J7310 — Ganciclovir Long Act Implant
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GANCICLOVIR LONG ACT IMPLANT (HCPCS J7310) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7310?code_type=HCPCS
MLA (9th ed.)
“GANCICLOVIR LONG ACT IMPLANT (HCPCS J7310) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7310?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“GANCICLOVIR LONG ACT IMPLANT (HCPCS J7310) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7310?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $12,314–$32,326 (25th–75th percentile) across 855 hospitals · 502 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J7310 — 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 |
|---|---|---|---|---|---|---|---|
| University Of Toledo Medical Center BothFacility | None | — | — | — | — | 2026-03-31 | MRF ↗ |
| 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 | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Hmo/Ppo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Traditional | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Hmo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST MEDICAL CENTER OF OAK RIDGE OutpatientFacility | United Healthcare | Tenncare | $5.86 | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $5.86 | — | — | 2025-12-23 | MRF ↗ |
| FORT SANDERS REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $5.86 | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $5.86 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $5.86 | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $5.86 | — | — | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $5.86 | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $5.86 | — | — | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $5.86 | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $5.86 | — | — | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $5.86 | — | — | 2025-12-23 | MRF ↗ |
| PARKWEST MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $5.86 | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $5.86 | — | — | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $5.86 | — | — | 2024-12-10 | MRF ↗ |
| MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION OutpatientFacility | United Healthcare | Tenncare | $5.86 | — | — | 2025-12-23 | MRF ↗ |
| CUMBERLAND MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $7.03 | — | — | 2025-12-23 | MRF ↗ |
| STRAITH HOSPITAL FOR SPECIAL SURGERY Outpatient | bcbsm | commercial | $11.94 | $11.94 | $11.94 | 2026-02-24 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Cross Anthem | Commercial | $12.33 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield Traditional | Commercial | $12.33 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Care Network | Commercial | $12.33 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Blue Cross Trust | Commercial | $12.33 | — | — | 2025-03-12 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Johns Hopkins Health Plan | Tricare | $12.52 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Johns Hopkins Health Plan | Tricare | $12.52 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Johns Hopkins Health Plan | Tricare | $12.52 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Johns Hopkins Health Plan | Tricare | $12.52 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Johns Hopkins Health Plan | Tricare | $12.52 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Johns Hopkins Health Plan | Tricare | $12.52 | — | — | 2026-01-02 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Humana Military | Government | $12.81 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Humana Military | Government | $12.81 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Humana Military | Government | $12.81 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Humana Military | Government | $12.81 | — | — | 2025-06-28 | MRF ↗ |
| Shepherd Center Outpatient | Humana Tricare | Tricare | $12.92 | — | — | 2026-05-06 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Humana Military | Government | $13.22 | — | — | 2025-06-28 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL MEDICAL CENTER Outpatient | US Family Health Plan | TricareChampus | $13.64 | — | — | 2024-12-13 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Tricare | Nato West Healthnet | $13.64 | — | — | 2026-01-12 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | TRICARE | ALL PRODUCTS | $13.64 | — | — | 2025-07-23 | MRF ↗ |
| CHSLI ST JOSEPH HOSPITAL Outpatient | US Family Health Plan | TricareChampus | $13.64 | — | — | 2024-12-13 | MRF ↗ |
| ST CHARLES HOSPITAL Outpatient | US Family Health Plan | TricareChampus | $13.64 | — | — | 2024-12-13 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Tricare | Standard West Healthnet | $13.64 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Tricare | Prime West Healthnet | $13.64 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Tricare | For Life | $13.64 | — | — | 2026-01-12 | MRF ↗ |
