J7301 — Levonorgestrel 14 Mcg/24 Hr (up To 3 Yrs) 13.5 Mg Intrauterine Device
Cite this view
HANK Price Transparency. (n.d.). LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE (HCPCS J7301) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7301?code_type=HCPCS
“LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE (HCPCS J7301) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7301?code_type=HCPCS. Accessed .
“LEVONORGESTREL 14 MCG/24 HR (UP TO 3 YRS) 13.5 MG INTRAUTERINE DEVICE (HCPCS J7301) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7301?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,009–$2,109 (25th–75th percentile) across 1,424 hospitals · 3,593 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J7301 — 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 |
|---|---|---|---|---|---|---|---|
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $16,182.08 | $10,518.35 | 2025-11-26 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | IOWA TOTAL CARE MEDICAID | IOWA TOTAL CARE MEDICAID | $0.62 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $0.62 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | AMERIGROUP MEDICAID-ALL OTHER PLANS | AMERIGROUP MEDICAID-ALL OTHER PLANS | $0.62 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $16,182.08 | $10,518.35 | 2025-11-26 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | AMERIGROUP MCR ADV | AMERIGROUP MCR ADV | $0.83 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | IOWA TOTAL CARE MCR | IOWA TOTAL CARE MCR | $0.83 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | AETNA MCR ADV | AETNA MCR ADV | $0.83 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $0.83 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | UHC MCR ADV | UHC MCR ADV | $0.83 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $0.83 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $0.97 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $16,182.08 | $10,518.35 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $16,182.08 | $10,518.35 | 2025-11-26 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | $1.15 | $4,586.75 | $3,440.06 | 2026-04-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHP/Medicare Advantage Special Needs HMO | — | $16,182.08 | $10,518.35 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $16,182.08 | $10,518.35 | 2025-11-26 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | AETNA HMO | AETNA HMO | $1.38 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | AETNA PPO - ALL OTHER PLANS | AETNA PPO - ALL OTHER PLANS | $1.46 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | MIDLANDS CHOICE - ALL PLANS | MIDLANDS CHOICE - ALL PLANS | $1.46 | $1.50 | $1.28 | 2026-02-04 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $16,182.08 | $10,518.35 | 2025-11-26 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | TRIWEST - ALL PLANS | TRIWEST - ALL PLANS | $3.01 | $5.00 | $5.00 | 2026-03-09 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | CHOICECARE MCR ADV - ALL PLANS | CHOICECARE MCR ADV - ALL PLANS | $3.10 | $5.00 | $5.00 | 2026-03-09 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | UHC MCR ADV | UHC MCR ADV | $3.10 | $5.00 | $5.00 | 2026-03-09 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $3.10 | $5.00 | $5.00 | 2026-03-09 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | HEALTHY BLUE MCR ADV - ALL OTHER PLANS | HEALTHY BLUE MCR ADV - ALL OTHER PLANS | $3.10 | $5.00 | $5.00 | 2026-03-09 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Ind | $3.54 | $1,517.00 | $1,366.02 | 2026-05-14 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Com | $3.54 | $1,517.00 | $1,366.02 | 2026-05-22 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Ind | $3.54 | $1,517.00 | $1,366.02 | 2026-05-22 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Com | $3.54 | $1,517.00 | $1,366.02 | 2026-05-14 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $16,182.08 | $10,518.35 | 2025-11-26 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | Aetna - HMO/POS | $3.67 | $4,586.75 | $3,440.06 | 2026-04-01 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | 6 DEGREES HLTH OP/PROFEE ONLY - ALL PLANS | 6 DEGREES HLTH OP/PROFEE ONLY - ALL PLANS | $4.25 | $5.00 | $5.00 | 2026-03-09 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | United Healthcare | United Healthcare - PPO | $4.63 | $4,586.75 | $3,440.06 | 2026-04-01 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | GUARDIAN RESOURCES INC-ALL PLANS | GUARDIAN RESOURCES INC-ALL PLANS | $4.75 | $5.00 | $5.00 | 2026-03-09 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | UHC EXCHANGE | UHC EXCHANGE | $4.75 | $5.00 | $5.00 | 2026-03-09 