J3240 — Thyrotropin Alfa 0.9 Mg Intramuscular Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION (HCPCS J3240) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3240?code_type=HCPCS
MLA (9th ed.)
“THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION (HCPCS J3240) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3240?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“THYROTROPIN ALFA 0.9 MG INTRAMUSCULAR SOLUTION (HCPCS J3240) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3240?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,116–$5,298 (25th–75th percentile) across 2,196 hospitals · 5,955 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3240 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Estimated complete episode
What this costs at this hospital
The hospital facility charge for this code — an actual negotiated rate from our data. A separate professional fee isn’t separately estimable for this code (see the note below).
What hospitals actually negotiate
Measured
$2,116
$2,980 typical
$5,298
The middle 50% of negotiated facility rates for this procedure, measured across 2,196 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,980 |
| Likely subtotal | $2,980 |
Facility charge (no separate professional fee)
$2,980
Not included in this estimate:
- Rehab, physical therapy, and other post-acute care after discharge
- Complications, revisions, or readmissions
- Out-of-network provider choices you make yourself (the No Surprises Act only covers providers you can't choose)
The biggest swing: which insurer's rate applies — negotiated prices here run $2,116–$5,298.
- 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 | — | $6,228.30 | $3,425.57 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $4,792.23 | $2,396.12 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $4,792.23 | $2,396.12 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $14,318.00 | $10,738.50 | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $14,318.00 | $10,738.50 | 2026-09-01 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $11,268.00 | $8,000.28 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $11,434.00 | $8,118.14 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $11,434.00 | $8,118.14 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $11,268.00 | $8,000.28 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $11,434.00 | $8,118.14 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $11,268.00 | $8,000.28 | 2026-07-15 | 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 ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $6,066.38 | — | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $8,088.50 | $4,044.25 | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - MCS | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $1,465.56 | $952.61 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - Rehab | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $1.00 | $2.00 | — | 2026-02-27 | 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 ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - PPO | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Medicare | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - PPO | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $1.00 | $2.00 | — | 2026-02-27 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medicare | Medicare | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina Medi-Cal | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medicare | — | $2,205.95 | $1,654.46 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $8,088.50 | $4,044.25 | 2026-07-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $1.10 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $1.10 | $2.00 | — | 2026-02-27 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $8,088.50 | $4,044.25 | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $1.30 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $1.30 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $1.36 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $1.36 | $2.00 | — | 2026-02-27 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Cross | Blue Cross - Standard | $1.42 | $2,205.95 | $1,654.46 | 2026-04-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $1.50 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $1.50 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $1.60 | $2.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $1.60 | $2.00 | — | 2026-02-27 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $1.77 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $1.77 | — | — | 2025-12-31 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP POS/EPO [10026306] | $1.84 | $7,414.65 | $5,190.26 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP HMO OUT IPA [10026302] | $1.84 | $7,414.65 | $5,190.26 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP GIC NAVIGATOR POS [10026312] | $1.84 | $7,414.65 | $5,190.26 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | IRON CLAD INSURANCE [10026304] | $1.84 | $7,414.65 | $5,190.26 | 2025-01-01 | MRF ↗ |
| LOWELL GENERAL HOSPITAL Outpatient | TUFTS HEALTH PLAN [100263] | THP SELECT [10026309] | $1.84 | $7,414.65 | $5,190.26 | 2025-01-01 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | PASSPORT HP HMO - ALL PLANS | PASSPORT HP HMO - ALL PLANS | $2.16 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $6,613.77 | $4,298.95 | 2026-06-15 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $3.15 | $9,457.36 | $6,147.28 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $3.15 | $9,457.36 | $6,147.28 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $3.15 | $9,457.36 | $6,147.28 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $3.15 | $9,457.36 | $6,147.28 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $3.15 | $9,457.36 | $6,147.28 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $3.15 | $9,457.36 | $6,147.28 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $3.15 | $9,457.36 | $6,147.28 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $3.15 | $9,457.36 | $6,147.28 | 2026-03-30 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PATH | ANTHEM BLUE PATH | $5.44 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PATH HPN | ANTHEM BLUE PATH HPN | $5.52 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PREF HMO | ANTHEM BLUE PREF HMO | $6.00 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE TRAD - ALL OTHER PLANS | ANTHEM BLUE TRAD - ALL OTHER PLANS | $6.00 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE ACCESS | ANTHEM BLUE ACCESS | $6.00 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | ANTHEM BLUE PREF | ANTHEM BLUE PREF | $6.00 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | PRIME HEALTH SERVICES-ALL PLANS | PRIME HEALTH SERVICES-ALL PLANS | $6.80 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | MULTIPLAN-ALL PLANS | MULTIPLAN-ALL PLANS | $6.80 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | INTEGRATED HP-ALL PLANS | INTEGRATED HP-ALL PLANS | $7.12 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | CORVEL - ALL PLANS | CORVEL - ALL PLANS | $7.20 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $5,543.09 | $2,161.81 | 2026-07-31 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | CENTER CARE-ALL PLANS | CENTER CARE-ALL PLANS | $7.60 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $7.76 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | MOLINA MCAID | MOLINA MCAID | $8.00 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | UHC MEDICAID | UHC MEDICAID | $8.00 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $8.00 | $2,406.18 | $1,203.09 | 2024-12-15 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | WELLCARE MEDICAID | WELLCARE MEDICAID | $8.00 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | CARESOURCE MCAID | CARESOURCE MCAID | $8.00 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $8.00 | $2,406.18 | $1,203.09 | 2024-12-15 | MRF ↗ |
