J3110 — Teriparatide Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Teriparatide injection (HCPCS J3110) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3110?code_type=HCPCS
MLA (9th ed.)
“Teriparatide injection (HCPCS J3110) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3110?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Teriparatide injection (HCPCS J3110) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3110?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $72–$4,675 (25th–75th percentile) across 1,278 hospitals · 1,325 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3110 — 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
$72
$191 typical
$4,675
The middle 50% of negotiated facility rates for this procedure, measured across 1,278 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $191 |
| Likely subtotal | $191 |
Facility charge (no separate professional fee)
$191
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 $72–$4,675.
- 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 |
|---|---|---|---|---|---|---|---|
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| CHI ST. VINCENT HOSPITAL HOT SPRINGS Outpatient | Cigna | Commercial|All Other Plans | $0.05 | $0.25 | $0.25 | 2026-02-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| CHI ST. VINCENT HOSPITAL HOT SPRINGS Outpatient | Cigna | Commercial|NBR | $0.09 | $0.25 | $0.25 | 2026-02-28 | MRF ↗ |
| CHI ST. VINCENT HOSPITAL HOT SPRINGS Outpatient | Cigna | Commercial|AHN | $0.09 | $0.25 | $0.25 | 2026-02-28 | MRF ↗ |
| CHI ST. VINCENT HOSPITAL HOT SPRINGS Inpatient | Aetna | Commercial|HMO | $0.20 | $0.25 | $0.25 | 2026-02-28 | MRF ↗ |
| CHI ST. VINCENT HOSPITAL HOT SPRINGS Inpatient | Multiplan | Commercial|All Plans | $0.20 | $0.25 | $0.25 | 2026-02-28 | MRF ↗ |
| CHI ST. VINCENT HOSPITAL HOT SPRINGS Inpatient | Aetna | Commercial|PPO | $0.20 | $0.25 | $0.25 | 2026-02-28 | MRF ↗ |
| CHI ST. VINCENT HOSPITAL HOT SPRINGS Inpatient | Aetna | Commercial|All Other Plans | $0.20 | $0.25 | $0.25 | 2026-02-28 | MRF ↗ |
| CHI ST. VINCENT HOSPITAL HOT SPRINGS Outpatient | BCBS - AR | Commercial|All Other Plans | $0.25 | $0.25 | $0.25 | 2026-02-28 | MRF ↗ |
| CHI ST. VINCENT HOSPITAL HOT SPRINGS Outpatient | BCBS - AR | Commercial|TrueBlue Exchange | $0.25 | $0.25 | $0.25 | 2026-02-28 | MRF ↗ |
| CHI ST. VINCENT HOSPITAL HOT SPRINGS Outpatient | Centene | Commercial|QualChoice | $0.25 | $0.25 | $0.25 | 2026-02-28 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.64 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.69 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid North Dakota 183 | — | $0.72 | $5.00 | — | 2026-07-31 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $349.00 | $261.75 | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $349.00 | $261.75 | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $306.42 | $153.21 | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $306.42 | $153.21 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $306.42 | $153.21 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $306.42 | $153.21 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $306.42 | $153.21 | 2026-07-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $5,500.28 | $5,500.28 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $306.42 | $153.21 | 2026-07-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Sanford Medicaid Expansion (862) | — | $1.65 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Medicaid South Dakota 190 | — | $1.95 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid North Dakota 183 | — | $2.00 | $9.70 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Medica Select Solutions (Medicare Supplement) Medica Prime Solution | — | $2.36 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Medica Senior Care Dual Solutions (Msho) Medicare Advantage Special Needs Medica Complete Solution 971 | — | $2.36 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) Medicare Advantage | — | $2.50 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) Spp Medicaid Replacement | — | $2.50 | $5.00 | — | 2026-07-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $306.42 | $153.21 | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| Vibra Hospital Of Amarillo | Tricare West 441 | — | $3.00 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Southeastern Mi-taylor Campus | Multiplan Complimentary 737 Multiplan, Value Point 737 | — | $3.00 | $5.00 | — | 2026-07-30 | MRF ↗ |
| GRITMAN MEDICAL CENTER OutpatientFacility | Molina of ID | Medicaid Advantage | $3.36 | — | — | 2026-08-19 | MRF ↗ |
