J7315 — Mitomycin 0.2 Mg Ophthalmic Kit
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). MITOMYCIN 0.2 MG OPHTHALMIC KIT (HCPCS J7315) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7315?code_type=HCPCS
MLA (9th ed.)
“MITOMYCIN 0.2 MG OPHTHALMIC KIT (HCPCS J7315) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7315?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“MITOMYCIN 0.2 MG OPHTHALMIC KIT (HCPCS J7315) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7315?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $220–$1,098 (25th–75th percentile) across 1,327 hospitals · 1,990 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7315 — 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
$220
$537 typical
$1,098
The middle 50% of negotiated facility rates for this procedure, measured across 1,327 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $537 |
| Likely subtotal | $537 |
Facility charge (no separate professional fee)
$537
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 $220–$1,098.
- 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 |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $55.38 | $30.46 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $1,191.71 | $595.86 | 2024-12-15 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $55.38 | $47.07 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $1,191.71 | $595.86 | 2024-12-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-10-22 | 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 | [Cbc] | [Chip] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-10-22 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Uhc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Aetna Signature Administrators] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Community Care | Medicare Advantage | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Cbc] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| MILTON S HERSHEY MEDICAL CENTER Both | [Aetna] | [Comm] | $0.03 | $0.05 | $0.02 | 2026-07-18 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-10-22 | 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 | [First Health] | [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 ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Three Rivers Plan | Commercial | $0.07 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Anthem Bcbs Hmo Plan | Hmo | $0.07 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Commercial Plan | Commercial | $0.07 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Pinnacol Assurance Plan | Commercial | $0.07 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cover Colorado Plan | Commercial | $0.07 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Multiplan Plan | Commercial | $0.08 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | First Health Plan | Commercial | $0.08 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Cigna Plan | Commercial | $0.08 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Uhc Plan | Commercial | $0.08 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Rocky Mountain Health Plan | Commercial | $0.08 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Humana Choicecare Plan | Commercial | $0.08 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Presbyterian Health Plan | Commercial | $0.09 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Aetna Medicare Advantage Plan | Medicare | $0.09 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicare Plan | Medicare | $0.09 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Access Medicaid Hmo Plan | Medicaid Hmo | $0.09 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Medicaid New Mexico Plan | Medicaid | $0.09 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Triwest Plan | Commercial | $0.09 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| PAGOSA SPRINGS MEDICAL CENTER Outpatient | Colorado Network Plan | Medicare | $0.09 | $0.09 | $0.07 | 2026-09-25 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | UVACMH - Cigna (OAP) | $0.36 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | UVACMH - Cigna (OAP) | $0.36 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | CIGNA 188061 CONNECT [4000513] | $0.36 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | CIGNA 188061 CONNECT [4000513] | $0.36 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | GEHA [40009] | UVACMH - United (All Payer) | $0.38 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | GEHA [40009] | UVACMH - United (All Payer) | $0.38 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | UNITED HEALTHCARE [40032] | UNITED EXCHANGE PLAN [4003231] | $0.38 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | UNITED HEALTHCARE [40032] | UNITED EXCHANGE PLAN [4003231] | $0.38 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | CIGNA 182223 PPO [4000520] | $0.40 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | CIGNA NALC SUPPLEMENTAL [4000510] | $0.40 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | CIGNA 182223 PPO [4000520] | $0.40 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | CIGNA [40005] | CIGNA NALC SUPPLEMENTAL [4000510] | $0.40 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | SENTARA [40021] | UVACMH - Optima | $0.42 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | SENTARA [40021] | UVACMH - Optima | $0.42 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | AETNA [40002] | UVACMH - Aetna | $0.43 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | AETNA [40002] | UVACMH - Aetna | $0.43 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | MULTIPLAN GENERIC [40035] | UVACMH - Misc. (MultiPlan) | $0.44 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | MULTIPLAN GENERIC [40035] | UVACMH - Misc. (MultiPlan) | $0.44 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | VHN GENERIC [40040] | MEDCOST/PHCS VIRGINIA GENERIC [4004001] | $0.45 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | UNITED