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–$1,307 (25th–75th percentile) across 1,626 hospitals · 4,861 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/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.
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 OutpatientFacility | HCHA | 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 BothFacility | MCCP | ALL PRODUCTS | $0.03 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | CALVOS | SELECT CARE | $0.03 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | VERDEGARD | UNION TRUST FUND | $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 InpatientFacility | MIMOH | 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 ↗ |
| 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 BothFacility | KAISER | ALL PRODUCTS | $0.04 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | COVENTRY | ALL PRODUCTS | $0.04 | $0.04 | $0.02 | 2026-02-12 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $0.08 | — | — | 2026-03-04 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.09 | — | — | 2026-03-18 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Superior Health Plan | STARPLUS | $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 | CHPFC | $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 ↗ |
| 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 | STAR | $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 ↗ |
| 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 | STARKids | $0.14 | $2.27 | $2.27 | 2026-03-01 | 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 | United Healthcare | Managed Medicaid | $0.16 | $4.00 | $4.00 | 2026-05-15 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $0.16 | $0.80 | $0.64 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $0.16 | $0.80 | $0.64 | 2026-01-28 | 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 ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-05-15 | 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 ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $0.17 | $4.00 | $4.00 | 2026-05-15 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.18 | $19,125.00 | $12,431.25 | 2025-01-01 | MRF ↗ |
| TRINITY MUSCATINE 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 ↗ |
| 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 | $0.18 | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $0.19 | $0.91 | $0.73 | 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 | Americhoice | MEDICAID | $0.20 | $2.00 | $2.00 | 2025-01-31 | 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 ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $0.20 | $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 ↗ |
| 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 ↗ |
| TRINITY MUSCATINE 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 ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $0.21 | $2.00 | $2.00 | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon NJ Health | ALL PRODUCTS | $0.21 | $2.00 | $2.00 | 2025-01-31 | 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 ↗ |
| 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 | Amerigroup | ALL PRODUCTS | $0.21 | $2.00 | $2.00 | 2025-01-31 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.21 | $4.00 | $4.00 | 2026-04-30 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $0.22 | $1.00 | $0.61 | 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 ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $4.00 | $4.00 | 2026-04-30 | 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 | 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 ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $0.22 | $1.02 | $0.63 | 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 ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.22 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.22 | $4.00 | $4.00 | 2026-05-15 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.23 | $1.00 | $0.59 | 2025-09-30 | MRF ↗ |
| TRINITY MUSCATINE 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. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.23 | $1.02 | $0.85 | 2026-02-28 | 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. 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 | $0.24 | $1.02 | $0.61 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.24 | $1.00 | $0.50 | 2026-02-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $0.24 | $0.80 | $0.64 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $0.24 | $0.91 | $0.73 | 2026-01-28 | 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 NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.24 | $1.00 | $0.46 | 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 | Centene | Medicaid|NE Total Care | $0.24 | $1.00 | $0.59 | 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. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.24 | $1.00 | $0.59 | 2025-09-30 | 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 ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $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 ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.25 | $1.02 | $0.47 | 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 | Centene | Medicaid|NE Total Care | $0.25 | $1.00 | $0.46 | 2026-02-28 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $0.25 | $5.00 | $5.00 | 2026-03-01 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $0.26 | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Insure | Commercial | $0.26 | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Insure | Commercial | $0.27 | $0.91 | $0.73 | 2026-01-28 | 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 ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | STAR | $0.30 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Community Health Choice MCD | CHIPPerinatal | $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 ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | CHIP | $0.30 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Community Health Choice MCD | STAR | $0.30 | $2.27 | $2.27 | 2026-03-01 | 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 ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE 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 | 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 ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.32 | — | — | 2026-03-31 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Amerigroup | MGMCD | $0.32 | $2.27 | $2.27 | 2026-03-01 | 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 | MCDCHIPBH | $0.32 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Amerigroup | MCDCHIPBH | $0.32 | $2.27 | $2.27 | 2026-03-01 | 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 ↗ |
| 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 ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Medica Exchange Insure | Commercial | $0.34 | $0.91 | $0.73 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE 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 ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $0.35 | $0.80 | $0.64 | 2026-01-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $0.38 | $2.09 | $1.15 | 2026-02-19 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Texas Childrens Health Plans | CHIP | $0.38 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Texas Childrens Health Plans | CHIP | $0.38 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Health Partners Open Network | Commercial | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Aetna | Medicare Advantage | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Aetna | PPO | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Iowa Total Care | Managed Medicaid | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | United Healthcare | PPO | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | United Healthcare | Medicare Advantage | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Humana | Medicare Advantage | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | United Healthcare | HMO | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Aetna | HMO | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Amerivantage | Medicare Advantage | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Cigna/Midlands | Commercial | $0.39 | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark Blue Cross and Blue Shield | HMO | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Medica Exchange Inspire | Commercial | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Health Partners Open Network | Commercial | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Molina | Medicare Advantage | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | United Healthcare | PPO | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Medica Exchange Insure | Commercial | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Amerigroup | Managed Medicaid | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Aetna | HMO | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | United Healthcare | Medicare Advantage | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | United Healthcare | HMO | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Medica Exchange Insure | Commercial | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Wellmark Blue Cross and Blue Shield | Medicare Advantage | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Aetna | Medicare Advantage | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Aetna | PPO | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Amerigroup | Managed Medicaid | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Amerivantage | Medicare Advantage | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Cigna/Midlands | Commercial | $0.39 | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark Blue Cross and Blue Shield | PPO | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI InpatientFacility | Wellmark UPH Self-Funded | Commercial | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Humana | Medicare Advantage | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Molina | Medicare Advantage | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital InpatientFacility | Cigna/Midlands | Commercial | $0.39 | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Iowa Total Care | Managed Medicaid | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE InpatientFacility | Medica Exchange Inspire | Commercial | — | $0.89 | $0.72 | 2026-01-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.40 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.40 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.40 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.40 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.40 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.40 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.40 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | United | OptionsPPO | $0.40 | $2.27 | $2.27 | 2026-03-01 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.40 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.40 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.40 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $0.41 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.41 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.41 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.41 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $0.41 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.41 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.41 | — | — | 2025-12-23 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $0.41 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | PACE | Medicare|All Plans | $0.41 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | BCBS - NE | Medicare|All Plans | $0.41 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Humana | Medicare|All Plans | $0.41 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.41 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicaid|Community Plan | $0.41 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $0.41 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Medica | Medicare|All Plans | $0.41 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.41 | — | — | 2025-12-23 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | United | Medicare|All Plans | $0.41 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $0.41 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicare|All Plans | $0.42 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| MERCY HOSPITAL WASHINGTON OutpatientFacility | MERIDIAN MEDICAID CONTRACTED [320430] | HB WASH JEFN LINC SAMC MERIDIAN HEALTH PLAN OF IL MEDICAID 103% | $0.42 | $6.53 | $4.24 | 2026-03-12 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Centene | Medicaid|NE Total Care | $0.42 | $1.02 | $0.85 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL InpatientFacility | Adventist Health | Commercial | $0.42 | $2.09 | $1.15 | 2026-02-19 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Adventist Health | Commercial | $0.42 | $2.09 | $1.15 | 2026-02-19 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Great Plains | Medicare|All Plans | $0.42 | $1.00 | $0.83 | 2026-02-28 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER InpatientFacility | Adventist Health | Commercial | $0.42 | $2.09 | $1.15 | 2026-02-19 | 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.