J7190 — Factor Viii
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Factor viii (HCPCS J7190) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7190?code_type=HCPCS
MLA (9th ed.)
“Factor viii (HCPCS J7190) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7190?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Factor viii (HCPCS J7190) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7190?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1–$5 (25th–75th percentile) across 1,591 hospitals · 2,252 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7190 — 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
$1
$2 typical
$5
The middle 50% of negotiated facility rates for this procedure, measured across 1,591 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2 |
| Likely subtotal | $2 |
Facility charge (no separate professional fee)
$2
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 $1–$5.
- 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 |
|---|---|---|---|---|---|---|---|
| AUBURN COMMUNITY HOSPITAL Both | FIDELIS-EP_0000 | FIDELIS ESSENTIAL PLAN 1-2 IP AND OP NO RATE CODE | $0.04 | $81.90 | $39.10 | 2025-01-19 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.07 | — | — | 2026-03-18 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $0.11 | $7.98 | $7.58 | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.13 | $1.12 | $0.34 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $0.14 | $1.12 | $0.34 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $0.14 | $1.12 | $0.34 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $0.14 | $1.12 | $0.34 | 2026-07-18 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $0.15 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHIP | $0.15 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $0.15 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STARPLUS | $0.15 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STAR | $0.15 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $0.15 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHPFC | $0.15 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $0.15 | $3.00 | $3.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Suncoast Neighborly Care | MedicarePACE | $0.17 | $2.10 | $2.10 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | BSL | $0.18 | $2.10 | $2.10 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Truli | BSL | $0.18 | $2.10 | $2.10 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | SBN | $0.18 | $2.10 | $2.10 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | MBN | $0.18 | $2.10 | $2.10 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | BSL | $0.19 | $2.10 | $2.10 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | AvMed | HIX | $0.19 | $2.10 | $2.10 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | SBN | $0.19 | $2.10 | $2.10 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | MBN | $0.19 | $2.10 | $2.10 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | TRULI FOR HEALTH | COMM | $0.19 | $2.10 | $2.10 | 2024-10-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.19 | — | — | 2026-03-31 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.20 | $0.92 | $0.56 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.20 | $0.92 | $0.56 | 2026-02-28 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $0.20 | $2.00 | $1.35 | 2025-01-31 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $0.20 | $0.92 | $0.56 | 2026-02-28 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Americhoice | MEDICAID | $0.20 | $2.00 | $1.35 | 2025-01-31 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.20 | $0.92 | $0.56 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.20 | $0.92 | $0.56 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.20 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.20 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.20 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $0.20 | $0.92 | $0.56 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Suncoast Neighborly Care | LOCALGOV | $0.21 | $2.10 | $2.10 | 2024-10-01 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.21 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon NJ Health | ALL PRODUCTS | $0.21 | $2.00 | $1.35 | 2025-01-31 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.21 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Amerigroup | ALL PRODUCTS | $0.21 | $2.00 | $1.35 | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $0.21 | $2.00 | $1.35 | 2025-01-31 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.21 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.22 | $0.92 | $0.55 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.22 | $0.92 | $0.55 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.22 | $0.92 | $0.55 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.22 | $0.92 | $0.55 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.22 | $0.92 | $0.46 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.22 | $0.92 | $0.46 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.22 | $0.92 | $0.55 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.22 | $0.92 | $0.46 | 2026-02-28 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | AMERIGROUP | AMERIGROUP GA | $0.22 | $1.06 | $0.56 | 2026-01-25 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.22 | $0.92 | $0.55 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.22 | $0.92 | $0.46 | 2026-02-28 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | CARESOURCE | CARESOURCE GA MEDICAID | $0.22 | $1.06 | $0.56 | 2026-01-25 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.23 | $0.92 | $0.43 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.23 | $0.92 | $0.43 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.23 | $0.92 | $0.43 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.23 | $0.92 | $0.43 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.23 | $0.92 | $0.43 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.23 | $0.92 | $0.43 | 2026-02-28 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.24 | $2.13 | $0.65 | 2026-07-18 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | HMO | $0.24 | $2.10 | $2.10 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | HMO | $0.24 | $2.10 | $2.10 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STARPLUS | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHIP | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | STAR | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | STARPLUS | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | STAR | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | CHIP | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Superior Health Plan | CHPFC | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.25 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.25 | — | — | 2025-12-23 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Superior Health Plan | CHPFC | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $0.26 | $2.13 | $0.65 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $0.26 | $2.13 | $0.65 | 2026-07-18 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Truli | PPO | $0.26 | $2.10 | $2.10 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | NWB | $0.27 | $2.10 | $2.10 | 2024-10-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.27 | $2.40 | $0.73 | 2026-07-18 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | PPO | $0.27 | $2.10 | $2.10 | 2024-10-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $0.27 | $2.13 | $0.65 | 2026-07-18 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | NWB | $0.27 | $2.10 | $2.10 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | PPO | $0.27 | $2.10 | $2.10 | 2026-03-01 | 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 ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $0.29 | $2.40 | $0.73 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $0.29 | $2.40 | $0.73 | 2026-07-18 | MRF ↗ |
