J7197 — Antithrombin Iii (human) 500 (+/-) Unit Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION (HCPCS J7197) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7197?code_type=HCPCS
MLA (9th ed.)
“ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION (HCPCS J7197) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7197?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION (HCPCS J7197) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7197?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$58 (25th–75th percentile) across 1,556 hospitals · 4,577 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J7197 — 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
$4
$13 typical
$58
The middle 50% of negotiated facility rates for this procedure, measured across 1,556 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $13 |
| Likely subtotal | $13 |
Facility charge (no separate professional fee)
$13
- 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 |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $5,817.42 | $3,199.58 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $5,817.42 | $4,944.81 | 2025-01-01 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER OutpatientFacility | Correct Care Integrated Health | Medicaid | — | $15,513.12 | $10,859.18 | 2025-01-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | United | GlobalBenefitPlan | $0.03 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | SouthWest Medical Provider Network | COMM | $0.03 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Sheriff's Dept El Paso County Detention | LOCALGOV | $0.03 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | HealthSmart Preferred Care | COMM | $0.03 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | First Health | COMM | $0.03 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Ysleta Del Sur Pueblo | COMM | $0.03 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Emerging Therapy Solutions | MGMCR | $0.03 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | HealthSmart Preferred Care | Accel | $0.03 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | DANMARK - International Contract | COMM | $0.04 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Multiplan | COMMPPO | $0.04 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Prime Health | WC | $0.04 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Texas Workforce Commission | WCOMP | $0.04 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| TIDALHEALTH PENINSULA REGIONAL, INC Both | All Payors | All Payors | $0.04 | $0.04 | $0.04 | 2026-03-19 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | El Paso First Health Plan | COMM | $0.04 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Emerging Therapy Solutions | COMM | $0.04 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Galaxy Health Network | COMM | $0.04 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | SAMSA | COMM | $0.04 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | PHCS | PPO | $0.04 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Integrated Medical Systems | COMM | $0.04 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | National Provider Network | COMM | $0.05 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | MedCorp Southwest | COMM | $0.05 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | USA Managed Care | PPO | $0.05 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | MedCorp Southwest | LOCALGOV | $0.05 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | Affiliated Healthcare | COMM | $0.05 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $35,241.28 | $22,906.83 | 2025-11-26 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | USA Managed Care | WC | $0.06 | $0.06 | $0.06 | 2026-03-01 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | WCMG | Commercial|All Plans | $0.11 | $1.00 | $0.28 | 2026-02-28 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.19 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL OutpatientFacility | Humana | Commercial | $0.19 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.20 | — | — | 2026-03-18 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Managed Medicaid | $0.25 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Molina Healthcare | Managed Medicaid | $0.25 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Iowa Total Care | Managed Medicaid | $0.25 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Inpatient | Kaiser | Commercial|Affiliated Payers | $0.26 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Inpatient | Kaiser | Commercial|Affiliated Payers | $0.26 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Inpatient | Kaiser | Commercial|All Other Plans | $0.26 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Inpatient | Kaiser | Commercial|All Other Plans | $0.26 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Humana Choice | Medicare Advantage | $0.28 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Health Partners | Medicare Advantage | $0.28 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.28 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Blue Cross Medicare Blue | Medicare Advantage | $0.28 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | United Healthcare Medicare Solutions | Medicare Advantage | $0.28 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | Wellpoint | Medicare Advantage | $0.28 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Health Plan of San Joaquin | Medicaid|All Plans | $0.33 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Health Plan of San Joaquin | Medicaid|All Plans | $0.33 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | HPSJ | Medicaid|> 21 | $0.33 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | HPSJ | Medicaid|> 21 | $0.33 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Humana | Commercial | — | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL OutpatientFacility | Blue Cross Blue Shield Illinois | Commercial | $0.36 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Blue Preferred | Commercial | — | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield Pathways | Commercial | — | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Blue Access | Commercial | — | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Wellmark | Commercial | $0.38 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.39 | $9,695.70 | $6,302.21 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $0.39 | $9,695.70 | $6,302.21 | 2025-01-01 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | United Behavioral Health | Commercial | $0.40 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Aetna Coventry | Commercial | $0.41 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| MERCY GENERAL HOSPITAL Outpatient | Kaiser | Medicaid|All Plans | $0.41 | $1.00 | $0.22 | 2026-02-28 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Outpatient | Kaiser | Medicaid|All Plans | $0.41 | $1.00 | $0.28 | 2026-02-28 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Midlands Choice | Commercial | $0.41 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL OutpatientFacility | United Healthcare | Commercial | $0.41 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Cigna | Commercial | $0.41 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| CLARKE COUNTY HOSPITAL InpatientFacility | Health Partners | Commercial/Self-Funded | $0.41 | $0.42 | $0.42 | 2025-05-01 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Sutter UMR | Commercial|All Plans | $0.45 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Sutter UMR | Commercial|All Plans | $0.45 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| MERCY GENERAL HOSPITAL Outpatient | Health Net | Medicaid|All Plans | $0.50 | $1.00 | $0.22 | 2026-02-28 | MRF ↗ |
| MERCY GENERAL HOSPITAL Outpatient | California Health & Wellness | Medicaid|All Plans | $0.50 | $1.00 | $0.22 | 2026-02-28 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Outpatient | Health Net | Medicaid|All Plans | $0.50 | $1.00 | $0.28 | 2026-02-28 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Outpatient | California Health & Wellness | Medicaid|All Plans | $0.50 | $1.00 | $0.28 | 2026-02-28 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | United Healthcare | Commercial | $0.53 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Outpatient | Kaiser | Commercial|All Plans | $0.54 | $1.00 | $0.28 | 2026-02-28 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Private Healthcare Systems-Multi Plan Primary | Commercial | $0.56 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Cigna | Commercial | $0.56 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Health Link | Managed Care | $0.56 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Coventry (Aetna) | Commercial | $0.56 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield Missouri | Commercial | $0.56 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Health Alliance | Commercial | $0.56 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Private Healthcare Systems-Multi Plan Complementary | Commercial | $0.59 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| ILLINI COMMUNITY HOSPITAL InpatientFacility | Health Link PPO | Commercial | $0.59 | $0.66 | $0.40 | 2024-11-22 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $0.60 | $15.00 | $15.00 | 2026-05-15 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Healthsmart | Commercial|All Plans | $0.60 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Healthsmart | Commercial|All Plans | $0.60 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $0.60 | $14.00 | $14.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $0.60 | $14.00 | $14.00 | 2026-04-30 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | BlueCross BlueShield Vermont | The Vermont Health Plan/Vermont Health Partnership | $0.61 | $47.24 | $47.24 | 2026-02-19 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $0.61 | $14.00 | $14.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $0.61 | $14.00 | $14.00 | 2026-04-30 | MRF ↗ |
| UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE OutpatientFacility | BlueCross BlueShield Vermont | Indemnity | $0.63 | $47.24 | $47.24 | 2026-02-19 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $0.63 | — | — | 2026-01-13 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $0.64 | $15.00 | $15.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $0.65 | $15.00 | $15.00 | 2026-05-15 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | BCBS - Anthem | Commercial|Exchange | $0.65 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | BCBS - Anthem | Commercial|Exchange | $0.65 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.70 | — | — | 2026-03-31 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Inpatient | First Health | Commercial|All Plans | $0.72 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Inpatient | First Health | Commercial|All Plans | $0.72 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| MERCY GENERAL HOSPITAL Outpatient | BCBS - Anthem | Commercial|Connection EPO | $0.72 | $1.00 | $0.22 | 2026-02-28 | MRF ↗ |
| MERCY GENERAL HOSPITAL Inpatient | Healthsmart | Commercial|All Plans | $0.72 | $1.00 | $0.22 | 2026-02-28 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|Connection EPO | $0.74 | $1.00 | $0.28 | 2026-02-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.74 | $14.00 | $14.00 | 2026-04-30 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $0.74 | $3.49 | $2.13 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $0.74 | $3.49 | $2.13 | 2026-02-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $0.74 | $14.00 | $14.00 | 2026-04-30 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.75 | $3.49 | $2.90 | 2026-02-28 | MRF ↗ |
| MERCY GENERAL HOSPITAL Inpatient | First Health | Commercial|All Plans | $0.75 | $1.00 | $0.22 | 2026-02-28 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | Healthsmart | Commercial|All Plans | $0.75 | $1.00 | $0.28 | 2026-02-28 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | First Health | Commercial|All Plans | $0.75 | $1.00 | $0.28 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $0.75 | $3.49 | $2.13 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $0.75 | $3.49 | $2.90 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $0.75 | $3.49 | $2.13 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | BCBS - Anthem | Commercial|Exchange | $0.76 | $1.00 | $0.51 | 2026-02-28 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.76 | $14.00 | $14.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.76 | $14.00 | $14.00 | 2026-04-30 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.77 | $3.49 | $2.90 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $0.77 | $3.49 | $2.90 | 2026-02-28 | MRF ↗ |
| MERCY GENERAL HOSPITAL Outpatient | Kaiser | Commercial|All Plans | $0.79 | $1.00 | $0.22 | 2026-02-28 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | Sutter Health | Commercial|All Plans | $0.80 | $1.00 | $0.28 | 2026-02-28 | MRF ↗ |
| MERCY GENERAL HOSPITAL Inpatient | Sutter Health | Commercial|All Plans | $0.80 | $1.00 | $0.22 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | Cigna | Commercial|PPO | $0.80 | $1.00 | $0.51 | 2026-02-28 | MRF ↗ |
| MERCY GENERAL HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $0.80 | $1.00 | $0.22 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | Cigna | Commercial|All Other Plans | $0.80 | $1.00 | $0.51 | 2026-02-28 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $0.81 | $15.00 | $15.00 | 2026-05-15 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.81 | $3.49 | $2.06 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $0.81 | $3.49 | $2.06 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $0.81 | $3.49 | $1.75 | 2026-02-28 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHPFC | $0.82 | $13.73 | $13.73 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARKids | $0.82 | $13.73 | $13.73 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STARPLUS | $0.82 | $13.73 | $13.73 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | CHIP | $0.82 | $13.73 | $13.73 | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Superior Health Plan | STAR | $0.82 | $13.73 | $13.73 | 2026-03-01 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Inpatient | MultiPlan | Commercial|All Plans | $0.82 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Inpatient | MultiPlan | Commercial|All Plans | $0.82 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.82 | $3.49 | $2.06 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $0.82 | $3.49 | $2.06 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $0.82 | $3.49 | $1.75 | 2026-02-28 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | Truli for Health | BSL | $0.83 | $9.72 | $9.72 | 2026-03-01 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Inpatient | MultiPlan | Commercial|All Plans | $0.83 | $1.00 | $0.28 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.84 | $3.49 | $1.61 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $0.84 | $3.49 | $1.61 | 2026-02-28 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | BCBS | SBN | $0.85 | $9.72 | $9.72 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | BCBS | BSL | $0.85 | $9.72 | $9.72 | 2026-03-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | BCBS | MBN | $0.85 | $9.72 | $9.72 | 2026-03-01 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Medcore | Commercial|Without ER | $0.85 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.85 | $3.49 | $1.61 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Medcore | Commercial|Without ER | $0.85 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $0.85 | $3.49 | $1.61 | 2026-02-28 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | AvMed | HIX | $0.87 | $9.72 | $9.72 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | BCBS | SBN | $0.89 | $9.72 | $9.72 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | BCBS | BSL | $0.89 | $9.72 | $9.72 | 2024-10-01 | MRF ↗ |