HEALTHCARE [40032] | UVACMH - United (Alliance PPO) | $0.45 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | UNITED HEALTHCARE [40032] | UVACMH - United (Alliance PPO) | $0.45 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | VHN GENERIC [40040] | UVACMH - Misc. (VHN) | $0.45 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | VHN GENERIC [40040] | UVACMH - Misc. (VHN) | $0.45 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UVA HEALTH CULPEPER MEDICAL CENTER Both | VHN GENERIC [40040] | MEDCOST/PHCS VIRGINIA GENERIC [4004001] | $0.45 | $0.50 | $0.30 | 2026-03-24 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Medica | Minnesota Health Care Programs | — | $3.70 | $3.15 | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Medica | Commercial | — | $3.70 | $3.15 | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Medica | Choice Care | — | $3.70 | $3.15 | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Medica | Medicare Advantage | — | $3.70 | $3.15 | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Medica | MHSO Medicare Cost & Select | — | $3.70 | $3.15 | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT InpatientFacility | Blue Cross Blue Shield | Minnesota Health Care Programs | $0.89 | $3.70 | $3.15 | 2026-02-12 | 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 ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - Medicare | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | San Diego Pace | San Diego Pace | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - MCS | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Standard | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Cal Medi-Connect | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - HMO | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - Rehab | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | County Medical Services | County of San Diego | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | — | $1,358.50 | $1,018.88 | 2025-07-01 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Aetna | Medicare Advantage | $1.12 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $1.12 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $1.12 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Aetna | Coventry | $1.12 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Aetna | Medicare Advantage | $1.12 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Medicare Advantage | $1.12 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Aetna | Coventry | $1.12 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Medicare Advantage | $1.12 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Aetna | Coventry | $1.12 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Aetna | Coventry | $1.12 | $18.43 | — | 2026-04-13 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | Medicare Advantage | $1.48 | $3.70 | $3.15 | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | Minnesota Health Care Programs | $1.49 | $3.70 | $3.15 | 2026-02-12 | MRF ↗ |
| St Luke's Hospital Of Kansas City Both | MEDICAID MANAGED CARE (MO) [2250] | HEALTHY BLUE MISSOURI [22572] | $1.56 | $14.20 | $8.52 | 2025-12-31 | MRF ↗ |
| St Luke's Hospital Of Kansas City Both | MEDICAID MANAGED CARE (MO) [2250] | HOME STATE HEALTH PLAN [22506] | $1.56 | $14.20 | $8.52 | 2025-12-31 | MRF ↗ |
| St Luke's Hospital Of Kansas City Both | MEDICAID MANAGED CARE (MO) [2250] | UHC COMMUNITY PLAN OF MO [22517] | $1.56 | $14.20 | $8.52 | 2025-12-31 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | MHSO Medicare Cost & Select | $1.57 | $3.70 | $3.15 | 2026-02-12 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | Choice Care | $1.57 | $3.70 | $3.15 | 2026-02-12 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Keystone First | Community HealthChoices | $1.59 | $18.43 | — | 2026-04-08 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Keystone First | CHIP | $1.59 | $18.43 | — | 2026-04-08 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Blue Cross Blue Shield Co | — | $1.72 | $3.50 | — | 2026-07-30 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $1.76 | $18.43 | — | 2026-04-08 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $1.77 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $1.77 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $1.77 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $1.77 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Tiered PPACA | $1.77 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage Select 65 | $1.77 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage Select 65 | $1.77 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $1.77 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage Select 65 | $1.77 | $18.43 | — | 2026-04-13 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage HMO/Medicare Advantage PPO | $1.77 | $18.43 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Blue Cross Blue Shield of Pennsylvania (Independence) | Medicare Advantage Select 65 | $1.77 | $18.43 | — | 2026-04-13 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | ANTHEM BLUE CROSS | MEDICARE ADVANTAGE | $1.98 | $6.60 | $4.95 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | CARE WISCONSIN | MEDICARE ADVANTAGE | $1.98 | $6.60 | $4.95 | 2026-03-27 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Cigna | Medicare DSNP/Medicare HMO/Medicare PPO | $2.03 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Cigna | Medicare DSNP/Medicare HMO/Medicare PPO | $2.03 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Cigna | Medicare DSNP/Medicare HMO/Medicare PPO | $2.03 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Cigna | Medicare DSNP/Medicare HMO/Medicare PPO | $2.03 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Cigna | Medicare DSNP/Medicare HMO/Medicare PPO | $2.03 | $18.43 | — | 2026-04-13 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $2.05 | $6.60 | $4.95 | 