J7297 — Levonorgestrel 20.4 Mcg/24 Hr (up To 8 Yrs) 52 Mg Intrauterine Device
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE (HCPCS J7297) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7297?code_type=HCPCS
MLA (9th ed.)
“LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE (HCPCS J7297) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7297?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“LEVONORGESTREL 20.4 MCG/24 HR (UP TO 8 YRS) 52 MG INTRAUTERINE DEVICE (HCPCS J7297) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7297?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $932–$2,192 (25th–75th percentile) across 1,701 hospitals · 3,524 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7297 — 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
$932
$1,282 typical
$2,192
The middle 50% of negotiated facility rates for this procedure, measured across 1,701 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,282 |
| Likely subtotal | $1,282 |
Facility charge (no separate professional fee)
$1,282
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 $932–$2,192.
- 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 | Cigna | HMO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Community Care | Medicare Advantage | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| St. Louise Regional Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $0.03 | $1,085.00 | $759.50 | 2026-09-01 | MRF ↗ |
| SANTA CLARA VALLEY MEDICAL CENTER BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $0.03 | $1,085.00 | $759.50 | 2026-09-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cigna] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| O'connor Hospital BothFacility | SANTA CLARA FAMILY HEALTH PLAN MC [205] | SANTA CLARA FAMILY HEALTH PLAN MC [205001] | $0.03 | $1,085.00 | $759.50 | 2026-09-01 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Uhc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Chip] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Aetna Signature Administrators] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Aetna] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Upmc] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Multiplan] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Preferred Healthcare Systems] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [First Health] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark Aca] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $14,907.68 | $9,689.99 | 2025-11-26 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark Choice Blue] | [Comm] | $0.05 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark] | [Comm] | $0.06 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $3,727.00 | $2,646.17 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $4,341.00 | $3,082.11 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $3,727.00 | $2,646.17 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $4,341.00 | $3,082.11 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $3,727.00 | $2,646.17 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $4,341.00 | $3,082.11 | 2026-07-15 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | DCH ILLINOIS MEDICAID | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | DCH ILLINOIS MEDICAID | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | DCH ILLINOIS MEDICAID | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | FAMILY HEALTH NETWORK HMO [1610] | VWH ILLINOIS MEDICAID | $0.28 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | KH ILLINOIS MEDICAID | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | HEALTH ALLIANCE MEDICAID [1310] | VWH ILLINOIS MEDICAID | $0.28 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | KH ILLINOIS MEDICAID | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CENPATICO BEHAVIORAL HEALTH [1603] | KH ILLINOIS MEDICAID | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | KH ILLINOIS MEDICAID | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | KH ILLINOIS MEDICAID | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | FAMILY HEALTH NETWORK HMO [1610] | KH ILLINOIS MEDICAID | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | CIGNA HEALTHSPRING SPECIALCARE OF IL [1608] | VWH ILLINOIS MEDICAID | $0.28 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | VWH ILLINOIS MEDICAID | $0.28 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | COUNTYCARE IL COOK CO [1607] | VWH ILLINOIS MEDICAID | $0.28 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | MERIDIAN HEALTH PLAN HMO [1604] | VWH ILLINOIS MEDICAID | $0.28 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | BLUE CROSS MEDICAID [1612] | KH ILLINOIS MEDICAID | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Molina | Exchange | $0.30 | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $14,907.68 | $9,689.99 | 2025-11-26 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Group Health Inc | Medicare | $0.35 | $1.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Group Health Inc | Medicare | $0.35 | $1.00 | — | 2026-02-27 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | KH MEDICARE | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | GLOBAL EXCEL [1712] | KH MEDICARE | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Caresource | Exchange | — | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | HMO | $0.47 | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Healthsmart | Commercial | — | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | HMO | $0.47 | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | United Healthcare Commercial/Behavioral Health | Commercial | — | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Molina | Exchange | — | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Buckeye Community Health Plan | Exchange | — | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | EmblemHealth | Commercial | $0.50 | $1.