J7201 — Factor Ix Alprolix Recomb
Cite this view
HANK Price Transparency. (n.d.). Factor ix alprolix recomb (HCPCS J7201) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7201?code_type=HCPCS
“Factor ix alprolix recomb (HCPCS J7201) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7201?code_type=HCPCS. Accessed .
“Factor ix alprolix recomb (HCPCS J7201) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7201?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$12 (25th–75th percentile) across 1,270 hospitals · 1,819 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J7201 — 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 |
|---|---|---|---|---|---|---|---|
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.19 | — | — | 2026-03-18 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.52 | $3.14 | $0.63 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.52 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.52 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.52 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.52 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.52 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.60 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.62 | — | — | 2026-03-31 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.63 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.63 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.63 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.63 | $3.14 | $0.63 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.63 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.63 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Humana Medicaid | Managed Medicaid | $0.75 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.78 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | United Healthcare Adult | Commercial | $0.78 | $3.14 | $0.63 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.78 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.78 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.78 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $0.80 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $0.80 | — | — | 2025-12-23 | MRF ↗ |
| Westchester Medical Center T C OutpatientFacility | None | — | — | $2.38 | $0.81 | 2026-04-02 | MRF ↗ |
| HOMESTEAD HOSPITAL Both | BLUE CROSS | MY BLUE EX | $0.85 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| WEST KENDALL BAPTIST HOSPITAL Both | BLUE CROSS | MY BLUE EX | $0.86 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| BAPTIST HOSPITAL Both | BLUE CROSS | MY BLUE EX | $0.87 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| MARINERS HOSPITAL Both | BLUE CROSS | MY BLUE EX | $0.87 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| SOUTH MIAMI HOSPITAL Both | BLUE CROSS | MY BLUE EX | $0.87 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $0.88 | — | — | 2026-01-29 | MRF ↗ |
| DOCTORS HOSPITAL Both | BLUE CROSS | MY BLUE EX | $0.88 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Health_First_Health | HMO_PPO | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCareDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Scan | SCANMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $1.00 | $17.00 | $8.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $17.00 | $8.00 | 2025-02-03 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Live Well | LiveWellIPAAncillary | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Molina | Medicaid - Molina | $1.00 | $17.00 | $8.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Aetna | QHP_Exchange | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Health_First_Health | HMO_PPO | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Naval Medical Center | NavalMedicalCenter | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - United | Medicaid - United | $1.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Midwest | Medicaid - Midwest | $1.00 | $17.00 | $8.00 | 2025-02-03 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Midwest | Medicaid - Midwest | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Meridian | Medicaid - Meridian | $1.00 | $17.00 | $8.00 | 2025-02-03 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Aetna | Better_Health_Medicaid | — | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | United_HealthCare | Medicaid | — | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Sunflower_State_Health_Plan | Medicaid | — | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Centivo | PPO | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2025-01-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldofCA | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedBehavioral | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | CentralHealthPlanofCaliforniaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageCommercialDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Morongo Basin Community Health | MorongoBasinCommunityHealth | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Imperial Health Plan | ImperialHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | — | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $1.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Molina | Medicaid - Molina | $1.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | BrandNewDayMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN OAKLAND Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $1.00 | $9.00 | $4.00 | 2025-02-03 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Midwest | Medicaid - Midwest | $1.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Affiliated Health Fund | AffiliatedHealthFundAHF | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Corvel | CorvelWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | AMPS | PPO | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldPromiseMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | NHP | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetWholecarePurecareHIX | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Meridian | Medicaid - Meridian | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN MACOMB Both | Medicaid - Meridian | Medicaid - Meridian | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaNonGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Meridian | Medicaid - Meridian | $1.00 | $19.00 | $9.00 | 2025-02-03 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Midwest | Medicaid - Midwest | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Aetna | HMO_PPO | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | Cigna_HealthCare | HMO_PPO | — | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OTTAWA Outpatient | WPPA | PPO | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Alignment Health Plan | AlignmentHealthPlanMedicare | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - United | Medicaid - United | $1.00 | $7.00 | $3.00 | 2025-02-03 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CAHealthandWellnessMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldReciprocity | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetEnhancedCareSBGPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCaidDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Humana | HMO | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Health_First_Health | HMO_PPO | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageTrioHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Central California Alliance For Health | CentralCAAllianceMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdComm | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPHIX | — | — | — | 2025-01-31 | MRF ↗ |
