J7307 — Etonogestrel 68 Mg Subdermal Implant
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ETONOGESTREL 68 MG SUBDERMAL IMPLANT (HCPCS J7307) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7307?code_type=HCPCS
MLA (9th ed.)
“ETONOGESTREL 68 MG SUBDERMAL IMPLANT (HCPCS J7307) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7307?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“ETONOGESTREL 68 MG SUBDERMAL IMPLANT (HCPCS J7307) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7307?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,065–$2,866 (25th–75th percentile) across 2,180 hospitals · 5,045 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7307 — 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
$1,065
$1,640 typical
$2,866
The middle 50% of negotiated facility rates for this procedure, measured across 2,180 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,640 |
| Likely subtotal | $1,640 |
Facility charge (no separate professional fee)
$1,640
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 $1,065–$2,866.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $8,117.09 | $4,058.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $8,117.09 | $4,058.54 | 2024-12-15 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cigna] | [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 ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | 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 | [Aetna Signature Administrators] | [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 ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Geisinger] | [Comm] | $0.04 | $0.05 | $0.02 | 2026-07-18 | 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 | [Preferred Healthcare Systems] | [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 | [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 ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark Choice Blue] | [Comm] | $0.05 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $10,406.52 | $6,764.24 | 2025-11-26 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Highmark] | [Comm] | $0.06 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCLEOD HEALTH CHERAW Both | Cigna | Commercial | $0.17 | $5,236.00 | $3,717.56 | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Both | Cigna | Commercial | $0.17 | $5,236.00 | $3,717.56 | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Both | Cigna | Commercial | $0.17 | $5,236.00 | $3,717.56 | 2026-07-15 | 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 ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Compass | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $0.30 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Core | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | United Healthcare | Commercial | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $20,482.80 | $13,313.82 | 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 ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | MagnaCare | Commercial | $0.48 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Compass | $0.49 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Core | $0.49 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | $0.49 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $0.49 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | EmblemHealth | Commercial | $0.50 | $1.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Group Health Inc | Commercial | $0.50 | $1.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | EmblemHealth | Commercial | $0.50 | $1.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Group Health Inc | Commercial | $0.50 | $1.00 | — | 2026-02-27 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | EmblemHealth | Medicare Advantage | $0.54 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna Whole Health | Commercial | $0.54 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Commercial | $0.54 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Blue Access | $0.54 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Commercial/EPO/HMO/POS/PPO/Indemnity | $0.54 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Cigna | Commercial | $0.60 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $3,886.97 | — | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna Whole Health | Commercial | $0.72 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | 1199SEIU National Benefit Funds | Commercial | $0.72 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $0.72 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Both | First Choice Select Health | Managed Medicaid | — | — | — | 2026-09-21 | 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 EXCHANGE | $1.00 | — | — | 2026-05-20 | 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 ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $4,092.00 | $3,069.00 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $4,092.00 | $3,069.00 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $4,092.00 | $3,069.00 | 2026-09-02 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $10,406.52 | $6,764.24 | 2025-11-26 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $10,406.52 | $6,764.24 | 2025-11-26 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $4,092.00 | $3,069.00 | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $4,122.56 | $2,061.28 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $4,122.56 | $2,061.28 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $4,122.56 | $2,061.28 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $4,122.56 | $2,061.28 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $4,122.56 | $2,061.28 | 2026-07-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Access | $1.20 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Commercial/EPO/HMO/POS/PPO/Indemnity | $1.20 | $1.20 | $0.84 | 2025-10-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHP/Medicare Advantage Special Needs HMO | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $5,464.93 | $5,464.93 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $4,122.56 | $2,061.28 | 2026-07-01 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $1,851.65 | $1,203.57 | 2026-06-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $4,122.56 | $2,061.28 | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| FRANKLIN MEDICAL CENTER Outpatient | Medicaid | Medicaid | $2.66 | $200.00 | $120.00 | 2026-07-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $10,406.52 | $6,764.24 | 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 | HEALTHY BLUE MCR ADV - ALL OTHER PLANS | HEALTHY BLUE MCR ADV - ALL OTHER PLANS | $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 | UHC MCR ADV | UHC MCR ADV | $3.10 | $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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| Centra Specialty Hospital Both | Anthem | Healthkeepers Medicaid Plans | $3.91 | $5,768.00 | $1,903.44 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Aetna | Better Health Medicaid Plans | $3.91 | $5,768.00 | $1,903.44 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Ip | — | — | $5,768.00 | $1,903.44 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Gateway Health Op | — | — | $5,768.00 | $1,903.44 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Ip | — | — | $5,768.00 | $1,903.44 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $3.91 | $5,768.00 | $1,903.44 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Aetna | Better Health Medicaid Plans | $3.91 | $5,768.00 | $1,903.44 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Op | — | — | $5,768.00 | $1,903.44 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Ip | — | — | $5,768.00 | $1,903.44 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Medcost Op | — | — | $5,768.00 | $1,903.44 | 2026-09-21 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Gateway Health Ip | — | — | $5,768.00 | $1,903.44 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Medcost Op | — | — | $5,768.00 | $1,903.44 | 2026-07-15 | MRF ↗ |
| Centra Specialty Hospital Both | United Healthcare | Medicaid | $3.99 | $5,768.00 | $1,903.44 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | United Healthcare | Medicaid | $3.99 | $5,768.00 | $1,903.44 | 2026-09-21 | MRF ↗ |
| Centra Specialty Hospital Both | Molina | Medicaid | $4.03 | $5,768.00 | $1,903.44 | 2026-07-15 | MRF ↗ |
| CENTRA HEALTH - LYNCHBURG GEN HOSPITAL Both | Molina | Medicaid | $4.03 | $5,768.00 | $1,903.44 | 2026-09-21 | 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 ↗ |
| 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 | UHC EXCHANGE | UHC EXCHANGE | $4.75 | $5.00 | $5.00 | 2026-03-09 | 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 ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.88 | $2,709.35 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $4.88 | $2,709.35 | — | 2024-12-31 | MRF ↗ |
| OTTAWA COUNTY HEALTH CENTER Outpatient | HEALTHY BLUE MCAID | HEALTHY BLUE MCAID | $5.00 | $5.00 | $5.00 | 2026-03-09 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $5.42 | $3,012.28 | — | 2025-12-31 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA MCR ADV | MEDICA MCR ADV | $5.98 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA PRIME SOLUTION | MEDICA PRIME SOLUTION | $5.98 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | NE TOTAL CARE MCAID | NE TOTAL CARE MCAID | $7.36 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC MCAID | UHC MCAID | $7.36 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL | Negotiated Base Rate | — | $7.43 | $3,220.60 | $1,256.03 | 2026-07-31 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | HUMANA MCR ADV-ALL PLANS | HUMANA MCR ADV-ALL PLANS | $7.48 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | VA CCN - ALL PLANS | VA CCN - ALL PLANS | $7.48 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | TRICARE - ALL PLANS | TRICARE - ALL PLANS | $7.48 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC MCR ADV | UHC MCR ADV | $7.48 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MOLINA MCAID | MOLINA MCAID | $7.59 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | NE TOTAL CARE MCR - ALL OTHER PLANS | NE TOTAL CARE MCR - ALL OTHER PLANS | $7.63 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | HEALTHY BLUE MCAID-ALL PLANS | HEALTHY BLUE MCAID-ALL PLANS | $7.73 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Com | $7.82 | $1,345.00 | $1,210.95 | 2026-05-22 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Ind | $7.82 | $1,345.00 | $1,210.95 | 2026-05-22 | MRF ↗ |
