J7196 — Antithrombin Recombinant
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Antithrombin recombinant (HCPCS J7196) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7196?code_type=HCPCS
MLA (9th ed.)
“Antithrombin recombinant (HCPCS J7196) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7196?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Antithrombin recombinant (HCPCS J7196) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7196?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $148–$543 (25th–75th percentile) across 980 hospitals · 638 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7196 — 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
$148
$274 typical
$543
The middle 50% of negotiated facility rates for this procedure, measured across 980 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $274 |
| Likely subtotal | $274 |
Facility charge (no separate professional fee)
$274
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 $148–$543.
- 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 |
|---|---|---|---|---|---|---|---|
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - SOMERSET OutpatientFacility | Wellpoint | NJ Family Care | $0.06 | — | — | 2026-03-04 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $0.06 | — | — | 2026-03-04 | MRF ↗ |
| JERSEY CITY MEDICAL CENTER OutpatientFacility | Wellpoint | NJ Family Care | $0.08 | — | — | 2026-03-04 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.12 | — | — | 2026-01-29 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.22 | — | — | 2026-01-28 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.24 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.24 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.24 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.24 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.24 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.24 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.24 | — | — | 2026-02-05 | 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 ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $0.58 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | National Transplant | $0.58 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $0.58 | — | — | 2026-02-06 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $0.58 | — | — | 2026-01-29 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $0.58 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $0.58 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $0.58 | — | — | 2026-02-05 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $0.58 | — | — | 2026-01-28 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $0.58 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware Federal | $0.58 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $0.59 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $0.59 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $0.59 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $0.59 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $0.59 | — | — | 2026-02-05 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $0.59 | — | — | 2026-01-29 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $0.59 | — | — | 2026-01-28 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $0.59 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | Aware/Blue Plus | $0.59 | — | — | 2026-01-29 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $0.99 | $16.46 | $6.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $0.99 | $16.46 | $6.00 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED SELECT NETWORK | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORK | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORKAL | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA COMMERCIAL | CIGNA COMMERCIAL | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NETWORK | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORK | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED SELECT NETWORK | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA COMMERCIAL | CIGNA COMMERCIAL | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NTWRK | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE IDEMNITY | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NTWRK | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED EXCHANGE NETWORKAL | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | AVMED HEALTH COMMERCIAL | AVMED BROAD NETWORK | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | CIGNA MEDICARE | CIGNA MEDICARE IDEMNITY | $1.25 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $1.50 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $1.50 | $5.00 | — | 2024-06-28 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | CIGNA | CIGNA HEALTHCARE | $1.58 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | CIGNA | CIGNA HEALTHCARE | $1.58 | $5.07 | $1.37 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | CIGNA | CIGNA HEALTHCARE | $1.58 | $5.07 | $1.37 | 2025-01-14 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | CIGNA | CIGNA HEALTHCARE | $1.58 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | CIGNA | CIGNA HEALTHCARE | $1.58 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OutpatientFacility | VA | Other | $1.68 | — | — | 2026-07-13 | MRF ↗ |
| KINGMAN HEALTHCARE CENTER OutpatientFacility | UHC | VA CCN | $1.68 | — | — | 2026-07-29 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $1.72 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $1.72 | $5.07 | $1.37 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $1.72 | $5.07 | $1.37 | 2025-01-14 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $1.72 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UPMC HEALTH PLAN | UPMC COMMERCIAL | $1.72 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Peoples Health | Medicare Enrollees | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | PPO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Plan | — | — | — | 2026-03-17 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $2.00 | — | — | 2026-01-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Womans Hospital Employees | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Cigna of LA | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Veterans Administration | Veterans Administration | $2.00 | — | — | 2026-01-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Gilsbar 360 | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | First Health | Aetna Medical Rental Network | — | — | — | 2026-03-17 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Veterans Administration | Veterans Administration | $2.00 | — | — | 2026-01-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | SB | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Exchange Compass | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | PB | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | USA Managed Care Organization | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | HS Technology | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | Tricare Military | $2.00 | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | HMO | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Community Coffee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Humana | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Veterans Administration | Veterans Administration | $2.00 | — | — | 2026-01-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | FMOLAS Employee Group | — | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Louisiana Healthcare Connection | Medicaid | — | — | — | 2026-03-17 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $2.00 | — | — | 2026-01-02 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Traditional | — | — | — | 2026-03-17 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Veterans Administration | Veterans Administration | $2.00 | — | — | 2026-01-02 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Optum | Vaccnoptum | $2.00 | — | — | 2026-07-31 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | United Healthcare | VA CCN | $2.00 | — | — | 2026-03-17 | MRF ↗ |