| Vibra Hospital Of Fargo | Preferred One Hmo 745 (Includes Aetna) | — | $3.50 | $5.00 | — | 2026-07-31 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Peak Health | Commercial | $3.78 | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL OutpatientFacility | Peak Health | Commercial | $3.78 | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| Vibra Hospital Of Fargo | Preferred One Ppo 480 (Includes Aetna) | — | $4.00 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medicaid South Dakota 190 | — | $4.00 | $9.70 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Fargo | Health Partners Inc (Hpi) (Cigna) | — | $4.00 | $5.00 | — | 2026-07-31 | MRF ↗ |
| Vibra Hospital Of Southeastern Mi-taylor Campus | Tricare East -Humana Government Business | — | $4.00 | $5.00 | — | 2026-07-30 | MRF ↗ |
| Vibra Hospital Of Fargo | Multiplan Complimentary 737 Multiplan, Value Point | — | $4.25 | $5.00 | — | 2026-07-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $4.48 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $4.48 | — | — | 2026-07-18 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $4.48 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $4.48 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $4.48 | — | — | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $4.48 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $4.48 | — | — | 2026-07-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | TriWest | Tricare for Life | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | PacificSource | Voyager | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicaid Plus | $4.68 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | St Lukes Health Partners Network | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence Blue Shield of Idaho | VACCN | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | MODA Health Plan | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | American Health Plan of Utah | All Plans | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | PacificSource | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Medicare-Medicaid Coordinated Plan | $4.68 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Molina Healthcare | Medicare Advantage | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence Blue Shield of Idaho | TriWest | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross of Idaho | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Molina | Medicaid | $4.68 | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | SelectHealth | All Plans | — | — | — | 2026-08-18 | MRF ↗ |
| WEISER MEMORIAL HOSPITAL OutpatientFacility | Regence BlueShield of Idaho | Commercial | — | — | — | 2026-08-18 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Select Solutions (Medicare Supplement) Medica Prime Solution | — | $5.00 | $9.70 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Senior Care Dual Solutions (Msho) Medicare Advantage Snp Plans 971 | — | $5.00 | $9.70 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Health Partners Inc (Hpi) Spp Medicaid Replacement | — | $5.00 | $9.70 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Health Partners Inc (Hpi) Medicare Advantage | — | $5.00 | $9.70 | — | 2026-08-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MMCP | $6.00 | $17,625.35 | $17,625.35 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | WC | — | $17,625.35 | $17,625.35 | 2024-10-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Choice/Medica Premier/Medicare Care Syst Prod (Medica Elect/Medica Essentials/Medica Uplan Elect/Medica Accountable Care Syst /Mic Choice/Mic Care Syst Medica Self Insured Products 721 | — | $6.00 | $9.70 | — | 2026-08-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | MCD | $6.00 | $17,625.35 | $17,625.35 | 2024-10-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MLTSS | $6.00 | $17,625.35 | $17,625.35 | 2024-10-01 | MRF ↗ |
| THE MEDICAL CENTER OF AURORA & SOUTH HOSPITAL Outpatient | Vail Health | COMM | $6.10 | $40.10 | $40.10 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $6.65 | $6,172.00 | $6,172.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $6.65 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $6.65 | $5,291.00 | $5,291.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $6.65 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $6.65 | $6,172.00 | $6,172.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $6.65 | $5,291.00 | $5,291.00 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MMCP | $6.71 | $19,035.38 | $19,035.38 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Interwest Health | WC | — | $19,035.38 | $19,035.38 | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Molina | MCD | $6.71 | $19,035.38 | $19,035.38 | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | MLTSS | $6.71 | — | — | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Molina | MCD | $6.71 | — | — | 2026-03-01 | MRF ↗ |