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | EmblemHealth | Commercial | $0.50 | $1.00 | — | 2026-02-27 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | GLOBAL EXCEL [1712] | MRH MEDICARE | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Group Health Inc | Commercial | $0.50 | $1.00 | — | 2026-02-27 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | MRH MEDICARE | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | MRH MEDICARE | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | GLOBAL EXCEL [1712] | NWR MEDICARE | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Group Health Inc | Commercial | $0.50 | $1.00 | — | 2026-02-27 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | GLOBAL EXCEL [1712] | DCH MEDICARE | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | GLOBAL EXCEL [1712] | NLFH MEDICARE | — | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | PPO | $0.56 | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | PPO | $0.57 | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE SELECT | $0.60 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE OPTIONS | $0.60 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | United Healthcare Commercial/Behavioral Health | Commercial | $0.62 | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $2,795.19 | — | 2026-07-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | DCH AETNA NM EMPLOYEES | $0.65 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA NM EMPLOYEES | $0.66 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $14,907.68 | $9,689.99 | 2025-11-26 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS BLUECHOICE PREFERRED | $0.72 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | KH AETNA NM EMPLOYEES | $0.73 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $0.74 | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | GLOBAL EXCEL [1712] | VWH MEDICARE | $0.76 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS MEDICARE ADV [2304] | VWH BLUE CROSS MEDICARE ADVT | $0.76 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | ALTERNATE HUMANA MEDICARE ADV [2409] | VWH MEDICARE | $0.76 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | PH BCBS PPO | $0.77 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA NM EMPLOYEES | $0.77 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | The Health Plan | Commercial | $0.80 | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS HMO | $0.85 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS HMO | $0.85 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | PH AETNA NM EMPLOYEES | $0.86 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER InpatientFacility | Multiplan | Commercial | $0.90 | $1.00 | $0.40 | 2026-09-25 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PPO | $0.93 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | DCH BCBS PPO | $0.93 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE PREFERRED | $0.94 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE OPTIONS | $0.94 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS BLUECHOICE SELECT | $0.94 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $14,907.68 | $9,689.99 | 2025-11-26 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $3,726.92 | $1,863.46 | 2026-07-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $1,773.00 | $1,329.75 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $1,773.00 | $1,329.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $1,773.00 | $1,329.75 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $1,773.00 | $1,329.75 | 2026-09-02 | 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 BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $14,907.68 | $9,689.99 | 2025-11-26 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | VWH AETNA NM EMPLOYEES | $1.02 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $3,726.92 | $1,863.46 | 2026-07-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BCBS PPO | $1.09 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | NLFH BCBS PPO | $1.09 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $3,726.92 | $1,863.46 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $3,726.92 | $1,863.46 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $3,726.92 | $1,863.46 | 2026-07-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | MERCY CARE HEALTH PLANS [5013] | NWR MERCY CARE | $1.21 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHP/Medicare Advantage Special Needs HMO | — | $14,907.68 | $9,689.99 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $14,907.68 | $9,689.99 | 2025-11-26 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | ALTERNATE BLUE CROSS [1402] | NWR BCBS PPO | $1.36 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS PPO | $1.36 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | PH AETNA IL PREFERRED | $1.36 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | KH AETNA NIU | $1.36 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA APCN/SP | $1.38 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | VWH AETNA IL PREFERRED | $1.39 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA IL PREFERRED | $1.42 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | ALTERNATE BLUE CROSS [1402] | NWR BCBS HMO | $1.43 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS HMO | $1.43 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | KH AETNA IL PREFERRED | $1.44 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $4,525.26 | $4,525.26 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $3,726.92 | $1,863.46 | 2026-07-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | ALTERNATE BLUE CROSS [1402] | PH BCBS HMO | $1.57 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | PH