J7192 — Factor Viii Recombinant Nos
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Factor viii recombinant nos (HCPCS J7192) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7192?code_type=HCPCS
MLA (9th ed.)
“Factor viii recombinant nos (HCPCS J7192) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7192?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Factor viii recombinant nos (HCPCS J7192) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7192?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2–$1,926 (25th–75th percentile) across 2,001 hospitals · 5,298 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7192 — 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
$2
$11 typical
$1,926
The middle 50% of negotiated facility rates for this procedure, measured across 2,001 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $11 |
| Likely subtotal | $11 |
Facility charge (no separate professional fee)
$11
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 $2–$1,926.
- 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 | — | $3,676.29 | $3,124.85 | 2025-01-01 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.03 | $6.14 | $6.14 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.03 | $6.14 | $6.14 | 2026-07-15 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL BothFacility | MULTIPLAN | ALL PRODUCTS | $0.03 | $0.03 | $0.02 | 2026-02-12 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.03 | $6.14 | $6.14 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.04 | $6.81 | $6.81 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.04 | $6.81 | $6.81 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.04 | $6.81 | $6.81 | 2026-07-15 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.08 | $15,449.77 | $15,449.77 | 2026-03-18 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Freedom Health | MGMCR | $0.09 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Optimum | MGMCR | $0.09 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Freedom Health | MGMCR | $0.09 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Optimum | MGMCR | $0.09 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | MBN | $0.10 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | MBN | $0.11 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Simply Healthcare Plans | MGMCR | $0.13 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | HMO | $0.13 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | SBN | $0.13 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | HMO | $0.13 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Simply Healthcare Plans | MGMCR | $0.14 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | $34.00 | $25.50 | 2026-09-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.15 | $1.35 | $0.41 | 2026-07-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | $34.00 | $25.50 | 2026-09-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $0.16 | $4.00 | $4.00 | 2026-06-24 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Freedom Health | MGMCD | $0.16 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | MyBlue | $0.16 | $1.00 | — | 2025-07-30 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $0.16 | $9.26 | $8.80 | 2026-07-15 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $0.16 | $1.35 | $0.41 | 2026-07-18 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | NWB | $0.16 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | PPO | $0.16 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $0.16 | $1.35 | $0.41 | 2026-07-18 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | Freedom Health | MGMCD | $0.16 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | PPO | $0.17 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | BSL | $0.17 | $1.45 | $1.45 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | MBN | $0.17 | $1.45 | $1.45 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | NWB | $0.17 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | SBN | $0.17 | $1.45 | $1.45 | 2024-10-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $0.17 | $1.35 | $0.41 | 2026-07-18 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | BLUE SELECT | $0.17 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-06-24 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.17 | $1.54 | $0.47 | 2026-07-18 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-06-24 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE BothFacility | Aetna Better Health | Healthy Kids | $0.18 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $0.19 | $1.54 | $0.47 | 2026-07-18 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Both | Novanet | Commercial - Outpatient | $0.19 | $1.28 | $0.71 | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | Simply Blue | $0.19 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | HMO | $0.19 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $0.19 | $1.54 | $0.47 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $0.19 | $1.54 | $0.47 | 2026-07-18 | MRF ↗ |
| THE EAST ALABAMA HEALTHCARE AUTHORITY Inpatient | Novanet | Commercial | $0.19 | $1.28 | $0.71 | 2026-07-15 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | United | MGMCD | $0.20 | $2.79 | $2.79 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Anthem BCBS | MGMCD | $0.20 | $2.79 | $2.79 | 2024-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Solis Health Plan | Medicare | $0.20 | $1.00 | — | 2025-07-30 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Humana CareSource | MGMCD | $0.20 | $2.79 | $2.79 | 2024-10-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $0.20 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $0.20 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Solis Health Plan | Medicare | $0.20 | $1.00 | — | 2025-07-30 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $0.20 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Solis Health Plan | Medicare | $0.20 | $1.00 | — | 2025-07-30 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $0.20 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $0.20 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $0.20 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $0.20 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $0.20 | $4.00 | $4.00 | 2026-03-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Solis Health Plan | Medicare | $0.20 | $1.00 | — | 2025-07-30 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Molina | MCD | $0.20 | $2.79 | $2.79 | 2024-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Solis Health Plan | Medicare | $0.20 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.21 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.21 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $0.21 | $8.91 | — | 2026-08-17 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | PPO | $0.22 | $1.45 | $1.45 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | NWB | $0.22 | $1.45 | $1.45 | 2024-10-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | BCBS | HMO | $0.22 | $1.45 | $1.45 | 2024-10-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $4.00 | $4.00 | 2026-06-24 | MRF ↗ |