| WEST VALLEY MEDICAL CENTER Outpatient | Blue Cross | MMCP | $6.71 | — | — | 2026-03-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Blue Cross | MLTSS | $6.71 | $19,035.38 | $19,035.38 | 2026-03-01 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Magellan | Managed Medicaid | $6.71 | — | — | 2026-03-27 | MRF ↗ |
| KOOTENAI HEALTH OutpatientFacility | Wellpoint | All Plans | $6.71 | — | — | 2026-03-27 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Managed Medicaid | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Humana ChoiceCare Network | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Blue Cross | Commercial | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Highmark | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Peak Health | Commercial | $6.98 | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | West Virginia Senior Advantage | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Unicare | Managed Medicaid | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Unicare | Managed Medicaid | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Highmark | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Managed Medicaid | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Blue Cross | Commercial | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Humana ChoiceCare Network | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | West Virginia Senior Advantage | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | The Health Plan | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Peak Health | Commercial | $6.98 | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| WEBSTER MEMORIAL HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $21.90 | $15.33 | 2025-08-07 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Medica Choice/Medica Premier/Medicare Care Syst Prod (Medica Elect/Medica Essentials/Medica Uplan Elect/Medica Accountable Care Syst /Mic Choice/Mic Care Syst Medica Self Insured Products 721 | — | $7.00 | $9.70 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Tricare West (Healthnet) 232 | — | $7.00 | $9.70 | — | 2026-08-01 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc | Preferredonecommunity Health Plan (Pchp)Hmo (Includes Aetna) 745 Preferred One Insurance Co (Pic) (Includes Aetna) 480 | — | $7.00 | $9.70 | — | 2026-08-01 | MRF ↗ |
| FISHER COUNTY HOSPITAL DISTRICT Outpatient | Blue Cross Blue Shield | Medicare Advantage | $7.00 | $12.00 | $10.00 | 2026-04-28 | MRF ↗ |
| THE MEDICAL CENTER (BOWLING GREEN) Outpatient | Anthem | Pathway Transitions HMO | $7.12 | $7,615.70 | — | 2026-04-01 | MRF ↗ |
| THE MEDICAL CENTER (BOWLING GREEN) Outpatient | Anthem | Pathway HMO | $7.12 | $7,615.70 | — | 2026-04-01 | MRF ↗ |
| THE MEDICAL CENTER (BOWLING GREEN) Outpatient | Anthem | Blue Traditional, Blue Access and Blue Preferred | $7.12 | $7,615.70 | — | 2026-04-01 | MRF ↗ |
| THE MEDICAL CENTER (BOWLING GREEN) Outpatient | Anthem | Pathway HPN | $7.12 | $7,615.70 | — | 2026-04-01 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS HMO | BLUE CROSS HMO | $7.12 | $6,589.05 | $4,282.88 | 2026-04-23 | MRF ↗ |
| TJ HEALTH COLUMBIA Outpatient | BLUE CROSS TRAD/PREFERRED HMO | BLUE CROSS TRAD/PREFERRED HMO | $7.12 | $6,154.95 | $4,000.72 | 2026-03-27 | MRF ↗ |
| TJ HEALTH COLUMBIA Outpatient | BLUE CROSS PATH HPN/PPO | BLUE CROSS PATH HPN/PPO | $7.12 | $6,154.95 | $4,000.72 | 2026-03-27 | MRF ↗ |
| TJ HEALTH COLUMBIA Outpatient | BLUE CROSS ACCESS PPO - ALL OTHER PLANS | BLUE CROSS ACCESS PPO - ALL OTHER PLANS | $7.12 | $6,154.95 | $4,000.72 | 2026-03-27 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Anthem | Pathway HMO | $7.12 | $7,615.70 | — | 2026-04-01 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS TRAD - ALL OTHER PLANS | BLUE CROSS TRAD - ALL OTHER PLANS | $7.12 | $6,589.05 | $4,282.88 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS PATH HMO | BLUE CROSS PATH HMO | $7.12 | $6,589.05 | $4,282.88 | 2026-04-23 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Pathway Ppo/Hmo | $7.12 | — | — | 2026-07-15 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS PPO | BLUE CROSS PPO | $7.12 | $6,589.05 | $4,282.88 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS PATH HPN/PPO | BLUE CROSS PATH HPN/PPO | $7.12 | $6,589.05 | $4,282.88 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS TRAD - ALL OTHER PLANS | BLUE CROSS TRAD - ALL OTHER PLANS | $7.12 | $6,589.05 | $4,282.88 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS HMO | BLUE CROSS HMO | $7.12 | $6,589.05 | $4,282.88 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS PPO | BLUE CROSS PPO | $7.12 | $6,589.05 | $4,282.88 | 2026-04-23 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS PATH HMO | BLUE CROSS PATH HMO | $7.12 | $6,589.05 | $4,282.88 | 2026-04-23 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Traditional | $7.12 | — | — | 2026-07-15 | MRF ↗ |