| ROCKCASTLE COUNTY HOSPITAL, INC. Outpatient | COVENTRY MCAID-ALL PLANS | COVENTRY MCAID-ALL PLANS | $8.00 | $8.00 | $6.08 | 2026-03-09 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $8.99 | $21,737.84 | $13,477.46 | 2025-07-01 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $9.00 | $2,406.18 | $1,203.09 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $9.00 | $2,406.18 | $1,203.09 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $11.00 | $2,406.18 | $1,203.09 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $11.00 | $2,406.18 | $1,203.09 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $11.00 | $2,406.18 | $1,203.09 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $11.00 | $2,406.18 | $1,203.09 | 2024-12-15 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Tufts Health Plan | Managed Medicaid | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | Rhody Health Plan | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Aetna | Commercial | $11.93 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | INTEGRITY/Duals | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | RiteCare | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Neighborhood Health Plan of Rhode Island | Commercial HMO | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Behavioral Health | Commercial | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Behavioral Health | Managed Medicaid | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Behavioral Health | Medicare Advantage | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Healthcare | Commercial | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Behavioral Health | Managed Medicaid | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Behavioral Health | Commercial | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Aetna | Commercial | $12.01 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Tufts Health Plan | Managed Medicaid | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Neighborhood Health Plan of Rhode Island | Commercial HMO | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | United Behavioral Health | Medicare Advantage | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Neighborhood Health Plan of Rhode Island | Integrity/Duals | — | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $13.00 | $2,406.18 | $1,203.09 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $13.00 | $2,406.18 | $1,203.09 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $14.00 | $2,406.18 | $1,203.09 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $14.00 | $2,406.18 | $1,203.09 | 2024-12-15 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | $14.07 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Cigna | Commercial | $14.36 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $14.98 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Tufts Health Plan | Commercial HMO-EPO-POS-PPO and Medicare Complement Program | $15.12 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Tufts Health Plan | Commercial HMO-EPO-POS-PPO and Medicare Complement Program | $15.12 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $16.15 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $16.15 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $16.15 | — | — | 2026-01-14 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Cigna | Commercial | $16.59 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $16.83 | $4,547.65 | $4,320.27 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $16.83 | $4,547.65 | $4,320.27 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $16.83 | $4,547.65 | $4,320.27 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $17.28 | $4,547.65 | $4,320.27 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $17.74 | $4,547.65 | $4,320.27 | 2026-02-20 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $18.10 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $18.19 | $4,547.65 | $4,320.27 | 2026-02-20 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Neighborhood Health Plan of Rhode Island | Rhody Health Plan | $18.68 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Neighborhood Health Plan of Rhode Island | RiteCare | $18.68 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | $18.68 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $19.02 | $10,568.34 | $2,113.24 | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $19.02 | $10,568.34 | $1,926.74 | 2024-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $19.02 | $10,568.34 | $2,113.24 | 2025-12-31 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Empower | MANAGED MEDICAID | $21.00 | $2,628.00 | — | 2025-07-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | $21.86 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $22.28 | $4,547.65 | $4,320.27 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $22.28 | $4,547.65 | $4,320.27 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $22.74 | $4,547.65 | $4,320.27 | 2026-02-20 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | United Healthcare | Commercial | $22.93 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $23.65 | $4,547.65 | $4,320.27 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $24.56 | $4,547.65 | $4,320.27 | 2026-02-20 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Harvard Pilgrim | Commercial | $24.64 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Cigna | Commercial | $24.70 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $26.44 | $115.40 | $31.16 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Partners | Managed Medicaid | $26.44 | $115.40 | $80.78 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Alliance | Managed Medicaid | $26.44 | $115.40 | $31.16 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Trillium | Managed Medicaid | $26.44 | $115.40 | $31.16 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Trillium | Managed Medicaid | $26.44 | $115.40 | $80.78 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Alliance | Managed Medicaid | $26.44 | $115.40 | $80.78 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Vaya | Managed Medicaid | $26.44 | $115.40 | $31.16 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Carolina Complete Health | Managed Medicaid | $26.44 | $115.40 | $80.78 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | UHC | Managed Medicaid | $26.44 | $115.40 | $80.78 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Vaya | Managed Medicaid | $26.44 | $115.40 | $80.78 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | UHC | Managed Care | $26.44 | $115.40 | $80.78 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Carolina Complete Health | Managed Medicaid | $26.44 | $115.40 | $31.16 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Healthy Blue | Managed Medicaid | $26.44 | $115.40 | $80.78 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Healthy Blue | Managed Medicaid | $26.44 | $115.40 | $31.16 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | UHC | Managed Medicaid | $26.44 | $115.40 | $31.16 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Amerihealth Caritas | Managed Medicaid | $26.44 | $115.40 | $80.78 | 2025-12-31 | MRF ↗ |
| IREDELL MEMORIAL HOSPITAL INC OutpatientFacility | Wellcare | Managed Medicaid | $26.44 | $115.40 | $31.16 | 2025-12-31 | MRF ↗ |
| Davis Regional Medical Center OutpatientFacility | Wellcare | Managed Medicaid | $26.97 | $115.40 | $80.78 | 2025-12-31 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $27.09 | $42.00 | $21.00 | 2026-01-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| SARAH BUSH LINCOLN HEALTH CENTER Outpatient | BC COMM CARE MCAID | BC COMM CARE MCAID | $29.39 | $2,314.00 | $2,314.00 | 2026-02-13 | 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.