| CORONA REGIONAL MEDICAL CENTER Both | Primecare | Managed Care | $0.30 | $2.00 | $1.00 | 2026-07-17 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $0.30 | $2.40 | $0.73 | 2026-07-18 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $0.30 | $2.00 | $0.46 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $0.30 | $2.00 | $0.44 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $0.30 | $2.00 | $0.44 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $0.30 | $2.00 | $0.46 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $0.31 | $2.00 | $0.44 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $0.31 | $2.00 | $0.44 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $0.31 | $2.00 | $0.44 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $0.31 | $2.00 | $0.46 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $0.31 | $2.00 | $0.46 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $0.31 | $2.00 | $0.46 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $0.31 | $2.00 | $0.44 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $0.31 | $2.00 | $0.46 | 2026-07-15 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.32 | — | — | 2026-01-29 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Simply Healthcare | MGMCR | $0.32 | $2.10 | $2.10 | 2026-03-01 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | CARESOURCE | CARESOURCE GA MEDICAID | $0.33 | $1.58 | $0.83 | 2026-01-25 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Private Pay Flat Rate | Private Pay Flat Rate | $0.33 | $6,016.00 | $6,016.00 | 2026-07-19 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | AMERIGROUP | AMERIGROUP GA | $0.33 | $1.58 | $0.83 | 2026-01-25 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Outpatient | Private Pay Flat Rate | Private Pay Flat Rate | $0.33 | $6,016.00 | $6,016.00 | 2026-07-15 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | Truli for Health | BSL | $0.34 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | Simply Healthcare | MGMCR | $0.34 | $2.10 | $2.10 | 2024-10-01 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | CARESOURCE | CARESOURCE GA MEDICAID | $0.34 | $1.64 | $0.87 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | AMERIGROUP | AMERIGROUP GA | $0.34 | $1.64 | $0.87 | 2026-01-25 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | United | OptionsPPO | $0.34 | $2.10 | $2.10 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | BCBS | MBN | $0.35 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | BCBS | SBN | $0.35 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | BCBS | BSL | $0.35 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $0.36 | $1.12 | $0.34 | 2026-07-18 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | United | OptionsPPO | $0.37 | $2.10 | $2.10 | 2024-10-01 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | BCBSGA | HMO GEORGIA | $0.37 | $1.06 | $0.56 | 2026-01-25 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | BCBS | SBN | $0.37 | $4.00 | $4.00 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | BCBS | MBN | $0.37 | $4.00 | $4.00 | 2024-10-01 | MRF ↗ |
| CENTRAL FLORIDA LAKE MONROE HOSPITAL Outpatient | BCBS | BSL | $0.37 | $4.00 | $4.00 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Truli for Health | BSL | $0.37 | $4.32 | $4.32 | 2026-03-01 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.37 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $0.38 | — | — | 2026-05-23 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Humana | Commercial | — | — | — | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $0.38 | — | — | 2026-07-15 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $0.38 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $0.38 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $0.38 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $0.38 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $0.38 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $0.38 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $0.38 | — | — | 2026-03-01 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $0.38 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | BCBS | MBN | $0.38 | $4.32 | $4.32 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | BCBS | BSL | $0.38 | $4.32 | $4.32 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | BCBS | SBN | $0.38 | $4.32 | $4.32 | 2026-03-01 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $0.38 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| Wayne Medical Center Outpatient | Humana | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $0.38 | — | — | 2026-05-13 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $0.38 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $0.38 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $0.39 | $1.12 | $0.34 | 2026-07-18 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $0.39 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicare|All Plans | $0.39 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicare|All Plans | $0.39 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $0.39 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $0.39 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicare|All Plans | $0.39 | $0.92 | $0.77 | 2026-02-28 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | BCBS | BSL | $0.40 | $4.32 | $4.32 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | BCBS | SBN | $0.40 | $4.32 | $4.32 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | BCBS | MBN | $0.40 | $4.32 | $4.32 | 2024-10-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $0.42 | $1.12 | $0.34 | 2026-07-18 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Humana Choice Care | Commercial | $0.43 | $5.00 | $4.00 | 2026-03-26 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $0.43 | $3.00 | $1.41 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $0.43 | $3.00 | $1.41 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $0.43 | $3.00 | $1.41 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $0.43 | $3.00 | $1.41 | 2025-08-30 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Kaiser | Medicare | — | $5.00 | $4.00 | 2026-03-26 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $0.43 | $3.00 | $1.41 | 2025-08-30 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Humana Choice Care | Commercial | $0.43 | $5.00 | $4.00 | 2026-03-26 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $0.43 | $3.00 | $1.41 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $0.43 | $3.00 | $1.41 | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $0.43 | $3.00 | $1.41 | 2025-08-30 | MRF ↗ |
| SKAGIT VALLEY HOSPITAL Both | Kaiser | Medicare | — | $5.00 | $4.00 | 2026-03-26 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Wa | All Other Lob | — | $885.45 | $575.54 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Commercial | — | $885.45 | $575.54 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Kaiser Northwest | Managed Medicaid | — | $885.45 | $575.54 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $885.45 | $575.54 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Commercial Psn/Voyager | — | $885.45 | $575.54 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Pacific Source | Coordinated Care (Ind And Nonind) | — | $885.45 | $575.54 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Moda Health Plan | Connexus/Synergy | — | $885.45 | $575.54 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Commercial | — | $885.45 | $575.54 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Providence Health Plan | Commercial | — | $885.45 | $575.54 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | First Choice Health | Administrators | — | $885.45 | $575.54 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Ambetter | Commercial | — | $885.45 | $575.54 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient | Molina Healthcare Of Wa | Commercial | $0.44 | $885.45 | $575.54 | 2026-07-31 | MRF ↗ |
| HCA FLORIDA NORTHSIDE HOSPITAL Outpatient | BCBS | PHS | $0.44 | $2.10 | $2.10 | 2024-10-01 | 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.