| ST CATHERINE OF SIENA HOSPITAL Outpatient | US Family Health Plan | TricareChampus | $13.64 | — | — | 2024-12-13 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | TRICARE | ALL PRODUCTS | $13.64 | — | — | 2025-07-23 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER Outpatient | US Family Health Plan | TricareChampus | $13.64 | — | — | 2024-12-13 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Tricare | Standard West Healthnet | $13.64 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Tricare | Prime West Healthnet | $13.64 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Tricare | East Region | $13.64 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Tricare | For Life | $13.64 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS SOUTHERN NEW MEXICO OutpatientFacility | Tricare | East Region | $13.64 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS OCHSNER ST PATRICK HOSPITAL OutpatientFacility | Tricare | Nato West Healthnet | $13.64 | — | — | 2026-01-12 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER OutpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL OutpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Humana Military | Tricare | $13.92 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE WALTER REED HOSPITAL Outpatient | Humana Military | Tricare | $13.92 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Humana Military | Tricare | $13.92 | — | — | 2026-01-02 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL OutpatientFacility | None | — | — | — | — | 2026-03-23 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Humana Military | Tricare | $13.92 | — | — | 2026-01-02 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Tricare East | PPO | $13.92 | — | — | 2025-07-01 | MRF ↗ |
| RIVERSIDE DOCTORS' HOSPITAL OF WILLIAMSBURG Outpatient | Humana Military | Tricare | $13.92 | — | — | 2026-01-02 | MRF ↗ |
| RIVERSIDE SHORE MEMORIAL HOSPITAL Outpatient | Humana Military | Tricare | $13.92 | — | — | 2026-01-02 | MRF ↗ |
| CAYUGA MEDICAL CENTER AT ITHACA OutpatientFacility | Martins Point | Tricare | $14.34 | — | — | 2026-03-27 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross PPO/Traditional/HMO/Blue Care Network | Commercial | $14.87 | — | — | 2026-04-17 | MRF ↗ |
| MERCY MEDICAL CENTER Outpatient | US Family Health Plan | TricareChampus | $15.00 | — | — | 2024-12-13 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross | PPO/Traditional/HMO/Blue Care Network | $15.50 | — | — | 2026-04-17 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | BCBSM | GM Connected Care | $17.23 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | BCBSM | GM Connected Care | $17.23 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | BCBSM | GM Connected Care | $17.23 | — | — | 2025-06-28 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | Blue Shield | Senior Blue PPO | $17.57 | — | — | 2025-12-31 | MRF ↗ |
| SARATOGA HOSPITAL OutpatientFacility | Blue Shield | Senior Blue PPO | $17.57 | — | — | 2025-12-31 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | BCBSM/BCN | PPO/HMO | $17.59 | — | — | 2025-06-28 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross PPO/Traditional/HMO/Blue Care Network | Commercial | $18.03 | — | — | 2026-04-17 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | BCBSM/BCN | PPO/HMO | $19.66 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | BCBSM/BCN | PPO/HMO | $19.80 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | BCBSM | GM Connected Care | $25.11 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | BCBSM/BCN | PPO/HMO | $27.06 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | BCBSM/BCN | PPO/HMO | $27.15 | — | — | 2025-06-28 | MRF ↗ |
| MEMORIAL HEALTHCARE OutpatientFacility | Bcbs | Ppo | $28.08 | — | — | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| YAKIMA VALLEY MEMORIAL OutpatientFacility | Kaiser | HMO/PPO | $35.72 | — | — | 2025-07-29 | MRF ↗ |
| Providence St Luke's Rehabilitation Medical Center OutpatientFacility | Aetna | All Commercial Plans | $37.71 | — | — | 2026-04-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| MULTICARE GOOD SAMARITAN HOSPITAL OutpatientFacility | Kaiser | PPO | $59.01 | — | — | 2025-07-29 | MRF ↗ |
| MULTICARE COVINGTON MEDICAL CENTER OutpatientFacility | Kaiser | PPO | $59.01 | — | — | 2025-07-26 | MRF ↗ |
| DEACONESS MEDICAL CENTER OutpatientFacility | Kaiser | PPO | $59.01 | — | — | 2025-07-25 | MRF ↗ |
| CAPITAL MEDICAL CENTER OutpatientFacility | Kaiser | PPO | $59.01 | — | — | 2025-07-25 | MRF ↗ |
| MULTICARE AUBURN MEDICAL CENTER OutpatientFacility | Kaiser | PPO | $59.01 | — | — | 2025-07-26 | MRF ↗ |
| MULTICARE VALLEY HOSPITAL OutpatientFacility | Kaiser | PPO | $59.01 | — | — | 2025-07-28 | MRF ↗ |
| TACOMA GENERAL ALLENMORE HOSPITAL OutpatientFacility | Kaiser | PPO | $59.01 | — | — | 2025-08-26 | MRF ↗ |
| VALLEYWISE HEALTH MEDICAL CENTER BothFacility | COVENTRY | WORKERS COMP | $60.00 | $36,300.00 | — | 2025-06-28 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Vail Health | COMM | $72.80 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Vail Health | COMM | $72.80 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | HMO | $77.76 | — | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLMARK BLUE CROSS | HMO | $77.76 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | PPO | $77.76 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | HMO | $77.76 | — | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | WELLMARK BLUE CROSS | PPO | $77.76 | — | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLMARK BLUE CROSS | PPO | $77.76 | — | — | 2025-06-04 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-06 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | United | OptionsPPO | $99.14 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | United | OptionsPPO | $99.14 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Anthem | PathwayEssentials | $101.00 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Anthem | PathwayEssentials | $101.00 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| MARY BRIDGE CHILDREN'S HOSPITAL OutpatientFacility | Kaiser | HMO/PPO | $107.15 | — | — | 2025-07-29 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | SureFit | $128.83 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | SureFit | $128.83 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Anthem | PathwayNSBP | $130.51 