| MCLAREN OAKLAND Both | Medicaid - Midwest | Medicaid - Midwest | $1.00 | $9.00 | $4.00 | 2025-02-03 | MRF ↗ |
| MCLAREN OAKLAND Both | Traditional Medicaid HMO PPO | Traditional Medicaid HMO PPO | $1.00 | $9.00 | $4.00 | 2025-02-03 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $1.00 | $4.21 | $2.10 | 2024-12-15 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Alternative | Commercial | $1.01 | $3.14 | $0.63 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $1.01 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $1.01 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $1.01 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $1.01 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| MARINERS HOSPITAL Both | MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| MARINERS HOSPITAL Both | LEON MEDICAL | LEON MED MC HMO NC | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| MARINERS HOSPITAL Both | LEON MEDICAL | LEON HEALTH MC HMO | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| MARINERS HOSPITAL Both | MEDICA HEALTH PLAN | MEDICA MCR HMO | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| MARINERS HOSPITAL Both | BLUE CROSS | BCBS MEDICARE PPO | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| MARINERS HOSPITAL Both | UNITED HEALTHCARE | UNITED HLTH MC HMO | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| MARINERS HOSPITAL Both | MEDICARE | SIMPLYHLTH MC HMO NC | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | LEON MEDICAL | LEON HEALTH MC HMO | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | LEON MEDICAL | LEON MED MC HMO NC | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | UNITED HEALTHCARE | UNITED HLTH MC HMO | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | BLUE CROSS | BCBS MEDICARE PPO | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | MEDICA HEALTH PLAN | MEDICA MCR HMO | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | MEDICARE | SIMPLYHLTH MC HMO NC | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $1.05 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | SIHO | Commercial | $1.10 | $3.14 | $0.63 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $1.10 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $1.10 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $1.10 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $1.10 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| MARINERS HOSPITAL Both | HUMANA | HUMANA MEDICARE | $1.14 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| MARINERS HOSPITAL Both | HUMANA | CAREPLUS MC HMO | $1.14 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | HUMANA | CAREPLUS MC HMO | $1.14 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | HUMANA | HUMANA MEDICARE | $1.14 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| MARINERS HOSPITAL Both | AETNA | AETNA MEDICARE | $1.15 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| MARINERS HOSPITAL Both | AVMED | AVMED MEDICARE | $1.16 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | AVMED | AVMED MEDICARE | $1.16 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | AETNA | AETNA MEDICARE | $1.16 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Pediatric | Commercial | $1.18 | $3.14 | $0.63 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $1.18 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Adult | Commercial | $1.18 | $3.14 | $0.63 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $1.18 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $1.18 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $1.18 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $1.18 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $1.18 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $1.18 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $1.18 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| MARINERS HOSPITAL Both | CIGNA | CIGNA MEDICARE ADVANTAGE | $1.20 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| FISHERMEN'S COMMUNITY HOSPITAL Both | CIGNA | CIGNA MEDICARE ADVANTAGE | $1.20 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $1.22 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $1.22 | — | — | 2026-03-01 | MRF ↗ |
| Centra Specialty Hospital BothFacility | None | — | — | $13.00 | $4.29 | 2026-01-01 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Aetna of PA | Medicare | $1.30 | $22.00 | $13.20 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | US Family Health Plan | Tricare Prime | — | $22.00 | $13.20 | 2026-03-06 | MRF ↗ |
| UPMC BEDFORD MEMORIAL OutpatientFacility | Tricare | TRICARE | — | $22.00 | $13.20 | 2026-03-06 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $1.31 | $3.63 | $2.29 | 2026-01-27 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $1.32 | $12.00 | $3.29 | 2026-02-28 | MRF ↗ |
| WOODLAND MEMORIAL HOSPITAL Inpatient | WCMG | Commercial|All Plans | $1.32 | $12.00 | $3.29 | 2026-02-28 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $1.33 | $3.14 | $0.63 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $1.33 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $1.33 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | Anthem Adult | HMO/PPO/Traditional | $1.33 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| MARINERS HOSPITAL Both | MEDICARE MANAGED CARE | PROMINENCE | $1.35 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $1.38 | $3.14 | $0.63 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $1.38 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $1.38 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $1.38 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Anthem Pathway | HMO/PPO/Traditional | $1.38 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $1.41 | $3.14 | $0.63 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $1.41 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| BETHESDA HOSPITAL EAST Both | AETNA | AETNA TIER 2 | $1.41 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| BETHESDA HOSPITAL EAST Both | AETNA | AETNA HMO | $1.41 | $5.00 | $3.25 | 2026-03-30 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $1.41 | $3.14 | $0.63 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Humana CareSource of Kentucky | Managed Medicaid | $1.41 | $3.14 | $0.63 | 2026-02-11 | 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.