J7189 — Coagulation Factor Viia Recomb 1 Mg (1,000 Mcg) Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION (HCPCS J7189) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7189?code_type=HCPCS
MLA (9th ed.)
“COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION (HCPCS J7189) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7189?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“COAGULATION FACTOR VIIA RECOMB 1 MG (1,000 MCG) INTRAVENOUS SOLUTION (HCPCS J7189) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7189?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$11,851 (25th–75th percentile) across 1,791 hospitals · 5,613 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J7189 — 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
$4
$3,661 typical
$11,851
The middle 50% of negotiated facility rates for this procedure, measured across 1,791 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $3,661 |
| Likely subtotal | $3,661 |
Facility charge (no separate professional fee)
$3,661
- 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 | — | $7,839.00 | $6,663.15 | 2025-01-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $0.07 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $0.07 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STARKids | $0.07 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $0.07 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $0.07 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.13 | — | — | 2026-03-18 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | $0.14 | $110,188.80 | $82,641.60 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | $0.14 | $21,266.00 | $15,949.50 | 2026-04-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $0.21 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Texas Workforce Commission | WORKERSCOMP | $0.24 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.25 | $7,839.00 | $5,095.35 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.25 | $7,839.00 | $5,095.35 | 2025-01-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Healthcare Highways | NarrowNetwork | $0.26 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Averde Health | COMM | $0.33 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | — | $2.59 | $0.88 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | HMO | $0.38 | $2.59 | $0.88 | 2025-03-17 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | ACCEL | $0.43 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | Precision HMO | $0.43 | $2.59 | $0.88 | 2025-03-17 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | SOUTHTEXASISDRATES | $0.43 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Aetna | Banner Employee Plans | $0.44 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | United Healthcare | UHC Medicare Advantage | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Health Net | Medicare | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | TriWest Healthcare Alliance Corp - VA CCN | Tricare | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Banner Health | Medicare Advantage | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $0.45 | $2.20 | $1.76 | 2026-01-28 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | UPMC Health Plan | Medicare Advantage | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Care 1st | Medicare Advantage | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $0.45 | $2.20 | $1.76 | 2026-01-28 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Wellpoint | Medicare Advantage HMO | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Kaiser Foundation Health Plan | Medicare Advantage | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | BCBS | Traditional | $0.45 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Arizona Physicians IPA | Medicare Advantage | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Mercy Care | Mercy Care Advantage | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield of Arizona | Medicare Advantage | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Banner University Health Plan | Medicare Advantage | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $0.45 | $2.20 | $1.76 | 2026-01-28 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | Medicare Advantage | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Gila River Health Care Corporation | Managed Care Program | $0.45 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.46 | — | — | 2026-03-31 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Humana | Medicare Advantage | $0.47 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Carelon | Medicare Advantage | $0.47 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Arizona Priority Care | Medicare Advantage | $0.49 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Gold Kidney Health Plan | Medicare Advantage | $0.49 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER InpatientFacility | National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $0.49 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER InpatientFacility | Plotkin Health | Plotkin Health | $0.49 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Devoted Health Services | Medicare Advantage | $0.49 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.50 | $1.13 | $0.56 | 2026-03-02 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $0.50 | $1.13 | $0.56 | 2026-03-02 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Wyoming | Medicare Advantage | $0.50 | $1.13 | $0.72 | 2026-02-12 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | TriWest Healthcare Alliance Corp - VA CCN | Tricare | $0.50 | $1.13 | $0.72 | 2026-02-12 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | Banner Health | Banner Choice Plus/Banner Select | $0.50 | $1.13 | $0.72 | 2026-02-12 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | NaphCare | Federal Prison System | $0.50 | $1.13 | $0.56 | 2026-03-02 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | Banner Health | Banner Choice Plus | $0.50 | $1.13 | $0.56 | 2026-03-02 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid/CHIP | — | $1.13 | $0.56 | 2026-03-02 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | Medica | Medicare Advantage | $0.50 | $1.13 | $0.72 | 2026-02-12 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Medicare Advantage | $0.50 | $1.13 | $0.56 | 2026-03-02 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | TriWest Healthcare Alliance Corp - VA CCN | Tricare | $0.50 | $1.13 | $0.56 | 2026-03-02 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | Medica | Medicare Advantage | $0.51 | $1.13 | $0.56 | 2026-03-02 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | InterWest Health | Medicare Advantage | $0.51 | $1.13 | $0.56 | 2026-03-02 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | Prime Health Services | Medicare Advantage | $0.51 | $1.13 | $0.56 | 2026-03-02 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | UHC Medicare Advantage | $0.52 | $1.13 | $0.72 | 2026-02-12 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | VA Community Care | $0.52 | $1.13 | $0.72 | 2026-02-12 | MRF ↗ |
| BANNER LASSEN MEDICAL CENTER OutpatientFacility | Anthem Blue Cross California | Medicare Advantage | $0.53 | $6.70 | $2.97 | 2026-02-12 | MRF ↗ |
| COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Nebraska Medicaid/CHIP | $0.54 | $1.13 | $0.56 | 2026-03-02 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $0.55 | $11.00 | $11.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | CHIP | $0.55 | $9.13 | $9.13 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $0.55 | $11.00 | $11.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | STAR | $0.55 | $9.13 | $9.13 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $0.55 | $11.00 | $11.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | CHPFC | $0.55 | $9.13 | $9.13 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $0.55 | $11.00 | $11.00 | 2026-03-01 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | Nebraska Total Care | Medicaid | $0.55 | $1.13 | $0.72 | 2026-02-12 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | United Healthcare | Nebraska Medicaid/CHIP | $0.55 | $1.13 | $0.72 | 2026-02-12 | MRF ↗ |