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $4.75 | $5.00 | $5.00 | 2026-03-09 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | HEALTHY BLUE MCAID | HEALTHY BLUE MCAID | $5.00 | $5.00 | $5.00 | 2026-03-09 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $6.12 | $11.33 | $9.06 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA PRIME SOLUTION | MEDICA PRIME SOLUTION | $6.12 | $11.33 | $9.06 | 2026-01-20 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | MMC KAREN ANN QUINLAN | $6.89 | $9,635.65 | $1,117.26 | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | KAREN ANN QUINLAN [5285] | HMC KAREN ANN QUINLAN | $6.89 | $7,631.90 | $1,472.56 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | OMC KAREN ANN QUINLAN | $6.89 | $9,635.65 | $1,089.87 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | CMC KAREN ANN QUINLAN | $6.89 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | NMC KAREN ANN QUINLAN | $6.89 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | OMC KAREN ANN QUINLAN | $6.89 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | NMC KAREN ANN QUINLAN | $6.89 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | MMC KAREN ANN QUINLAN | $6.89 | $7,631.90 | $1,517.33 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | NMC KAREN ANN QUINLAN | $6.89 | $9,635.65 | $656.99 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | OMC KAREN ANN QUINLAN | $6.89 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | KAREN ANN QUINLAN [5285] | HMC KAREN ANN QUINLAN | $6.89 | $9,635.65 | $1,084.39 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | KAREN ANN QUINLAN [5285] | CMC KAREN ANN QUINLAN | $6.89 | $7,631.90 | $1,271.07 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | KAREN ANN QUINLAN [5285] | HMC KAREN ANN QUINLAN | $6.89 | $7,631.90 | $1,472.56 | 2026-01-01 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $7.59 | $11.33 | $9.06 | 2026-01-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $7.59 | $11.33 | $9.06 | 2026-01-20 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | COMPASSIONATE CARE [5442] | CSMC COMPASSIONATE CARE | $7.75 | $9,635.65 | $10.70 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | COMPASSIONATE CARE [5442] | CSMC COMPASSIONATE CARE | $7.75 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | AETNA ADVANTRA MCR ADV | AETNA ADVANTRA MCR ADV | $7.93 | $11.33 | $9.06 | 2026-01-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $7.97 | $2,155.06 | $2,047.31 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $7.97 | $2,155.06 | $2,047.31 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $7.97 | $2,155.06 | $2,047.31 | 2026-02-20 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | GREAT PLAINS MCR ADV-ALL PLANS | GREAT PLAINS MCR ADV-ALL PLANS | $7.97 | $11.33 | $9.06 | 2026-01-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $8.19 | $2,155.06 | $2,047.31 | 2026-02-20 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | $8.34 | $4,586.75 | $3,440.06 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $8.40 | $2,155.06 | $2,047.31 | 2026-02-20 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE IP SPLITS [5461] | OMC HORIZON BRAVEN | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | CMC HORIZON BRAVEN | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HIGHMARK COMMUNITY BLUE MEDICARE [5534] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH IP SPLITS [5477] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE [5035] | CMC UNITED MEDICARE | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | VA COMMUNITY CARE NETWORK [5403] | OMC VETERAN AFFAIRS COMMUNITY CARE NETWORK | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS [5052] | CMC HORIZON BRAVEN | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) [5419] | OMC CIGNA MEDICARE | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | CSMC HORIZON BRAVEN | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | CIGNA MEDICARE [5440] | CSMC CIGNA MEDICARE | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE IP SPLITS [5461] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE BEHAVIORAL [5409] | NMC UNITED MEDICARE | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) IP SPLITS [5465] | CMC CIGNA MEDICARE | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | VA COMMUNITY CARE NETWORK [5403] | CMC VETERAN AFFAIRS COMMUNITY CARE NETWORK | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | CMC HORIZON BRAVEN | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | AETNA CENTRASTATE EMPLOYEE [5425] | CSMC AETNA AHS EMPLOYEE | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | CSMC HORIZON BRAVEN | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | CSMC HORIZON BRAVEN | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | OMC HORIZON BRAVEN | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | CMC HORIZON BRAVEN | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS [5052] | CSMC HORIZON BRAVEN | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE [5312] | CMC HORIZON BRAVEN | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE IP SPLITS [5461] | CMC HORIZON BRAVEN | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH IP SPLITS [5477] | CMC HORIZON BRAVEN | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE IP SPLITS [5471] | CSMC UNITED MEDICARE | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AARP MEDICARE COMP [5039] | NMC UNITED MEDICARE | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH [5416] | OMC HORIZON BRAVEN | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AARP MEDICARE COMP [5039] | CMC UNITED MEDICARE | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) [5419] | CSMC CIGNA MEDICARE | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | OMC HORIZON BRAVEN | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | AETNA AHS EMPLOYEE [5306] | CMC AETNA AHS EMPLOYEE | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | CSMC HORIZON BRAVEN | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HIGHMARK COMMUNITY BLUE MEDICARE [5534] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH IP SPLITS [5477] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CIGNA MEDICARE [5440] | NMC CIGNA MEDICARE | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE [5325] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE [5035] | CSMC UNITED MEDICARE | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | AARP MEDICARE COMP [5039] | NMC UNITED MEDICARE | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON BCBS OUT OF STATE MEDICARE IP SPLITS [5461] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | AARP MEDICARE COMP [5039] | OMC UNITED MEDICARE | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | AETNA AHS EMPLOYEE [5306] | OMC AETNA AHS EMPLOYEE | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS [5052] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE [5312] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE BEHAVIORAL [5409] | NMC UNITED MEDICARE | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | ANTHEM BCBSNY MEDICARE IP SPLITS [5476] | CMC HORIZON BRAVEN | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | OMC HORIZON BRAVEN | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH IP SPLITS [5477] | OMC HORIZON BRAVEN | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HIGHMARK COMMUNITY BLUE MEDICARE [5534] | OMC HORIZON BRAVEN | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) IP SPLITS [5465] | CSMC CIGNA MEDICARE | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS [5052] | OMC HORIZON BRAVEN | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | AARP MEDICARE COMP [5039] | CSMC UNITED MEDICARE | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | OMC HORIZON BRAVEN | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE IP SPLITS [5471] | OMC UNITED MEDICARE | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) IP SPLITS [5465] | OMC CIGNA MEDICARE | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CIGNA MEDICARE IP SPLITS [5478] | CMC CIGNA MEDICARE | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) IP SPLITS [5465] | NMC CIGNA MEDICARE | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | ANTHEM MEDICARE PFFS IP SPLITS [5474] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | HORIZON MEDICARE BLUE IP SPLITS [5456] | NMC HORIZON BRAVEN | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | US MARSHALL SERVICE [5429] | CSMC US MARSHALL | $8.61 | $7,631.90 | $9.90 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE BEHAVIORAL [5409] | OMC UNITED MEDICARE | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CIGNA TOTALCARE (HMO D-SNP) [5419] | NMC CIGNA MEDICARE | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE IP SPLITS [5471] | NMC UNITED MEDICARE | $8.61 | $7,631.90 | $890.48 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | AARP MEDICARE COMP [5039] | CSMC UNITED MEDICARE | $8.61 | $9,635.65 | $10.70 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE [5035] | OMC UNITED MEDICARE | $8.61 | $7,631.90 | $1,480.02 | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Outpatient | HORIZON BCBSNJ BRAVEN HEALTH IP SPLITS [5477] | CSMC HORIZON BRAVEN | $8.61 | $9,635.65 | $10.70 | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | UNTD HLTH MEDICARE IP SPLITS [5471] | CMC UNITED MEDICARE | $8.61 | $9,635.65 | $936.48 | 2026-04-01 | MRF ↗ |
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