J7304 — Contraceptive Hormone Patch
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CONTRACEPTIVE HORMONE PATCH (HCPCS J7304) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7304?code_type=HCPCS
MLA (9th ed.)
“CONTRACEPTIVE HORMONE PATCH (HCPCS J7304) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7304?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“CONTRACEPTIVE HORMONE PATCH (HCPCS J7304) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7304?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $46–$189 (25th–75th percentile) across 811 hospitals · 667 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7304 — 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
$46
$96 typical
$189
The middle 50% of negotiated facility rates for this procedure, measured across 811 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $96 |
| Likely subtotal | $96 |
Facility charge (no separate professional fee)
$96
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 $46–$189.
- 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 | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.28 | — | — | 2026-05-11 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Cigna | PPO | $0.28 | — | — | 2026-05-11 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Cigna | All Commercial Plans | $0.47 | — | — | 2026-04-01 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | HealthChoice | HealthChoice | $0.60 | — | — | 2026-08-30 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS STATE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | 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 BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $568.27 | $568.27 | 2026-04-01 | MRF ↗ |
| ISLAND HOSPITAL BothFacility | Kaiser | Commercial | $3.36 | $42.00 | $42.00 | 2026-05-04 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid Foster Care | $7.69 | $46.00 | $22.77 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Superior | Medicaid | $7.69 | $46.00 | $22.77 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid | $7.69 | $46.00 | $22.77 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Community Health Choice | Medicaid Chip | $7.69 | $46.00 | $22.77 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | Texas Children'S Health Plan | Medicaid | $7.70 | $46.00 | $22.77 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid Chip | $9.08 | $46.00 | $22.77 | 2026-07-15 | MRF ↗ |
| Utmb Galveston Transplant Both | United Healthcare | Medicaid | $9.08 | $46.00 | $22.77 | 2026-07-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Point Comfort - Unaccompanied Minor Healthcare | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Blue Cross Blue Shield Star/CHIP | Managed Medicaid | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Point Comfort - Adult Refugee | Managed Medicaid | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Wellpoint | Commercial | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | HPHG LLC dba 90 Degrees | Commercial | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Superior Health Plan | Managed Medicaid | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | WellMed | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Provider Partner Health Plans | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Aetna Transplant | Transplant | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Gonzaba IPA | Transplant | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Curative | Commercial | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | United Healthcare | Managed Medicaid | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Wellpoint | Exchange | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Universal Benefits Consortium | Commercial | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Aetna | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Wellpoint | Medicare/Medicaid Dual Program | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Scott and White Insurance | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Aetna Better Health | Managed Medicaid and CHIP | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | United Healthcare | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Molina | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | First Care/Scott and White | Managed Medicaid | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Wellpoint | Managed Medicaid/CHIP | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Wellpoint | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Texas Independence Health Plan | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Community First EPO Affordable Care | Commercial | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Multiplan | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Superior Health Plan | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Humana | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | EBSO | Commercial | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | USAA | Commercial | $9.25 | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Molina Healthcare Affordable Care | Commercial | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | El Paso Health | Managed Medicaid | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Optum | Transplant | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Procare Advantage | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Velocity National Provider Network | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Wellcare | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Molina Healthcare | Managed Medicaid | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Driscoll Health Plan | Managed Medicaid | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Community First Health Plan | Managed Medicaid | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Blue Cross Blue Shield Star Kids/Star Plus | Managed Medicaid | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Community First