| OGALLALA COMMUNITY HOSPITAL OutpatientFacility | Molina Healthcare | Medicaid/CHIP | $0.55 | $1.13 | $0.72 | 2026-02-12 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | STARKids | $0.55 | $9.13 | $9.13 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Superior Health Plan | STARPLUS | $0.55 | $9.13 | $9.13 | 2026-03-01 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | United Healthcare | Star Kids KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Multiplan | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | United Healthcare | Chip KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Superior | Chip KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Driscoll Children's Health Plan | Star Kids KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Driscoll Children's Health Plan | Star KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Texas Childrens Health Plan | Chip KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Cigna | New Business | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Driscoll Children's Health Plan | Chip KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Blue Cross Blue Shield Of Texas | Star Chip KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Five Point Credit Union | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $0.56 | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | United Healthcare | Star Plus KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Texas Childrens Health Plan | Star Plus KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Superior | Star Kids KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Molina | Chip KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Healthcare Highways | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Superior | Foster Care KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | United Healthcare | Star KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Phcs | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Health Management Network | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | First Health | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Superior | Star Plus KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Molina | Star Plus KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Molina | Star KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Superior | Star KM | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Healthsmart | Accel PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Beech Street | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Provider Select | PPO | — | — | — | 2026-01-13 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | First Health | NonExclusive | $0.57 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | First Health | Exclusive | $0.57 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARHealth | $0.58 | $8.22 | $8.22 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARKids | $0.58 | $8.22 | $8.22 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | MCDSTAR | $0.58 | $8.22 | $8.22 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | STARPLUS | $0.58 | $8.22 | $8.22 | 2026-03-01 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Aetna | Joint Venture | $0.58 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.58 | $11,664.00 | $1,749.60 | 2025-12-23 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $0.58 | $2.20 | $1.76 | 2026-01-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.58 | $11,664.00 | $1,749.60 | 2025-12-23 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $0.58 | $2.20 | $1.76 | 2026-01-28 | MRF ↗ |
| MEDICAL CITY DECATUR Outpatient | Superior Health Plan | CHIP | $0.58 | $8.22 | $8.22 | 2026-03-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $28.98 | $2.90 | 2026-06-01 | MRF ↗ |
| VIRTUA OUR LADY OF LOURDES HOSPITAL Outpatient | None | — | — | $28.98 | $2.90 | 2026-04-01 | MRF ↗ |
| WEST JERSEY HOSPITAL Outpatient | None | — | — | $28.98 | $2.90 | 2026-04-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | National Healthcare Solutions | COMM | $0.60 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | SouthWest Medical | WORKERSCOMP | $0.60 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | CHIP | $0.60 | $9.98 | $9.98 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STARPLUS | $0.60 | $9.98 | $9.98 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | CHPFC | $0.60 | $9.98 | $9.98 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STAR | $0.60 | $9.98 | $9.98 | 2026-05-14 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Superior Health Plan | STARKids | $0.60 | $9.98 | $9.98 | 2026-05-14 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Aetna | Aetna Qualified Health Plan | $0.61 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.61 | $14.86 | $6.32 | 2026-01-29 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $0.61 | $3.37 | $1.85 | 2026-02-19 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Health Choice Arizona, Inc. | ACA Health Plan | $0.64 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Total E&P Mexico | COMM | $0.65 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Coastal Comp | COMM | $0.65 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $0.65 | $2.20 | $1.76 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $0.65 | $2.20 | $1.76 | 2026-01-28 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $0.66 | $2.59 | $0.88 | 2025-03-17 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Plain Church | All Products | $0.66 | $7,839.00 | $6,506.37 | 2025-01-01 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Health Net | Commerical Exchange Product | $0.66 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | NALC | All Commercial Plans | $0.66 | $2.59 | $0.88 | 2025-03-17 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $0.67 | $3.37 | $1.85 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | LLUH Dept of Risk Management | WC | $0.67 | $3.37 | $1.85 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $0.67 | $3.37 | $1.85 | 2026-02-19 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $0.67 | $1.14 | $1.14 | 2025-05-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $0.67 | $3.37 | $1.85 | 2026-02-19 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $0.67 | $1.14 | $1.14 | 2025-05-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Adventist Health | Commercial | $0.67 | $3.37 | $1.85 | 2026-02-19 | MRF ↗ |
| Westchester Medical Center T C OutpatientFacility | None | — | — | $2.00 | $0.68 | 2026-04-02 | MRF ↗ |
| Westchester Medical Center T C OutpatientFacility | None | — | — | $5.00 | $3.00 | 2026-04-02 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | Affiliated Healthcare | COMM | $0.68 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $0.70 | $1.18 | $1.18 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $0.70 | $1.18 | $1.18 | 2025-05-01 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER InpatientFacility | Aetna | Medical Rental | $0.70 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| VALLEY REGIONAL MEDICAL CENTER Outpatient | HealthSmart Preferred Care | PPO | $0.70 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $0.70 | $1.18 | $1.18 | 2025-05-01 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| SOUTH BROOKLYN HEALTH OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | OSCAR | ALL PRODUCTS | $0.71 | $1.19 | — | 2025-09-05 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Aetna | Broad Network | $0.72 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $0.73 | $2.20 | $1.76 | 2026-01-28 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | United Healthcare | UHC Individual Exchange | $0.73 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| BANNER PAYSON MEDICAL CENTER OutpatientFacility | Oscar Health Plan | Commercial | $0.74 | $1.09 | $0.37 | 2026-03-02 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $0.75 | $12.47 | $12.47 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $0.75 | $12.47 | $12.47 | 2026-03-01 | 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.