| T J SAMSON COMMUNITY HOSPITAL Outpatient | BLUE CROSS PATH HPN/PPO | BLUE CROSS PATH HPN/PPO | $7.12 | $6,589.05 | $4,282.88 | 2026-04-23 | MRF ↗ |
| VALLEY PRESBYTERIAN HOSPITAL OutpatientFacility | Blue Cross Anthem | HMO/POS/PPO | $7.14 | $1,378.00 | $1,378.00 | 2025-06-11 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $397.88 | $155.17 | 2026-07-31 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Shield | HMO | $7.51 | — | — | 2025-03-13 | MRF ↗ |
| Fresno Heart And Surgical Hospital OutpatientFacility | Blue Shield | EPO/PPO | $7.51 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | EPO/PPO | $7.51 | — | — | 2025-03-13 | MRF ↗ |
| CLOVIS COMMUNITY MEDICAL CENTER OutpatientFacility | Blue Shield | HMO | $7.51 | — | — | 2025-03-13 | MRF ↗ |
| COMMUNITY REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield | HMO | $7.51 | — | — | 2025-03-13 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $7.55 | $5,121.20 | $3,072.72 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $7.55 | $5,121.20 | $3,072.72 | 2026-01-01 | MRF ↗ |
| Northeast Rehabilitation Hospital OutpatientFacility | Harvard Pilgrim | All Commercial Plans | $7.55 | — | — | 2026-04-01 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $7.55 | — | — | 2026-07-15 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $7.55 | $5,121.20 | $3,072.72 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $7.55 | $5,121.20 | $3,072.72 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $7.55 | $5,121.20 | $3,072.72 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | PATOKA VALLEY TIER 1 | 9412_PAKOTA VALLEY TIER 1 20250101 | $7.55 | $14,375.72 | $8,625.43 | 2026-01-01 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $7.55 | — | — | 2026-07-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $7.55 | — | — | 2026-07-15 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $7.55 | $5,121.20 | $3,072.72 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $7.55 | $14,375.72 | $8,625.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM PPO PREFERRED | 9406_ANTHEM PREFERRED VEIN 20250101 | $7.55 | $14,375.72 | $8,625.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM SHORT TERM LIMITED DURATION | 9407_ANTHEM SHORT TERM LIMITED DURATION VEIN 20250101 | $7.55 | $14,375.72 | $8,625.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $7.55 | $14,375.72 | $8,625.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $7.55 | $14,375.72 | $8,625.43 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $7.55 | $5,121.20 | $3,072.72 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PATOKA VALLEY TIER 1 | 9410_PAKOTA VALLEY TIER 1 VEIN 20250101 | $7.55 | $2,273.85 | $1,364.31 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $7.55 | $5,121.20 | $3,072.72 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT ANDERSON Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $7.55 | $5,121.20 | $3,072.72 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ANTHEM HMO/POS | 9403_ANTHEM HMO POS VEIN 20250101 | $7.55 | $2,273.85 | $1,364.31 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ANTHEM PATHWAY X | 9405_ANTHEM PATHWAY X VEIN 20250101 | $7.55 | $2,273.85 | $1,364.31 | 2026-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | Cigna | AllPlans | $7.55 | — | — | 2024-12-13 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | Cigna | AllPlans | $7.55 | — | — | 2024-12-13 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | ANTHEM HEALTHSYNC HMO | 9399_ANTHEM HEALTHSYNC HMO VEIN 20250101 | $7.55 | $14,375.72 | $8,625.43 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PATOKA VALLEY TIER 2 | 9413_PAKOTA VALLEY TIER 2 20250101 | $7.55 | $2,273.85 | $1,364.31 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ENCORE EXCLUSIVE | 9409_ENCORE EXCUSIVE VEIN 20250101 | $7.55 | $2,273.85 | $1,364.31 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ANTHEM HEALTHSYNC POS | 9401_ANTHEM HEALTHSYNC POS VEIN 20250101 | $7.55 | $2,273.85 | $1,364.31 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $7.55 | $2,273.85 | $1,364.31 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ANTHEM PATHWAY | 9404_ANTHEM PATHWAY VEIN 20250101 | $7.55 | $2,273.85 | $1,364.31 | 2026-01-01 | MRF ↗ |
| Ascension St. Vincent Seton Specialty Hospital Outpatient | ANTHEM TRADITIONAL | 9408_ANTHEM TRADITIONAL VEIN 20250101 | $7.55 | $2,273.85 | $1,364.31 | 2026-01-01 | MRF ↗ |
| ASCENSION ST VINCENT EVANSVILLE Outpatient | PATOKA VALLEY TIER 2 | 9415_PAKOTA VALLEY TIER 2 VEIN 20250101 | $7.55 | $14,375.72 | $8,625.43 | 2026-01-01 | 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.