| OUR LADY OF THE LAKE SURGICAL HOSPITAL OutpatientFacility | Medical Cost Containment Professionals | All Plans | — | — | — | 2026-03-17 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $2.14 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $2.14 | $5.07 | $1.37 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UHC NAVIGATE | $2.14 | $5.07 | $1.37 | 2025-01-14 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UHC NAVIGATE | $2.14 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UHC NAVIGATE | $2.14 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $2.25 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $2.25 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $2.25 | $5.07 | $1.37 | 2025-01-14 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $2.25 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | UNITED HEALTHCARE | UNITED HEALTHCARE ALL PAYER | $2.25 | $5.07 | $1.37 | 2025-01-14 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST HEALTH COMMERICAL | FIRST HEALTH | $2.50 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | FIRST HEALTH COMMERICAL | FIRST HEALTH | $2.50 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $2.65 | $5.00 | — | 2024-06-28 | MRF ↗ |
| KERALTY HOSPITAL Both | HUMANA COMMERCIAL | HUMANA COMMERCIAL | $2.65 | $5.00 | — | 2024-06-28 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA HEALTH | $2.79 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA HEALTH | $2.79 | $5.07 | $1.37 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | AETNA HEALTH INC | AETNA HEALTH | $2.79 | $5.07 | $1.37 | 2025-01-14 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | AETNA HEALTH INC | AETNA HEALTH | $2.79 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | AETNA HEALTH INC | AETNA HEALTH | $2.79 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $2.81 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $2.89 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $2.89 | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $2.89 | — | — | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $2.89 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $2.89 | — | — | 2026-07-18 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $2.92 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $2.95 | — | — | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $2.97 | — | — | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $16.46 | $12.35 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $16.46 | $14.00 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $16.46 | $12.35 | 2026-07-15 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $16.46 | $14.00 | 2026-07-17 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | INTERGROUP SERVICE CORP | INTERGROUP SERVICE CORP | $3.80 | $5.07 | $1.37 | 2025-01-14 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | INTERGROUP SERVICE CORP | INTERGROUP SERVICE CORP | $3.80 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| HERITAGE VALLEY BEAVER Both | INTERGROUP SERVICE CORP | INTERGROUP SERVICE CORP | $3.80 | $5.07 | $1.37 | 2025-01-14 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | INTERGROUP SERVICE CORP | INTERGROUP SERVICE CORP | $3.80 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| Heritage Valley Kennedy Hospital Both | INTERGROUP SERVICE CORP | INTERGROUP SERVICE CORP | $3.80 | $5.07 | $1.37 | 2024-12-30 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $16.46 | $14.00 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $16.46 | $14.00 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Multiplan | Multiplan | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Principal Financial | Principal Financial Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | First Health | First Health Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | First Health | First Health Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Humana | Humana | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Molina | Molina Managed Medicare | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Cigna | Cigna | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Educators Mutual | Educators Mutual Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Deseret Mutual Benefit Admin (Dmba) | Dmba Network Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Molina | Molina Managed Medicare | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Humana | Humana | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Deseret Mutual Benefit Admin (Dmba) | Dmba Network Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Nalc | Nalc Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Nalc | Nalc Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | University Of Utah | University Of Utah | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Rocky Mountain | Rocky Mountain Hmo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | University Of Utah | University Of Utah | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Mailhandlers | Mailhandlers Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Mailhandlers | Mailhandlers Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Rocky Mountain | Rocky Mountain Hmo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Altius | Altius - All Plans | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | First Choice | First Choice | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Vitori Health | Vitori Health | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Arches | Arches Mutual Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | First Choice | First Choice | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Altius | Altius - All Plans | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Wise Provider Network - Ibew | Ibew Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Wise Provider Network - Ibew | Ibew Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Aetna | Aetna Ppo | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Select Health | Select Health | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Select Health | Select Health Chip | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Select Health | Select Health Chip | $5.96 | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Mega Life | Mega Life | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Mega Life | Mega Life | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Select Health | Select Health | — | $9.60 | $5.28 | 2026-07-15 | MRF ↗ |
| ASHLEY REGIONAL MEDICAL CENTER Outpatient | Select Health | Select Health | $5.96 | $9.60 | $5.28 | 2026-07-15 | 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.