J7202 — Factor Ix Idelvion Inj
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Factor ix idelvion inj (HCPCS J7202) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7202?code_type=HCPCS
MLA (9th ed.)
“Factor ix idelvion inj (HCPCS J7202) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7202?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Factor ix idelvion inj (HCPCS J7202) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7202?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5–$15 (25th–75th percentile) across 1,378 hospitals · 1,871 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7202 — 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
$5
$7 typical
$15
The middle 50% of negotiated facility rates for this procedure, measured across 1,378 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $7 |
| Likely subtotal | $7 |
Facility charge (no separate professional fee)
$7
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 $5–$15.
- 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 |
|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $0.26 | — | — | 2026-03-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.61 | $5.34 | $1.63 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $0.65 | $5.34 | $1.63 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $0.65 | $5.34 | $1.63 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $0.67 | $5.34 | $1.63 | 2026-07-18 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Op | — | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Ip Plans | — | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | All Sentara Op Plans | — | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna | Better Health Medicaid Plans | $0.79 | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Hmo Ppo Healthpartners Plans | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Ip Plans | — | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Ip Ppo Genworth Tyco Electronics Plans | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $0.79 | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Op | — | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Cigna | Ip Hmo Ppo Healthpartners Plans | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Ip Plans | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | All Sentara Op Plans | — | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $0.79 | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Op | — | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Op | — | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Op Plans | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Anthem | Healthkeepers Medicaid Plans | $0.79 | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Ip | — | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Cigna | Op Ppo Genworth Tyco Electronics Plans | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna Meritain Centra Employee | Ip Op Plans | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare Comm. | Ip Plans | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Ip | — | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Ip | — | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare Comm. | Op Plans | — | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Ip | — | — | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Sentara Medicaid | — | $0.80 | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Sentara Medicaid | — | $0.80 | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $0.81 | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Molina | Medicaid | $0.81 | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare | Medicaid | $0.81 | $20.00 | $6.60 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare | Medicaid | $0.81 | $20.00 | $6.60 | 2026-09-21 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $0.91 | $8.07 | $2.47 | 2026-07-18 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $0.92 | — | — | 2026-03-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $0.99 | $8.07 | $2.47 | 2026-07-18 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $0.99 | $8.07 | $2.47 | 2026-07-18 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetEnhancedCareSBGPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Affiliated Health Fund | AffiliatedHealthFundAHF | — | — | — | 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 | Molina Healthcare Of Texas (Claims Only) | CentralHealthPlanofCaliforniaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedBehavioral | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Corvel | CorvelWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetWholecarePurecareHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Alignment Health Plan | AlignmentHealthPlanMedicare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | BrandNewDayMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaNonGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CAHealthandWellnessMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Central California Alliance For Health | CentralCAAllianceMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | 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 TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdComm | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Scan | SCANMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Live Well | LiveWellIPAAncillary | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Morongo Basin Community Health | MorongoBasinCommunityHealth | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Imperial Health Plan | ImperialHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Naval Medical Center | NavalMedicalCenter | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageTrioHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageCommercialDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldofCA | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldReciprocity | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCareDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCaidDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldPromiseMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPHIX | — | — | — | 2025-01-31 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $1.02 | $8.07 | $2.47 | 2026-07-18 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $1.13 | $4.18 | $3.35 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $1.13 | $4.18 | $3.35 | 2026-01-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $1.17 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $1.17 | — | — | 2025-12-23 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $1.26 | $29.95 | $12.73 | 2026-01-29 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $23,615.35 | $23,615.35 | 2026-04-01 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $1.46 | — | — | 2025-12-31 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $1.46 | $4.18 | $3.35 | 2026-01-28 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $1.46 | — | — | 2025-12-31 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $1.62 | $26.95 | $11.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $1.62 | $26.95 | $11.00 | 2026-07-15 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $1.64 | $4.18 | $3.35 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $1.65 | $4.18 | $3.35 | 2026-01-28 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Outpatient | Unitedhealthcare | Medicaid | $1.66 | — | — | 2026-07-15 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $1.66 | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Medicaid | $1.66 | — | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Excellus BlueCross BlueShield | Medicare Advantage | $1.69 | $6.02 | $6.02 | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Humana Military | TRICARE | $1.69 | $6.02 | $6.02 | 2026-10-12 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $1.73 | $5.34 | $1.63 | 2026-07-18 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $1.77 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $1.77 | — | — | 2026-03-01 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Insure | Commercial | $1.84 | $4.18 | $3.35 | 2026-01-28 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $1.84 | $5.34 | $1.63 | 2026-07-18 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARKids | $1.90 | $27.17 | $27.17 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | MCDSTAR | $1.90 | $27.17 | $27.17 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARPLUS | $1.90 | $27.17 | $27.17 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | STARHealth | $1.90 | $27.17 | $27.17 | 2026-03-01 | MRF ↗ |
| MEDICAL CITY NORTH HILLS Outpatient | Superior Health Plan | CHIP | $1.90 | $27.17 | $27.17 | 2026-03-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $2.01 | $5.34 | $1.63 | 2026-07-18 | MRF ↗ |
| DOCTORS HOSPTAL AT RENAISSANCE Outpatient | United Healthcare | Community | $2.01 | $13.57 | $13.57 | 2026-07-16 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $2.02 | — | — | 2026-02-13 | MRF ↗ |
| PARKWEST MEDICAL CENTER OutpatientFacility | Correctional Medical Services | Correctional Facilities Inmate Claims | — | — | — | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | National Provider Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | EHN | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | USA Managed Care Organization | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | CCN Managed Care | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Correctional Medical Services | Correctional Facilities Inmate Claims | — | — | — | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Initial Group | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Initial Group | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | USA Managed Care Organization | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Galaxy Health Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION OutpatientFacility | MedSave USA | Commercial | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $2.07 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $2.07 | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Initial Group | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | MedSave USA | Commercial | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Aetna | Commercial | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Galaxy | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Beechstreet | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION OutpatientFacility | EHN | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | — | — | 2024-12-10 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | — | — | — | 2024-12-10 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Direct Care America | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Ambetter | Exchange | — | — | — | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $2.07 | — | — | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | National Provider Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER OutpatientFacility | National Provider Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER OutpatientFacility | Galaxy Health Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER OutpatientFacility | Ambetter | Exchange | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER OutpatientFacility | CCN Managed Care | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER OutpatientFacility | MedSave USA | Commercial | — | — | — | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $2.07 | — | — | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | Community Services Network | NonProfit Public Benefit | — | — | — | 2025-12-23 | 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.