J3030 — Sumatriptan 6 Mg/0.5 Ml Subcutaneous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION (HCPCS J3030) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3030?code_type=HCPCS
MLA (9th ed.)
“SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION (HCPCS J3030) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3030?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“SUMATRIPTAN 6 MG/0.5 ML SUBCUTANEOUS SOLUTION (HCPCS J3030) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3030?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $29–$153 (25th–75th percentile) across 2,472 hospitals · 7,301 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J3030 — 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
$29
$58 typical
$153
The middle 50% of negotiated facility rates for this procedure, measured across 2,472 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $58 |
| Likely subtotal | $58 |
Facility charge (no separate professional fee)
$58
- 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 |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $33.11 | $18.21 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $17.66 | $9.71 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $257.76 | $128.88 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $33.11 | $28.14 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $33.11 | $18.21 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $257.76 | $128.88 | 2024-12-15 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $33.11 | $18.21 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $290.00 | $188.50 | 2025-11-26 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $33.11 | $28.14 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $17.66 | $9.71 | 2025-01-01 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Cigna | Commercial|All Plans | $0.04 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Cigna | Commercial|All Plans | $0.04 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $290.00 | $188.50 | 2025-11-26 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Humana | Commercial|All Plans | $0.12 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Entrust | Commercial|All Plans | $0.12 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Entrust | Commercial|All Plans | $0.12 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | $0.12 | $87.72 | $65.79 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | Aetna - PPO | $0.12 | $110.36 | $82.77 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Cigna | Cigna - PPO | $0.12 | $110.36 | $82.77 | 2026-04-01 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Humana | Commercial|All Plans | $0.12 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Aetna | Commercial|All Plans | $0.16 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Aetna | Commercial|All Plans | $0.16 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Angelina County | Commercial|All Plans | $0.16 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Angelina County | Commercial|All Plans | $0.16 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | PHCS | Commercial|All Plans | $0.17 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | PHCS | Commercial|All Plans | $0.17 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Multiplan | Commercial|All Plans | $0.18 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Multiplan | Commercial|All Plans | $0.18 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.18 | $47.34 | $44.97 | 2026-02-20 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | PHCS | Commercial|All Plans | $0.20 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | PHCS | Commercial|All Plans | $0.20 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.23 | $47.34 | $44.97 | 2026-02-20 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Galaxy | Commercial|All Plans | $0.23 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Inpatient | Galaxy | Commercial|All Plans | $0.23 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.23 | $47.34 | $44.97 | 2026-02-20 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | BCBS-TX | Commercial|PPO | $0.25 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | BCBS-TX | Commercial|PPO | $0.25 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $0.25 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | BCBS-TX | Commercial|HMO | $0.25 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | Cigna | Commercial|All Plans | $0.25 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | BCBS-TX | Commercial|Blue Advantage HMO | $0.25 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | BCBS-TX | Commercial|Blue Premier | $0.25 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | BCBS-TX | Commercial|Blue Premier | $0.25 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | BCBS-TX | Commercial|HMO | $0.25 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| CHI ST LUKES HEALTH MEMORIAL LIVINGSTON Outpatient | BCBS-TX | Commercial|Blue Advantage HMO | $0.25 | $0.25 | $0.04 | 2026-02-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.26 | $69.52 | $66.04 | 2026-02-20 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | ANTHEM BLUE CROSS | MEDICARE ADVANTAGE | $0.30 | $1.00 | $0.75 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | CARE WISCONSIN | MEDICARE ADVANTAGE | $0.30 | $1.00 | $0.75 | 2026-03-27 | 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 ↗ |
| 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 | 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 ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $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 | Compass | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.33 | $69.52 | $66.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.34 | $69.52 | $66.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.34 | $69.52 | $66.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.34 | $69.52 | $66.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.38 | $69.52 | $66.04 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.48 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.48 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.48 | $2.93 | $0.59 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.48 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.48 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.48 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | KM | $0.49 | $3.32 | $1.99 | 2026-01-13 | 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 | EmblemHealth | Commercial | — | $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 | 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 3 & 4 | — | $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 | Fidelis Care | Health Benefit Exchange | — | $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 | United Healthcare | Managed Medicaid | — | $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 | Healthfirst | 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 ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $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 | United Healthcare | Medicare Advantage | — | $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 ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | 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 | Fidelis Care | 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 | Essential Plan | — | $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 | ValueOptions | Managed Medicaid | — | $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 | United Healthcare | Managed Medicaid | — | $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 | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $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 | EmblemHealth | Managed Medicaid | — | $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 | Fidelis Care | Health Benefit Exchange | — | $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 | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | 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 | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $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 | EmblemHealth | Medicare Advantage | — | $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 | EmblemHealth | 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 | Aetna | 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 | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $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 | United Healthcare | VACCN | — | $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 | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| CEDAR-SINAI MARINA DEL REY HOSPITAL Outpatient | Health Net of California, Inc. | HMO | — | $223.00 | $144.95 | 2025-11-26 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.56 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.56 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.56 | $2.93 | $0.59 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.56 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.56 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.56 | $151.68 | $144.10 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.56 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.56 | $151.68 | $144.10 | 2026-02-20 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $0.57 | $2.80 | $2.24 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $0.57 | $2.80 | $2.24 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $0.57 | $2.80 | $2.24 | 2026-01-28 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.59 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.59 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.59 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.59 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.59 | $2.93 | $0.59 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.59 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.61 | $164.32 | $156.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.61 | $164.32 | $156.10 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.61 | $151.68 | $144.10 | 2026-02-20 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | QUARTZ | MEDICARE ADVANTAGE | $0.62 | $1.00 | $0.75 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | CARE WISCONSIN | MANAGED MEDICAID | $0.65 | $1.00 | $0.75 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | CARE WISCONSIN | PARTNERSHIP | $0.65 | $1.00 | $0.75 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | CARE WISCONSIN | FAMILY CARE | $0.65 | $1.00 | $0.75 | 2026-03-27 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.66 | $164.32 | $156.10 | 2026-02-20 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $53.00 | $34.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medcost | Ppo | — | $53.00 | $34.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $53.00 | $34.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $53.00 | $34.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $53.00 | $34.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $53.00 | $34.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bluechoice Blueoption Hix | Ppo | — | $53.00 | $34.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $53.00 | $34.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bardavon Health Innovations, Llc | Wc | — | $53.00 | $34.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $53.00 | $34.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $53.00 | $34.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $53.00 | $34.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $53.00 | $34.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $53.00 | $34.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $53.00 | $34.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $53.00 | $34.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medcost | Ppo | — | $53.00 | $34.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Medrisk | Wc | — | $53.00 | $34.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Commercial Choice | Ppo | — | $53.00 | $34.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bluechoice Blueoption Hix | Ppo | — | $53.00 | $34.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $53.00 | $34.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $53.00 | $34.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Bardavon Health Innovations, Llc | Wc | — | $53.00 | $34.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Blue Cross Commercial Choice | Ppo | — | $53.00 | $34.00 | 2026-05-22 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Humana Medicaid | Managed Medicaid | $0.70 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | DEAN HEALTH PLAN | ALL PRODUCTS | $0.71 | $1.00 | $0.75 | 2026-03-27 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Pathway | HMO/PPO/Traditional | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Alternative | Commercial | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.73 | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare Adult | Commercial | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem of Kentucky | Managed Medicaid | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Passport | Managed Medicaid | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Passport | Managed Medicaid | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna Adult | Commercial | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Passport | Managed Medicaid | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.73 | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna Adult | Commercial | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.73 | $2.93 | $0.59 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna | Medicare Advantage | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.73 | $151.68 | $144.10 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | SIHO | Commercial | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Aetna | Medicare Advantage | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna | Commercial | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Cigna | Commercial | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | SIHO | Commercial | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Medicare Advantage | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Senior | Medicare Advantage | — | $4.45 | $0.90 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | — | $4.45 | $0.90 | 2026-02-11 | 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.