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Anthem | PathwayNSBP | $130.51 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | Connect-SBP | $134.58 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | Connect-SBP | $134.58 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | Connect-NSBP | $139.37 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | Connect-NSBP | $139.37 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Aetna | MCRADVHMO | $143.68 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Aetna | MCRADVPPO | $143.68 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Aetna | MCRADVPPO | $143.68 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Aetna | MCRADVHMO | $143.68 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $150.44 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $150.44 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $150.44 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $150.44 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $150.44 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $150.44 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $150.44 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $150.44 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $150.44 | — | — | 2026-04-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Anthem | HMO | $157.56 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Anthem | PPO | $157.56 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Anthem | HMO | $157.56 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Anthem | PPO | $157.56 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Kaiser | KPSelect | $159.48 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Kaiser | KPIF | $159.48 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Kaiser | CommercialSmallGroupPlans | $159.48 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Kaiser | KPSelect | $159.48 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Kaiser | KPIF | $159.48 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Kaiser | CommercialSmallGroupPlans | $159.48 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| UCHEALTH BROOMFIELD HOSPITAL OutpatientFacility | Denver Health Medical Plan | Medicaid Choice | $186.59 | — | — | 2025-11-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Aetna | NBR | $199.23 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Aetna | NBR | $199.23 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | Broad | $211.68 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | Broad | $211.68 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | United | GlobalBenefit | $215.51 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | United | GlobalBenefit | $215.51 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| BOULDER COMMUNITY HEALTH OutpatientFacility | Rocky Mountain Health Maintenance Organization | Managed Medicaid | $219.35 | — | — | 2025-12-23 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Aetna | Cofinity | $238.50 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Aetna | Cofinity | $238.50 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Aetna | ExistingBusiness | $242.81 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Aetna | ExistingBusiness | $242.81 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Kaiser | HMO | $259.10 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Kaiser | HMO | $259.10 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| ST FRANCIS HOSPITAL - THE HEART CENTER OutpatientFacility | Affinity Health Plan | EP 1&2 | $260.33 | — | — | 2026-02-19 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Kaiser | PPO | $285.44 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Kaiser | PPO | $285.44 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $306.51 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | SureFitLeanBenefitPlans | $306.51 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | BroadLeanBenefitPlans | $306.51 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $306.51 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | Connect-NSBPLeanBenefitPlans | $306.51 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | Connect-SBPLeanBenefitPlans | $306.51 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | BroadLeanBenefitPlans | $306.51 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Cigna | SureFitLeanBenefitPlans | $306.51 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Western Plains Community Health | COMM | $311.30 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Western Plains Community Health | COMM | $311.30 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Anthem | PAR | $325.67 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Anthem | PAR | $325.67 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $335.24 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Multiplan | COMMPPOPRIMARYNETWORK | $335.24 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $359.19 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Pinnacol Workers Comp | WORKERSCOMP | $359.19 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $376.06 | — | — | 2026-03-18 | MRF ↗ |
| FOOTHILL REGIONAL MEDICAL CENTER OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $376.06 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Blue Shield of California | Covered California/IFP/PPO | $376.06 | — | — | 2026-03-18 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | TriWest Health Alliance | FED | $383.14 | $478.92 | $478.92 | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | TriWest Health Alliance | FED | $383.14 | $478.92 | $478.92 | 2026-03-01 | 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.