J7195 — Factor Ix Recombinant Nos
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Factor ix recombinant nos (HCPCS J7195) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7195?code_type=HCPCS
MLA (9th ed.)
“Factor ix recombinant nos (HCPCS J7195) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7195?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Factor ix recombinant nos (HCPCS J7195) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7195?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2–$1,692 (25th–75th percentile) across 1,944 hospitals · 4,910 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7195 — 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
$7 typical
$1,692
The middle 50% of negotiated facility rates for this procedure, measured across 1,944 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $7 |
| Likely subtotal | $7 |
Facility charge (no separate professional fee)
$7
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–$1,692.
- 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 |
|---|---|---|---|---|---|---|---|
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | MCCP | ALL PRODUCTS | $0.03 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | HWMG/HMAA | ALL PRODUCTS | $0.03 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | HCHA | ALL PRODUCTS | $0.03 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Geisinger] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | VERDEGARD | UNION TRUST FUND | $0.03 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Chip] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | CALVOS | SELECT CARE | $0.03 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.03 | $5.14 | $5.14 | 2026-07-15 | MRF ↗ |
| DECATUR MEMORIAL HOSPITAL Outpatient | Hfn | Hfn Workers Compensation | $0.03 | $5.14 | $5.14 | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Outpatient | Commercial Workers Compensation | Commercial Workers Compensation | $0.03 | $5.14 | $5.14 | 2026-07-15 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | MIMOH | ALL PRODUCTS | $0.03 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | MULTIPLAN | ALL PRODUCTS | $0.03 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | MDX | ALL PRODUCTS | $0.03 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | MULTIPLAN | ALL PRODUCTS | $0.03 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | KAISER | ALL PRODUCTS | $0.04 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | COVENTRY | ALL PRODUCTS | $0.04 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| PENN STATE HEALTH ST. JOSEPH Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.01 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $0.08 | — | — | 2026-03-04 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Donor Connect | Other | $0.09 | $7.40 | $5.55 | 2026-07-17 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.09 | — | — | 2026-03-18 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $0.13 | $6.31 | $4.73 | 2026-08-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STAR | $0.14 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHPFC | $0.14 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARKids | $0.14 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARKids | $0.14 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARPLUS | $0.14 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STARPLUS | $0.14 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHPFC | $0.14 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | CHIP | $0.14 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | CHIP | $0.14 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Superior Health Plan | STAR | $0.14 | $2.27 | $2.27 | 2026-03-01 | 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 ↗ |
| 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 ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $0.16 | $4.00 | $4.00 | 2026-06-24 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $0.16 | $0.80 | $0.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $0.16 | $0.80 | $0.64 | 2026-01-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-06-24 | 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 | Fidelis Managed Medicaid | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-06-24 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | 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 ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $0.18 | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.18 | $19,125.00 | $12,431.25 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.18 | $19,125.00 | $12,431.25 | 2025-01-01 | MRF ↗ |
| BERKSHIRE MEDICAL CENTER Outpatient | Commcare Alliance | Mcrmanaged Cca One Care | $0.18 | $12.75 | $12.11 | 2026-07-15 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $0.18 | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $0.19 | $0.91 | $0.73 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $0.19 | $0.91 | $0.73 | 2026-01-28 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $0.20 | $2.00 | $2.00 | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Americhoice | MEDICAID | $0.20 | $2.00 | $2.00 | 2025-01-31 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $0.21 | $1.00 | $0.61 | 2026-02-28 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Amerigroup | ALL PRODUCTS | $0.21 | $2.00 | $2.00 | 2025-01-31 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.21 | $1.00 | $0.61 | 2026-02-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $0.21 | $0.80 | $0.64 | 2026-01-28 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $0.21 | $2.00 | $2.00 | 2025-01-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.21 | $1.88 | $0.58 | 2026-07-18 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.21 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.21 | $1.00 | $0.61 | 2026-02-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.21 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon NJ Health | ALL PRODUCTS | $0.21 | $2.00 | $2.00 | 2025-01-31 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $4.00 | $4.00 | 2026-06-24 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.22 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.22 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.22 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.22 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.22 | $1.00 | $0.61 | 2026-02-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.22 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.22 | $1.02 | $0.63 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.22 | $1.00 | $0.61 | 2026-02-28 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.22 | $1.91 | $0.58 | 2026-07-18 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.22 | $1.02 | $0.63 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.22 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $0.22 | $1.00 | $0.61 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $0.22 | $1.02 | $0.63 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.23 | $1.00 | $0.50 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.23 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.23 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.23 | $1.00 | $0.59 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.23 | $1.00 | $0.59 | 2025-09-30 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $0.23 | $1.88 | $0.58 | 2026-07-18 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.23 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $0.23 | $1.88 | $0.58 | 2026-07-18 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.23 | $1.73 | $0.67 | 2026-07-15 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $0.23 | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.23 | $1.00 | $0.50 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.23 | $1.00 | $0.59 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.24 | $1.00 | $0.46 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.24 | $1.00 | $0.59 | 2025-09-30 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.24 | $1.00 | $0.46 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.24 | $1.00 | $0.50 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.24 | $1.00 | $0.59 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.24 | $1.02 | $0.61 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.24 | $1.02 | $0.61 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.24 | $1.02 | $0.61 | 2025-09-30 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $0.24 | $0.80 | $0.64 | 2026-01-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.24 | $1.00 | $0.59 | 2026-02-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $0.24 | $0.91 | $0.73 | 2026-01-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.24 | $1.00 | $0.46 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.24 | $1.02 | $0.51 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.24 | $1.00 | $0.50 | 2026-02-28 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $0.24 | $1.88 | $0.58 | 2026-07-18 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.24 | $1.02 | $0.51 | 2026-02-28 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.25 | $1.00 | $0.46 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.25 | $1.00 | $0.46 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.25 | $1.02 | $0.47 | 2026-02-28 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.25 | $1.00 | $0.46 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.25 | $1.02 | $0.47 | 2026-02-28 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.25 | $1.02 | $0.47 | 2026-02-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $0.26 | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.26 | $1.73 | $0.62 | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $0.26 | $1.73 | $0.73 | 2026-07-17 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $0.27 | $0.80 | $0.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $0.27 | $0.91 | $0.73 | 2026-01-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Christus Health Plan | Christus Medicaid | $0.29 | $2.35 | $1.18 | 2026-09-21 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Christus Health Plan | Christus Health Plan | $0.29 | $2.35 | $1.18 | 2026-09-21 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Medicare | Molina Healthcare Of Tx | $0.29 | $2.35 | $1.18 | 2026-09-21 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Medicaid | Medicaid | $0.29 | $2.35 | $1.18 | 2026-09-21 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.29 | $2.55 | $0.78 | 2026-07-18 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wellpoint Medicaid | Wellpoint Medicaid | $0.29 | $2.35 | $1.18 | 2026-09-21 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Driscoll | Driscoll - Chip | $0.29 | $2.35 | $1.18 | 2026-09-21 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | $10.00 | $7.50 | 2026-09-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Scott & White Health | Rightcare Scott And White Health | $0.29 | $2.35 | $1.18 | 2026-09-21 | MRF ↗ |
| PIEDMONT MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | $10.00 | $7.50 | 2026-09-01 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Driscoll | Driscoll - Chip | $0.29 | $2.35 | $1.18 | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Jackson County Indigent | Jackson County Indigent | $0.29 | $2.35 | $1.18 | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Christus Health Plan | Christus Health Plan | $0.29 | $2.35 | $1.18 | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Medicaid | Medicaid | $0.29 | $2.35 | $1.18 | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Christus Health Plan | Christus Medicaid | $0.29 | $2.35 | $1.18 | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Scott & White Health | Rightcare Scott And White Health | $0.29 | $2.35 | $1.18 | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Medicare | Molina Healthcare Of Tx | $0.29 | $2.35 | $1.18 | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Outpatient | Wellpoint Medicaid | Wellpoint Medicaid | $0.29 | $2.35 | $1.18 | 2026-09-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $0.30 | $0.80 | $0.64 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Inspire | Commercial | $0.30 | $0.91 | $0.73 | 2026-01-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $0.30 | $2.00 | $0.46 | 2026-07-15 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR+PLUS | $0.30 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIP | $0.30 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $0.30 | $2.00 | $0.44 | 2026-08-17 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIPPerinatal | $0.30 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $0.30 | $2.27 | $2.27 | 2026-03-01 | 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 | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $0.30 | $2.00 | $0.46 | 2026-07-15 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $0.30 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR+PLUS | $0.30 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIPPerinatal | $0.30 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $0.30 | $7.40 | $5.55 | 2026-07-31 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR | $0.30 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $0.31 | $2.55 | $0.78 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $0.31 | $2.55 | $0.78 | 2026-07-18 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $0.31 | $2.00 | $0.46 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Self Pay | Self Pay | $0.31 | $1.73 | $0.31 | 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 | Aetna Better Health (Healthy Louisiana) | All Payor | $0.31 | $2.00 | $0.46 | 2026-07-15 | 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 | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $0.31 | $2.00 | $0.46 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue (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 WATKINS HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $0.31 | $2.00 | $0.44 | 2026-08-17 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.32 | — | — | 2026-03-31 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | United | MGMCD | $0.32 | $4.63 | $4.63 | 2024-10-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MGMCD | $0.32 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MGMCD | $0.32 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Molina | MCD | $0.32 | $4.63 | $4.63 | 2024-10-01 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Anthem BCBS | MGMCD | $0.32 | $4.63 | $4.63 | 2024-10-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $0.32 | $2.55 | $0.78 | 2026-07-18 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MCDCHIPBH | $0.32 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Self Pay | Self Pay | $0.32 | $1.75 | $0.32 | 2026-07-15 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $0.32 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $0.33 | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER BothFacility | BlueCross BlueShield of South Carolina | Blue Choice Blue Option HIX (BCBO) | $0.33 | $2.00 | $2.22 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER BothFacility | BlueCross BlueShield of South Carolina | Blue Cross Blue Essentials HIX (BCBE) | $0.33 | $2.00 | $2.22 | 2026-03-12 | MRF ↗ |
| TRISTAR GREENVIEW REGIONAL HOSPITAL Outpatient | Humana CareSource | MGMCD | $0.33 | $4.63 | $4.63 | 2024-10-01 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $0.34 | $0.91 | $0.73 | 2026-01-28 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $0.35 | $11.25 | $11.25 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $0.35 | $11.25 | $11.25 | 2026-03-01 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $0.35 | $0.80 | $0.64 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $0.35 | $0.80 | $0.64 | 2026-01-28 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.35 | $3.11 | $0.95 | 2026-07-18 | 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.