| AVERA ST LUKES Outpatient | Medica Insurance | Ind | $7.82 | $3,651.00 | $3,286.62 | 2026-05-09 | MRF ↗ |
| PIPESTONE COUNTY MEDICAL CENTER Outpatient | Medica Insurance | Ind | $7.82 | $1,473.00 | $1,473.00 | 2026-07-15 | MRF ↗ |
| AVERA ST LUKES Outpatient | Medica Insurance | Com | $7.82 | $3,651.00 | $3,286.62 | 2026-05-09 | MRF ↗ |
| AVERA GRANITE FALLS Outpatient | Medica Insurance | Com | $7.82 | $1,364.00 | $1,323.08 | 2026-05-22 | MRF ↗ |
| AVERA GRANITE FALLS Outpatient | Medica Insurance | Ind | $7.82 | $1,364.00 | $1,323.08 | 2026-05-22 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Medica Insurance | Com | $7.82 | $1,152.00 | $1,094.40 | 2026-10-09 | MRF ↗ |
| LAKES REGIONAL HEALTHCARE Outpatient | Medica Insurance | Ind | $7.82 | $1,152.00 | $1,094.40 | 2026-10-09 | MRF ↗ |
| AVERA HOLY FAMILY HOSPITAL Outpatient | Medica Insurance | Com | $7.82 | $1,130.00 | $1,096.10 | 2026-07-18 | MRF ↗ |
| AVERA HOLY FAMILY HOSPITAL Outpatient | Medica Insurance | Ind | $7.82 | $1,130.00 | $1,096.10 | 2026-07-18 | MRF ↗ |
| PIPESTONE COUNTY MEDICAL CENTER Outpatient | Medica Insurance | Com | $7.82 | $1,473.00 | $1,473.00 | 2026-07-15 | MRF ↗ |
| AVERA GRANITE FALLS Outpatient | Medica Insurance | Com | $7.82 | $1,364.00 | $1,323.08 | 2026-05-13 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Com | $7.82 | $1,345.00 | $1,210.95 | 2026-05-14 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Ind | $7.82 | $1,345.00 | $1,210.95 | 2026-05-14 | MRF ↗ |
| AVERA GRANITE FALLS Outpatient | Medica Insurance | Ind | $7.82 | $1,364.00 | $1,323.08 | 2026-05-13 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | AETNA ADVANTRA MCR ADV | AETNA ADVANTRA MCR ADV | $7.85 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MOLINA MCR ADV - ALL OTHER PLANS | MOLINA MCR ADV - ALL OTHER PLANS | $7.85 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | GREAT PLAINS MCR ADV-ALL PLANS | GREAT PLAINS MCR ADV-ALL PLANS | $7.85 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $8.77 | $2,370.47 | $2,251.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $8.77 | $2,370.47 | $2,251.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $8.77 | $2,370.47 | $2,251.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $9.01 | $2,370.47 | $2,251.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $9.24 | $2,370.47 | $2,251.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $9.48 | $2,370.47 | $2,251.95 | 2026-02-20 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $20,482.80 | $13,313.82 | 2025-11-26 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | IOWA TOTAL CARE MEDICAID | IOWA TOTAL CARE MEDICAID | $9.79 | $23.88 | $20.30 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | MOLINA MCAID - ALL PLANS | MOLINA MCAID - ALL PLANS | $9.79 | $23.88 | $20.30 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | AMERIGROUP MEDICAID-ALL OTHER PLANS | AMERIGROUP MEDICAID-ALL OTHER PLANS | $9.79 | $23.88 | $20.30 | 2026-02-04 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $9.86 | $1,577.00 | $946.20 | 2026-02-12 | MRF ↗ |
| TITUSVILLE AREA HOSPITAL Outpatient | United Healthcare Medicare | Medicare Advantage | $9.86 | $1,577.00 | $946.20 | 2026-02-12 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA CHI HEALTH | MEDICA CHI HEALTH | $10.31 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA CHOICE | MEDICA CHOICE | $10.31 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA CHI ACO - ALL OTHER PLANS | MEDICA CHI ACO - ALL OTHER PLANS | $10.31 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | BCBSNE NETWORK BLUE | BCBSNE NETWORK BLUE | $10.76 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | OHARA LLC WC- ALL PLANS | OHARA LLC WC- ALL PLANS | $10.76 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | BCBSNE BLUE PRINT - ALL OTHER PLANS | BCBSNE BLUE PRINT - ALL OTHER PLANS | $10.76 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA IFB OPEN ACCESS | MEDICA IFB OPEN ACCESS | $10.88 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC ACO | UHC ACO | $10.88 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | MEDICA IFB ACO | MEDICA IFB ACO | $10.88 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | UHC-ALL OTHER PLANS | UHC-ALL OTHER PLANS | $10.88 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| HARLAN COUNTY HEALTH SYSTEM Outpatient | PHCS/MULTIPLAN-ALL PLANS | PHCS/MULTIPLAN-ALL PLANS | $11.10 | $11.33 | $9.06 | 2026-07-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $11.62 | $2,370.47 | $2,251.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $11.62 | $2,370.47 | $2,251.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $11.85 | $2,370.47 | $2,251.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $12.33 | $2,370.47 | $2,251.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $12.80 | $2,370.47 | $2,251.95 | 2026-02-20 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $13.13 | $23.88 | $20.30 | 2026-02-04 | MRF ↗ |
| MAHASKA HEALTH PARTNERSHIP Outpatient | IOWA TOTAL CARE COMM - ALL OTHER PLANS | IOWA TOTAL CARE COMM - ALL OTHER PLANS | $13.13 | $23.88 | $20.30 | 2026-02-04 | 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.