J7169 — Inj Andexxa, 10 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj andexxa, 10 mg (HCPCS J7169) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7169?code_type=HCPCS
MLA (9th ed.)
“Inj andexxa, 10 mg (HCPCS J7169) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7169?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj andexxa, 10 mg (HCPCS J7169) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7169?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $138–$4,206 (25th–75th percentile) across 1,552 hospitals · 2,756 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7169 — 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
$138
$276 typical
$4,206
The middle 50% of negotiated facility rates for this procedure, measured across 1,552 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $276 |
| Likely subtotal | $276 |
Facility charge (no separate professional fee)
$276
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 $138–$4,206.
- 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 |
|---|---|---|---|---|---|---|---|
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $22,500.00 | $14,625.00 | 2025-11-26 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $0.20 | $1.00 | — | 2025-07-23 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL OutpatientFacility | Beacon Health Options | Medicare | $0.89 | — | — | 2026-02-19 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | Core Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $22,500.00 | $14,625.00 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $22,500.00 | $14,625.00 | 2025-11-26 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | United Healthcare | All Payer | — | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | $165.57 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | $165.57 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | $165.57 | 2025-08-30 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $47,359.00 | $47,359.00 | 2026-04-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | $165.57 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | $165.57 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | $165.57 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | $165.57 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | $165.57 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | $165.57 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | $165.57 | 2025-08-30 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Medical Rental Products | $2.25 | $3,000.00 | $3,000.00 | 2026-07-15 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Gatekeeper/Non Gatekeeper | $2.25 | $3,000.00 | $3,000.00 | 2026-07-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM OutpatientFacility | Great Plains | Medicare Advantage | $6.00 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield of Nebraska | Medicare Advantage | $6.00 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM OutpatientFacility | United Healthcare | Medicare Advantage | $6.00 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM OutpatientFacility | Medica | Medicare Advantage | $6.00 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM OutpatientFacility | Humana | Medicare Advantage | $6.12 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $8,585.00 | $3,348.15 | 2026-07-31 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | CHIP | $8.51 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | MCDSTAR | $8.51 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARHealth | $8.51 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARKids | $8.51 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARPLUS | $8.51 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $10.00 | $10.00 | $10.00 | 2025-08-30 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM OutpatientFacility | Nebraska Total Care | Managed Medicaid | $14.40 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM OutpatientFacility | United Healthcare Community Plan | Managed Medicaid | $14.40 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM OutpatientFacility | Molina | Managed Medicaid/CHIP | $15.45 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM OutpatientFacility | Molina | Dual Eligible Plan | $15.75 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM OutpatientFacility | WellCare | Medicare Advantage/Dual Needs Plan | $16.38 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Aetna | QHPHIX | $16.40 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Cigna | IFP | $16.40 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM OutpatientFacility | Nebraska Total Care | Medicare Advantage/Dual Needs Plan/MMP Plan | $16.50 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Cigna | QHP | $17.01 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $17.69 | — | — | 2026-03-18 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Centene | AbsoluteMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Aetna | AetnaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Eon Health Medicare | EONHealthMedicare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Physician Care Network | PhysiciansCareNetworkPPO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | United Healthcare | UnitedExchange | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Carrum Health | CarrumHealth | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | United Healthcare | UnitedNonOptions | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Amerihealth | SelectHealthPlan | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Americas 1st Choice Medicare | Americas1stChoiceMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCareSelect | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Amerihealth | AmerihealthCaritasMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Detyens Medical Center | DetyensMedicalCenter | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Clover Insurance Co | CloverMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Amerihealth | AmerihealthExchange | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Medcost | MedCostPPO | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Humana | HumanaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Transcarent | Transcarent | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Key Health Medical Solutions Inc | KeyHealthMedicalSolutions | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCHIX | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Employers Health Network | EmployersHealthNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPAR | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Palmetto Healthcare Network | PalmettoHealthcareNetwork | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | United Healthcare | UnitedOptions | — | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2024-12-08 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $20.00 | $4,169.35 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $20.00 | $4,169.35 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $20.00 | $4,169.35 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $20.00 | $4,169.35 | — | 2026-04-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $21.27 | $5,750.00 | $5,462.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $21.27 | $5,750.00 | $5,462.