J3246 — Tirofiban 12.5 Mg/250 Ml (50 Mcg/ml)-0.9 % Sodium Chloride Intravenous
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS (HCPCS J3246) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3246?code_type=HCPCS
MLA (9th ed.)
“TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS (HCPCS J3246) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3246?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TIROFIBAN 12.5 MG/250 ML (50 MCG/ML)-0.9 % SODIUM CHLORIDE INTRAVENOUS (HCPCS J3246) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3246?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $25–$451 (25th–75th percentile) across 1,918 hospitals · 3,900 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3246 — 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
$25
$204 typical
$451
The middle 50% of negotiated facility rates for this procedure, measured across 1,918 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $204 |
| Likely subtotal | $204 |
Facility charge (no separate professional fee)
$204
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 $25–$451.
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $159.35 | $135.45 | 2025-01-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $1,804.00 | $1,172.60 | 2025-11-26 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | BCBS | MCRHMO | $0.13 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $0.14 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Aetna | MCR | $0.14 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Adventist Health | Commercial | $0.15 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $0.15 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | LLUH Dept of Risk Management | WC | $0.15 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $0.15 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $0.15 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1,777.00 | $1,261.67 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1,887.00 | $1,339.77 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1,887.00 | $1,339.77 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1,777.00 | $1,261.67 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Optimum | MGMCR | $0.17 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1,467.00 | $1,041.57 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1,887.00 | $1,339.77 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Freedom Health | MGMCR | $0.17 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $421.00 | $298.91 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $210.00 | $149.10 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1,887.00 | $1,339.77 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1,777.00 | $1,261.67 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1,887.00 | $1,339.77 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $1,467.00 | $1,041.57 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1,467.00 | $1,041.57 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1,887.00 | $1,339.77 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $1,887.00 | $1,339.77 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $210.00 | $149.10 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1,887.00 | $1,339.77 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $1,887.00 | $1,339.77 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $210.00 | $149.10 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $421.00 | $298.91 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $421.00 | $298.91 | 2026-07-15 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $0.18 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $0.18 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.19 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.19 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.19 | $0.88 | $0.54 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.19 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.19 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.19 | $0.88 | $0.54 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.19 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.19 | $0.88 | $0.54 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $0.19 | $0.88 | $0.54 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $0.19 | $0.88 | $0.54 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.19 | $0.88 | $0.54 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | LLUH Dept of Risk Management | WC | $0.19 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.19 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.20 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.20 | $0.86 | $0.43 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.20 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.20 | $0.86 | $0.43 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.20 | $0.86 | $0.51 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.20 | $0.86 | $0.51 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.20 | $0.86 | $0.51 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.20 | $0.86 | $0.51 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $0.20 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.20 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.20 | $0.86 | $0.43 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.20 | $0.86 | $0.51 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.20 | $0.86 | $0.43 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.20 | $0.86 | $0.51 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.21 | $0.88 | $0.44 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.21 | $0.88 | $0.44 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $0.21 | $1.15 | $0.63 | 2026-02-19 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.21 | $0.88 | $0.52 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.21 | $0.86 | $0.40 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.21 | $0.86 | $0.40 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.21 | $0.88 | $0.52 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | BCBS | MBN | $0.21 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.21 | $0.88 | $0.52 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.21 | $0.87 | $0.52 | 2025-09-30 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.21 | $0.86 | $0.40 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.21 | $0.86 | $0.40 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.21 | $0.88 | $0.44 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.21 | $0.86 | $0.40 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.21 | $0.87 | $0.52 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.21 | $0.88 | $0.44 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.21 | $0.86 | $0.40 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.21 | $0.88 | $0.52 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.22 | $0.88 | $0.41 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.22 | $0.88 | $0.41 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Adventist Health | Commercial | $0.22 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $0.22 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | LLUH Dept of Risk Management | WC | $0.22 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.22 | $0.88 | $0.41 