BCBS HMO | $1.57 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | AETNA HEALTH PLAN [171] | MRH IMAGINE HEALTH | $1.68 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | IMAGINE HEALTH [6032] | MRH IMAGINE HEALTH | $1.68 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | NLFH BC LAKE COUNTY PHYS ASSOC IPA | $1.80 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | VWH HFN NMH TIER ONE | $1.80 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | KH HFN NMH TIER ONE | $1.80 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | AETNA HEALTH PLAN [171] | NLFH AETNA ASA | $1.82 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | AETNA HEALTH PLAN [171] | MRH AETNA NM EMPLOYEES | $1.88 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE SELECT | $1.91 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE PREFERRED | $1.91 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | BLUE CROSS BLUE SHIELD [1401] | NWR BCBS BLUECHOICE OPTIONS | $1.91 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | UNITED HEALTHCARE [158] | MRH UHC CORE | $1.94 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | UNITED HEALTHCARE [158] | MRH UHC ALL OTHER | $1.94 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | DCH HFN NMH TIER ONE | $2.00 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTHLINK [125] | NLFH SEIU HEALTHLINK | $2.00 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | CIGNA HEALTH PLAN [178] | MRH CIGNA BROAD | $2.00 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | CARELON BEHAVIORAL HEALTH [159] | DCH BEACON HEALTH OPTIONS BHS | $2.00 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | CARELON BEHAVIORAL HEALTH [159] | PH VALUE OPTIONS BHO | $2.00 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | HEALTHLINK [125] | PH SEIU HEALTHLINK | $2.00 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | HEALTHLINK [125] | NWR SEIU HEALTHLINK | $2.00 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | AETNA HEALTH PLAN [171] | NWR AETNA ASA | $2.10 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | CHOICECARE [177] | NWR CHOICE CARE | $2.13 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | THE ALLIANCE [1703] | VWH THE ALLIANCE | $2.17 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | THE ALLIANCE [1703] | MRH THE ALLIANCE | $2.17 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $2,236.16 | $1,453.50 | 2026-06-15 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE PREFERRED | $2.18 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE OPTIONS | $2.18 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | BLUE CROSS BLUE SHIELD [1401] | MRH BCBS BLUECHOICE SELECT | $2.18 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | DCH BCBS PAR/INDEMNITY ADP | $2.24 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | KH BCBS PAR/INDEMNITY ADP | $2.24 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | VWH BCBS PAR/INDEMNITY ADP | $2.24 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | BLUE CROSS BLUE SHIELD [1401] | MRH BCBS PAR/INDEMNITY ADP | $2.24 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | FIRST HEALTH PLAN [6034] | MRH AETNA | $2.25 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | AETNA HEALTH PLAN [171] | MRH AETNA | $2.25 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | ALTERNATE BLUE CROSS [1402] | MRH BCBS HMO | $2.34 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | BLUE CROSS BLUE SHIELD [1401] | MRH BCBS HMO | $2.34 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | BLUE CROSS BLUE SHIELD [1401] | MRH DREYER - IPA | $2.40 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | HUMANA HEALTH PLAN [130] | MRH DREYER - IPA | $2.40 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | CIGNA HEALTH PLAN [178] | MRH CIGNA NARROW | $2.40 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | BLUE CROSS BLUE SHIELD [1401] | MRH UNIVERSITY OF IL MED CENTER - IPA | $2.40 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| PALOS COMMUNITY HOSPITAL Outpatient | MAGELLAN BEHAVIORAL HLTH [136] | PH MAGELLAN BHS | $2.40 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | HUMANA HEALTH PLAN [130] | MRH UNIVERSITY OF IL MED CENTER - IPA | $2.40 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE OPTIONS | $2.42 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE SELECT | $2.42 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE PREFERRED | $2.42 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE KISHWAUKEE HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | KH BCBS BLUECHOICE SELECT | $2.42 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE OPTIONS | $2.42 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | BLUE CROSS BLUE SHIELD [1401] | MRH BCBS PPO | $2.46 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | ALTERNATE BLUE CROSS [1402] | MRH BCBS PPO | $2.46 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $3,726.92 | $1,863.46 | 2026-07-01 | MRF ↗ |
| NORTHWESTERN MEDICINE MCHENRY Outpatient | MULTIPLAN/PHCS [142] | NWR PHCS PPO | $2.52 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL Outpatient | HEALTHLINK [125] | DCH SEIU HEALTHLINK | $2.52 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| Marianjoy Rehabilitation Hospital Outpatient | HEALTHLINK [125] | MRH SEIU HEALTHLINK | $2.52 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| VALLEY WEST COMMUNITY HOSPITAL Outpatient | BLUE CROSS BLUE SHIELD [1401] | VWH BCBS BLUECHOICE PREFERRED | $2.52 | $4.00 | $2.80 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $14,907.68 | $9,689.99 | 2025-11-26 | MRF ↗ |
| NORTHWESTERN LAKE FOREST HOSPITAL Outpatient | HEALTH'S FINEST NETWORK [126] | NLFH HFN PLATINUM/CHC ELITE | $2.56 | $4.00 | $2.80 | 2026-04-01 | 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.