Health Plan | Medicare Advantage | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Entrust | Commercial | — | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| Utmb Galveston Transplant Both | Wellpoint | Medicaid | $10.12 | $46.00 | $22.77 | 2026-07-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Aetna | Exchange | $10.75 | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Aetna | Commercial | $11.25 | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Triwest Military � Tricare - Behavioral Health | All Payor | $11.37 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $11.42 | $67.97 | $19.03 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $11.42 | $67.97 | $19.03 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $11.65 | $67.97 | $19.03 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $11.65 | $67.97 | $19.03 | 2026-09-28 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $11.68 | $69.63 | $16.01 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $11.68 | $69.63 | $16.01 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $11.68 | $69.63 | $16.01 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $11.68 | $69.63 | $16.01 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $11.68 | $69.63 | $16.01 | 2026-07-15 | MRF ↗ |
| OCHSNER LSU HEALTH MONROE Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $11.68 | $69.63 | $16.01 | 2026-07-15 | MRF ↗ |
| NEW YORK COMMUNITY HOSPITAL OF BROOKLYN, INC. Both | EMPIRE BC INDEMNITY NY | EMPIRE BC INDEMNITY NY | $11.75 | $45.18 | $45.18 | 2025-04-25 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $11.76 | $67.97 | $19.03 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $11.76 | $67.97 | $19.03 | 2026-09-28 | MRF ↗ |
| KUAKINI MEDICAL CENTER OutpatientFacility | HMAA | ALL PRODUCTS | $12.00 | — | — | 2026-01-25 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $12.08 | $67.97 | $18.35 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $12.08 | $67.97 | $18.35 | 2026-07-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | United Healthcare | Commercial | $12.13 | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $12.18 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $12.18 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $12.32 | $67.97 | $18.35 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $12.32 | $67.97 | $18.35 | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $12.42 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $12.42 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| CRENSHAW COMMUNITY HOSPITAL Both | Medicare A AL JJ | All Plans | $12.43 | $50.70 | $25.35 | 2025-10-13 | MRF ↗ |
| CRENSHAW COMMUNITY HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $12.43 | $50.70 | $25.35 | 2025-10-13 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $12.44 | $67.97 | $18.35 | 2026-07-15 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $12.44 | $67.97 | $18.35 | 2026-07-15 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield | PPO | $12.50 | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Community First Health Plan | Commercial | $12.50 | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Scott and White Insurance | Commercial | $12.50 | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Blue Cross Blue Shield | HMO | $12.50 | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | Independent Medical Systems | Commercial | $12.50 | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $12.54 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $12.54 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Triwest Military - Tricare | All Payor | $12.64 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Medicare Advantage Humana Select Partner Plan | All Payor | $12.66 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Ochsner Health Plan | All Payor | $12.66 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Optum Va Ccn | All Payor | $12.66 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | All Payor | $12.66 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Healthy Blue Dual Advantage (Hmo-D-Snp) | All Payor | $12.66 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $12.66 | — | — | 2026-01-29 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | American Health Advantage Of Louisiana (Formerly Dignity Health Plan) | All Payor | $12.66 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Humana � Medicare Advantage | All Payor | $12.66 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Outpatient | Peoples Health Network � Medicare Advantage | All Payor | $12.66 | $40.85 | $17.97 | 2026-08-17 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $12.88 | $122.35 | $18.35 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARY Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $12.88 | $122.35 | $18.35 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Healthy Blue (Healthy Louisiana) | All Plans | $12.88 | $122.35 | $18.35 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $12.88 | $122.35 | $18.35 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid Nhhf | $12.93 | $140.72 | $42.22 | 2026-07-15 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Priority Health | Cigna Other Commercial Plan | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Priority Health | Hmo/Ppo | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Priority Health | Hmo/Ppo | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Priority Health | Exchange | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | Priority Health | Hmo/Ppo | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Priority Health | Hmo/Ppo | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Priority Health | Cigna Other Commercial Plan | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - FARMINGTON HILLS OutpatientFacility | Priority Health | Exchange | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - DEARBORN OutpatientFacility | Priority Health | Exchange | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Priority Health | Cigna Other Commercial Plan | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH TRENTON HOSPITAL OutpatientFacility | Priority Health | Hmo/Ppo | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH TRENTON HOSPITAL OutpatientFacility | Priority Health | Cigna Other Commercial Plan | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL, TROY OutpatientFacility | Priority Health | Hmo/Ppo | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | Priority Health | Cigna Other Commercial Plan | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| BEAUMONT HOSPITAL - TAYLOR OutpatientFacility | Priority Health | Exchange | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH WAYNE HOSPITAL OutpatientFacility | Priority Health | Exchange | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| COREWELL HEALTH TRENTON HOSPITAL OutpatientFacility | Priority Health | Exchange | $13.20 | — | — | 2026-04-01 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $13.27 | $122.35 | $18.35 | 2026-07-15 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $13.27 | $122.35 | $18.35 | 2026-07-15 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $13.47 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | CHIP | $13.47 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $13.47 | — | — | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | CHIP | $13.47 | — | — | 2025-08-01 | MRF ↗ |
| Utmb Galveston Transplant Both | Molina | Medicaid | $13.66 | $46.00 | $22.77 | 2026-07-15 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MINNESOTACARE-MANAGED MEDICAID | $13.75 | $41.53 | $18.69 | 2025-12-17 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | CHIP | $13.82 | — | — | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $13.82 | — | — | 2026-07-01 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Bcbs | Managed Medicaid | $13.91 | $50.90 | $30.54 | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid | Medicaid-Trad | $14.07 | $140.72 | $42.22 | 2026-07-15 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MSC+ Dual | $14.20 | $41.53 | $18.69 | 2025-12-17 | MRF ↗ |
| CONCORD HOSPITAL Outpatient | Medicaid-Amerihealth | Medicaid-Amerihealth | $14.21 | $140.72 | $42.22 | 2026-07-15 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | MSHO | $14.24 | $41.53 | $18.69 | 2025-12-17 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM InpatientFacility | First Health Network | Commercial | $14.25 | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $14.26 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $14.26 | — | — | 2026-03-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $14.40 | — | — | 2025-08-01 | MRF ↗ |
| HENNEPIN COUNTY MEDICAL CENTER OutpatientFacility | MEDICA | ACCESSABILITY SOLUTION-Dual | $14.54 | $41.53 | $18.69 | 2025-12-17 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | UHC COMM - ALL OTHER PLANS | UHC COMM - ALL OTHER PLANS | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | UHC MCR ADV | UHC MCR ADV | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | KAISER COMM - ALL OTHER PLANS | KAISER COMM - ALL OTHER PLANS | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | PREMERA MCR ADV | PREMERA MCR ADV | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | PREMERA COMM - ALL OTHER PLANS | PREMERA COMM - ALL OTHER PLANS | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | KAISER MCR ADV | KAISER MCR ADV | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | AETNA MCR ADV | AETNA MCR ADV | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | AARP MCR ADV - ALL PLANS | AARP MCR ADV - ALL PLANS | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | FIRST CHOICE - ALL PLANS | FIRST CHOICE - ALL PLANS | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $14.70 | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | SWINOMISH INDIAN HEALTH - ALL PLANS | SWINOMISH INDIAN HEALTH - ALL PLANS | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | SAMISH INDIAN HEALTH - ALL PLANS | SAMISH INDIAN HEALTH - ALL PLANS | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | REGENCE MCR ADV | REGENCE MCR ADV | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | HUMANA MCR ADV | HUMANA MCR ADV | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | KAISER COMM - ALL OTHER PLANS | KAISER COMM - ALL OTHER PLANS | — | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM OutpatientFacility | Scott and White Insurance | Commercial | $15.00 | $25.00 | $6.25 | 2025-10-14 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | UHC MCR ADV | UHC MCR ADV | $15.12 | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $15.12 | $90.02 | $25.21 | 2026-09-28 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $15.12 | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $15.12 | $90.02 | $25.21 | 2026-09-28 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | SWINOMISH INDIAN HEALTH - ALL PLANS | SWINOMISH INDIAN HEALTH - ALL PLANS | $15.12 | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | HUMANA MCR ADV | HUMANA MCR ADV | $15.12 | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | AARP MCR ADV - ALL PLANS | AARP MCR ADV - ALL PLANS | $15.12 | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | KAISER MCR ADV | KAISER MCR ADV | $15.12 | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| ISLAND HOSPITAL Outpatient | SAMISH INDIAN HEALTH - ALL PLANS | SAMISH INDIAN HEALTH - ALL PLANS | $15.12 | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $15.43 | $90.02 | $25.21 | 2026-09-28 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $15.43 | $90.02 | $25.21 | 2026-09-28 | MRF ↗ |
| ISLAND HOSPITAL Inpatient | AMERIGROUP MCAID - ALL PLANS | AMERIGROUP MCAID - ALL PLANS | $15.44 | $42.00 | $42.00 | 2025-03-18 | MRF ↗ |
| OCHSNER ST MARY Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $15.49 | $122.35 | $24.47 | 2026-08-17 | 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.