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $0.22 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.22 | $0.88 | $0.41 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.22 | $0.88 | $0.41 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.22 | $0.88 | $0.41 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $0.22 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Adventist Health | Commercial | $0.23 | $1.15 | $0.63 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | LLUH Dept of Risk Management | WC | $0.23 | $1.15 | $0.63 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $0.23 | $1.15 | $0.63 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $0.23 | $1.15 | $0.63 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $0.23 | $1.15 | $0.63 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | United Healthcare | Navigate/Select/Select+ | $0.25 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Select/Navigate/Core | $0.25 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | Select/Navigate/Core | $0.25 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | Select/Navigate/Core | $0.25 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | BCBS | SBN | $0.26 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | BCBS | HMO | $0.26 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Simply Healthcare Plans | MGMCR | $0.26 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $0.26 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $0.26 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | HEALTHPARTNERS | COMMERCIAL | $0.27 | $0.98 | $0.44 | 2025-12-17 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | LLUH Dept of Risk Management | WC | $0.27 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other HMO | $0.28 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | United Healthcare | All Other HMO/non HMO | $0.28 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | HMO Rider | $0.28 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | HMO Rider | $0.28 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $0.28 | $1.15 | $0.63 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | All Other HMO | $0.28 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | LLUH Dept of Risk Management | WC | $0.28 | $1.15 | $0.63 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | HMO Rider | $0.28 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other HMO | $0.28 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other Commercial | $0.29 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $0.29 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $156.00 | $117.00 | 2026-09-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $0.29 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | All Other Commercial | $0.29 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | All Other Commercial | $0.29 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | LLUH Dept of Risk Management | WC | $0.29 | $1.15 | $0.63 | 2026-02-19 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $156.00 | $117.00 | 2026-09-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $0.29 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | EPIC Health Plan | Commercial | $0.31 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA OutpatientFacility | TriValley Medical Group | Senior | $0.31 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | EPIC Health Plan | Senior | $0.31 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | EPIC Health Plan | Commercial | $0.31 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | EPIC Health Plan | Senior | $0.31 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER OutpatientFacility | Riverside University Health System | MISP | $0.31 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | EPIC Health Plan | Commercial | $0.31 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA OutpatientFacility | TriValley Medical Group | Commercial | $0.31 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | EPIC Health Plan | Senior | $0.31 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Medica | Commercial|All Plans | $0.32 | $0.42 | $0.22 | 2025-09-30 | MRF ↗ |
| CHI ST ALEXIUS HEALTH TURTLE LAKE Inpatient | Medica | Commercial|All Plans | $0.32 | $0.43 | $0.22 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Health Partners | Commercial|All Plans | $0.32 | $0.42 | $0.22 | 2025-09-30 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MINNESOTACARE-MANAGED MEDICAID | $0.32 | $0.98 | $0.44 | 2025-12-17 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Medica | Commercial|All Plans | $0.32 | $0.43 | $0.22 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | Freedom Health | MGMCD | $0.32 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| CHI ST ALEXIUS HEALTH TURTLE LAKE Inpatient | Health Partners | Commercial|All Plans | $0.33 | $0.43 | $0.22 | 2026-02-28 | MRF ↗ |
| CHI ST ALEXIUS HEALTH Inpatient | Health Partners | Commercial|All Plans | $0.33 | $0.43 | $0.22 | 2026-02-28 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MSHO | $0.34 | $0.98 | $0.44 | 2025-12-17 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MSC+ Dual | $0.34 | $0.98 | $0.44 | 2025-12-17 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | BCBS | PPO | $0.34 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA AVENTURA HOSPITAL Outpatient | BCBS | NWB | $0.34 | $2.00 | $2.00 | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $1,804.00 | $1,172.60 | 2025-11-26 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | ACCESSABILITY SOLUTION-Dual | $0.34 | $0.98 | $0.44 | 2025-12-17 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Cigna of CA | HMO/PPO | $0.35 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.35 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Heritage Provider Network | Commercial | $0.36 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Heritage Provider Network | Senior | $0.36 | $0.77 | $0.42 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | United Healthcare | Navigate/Select/Select+ | $0.36 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | Select/Navigate/Core | $0.36 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $0.36 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $0.36 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $0.36 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | United Healthcare | Select/Navigate/Core | $0.36 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $0.36 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $0.36 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $0.36 | $0.86 | $0.72 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Select/Navigate/Core | $0.36 | $1.09 | $0.60 | 2026-02-19 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.36 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | HPN | $0.36 | $2.31 | $1.50 | 2026-06-15 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicare|All Plans | $0.37 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $0.37 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $0.37 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $0.37 | $0.88 | $0.73 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $0.37 | $0.88 | $0.73 | 2026-02-28 | 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.