J3285 — Treprostinil Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Treprostinil injection (HCPCS J3285) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J3285?code_type=HCPCS
MLA (9th ed.)
“Treprostinil injection (HCPCS J3285) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J3285?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Treprostinil injection (HCPCS J3285) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J3285?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $92–$5,478 (25th–75th percentile) across 1,760 hospitals · 3,546 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J3285 — 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
$92
$1,083 typical
$5,478
The middle 50% of negotiated facility rates for this procedure, measured across 1,760 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,083 |
| Likely subtotal | $1,083 |
Facility charge (no separate professional fee)
$1,083
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 $92–$5,478.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $429.36 | $214.68 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $3,337.92 | $2,837.23 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $429.36 | $214.68 | 2024-12-15 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Chip] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $3,352.86 | $2,179.36 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 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 OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Aetna Medicaid Kentucky | — | $0.52 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Humana Medicaid Kentucky | — | $0.52 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Anthem Medicaid Kentucky | — | $0.52 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Molina Medicaid Kentucky | — | $0.53 | $4.75 | $2.85 | 2026-08-01 | 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 | $437.70 | — | 2026-07-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Anthem Medicaid Kentucky | — | $0.67 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Aetna Medicaid Kentucky | — | $0.67 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Molina Medicaid Kentucky | — | $0.68 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| HARLAN ARH HOSPITAL | Aetna Medicaid Kentucky | — | $0.81 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| HARLAN ARH HOSPITAL | Anthem Medicaid Kentucky | — | $0.81 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| HARLAN ARH HOSPITAL | Humana Medicaid Kentucky | — | $0.81 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| HARLAN ARH HOSPITAL | Molina Medicaid Kentucky | — | $0.82 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $0.92 | — | — | 2026-01-13 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $241.93 | $120.97 | 2026-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Empire Blue Priority | Small Group/Pathway/Blue | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Empire | Indemnity | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $4,223.00 | $3,167.25 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $4,223.00 | $3,167.25 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $3,352.86 | $2,179.36 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| FLUSHING HOSPITAL MEDICAL CENTER Outpatient | Empire | Indemnity | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $3,352.86 | $2,179.36 | 2025-11-26 | MRF ↗ |
| JAMAICA HOSPITAL MEDICAL CENTER Outpatient | Empire | Hmo/Ppo/Pos/Epo/Cdhp/Nys/Nyc | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| FLUSHING HOSPITAL MEDICAL CENTER Outpatient | Empire | Hmo/Ppo/Pos/Epo/Cdhp/Nys/Nyc | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $4,223.00 | $3,167.25 | 2026-09-02 | MRF ↗ |
| FLUSHING HOSPITAL MEDICAL CENTER Outpatient | Empire Blue Priority | Small Group/Pathway/Blue | $1.00 | $1.00 | $1.00 | 2026-07-15 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $4,223.00 | $3,167.25 | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $241.93 | $120.97 | 2026-07-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Wellcare Medicaid | — | $1.09 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $241.93 | $120.97 | 2026-07-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Anthem Pathway | — | $1.18 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $18,068.22 | $11,744.34 | 2025-11-26 | MRF ↗ |
| HARLAN ARH HOSPITAL | Wellcare Medicaid | — | $1.24 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Anthem Blue Cross | — | $1.31 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Anthem Ppo/Hmo | — | $1.31 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $2,243.13 | $2,243.13 | 2026-04-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Anthem Transition | — | $1.57 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| HARLAN ARH HOSPITAL | Anthem Transition | — | $1.57 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Anthem Transition | — | $1.57 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $544.35 | $353.83 | 2026-06-15 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Uhc Commercial | — | $2.50 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| HARLAN ARH HOSPITAL | Humana Commercial | — | $3.17 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Humana Commercial | — | $3.17 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL | Humana Commercial | — | $3.17 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Humana Commercial | — | $3.20 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Aetna Commercial | — | $3.29 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Uhc Commercial | — | $3.41 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| HARLAN ARH HOSPITAL | Uhc Commercial | — | $3.54 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $18,068.22 | $11,744.34 | 2025-11-26 | MRF ↗ |
| BECKLEY ARH HOSPITAL | Uhc Commercial | — | $3.75 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $3.83 | — | — | 2026-03-18 | MRF ↗ |
| HARLAN ARH HOSPITAL | Anthem Pathway Hmo | — | $3.90 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Anthem Pathway Hmo | — | $3.90 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| HARLAN ARH HOSPITAL | Anthem Pathway Ppo | — | $4.07 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Anthem Pathway Ppo | — | $4.07 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| HARLAN ARH HOSPITAL | Anthem Blue Cross | — | $4.11 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Anthem Blue Cross | — | $4.11 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL | Aetna Commercial | — | $4.28 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| HARLAN ARH HOSPITAL | Aetna Commercial | — | $4.28 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER | Aetna Commercial | — | $4.28 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL | Aetna Commercial | — | $4.42 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| HARLAN ARH HOSPITAL | Aetna Commercial | — | $4.42 | $4.75 | $2.85 | 2026-08-01 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER | Humana Medicaid Kentucky | — | $4.89 | $4.75 | $2.85 | 2026-07-31 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $5.44 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Medicare Advantage HMO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $5.44 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Medicare Advantage PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Wellcare | Medicare Advantage HMO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Blue Shield | PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Cigna | PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | United Healthcare (UHC) | PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | HMO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Community Partners Health Plan (CPHP) | PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | HMO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Wellcare | Medicare Advantage HMO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Blue Cross Blue Shield | Blue Choice/Options/PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Cigna | PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $5.44 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna Better Health | Managed Medicaid | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Wellcare | Medicare Advantage HMO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Cigna | PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Multiplan/PHCS | PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Blue Cross Community Care | Managed Medicaid | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | Medicare Advantage | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Meridian | Managed Medicaid | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Meridian | Managed Medicaid | $5.44 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE FOUNDATION HOSPITAL InpatientFacility | Aetna | Commercial PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | United Healthcare (UHC) | VA CCN/Optum | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $5.44 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Multiplan/PHCS | PPO | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna | Commercial | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $3,977.75 | $1,551.32 | 2026-07-31 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $7.74 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $7.74 | — | — | 2024-10-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | OXFORD [100103] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $8.88 | $17.75 | $10.65 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | OPTUM BEHAVIORAL HEALTH [100900] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $8.88 | $17.75 | $10.65 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | UNITED HEALTH CARE [100104] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $8.88 | $17.75 | $10.65 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | UMR [100130] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $8.88 | $17.75 | $10.65 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | HARVARD PILGRIM [1001134] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $8.88 | $17.75 | $10.65 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | GOLDEN RULE [100106] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $8.88 | $17.75 | $10.65 | 2026-01-01 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $9.00 | $69.41 | $34.70 | 2024-12-15 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $9.54 | — | — | 2026-03-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $18,068.22 | $11,744.34 | 2025-11-26 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Multiplan | Multiplan | — | $13.31 | $7.99 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Aetna | Commerical | — | $13.31 | $7.99 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Aetna | Middlesex Employees | — | $13.31 | $7.99 | 2025-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | Anthem | Indemnity | — | $13.31 | $7.99 | 2025-01-01 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $10.87 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE BROMENN MEDICAL CENTER InpatientFacility | Molina | Managed Medicaid | $10.87 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Aetna | Commercial | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE HEALTH METHODIST HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $10.87 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL InpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $10.87 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Aetna Better Health | Managed Medicaid | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | — | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE EUREKA HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $10.87 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso First Health Plan | Commercial | $10.89 | $72.58 | $14.52 | 2026-07-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $11.00 | $69.41 | $34.70 | 2024-12-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL OutpatientFacility | Molina | Medicare-Medicaid (D-SNP) | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER OutpatientFacility | United Healthcare (UHC) | Medicare Advantage | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL OutpatientFacility | Wellcare | Medicare Advantage HMO | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL OutpatientFacility | Meridian | Medicare-Medicaid (D-SNP) | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare-Medicaid (D-SNP) | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage HMO | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage PPO | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL OutpatientFacility | Aetna Better Health | Medicare-Medicaid (D-SNP) | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER OutpatientFacility | Meridian | Medicare-Medicaid (MMAI/Dual) | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER OutpatientFacility | Molina | Medicare-Medicaid (MMAI/Dual) | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER OutpatientFacility | Aetna | Medicare Advantage HMO | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER OutpatientFacility | Humana | Medicare Advantage | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER OutpatientFacility | Wellcare | Medicare Advantage HMO | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE RICHLAND MEMORIAL HOSPITAL OutpatientFacility | United Healthcare (UHC) | Medicare Advantage | $11.42 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| CARLE HOOPESTON REGIONAL HEALTH CENTER OutpatientFacility | Aetna | Medicare Advantage PPO | $11.64 | $54.36 | $54.36 | 2026-04-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $12.00 | $69.41 | $34.70 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $12.00 | $69.41 | $34.70 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $12.00 | $69.41 | $34.70 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $12.00 | $69.41 | $34.70 | 2024-12-15 | MRF ↗ |
| UNIVERSITY OF ALABAMA HOSPITAL InpatientFacility | University of Alabama | Athletics | $12.15 | $24.30 | — | 2026-02-19 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $12.21 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $12.21 | — | — | 2025-12-23 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $12.45 | $68.76 | $37.82 | 2026-02-19 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | HARVARD PILGRIM [1001134] | CCMC HB HARVARD REIMB CONTRACT | $12.95 | $17.75 | $10.65 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | OPTUM BEHAVIORAL HEALTH [100900] | CCMC HB HARVARD REIMB CONTRACT | $12.95 | $17.75 | $10.65 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Both | MULTIPLAN [1001126] | CCMC HB HARVARD REIMB CONTRACT | $12.95 | $17.75 | $10.65 | 2026-01-01 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Both | El Paso Health Plans | Medicaid | $13.06 | $72.58 | $14.52 | 2026-07-15 | MRF ↗ |
| UNIVERSITY OF ALABAMA HOSPITAL InpatientFacility | United Healthcare | Commercial | $13.21 | $24.30 | — | 2026-02-19 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | GOLDEN RULE [100106] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $13.31 | $26.62 | $15.97 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | HARVARD PILGRIM [1001134] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $13.31 | $26.62 | $15.97 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | OXFORD [100103] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $13.31 | $26.62 | $15.97 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | OPTUM BEHAVIORAL HEALTH [100900] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $13.31 | $26.62 | $15.97 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | UMR [100130] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $13.31 | $26.62 | $15.97 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | UNITED HEALTH CARE [100104] | CCMC HB UNITED/OXFORD REIMB CONTRACT | $13.31 | $26.62 | $15.97 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | UNICARE [100148] | CCMC HB BCBS ANTHEM REIMB CONTRACT | $13.41 | $17.75 | $10.65 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | BLUE CROSS [110001] | CCMC HB BCBS ANTHEM REIMB CONTRACT | $13.41 | $17.75 | $10.65 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | WELLPOINT [100150] | CCMC HB BCBS ANTHEM REIMB CONTRACT | $13.41 | $17.75 | $10.65 | 2026-01-01 | MRF ↗ |
| CONNECTICUT CHILDRENS MEDICAL CENTER Inpatient | BLUE CROSS [110001] | CCMC HB BCBS STATE PREF CONTRACT | $13.41 | $17.75 | $10.65 | 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.