2026-03-27 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Outpatient | Medica Insurance | Com | $2.22 | $406.00 | $394.57 | 2026-05-09 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Outpatient | Medica Insurance | Ind | $2.22 | $406.00 | $394.57 | 2026-05-09 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | Community HealthChoices | $2.24 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Keystone First | CHIP | $2.24 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Keystone First | CHIP | $2.24 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | CHIP | $2.24 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Keystone First | Community HealthChoices | $2.24 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | Community HealthChoices | $2.24 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | Community HealthChoices | $2.24 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | CHIP | $2.24 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Keystone First | Community HealthChoices | $2.24 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Keystone First | CHIP | $2.24 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Keystone First | CHIP | $2.24 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Keystone First | Community HealthChoices | $2.24 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus InpatientFacility | UnitedHealthcare | Commercial | $2.27 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus InpatientFacility | UnitedHealthcare | Commercial | $2.27 | $18.43 | — | 2026-04-13 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Outpatient | TUH Keystone 1st | TUH Keystone 1st | $2.39 | $18.43 | $18.43 | 2025-01-01 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Outpatient | TUH Keystone 1st | TUH Keystone 1st | $2.39 | $18.43 | $18.43 | 2025-01-01 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Commercial | — | $2.45 | $3.50 | — | 2026-07-30 | MRF ↗ |
| Scripps Mercy Hospital - Chula Vista Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $2.48 | $30.94 | $7.73 | 2026-03-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $2.48 | $30.94 | $7.73 | 2026-03-30 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $2.50 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $2.50 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $2.50 | $18.43 | — | 2026-04-13 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Outpatient | PA HLTH and WELLNESS MA TUH | PA HLTH and WELLNESS MA TUH | $2.50 | $18.43 | $18.43 | 2025-01-01 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $2.50 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $2.50 | $18.43 | — | 2026-04-13 | MRF ↗ |
| TEMPLE UNIVERSITY HOSPITAL Outpatient | PA HLTH and WELLNESS MA TUH | PA HLTH and WELLNESS MA TUH | $2.50 | $18.43 | $18.43 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Outpatient | PA HLTH and WELLNESS MA TUH | PA HLTH and WELLNESS MA TUH | $2.50 | $18.43 | $18.43 | 2025-01-01 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Pennsylvania Health and Wellness | Community HealthChoices | $2.50 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Cigna | Commercial | $2.51 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Cigna | Commercial | $2.51 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Cigna | Commercial | $2.51 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Cigna | Commercial | $2.51 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Cigna | Commercial | $2.51 | $18.43 | — | 2026-04-13 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $2.52 | $42.06 | $16.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $2.52 | $42.06 | $16.00 | 2026-07-15 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Uhc Ip | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cofinity | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| Jeanes Hospital Outpatient | JNS HORIZON INDEMNITY | JNS HORIZON INDEMNITY | $2.69 | $18.43 | $18.43 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Outpatient | JNS HORIZON MANAGED CARE HMO/POS/D.A. | JNS HORIZON MANAGED CARE HMO/POS/D.A. | $2.69 | $18.43 | $18.43 | 2025-01-01 | MRF ↗ |
| Jeanes Hospital Outpatient | JNS HORIZON PPO | JNS HORIZON PPO | $2.69 | $18.43 | $18.43 | 2025-01-01 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm Op: Par/ Ppo/ Pos/ Hmo | — | $2.80 | $3.50 | — | 2026-07-30 | MRF ↗ |
| UNITED HOSPITAL DISTRICT OutpatientFacility | Medica | Commercial | $2.92 | $3.70 | $3.15 | 2026-02-12 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | UnitedHealthcare | VACCN | $2.95 | $18.43 | — | 2026-04-08 | MRF ↗ |
| TEMPLE HEALTH - CHESTNUT HILL HOSPITAL OutpatientFacility | Cigna | Commercial | $3.04 | $18.43 | — | 2026-04-08 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Aetna/ First Health Ccn | — | $3.08 | $3.50 | — | 2026-07-30 | MRF ↗ |
| SCRIPPS GREEN HOSPITAL Both | RADYS CPMG [803] | RADY'S CHILDREN'S MEDI-CAL HMO | $3.09 | $38.64 | $9.66 | 2026-03-30 | MRF ↗ |
| Temple Women & Families Hospital OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $3.13 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $3.13 | $18.43 | — | 2026-04-08 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $3.13 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Episcopal Campus OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $3.13 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $3.13 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Temple University Hospital - Northeastern Campus OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $3.13 | $18.43 | — | 2026-04-13 | MRF ↗ |
| Hospital Of The Fox Chase Cancer Center OutpatientFacility | Oscar Health | Pennsylvania Health Plan | $3.13 | $18.43 | — | 2026-04-13 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $14.40 | $12.24 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $14.40 | $12.24 | 2026-07-15 | 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.