| OVIEDO MEDICAL CENTER Outpatient | BCBS | MBN | $0.89 | $9.72 | $9.72 | 2024-10-01 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.90 | $6,437.00 | $965.55 | 2025-12-23 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Alignment Health | Medicare|All Plans | $0.90 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | BCBS - Anthem | Commercial|Non-MCS | $0.90 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| MERCY GENERAL HOSPITAL Outpatient | BCBS - Anthem | Commercial|All Other Plans | $0.90 | $1.00 | $0.22 | 2026-02-28 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Univera | Univera_Medicare_Hamot_2024 | $0.90 | $6.00 | $3.60 | 2026-03-06 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | Coventry | Commercial|All Plans | $0.90 | $1.00 | $0.51 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | BCBS - Anthem | Commercial|Non-MCS | $0.90 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| ST JOSEPH'S MEDICAL CENTER OF STOCKTON Outpatient | Alignment Health | Medicare|All Plans | $0.90 | $1.00 | $0.30 | 2026-02-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.90 | $6,437.00 | $965.55 | 2025-12-23 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $0.91 | $4.46 | $3.57 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $0.91 | $4.46 | $3.57 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $0.91 | $4.46 | $3.57 | 2026-01-28 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $0.92 | $65.21 | $9.78 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $0.92 | $65.21 | $9.78 | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $0.92 | $65.21 | $9.78 | 2026-03-23 | MRF ↗ |
| JOHNSON CITY MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $0.92 | $65.21 | $9.78 | 2026-03-23 | MRF ↗ |
| WELLMONT HOLSTON VALLEY MEDICAL CENTER Both | BLUE CROSS | BLUE CROSS BALLAD HEALTH EMPLOYEE | $0.92 | $65.21 | $9.78 | 2026-03-23 | MRF ↗ |
| SAINT THOMAS RUTHERFORD HOSPITAL Both | BCBS TENNCARE SELECT | 2414_BCBS BLUE CARE TENNCARE (RUTHERFORD) 20221001 | $0.93 | $31.05 | $9.32 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | BCBS TN | BCBS TN CoverKids | $0.93 | $16.62 | $3.23 | 2026-01-01 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Outpatient | BCBS - Anthem | Commercial|All Other Plans | $0.93 | $1.00 | $0.28 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Outpatient | BCBS - Anthem | Commercial|All Other Plans | $0.93 | $1.00 | $0.51 | 2026-02-28 | MRF ↗ |
| ASCENSION SAINT THOMAS HOSPITAL Both | BCBS TENNCARE SELECT | 2423_BCBS BLUE CARE TENNCARE (WEST) 20221001 | $0.93 | $31.05 | $9.32 | 2026-01-01 | MRF ↗ |
| TENNOVA HEALTHCARE-CLARKSVILLE Both | BCBS TN | BCBS TN CoverKids | $0.93 | $16.62 | $3.23 | 2026-01-01 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | US Family Health Plan | Tricare Prime | — | $6.25 | $5.00 | 2026-03-06 | MRF ↗ |
| UPMC HAMOT OutpatientFacility | Univera | Univera_Medicare_Hamot_2024 | $0.94 | $6.25 | $5.00 | 2026-03-06 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $0.95 | $19.00 | $19.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $0.95 | $19.00 | $19.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $0.95 | $19.00 | $19.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $0.95 | $19.00 | $19.00 | 2026-03-01 | MRF ↗ |
| MERCY GENERAL HOSPITAL Outpatient | BCBS - Anthem | Medicare|All Other Plans | $0.95 | $1.00 | $0.22 | 2026-02-28 | MRF ↗ |
| MERCY SAN JUAN MEDICAL CENTER Outpatient | BCBS - Anthem | Medicare|All Other Plans | $0.95 | $1.00 | $0.28 | 2026-02-28 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $0.96 | $23.00 | $23.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $0.96 | $19.00 | $19.00 | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | CHIP | $0.96 | $19.00 | $19.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $0.96 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $0.96 | $27.00 | $27.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Amerigroup | MCD | $0.96 | $23.00 | $23.00 | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $0.96 | $27.00 | $27.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $0.96 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $0.96 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $0.96 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | MCD | $0.96 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | Amerigroup | CHIP | $0.96 | $25.00 | $25.00 | 2026-03-01 | MRF ↗ |
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Kaiser Foundation Hospitals | Medi-Cal | $0.97 | $5.35 | $2.94 | 2026-02-19 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | Health Net | Commercial|All Plans | $0.97 | $1.00 | $0.51 | 2026-02-28 | MRF ↗ |
| MERCY MEDICAL CENTER REDDING Inpatient | MultiPlan | Commercial|All Plans | $0.98 | $1.00 | $0.51 | 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.