J7199 — Hemophilia Clot Factor Noc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HEMOPHILIA CLOT FACTOR NOC (HCPCS J7199) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7199?code_type=HCPCS
MLA (9th ed.)
“HEMOPHILIA CLOT FACTOR NOC (HCPCS J7199) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7199?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“HEMOPHILIA CLOT FACTOR NOC (HCPCS J7199) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7199?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $50–$525 (25th–75th percentile) across 231 hospitals · 253 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7199 — 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
$50
$238 typical
$525
The middle 50% of negotiated facility rates for this procedure, measured across 231 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $238 |
| Likely subtotal | $238 |
Facility charge (no separate professional fee)
$238
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 $50–$525.
- 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 | 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 | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Blue Lincs HMO | BCBS Blue Lincs HMO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Advantage PPO | BCBS Advantage PPO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Preferred | BCBS Preferred | $0.18 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Choice | BCBS Choice | $0.21 | — | — | 2026-08-30 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Medica | All Plans | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | POS | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Medica | All Plans | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | POS | — | — | — | 2026-03-05 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Traditional | BCBS Traditional | $0.24 | — | — | 2026-08-30 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | First Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | OSMA Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Cigna | PPO/POS | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Friday Health Plan | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | OSMA Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Humana Military Tricare | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Friday Health Plan | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Cigna | PPO/POS | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Humana Military Tricare | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Cigna | PPO/POS | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Friday Health Plan | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | OSMA Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Medica | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | Savility | — | — | — | 2026-03-12 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.28 | — | — | 2026-05-11 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Community Care | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | WebTPA | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | Medicare HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Generations Healthcare | Medicare Adv | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Healthcare Highways | Sync | — | — | — | 2026-03-12 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Cigna | PPO | $0.28 | — | — | 2026-05-11 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Coventry | First Health PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Coventry | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Prime Health Services | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Global Health | Medicare Advantage | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Global Health | Commercial | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Phcs | Multiplan Savility PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Phcs | Multiplan PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Coventry | First Health PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Coventry | Medicare Advantage | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Humana | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Aetna | Gatekeeper | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Aetna | Non Gatekeeper | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Cigna | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Prime Health Services | Medicare Advantage | — | — | — | 2025-12-31 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Other (No Contract) | Other (No Contract) | $0.35 | — | — | 2026-08-30 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Cigna | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | CP-HUMANA MIDTOWN IMAGING (UB) | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA MEDICARE- MIDTOWN IMAGING | $0.72 | — | — | 2026-09-01 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $0.79 | — | — | 2026-09-21 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Ppo | $0.79 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $0.79 | — | — | 2026-05-06 | MRF ↗ |
| Shepherd Center Outpatient | Bcbs | Hmo | $0.79 | — | — | 2026-09-21 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA- MIDTOWN IMAGING | $0.82 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE HIX | $1.14 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $1.14 | — | — | 2026-09-01 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Emblem_762 | GHI | $1.23 | — | — | 2026-02-02 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | Advanced Health Systems | Commercial | $1.38 | — | — | 2026-01-30 | MRF ↗ |
| Memorial Hospital at Stone County OutpatientFacility | BLUE CROSS | BC STATE | $1.38 | — | — | 2026-02-18 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | Aetna | Commercial | — | — | — | 2026-01-30 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Advanced Health Systems | Commercial | $1.38 | — | — | 2026-01-30 | MRF ↗ |
| MEMORIAL HOSPITAL AT GULFPORT OutpatientFacility | BLUE CROSS | BC STATE | $1.38 | — | — | 2026-02-18 | MRF ↗ |
| PERRY COUNTY GENERAL HOSPITAL OutpatientFacility | Advanced Health Systems | Commercial | $1.38 | — | — | 2026-01-30 | MRF ↗ |
| PEARL RIVER COUNTY HOSPITAL OutpatientFacility | Advanced Health Systems | Commercial | $1.38 | — | — | 2026-01-30 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA EXCHANGE HIX | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLAN EXCHANGE HIX | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | United Healthcare | Default | $1.64 | $2.52 | $2.52 | 2026-07-19 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS PPO/EPO | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS HMO/POS | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS HMO/POS | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA HEALTH PLANS PPO/EPO | $1.67 | — | — | 2026-09-01 | MRF ↗ |
| THE CHILDREN'S HOSPITAL OF ALABAMA | Min Neg. Rate | — | $1.81 | $4.20 | $1.81 | 2026-07-17 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Fidelis Care | NJ Family Care | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | First Health | Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | PIP | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Amerihealth | Local Value | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $1.98 | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Amerihealth | Regional Preferred | — | — | — | 2026-03-04 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER LUMPKIN OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $2.06 | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER HABERSHAM OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $2.06 | — | — | 2026-04-01 | MRF ↗ |
| NGMC BARROW, LLC OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $2.06 | — | — | 2026-04-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER BRASELTON OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $2.06 | — | — | 2026-01-01 | MRF ↗ |
| NORTHEAST GEORGIA MEDICAL CENTER, INC OutpatientFacility | Amerigroup | Medicaid Managed Care Plan | $2.06 | — | — | 2026-04-01 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Tx | Default | $2.17 | $2.52 | $2.52 | 2026-07-19 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.23 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | HUMANA | HUMANA CHOICE CARE PPO | $2.23 | — | — | 2026-09-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | GHI | Medicare | $2.28 | — | — | 2026-04-01 | MRF ↗ |
| MONTEFIORE MEDICAL CENTER Both | GHI | Medicare Midlevels | $2.28 | — | — | 2026-04-01 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Medicare A Tx And Indian Health Services Jh | Default | $2.47 | $2.52 | $2.52 | 2026-07-19 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Wellcare Of Texas | Default | $2.47 | $2.52 | $2.52 | 2026-07-19 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Amerigroup Mcr Adv Multi State | Default | $2.47 | $2.52 | $2.52 | 2026-07-19 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Uhc Group Medicare Advantage | Default | $2.52 | $2.52 | $2.52 | 2026-07-19 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Medicaid Texas | Default | $2.52 | $2.52 | $2.52 | 2026-07-19 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Superior Health Plan Mcd Rep | Default | $2.52 | $2.52 | $2.52 | 2026-07-19 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Uhc Community Plan Tx | Default | $2.52 | $2.52 | $2.52 | 2026-07-19 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Superior Health Plan | Default | $2.52 | $2.52 | $2.52 | 2026-07-19 | MRF ↗ |
| COCHRAN MEMORIAL HOSPITAL Both | Firstcare Star Medicaid | Default | $2.52 | $2.52 | $2.52 | 2026-07-19 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $2.53 | — | — | 2026-09-01 | MRF ↗ |
| ST MARY'S MEDICAL CENTER OutpatientFacility | HUMANA | HUMANA COMMERCIAL HMO | $2.53 | — | — | 2026-09-01 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $2.54 | $12.49 | $5.01 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $2.54 | $12.49 | $5.01 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $2.54 | $12.49 | $5.01 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $2.54 | $12.49 | $5.31 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $2.54 | $12.49 | $5.01 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Blue Cross of Minnesota | PMAP | $2.54 | $12.49 | $5.01 | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $2.54 | $12.49 | $5.01 | 2026-01-29 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Itasca Medical Care | Medicare Advantage/MSHO | — | $12.49 | $5.01 | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $2.61 | $12.49 | $5.01 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $2.61 | $12.49 | $5.31 | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $2.61 | $12.49 | $5.01 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $2.61 | $12.49 | $5.01 | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | PMAP | $2.66 | $12.49 | $5.01 | 2026-02-06 | 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.