | Sierra Health Life Insurance | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Molina | Medicare Advantage | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Nevada | Anthem Federal | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Advantra Freedom | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Molina | Medicaid | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Nevada | Generic | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Nevada | Anthem HMO | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | First Health | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Sheet Metal Workers | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | JW Marriott | All Plans | $0.60 | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | SO CA Pipe Trades H&W | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Venetian/Palazzo | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Marshall Retail Group | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Operating Engineers | Local 12 | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Golden Nugget Hotel & Casino | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Laughlin Coalition | All Plans | — | — | — | 2026-07-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OutpatientFacility | Zuffa | All Plans | — | — | — | 2026-07-01 | 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.