| HCA FLORIDA GULF COAST HOSPITAL Outpatient | Simply | MGMCR | $0.23 | $1.45 | $1.45 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | MMM of FL (Health Advantage Plan) | MCR | $0.23 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | MMM of FL (Health Advantage Plan) | MCR | $0.23 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | BSLNON-PAR | $0.23 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | PHS | $0.23 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Driscoll | Medicaid | $0.24 | $3.00 | $1.20 | 2026-05-08 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | BSLNON-PAR | $0.24 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Unitedhealthcare | Medicaid | $0.24 | $3.00 | $1.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | NetworkBlue/BlueOptions | $0.24 | $1.00 | — | 2025-07-30 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Cigna | Medicaid | $0.24 | $3.00 | $1.20 | 2026-05-08 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.24 | $1.14 | $0.70 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | United PPO | OptionsPPO | $0.24 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $0.24 | $1.14 | $0.70 | 2026-02-28 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Driscoll | Medicaid | $0.24 | $3.00 | $1.20 | 2026-05-08 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $0.24 | $8.91 | — | 2026-08-17 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Cigna | Medicaid | $0.24 | $3.00 | $1.20 | 2026-05-08 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Donor Connect | Other | $0.24 | $8.33 | $6.25 | 2026-08-01 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.24 | $1.14 | $0.70 | 2026-02-28 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | United Healthcare | Medicaid | $0.24 | $3.00 | $1.20 | 2026-05-08 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | BCBS | PHS | $0.24 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Molina | Medicaid | $0.25 | $3.00 | $1.20 | 2026-05-08 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.25 | $1.14 | $0.94 | 2026-02-28 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $0.25 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.25 | $1.14 | $0.94 | 2026-02-28 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $0.25 | $1.00 | — | 2025-07-30 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Superior | Medicaid | $0.25 | $3.00 | $1.20 | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Superior | Medicaid | $0.25 | $3.00 | $1.20 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $0.25 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.25 | $1.14 | $0.94 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.25 | $1.14 | $0.94 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | United PPO | OptionsPPO | $0.25 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.25 | $1.14 | $0.94 | 2026-02-28 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Both | Molina | Medicaid | $0.25 | $3.00 | $1.20 | 2026-05-08 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.25 | $1.14 | $0.94 | 2026-02-28 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | Wellpoint | Medicaid Managed Care | $0.25 | $8.91 | — | 2026-08-17 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.25 | $1.14 | $0.70 | 2026-02-28 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.25 | $2.21 | $0.68 | 2026-07-18 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $0.25 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $0.25 | $1.14 | $0.70 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.25 | $1.14 | $0.70 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.26 | $1.21 | $1.01 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.26 | $1.21 | $0.74 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | Engage | $0.26 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.26 | $1.21 | $0.74 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.26 | $1.21 | $1.01 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $0.26 | $1.21 | $0.74 | 2026-02-28 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | Flex | $0.26 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | Select | $0.26 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | Focus | $0.26 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | Empower | $0.26 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.26 | — | — | 2026-03-31 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $0.26 | $1.21 | $0.74 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.26 | $1.21 | $0.74 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.26 | $1.21 | $0.74 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.26 | $1.21 | $1.01 | 2026-02-28 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $0.27 | $2.21 | $0.68 | 2026-07-18 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | Focus | $0.27 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | Empower | $0.27 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.27 | $1.21 | $1.01 | 2026-02-28 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | Blue Select-Ped | $0.27 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $0.27 | $2.21 | $0.68 | 2026-07-18 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | MDCSelect | $0.27 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | Engage | $0.27 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | BLUE SELECT | $0.27 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.27 | $1.14 | $0.67 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.27 | $1.14 | $0.67 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.27 | $1.14 | $0.57 | 2026-02-28 | MRF ↗ |
| STERLING REGIONAL MEDCENTER OutpatientFacility | Aetna | Medicare Advantage | $0.27 | $0.98 | $0.34 | 2026-03-02 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.27 | $1.13 | $0.67 | 2025-09-30 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | JHSSelect | $0.27 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | Flex | $0.27 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | Select | $0.27 | $1.00 | $1.00 | 2024-10-01 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.27 | $1.14 | $0.57 | 2026-02-28 | MRF ↗ |
| BAPTIST HEALTH FLOYD Outpatient | ANTHEM BHS1 | ANTHEM BHS1 | $0.27 | $1.10 | $0.83 | 2026-07-31 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.27 | $1.14 | $0.67 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.27 | $1.14 | $0.67 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.27 | $1.14 | $0.57 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.27 | $1.21 | $1.01 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.27 | $1.14 | $0.57 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.27 | $1.21 | $1.01 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.27 | $1.13 | $0.67 | 2025-09-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Blue Cross PPC | Blue Choice | $0.27 | $1.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | MyBlue | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue-Ped | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Simply Blue | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Blue Select-Ped | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | MyBlue-Ped | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $0.28 | $2.21 | $0.68 | 2026-07-18 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Blue Select-Ped | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.28 | $1.14 | $0.53 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.28 | $1.14 | $0.53 | 2026-02-28 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | Simply Blue | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | BLUE SELECT | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.28 | $1.33 | $0.82 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.28 | $1.14 | $0.53 | 2026-02-28 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | BLUE SELECT | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.28 | $1.14 | $0.53 | 2026-02-28 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.28 | $1.21 | $0.72 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $0.28 | $1.33 | $0.82 | 2026-02-28 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | BLUE SELECT | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CAREPOINT HEALTH - BAYONNE MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Community & State | $0.28 | $8.91 | — | 2026-08-17 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.28 | $1.21 | $0.61 | 2026-02-28 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | MDCSelect | $0.28 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA NORTHWEST HOSPITAL Outpatient | AvMed | JHSSelect | $0.28 | $1.00 | $1.00 | 2026-03-01 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.28 | $1.21 | $0.72 | 2026-02-28 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue-Ped | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.28 | $1.21 | $0.72 | 2025-09-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | MyBlue-Ped | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | MyBlue | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Blue Select-Ped | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue | $0.28 | $1.00 | — | 2025-07-30 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.28 | $1.14 | $0.53 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.28 | $1.21 | $0.61 | 2026-02-28 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.