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $21.27 | $5,750.00 | $5,462.50 | 2026-02-20 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | United | OptionsPPO | $21.38 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $21.85 | $5,750.00 | $5,462.50 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $22.43 | $5,750.00 | $5,462.50 | 2026-02-20 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $22.63 | — | — | 2026-03-31 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $23.00 | $5,750.00 | $5,462.50 | 2026-02-20 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Aetna | NewBusiness | $24.18 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Aetna | COMM | $25.88 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Aetna | Meritain | $25.88 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | United Healthcare | Medicare Advantage | — | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Molina | Managed Medicaid/CHIP | — | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Humana | Medicare Advantage | — | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Molina | Dual Eligible Plan | — | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Nebraska Total Care | Managed Medicaid | — | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Medica | Medicare Advantage | — | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Great Plains | Medicare Advantage | — | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | WellCare | Medicare Advantage/Dual Needs Plan | — | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Medica | Individual and Family Business Plans | $27.30 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Blue Cross Blue Shield of Nebraska | Medicare Advantage | — | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Nebraska Total Care | Medicare Advantage/Dual Needs Plan/MMP Plan | — | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Aetna | Medicare Advantage | — | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $27.97 | $655.00 | $655.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $27.97 | $655.00 | $655.00 | 2026-04-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $28.18 | $5,750.00 | $5,462.50 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $28.18 | $5,750.00 | $5,462.50 | 2026-02-20 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $28.49 | $655.00 | $655.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $28.49 | $655.00 | $655.00 | 2026-04-30 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $28.75 | $5,750.00 | $5,462.50 | 2026-02-20 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Blue Cross Blue Shield of Nebraska | Commercial | $28.80 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Medica | Commercial Plans/Care System Products | $28.80 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM OutpatientFacility | Aetna | Medicare Advantage | $28.80 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $28.84 | $721.00 | $721.00 | 2026-06-24 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $28.94 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $28.94 | — | — | 2025-12-23 | MRF ↗ |
| VALLEY COUNTY HEALTH SYSTEM InpatientFacility | Multiplan/PHCS | Primary/Complementary PPO | $29.40 | $30.00 | $27.00 | 2026-06-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $29.90 | $5,750.00 | $5,462.50 | 2026-02-20 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Aetna | OON | $30.50 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $30.79 | $721.00 | $721.00 | 2026-06-24 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $31.05 | $5,750.00 | $5,462.50 | 2026-02-20 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $31.15 | $721.00 | $721.00 | 2026-06-24 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Blue Cross Blue Shield Completecaresource Michigan Medicaidmeridian Health Healthy Michigan Planmeridian Health Medicaid Hmomeridian Health Mi Childmeridian Health Plan | Hmo | $31.29 | $7,125.00 | $4,275.00 | 2026-07-15 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Platform Health Insurance | Ppo | $31.29 | $7,125.00 | $4,275.00 | 2026-07-15 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $34.45 | $655.00 | $655.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $34.45 | $655.00 | $655.00 | 2026-04-30 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $35.63 | $655.00 | $655.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $35.63 | $655.00 | $655.00 | 2026-04-30 | MRF ↗ |
| MYMICHIGAN MEDICAL CENTER ALMA Both | Mclaren Health Healthy Michigan Planmclaren Health Medicaid Hmomclaren Health Mi Child | Hmo | $35.98 | $7,125.00 | $4,275.00 | 2026-07-15 | MRF ↗ |
| EMANUEL MEDICAL CENTER Inpatient | BCBS HIX | Commercial | $36.42 | $10,000.00 | $7,500.00 | 2026-02-25 | MRF ↗ |
| THE MEDICAL CENTER (BOWLING GREEN) Inpatient | Center Care | Center Care | $38.09 | $4,169.35 | — | 2026-04-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $38.93 | $721.00 | $721.00 | 2026-06-24 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $39.25 | $125.00 | $100.00 | 2026-01-28 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Bcbs | Managed Medicaid | $40.98 | $150.00 | $90.00 | 2026-07-15 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Healthcare Highways | CityofPlano | $41.07 | $121.50 | $121.50 | 2026-03-01 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $41.75 | $125.00 | $100.00 | 2026-01-28 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | ANTHEM | KENTUCKY | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | MERIGOLD | MEDICARE | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | HUMANA | MEDICAID | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | UHC | COMMERCIAL | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | MOLINA | MEDICAID | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | HUMANA | MEDICARE | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | UHC | MEDICARE | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | MOLINA | MEDICARE | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | AMERIHEALTH | MEDICAID | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | AETNA | AETNA MEDICARE | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | MEDICARE | TRADITIONAL | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | CARESOURCE | MEDICAID | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | BUCKEYE | MEDICAID | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | ANTHEM | MEDICAID | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | ANTHEM | OHIO | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | ANTHEM | INDIANA | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | ANTHEM | MIDWEST | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | UHC MEDICAID | UHC MEDICAID | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ADAMS COUNTY REGIONAL MEDICAL CENTER Outpatient | BUCKEYE | MEDICARE | — | $150.00 | $120.00 | 2024-12-25 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $43.78 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $43.78 | — | — | 2026-03-01 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Health Alliance | Medicare Advantage | — | $83.00 | $49.80 | 2025-04-25 | MRF ↗ |
| HANNIBAL REGIONAL HOSPITAL InpatientFacility | Samaritan Employee Health Plan | Commercial | — | $83.00 | $49.80 | 2025-04-25 | 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.