J7355 — Inj Travoprost Intra Impl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj travoprost intra impl (HCPCS J7355) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7355?code_type=HCPCS
MLA (9th ed.)
“Inj travoprost intra impl (HCPCS J7355) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7355?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj travoprost intra impl (HCPCS J7355) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7355?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $197–$447 (25th–75th percentile) across 1,094 hospitals · 1,423 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J7355 — 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 |
|---|---|---|---|---|---|---|---|
| COX MONETT HOSPITAL OutpatientFacility | None | — | — | $1.00 | $0.31 | 2026-04-24 | MRF ↗ |
| ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL OutpatientFacility | Wellpoint | NJ Family Care | $14.03 | — | — | 2026-03-04 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Teamsters Local 14 | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Sierra Health and Life | HPN Medicaid fka Smart Choice | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | City of North Las Vegas | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | First Health | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Caesar's Entertainment | Aetna | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Electrical Workers | IBEW 357 | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Venetian/Palazzo | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Teamsters Local 631 | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Clark County Detention Center | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Clark County Self Funded | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Golden Nugget Hotel & Casino | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Blue Cross Blue Shield of Nevada | Anthem Federal | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Caesar's Entertainment | SHO | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Caesar's Entertainment | Anthem | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Cigna | Generic | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Teamsters Local 986 | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | California Ironwork Field Welfare | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Resorts World Las Vegas | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Clark County Firefighters 1908 | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Cirque De Soleil | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Silver Summit Health Plan (Centene) | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Hometown Health Plan of Nevada | Friday Health Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Rebel Oil Company | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Health Net | Generic | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Wynn Resorts | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | MGM Grand | MGM Properties | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | MGM Grand | Resorts International Direct | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | One Health Plan | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Bricklayers Local 13 | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Zuffa | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Mirage Las Vegas | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Hometown Health Plan of Nevada | Nevada Department of Corrections | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | UFCW Local 711 Retail Clerks | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Great West Healthcare | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | AIG | Claim Services | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Molina | Medicaid | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Golden Entertainment | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Cement Masons & Plasters H&W | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Plumbers & Pipefitters Loc 525 | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Blue Cross Blue Shield of Nevada | Anthem HMO | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | P3 Health Partners | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | City Of Henderson | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Blue Cross Blue Shield of Nevada | Generic | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Clark County EPO | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Employee Painters Trust | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Laborers Health and Welfare | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Operating Engineers | Local 12 | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Operating Engineers | Local 501 | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Kaiser | POSPPO | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Dignity Health | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Aetna | International Passport to Health | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Blue Cross Blue Shield of Nevada | Anthem PPO | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Las Vegas Metro Police Dept | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Laughlin Coalition | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Las Vegas Firefighters 1285 | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Teacher's Health Trust | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | SO CA Pipe Trades H&W | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Marshall Retail Group | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Nevada Hand | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | National Security Technologies | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Hometown Health Plan of Nevada | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Southwest Carpenters H&W | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Culinary Workers HWF | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Sierra Health and Life | HPN Nevada Checkup | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Las Vegas Firefighters 1285 | UHC | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | PLI Las Vegas | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | JW Marriott | All Plans | $25.08 | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Truline Corporation | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Cigna | HealthPartners | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Stations Casinos | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | State of Nevada | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Health Net | Tricare West Region | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Three Rivers Provider Network | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Boyd Group | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Beech Street | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Sheet Metal Workers | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Sierra Health and Life | Options | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Blue Cross Blue Shield of Nevada | Anthem Medicaid | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Arroweye Solutions | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| Umc Transplantation Services OutpatientFacility | Switch | All Plans | — | — | — | 2025-12-27 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $33.58 | — | — | 2026-03-31 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $42.96 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $42.96 | — | — | 2025-12-23 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $65.14 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $65.14 | — | — | 2026-03-01 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $70.29 | $195.25 | $123.01 | 2026-01-27 | MRF ↗ |
| THE WOMEN'S HOSPITAL OutpatientFacility | Amish | Commercial | $77.33 | — | — | 2026-02-13 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $82.91 | — | — | 2026-01-29 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Health Partners | Medicare Cost | $82.91 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $82.91 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | Medicare Cost | $82.91 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $82.91 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $82.91 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | Medicare Cost | $82.91 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW RIDGES HOSPITAL OutpatientFacility | Health Partners | PMAP | $84.40 | — | — | 2026-02-06 | MRF ↗ |
| FAIRVIEW NORTHLAND REGIONAL HOSPITAL OutpatientFacility | Health Partners | PMAP | $84.40 | — | — | 2026-01-29 | MRF ↗ |
| M HEALTH FAIRVIEW WOODWINDS HOSPITAL OutpatientFacility | Health Partners | PMAP | $84.40 | — | — | 2026-02-05 | MRF ↗ |
| FAIRVIEW LAKES HEALTH SERVICES OutpatientFacility | Health Partners | PMAP | $84.40 | — | — | 2026-02-05 | MRF ↗ |
| M HEALTH FAIRVIEW SOUTHDALE HOSPITAL OutpatientFacility | Health Partners | PMAP | $84.40 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW UNIVERSITY OF MN MEDICAL CENTER OutpatientFacility | Health Partners | PMAP | $84.40 | — | — | 2026-02-06 | MRF ↗ |
| M HEALTH FAIRVIEW ST JOHN'S HOSPITAL OutpatientFacility | Health Partners | PMAP | $84.40 | — | — | 2026-02-05 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | MEDICAL MUTUAL-OHIO | ALL PRODUCTS | $84.78 | — | — | 2025-07-01 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | Medical Mutual | ACA Exchange | $84.78 | — | — | 2025-07-01 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Preferred | $92.36 | — | $552.75 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Choice | $92.36 | — | $552.75 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Advantage | $92.36 | — | $552.75 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | $552.75 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | $552.75 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Preferred | $92.36 | — | $552.75 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Lincs | $92.36 | — | $552.75 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Advantage | $92.36 | — | $552.75 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | $552.75 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | $552.75 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | $552.75 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Traditional | $92.36 | — | $552.75 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | $552.75 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | $552.75 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | $552.75 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | $552.75 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | $552.75 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | $552.75 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | $552.75 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Traditional | $92.36 | — | $552.75 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Lincs | $92.36 | — | $552.75 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Choice | $92.36 | — | $552.75 | 2026-03-31 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Priority Health | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $102.63 | — | — | 2026-04-17 | MRF ↗ |
| BROOKS-TLC HOSPITAL SYSTEM, INC OutpatientFacility | Independent Health Association | Essential Other Commercial Plan | $102.81 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $102.97 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $102.97 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $102.97 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $102.97 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $102.97 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $102.97 | — | — | 2026-04-17 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Blue Cross Complete | Managed Medicaid | $105.68 | — | — | 2025-03-12 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Priority Health | Managed Medicaid | $105.68 | — | — | 2025-03-12 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | McLaren | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Molina | Managed Medicaid | $105.68 | — | — | 2025-03-12 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Aetna Better Health | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna Better Health | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | HAP Caresource Medicaid | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | HAP Caresource Medicaid | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | HAP Caresource Medicaid | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | McLaren | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | McLaren | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Priority Health | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Priority Health | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Aetna Better Health | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | McLaren | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Priority Health | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP CareSource | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Blue Cross Complete | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan Meridian | Managed Medicaid | $105.68 | — | — | 2025-03-12 | MRF ↗ |
| COVENANT MEDICAL CENTER OutpatientFacility | Healthy Michigan McLaren | Managed Medicaid | $105.68 | — | — | 2025-03-12 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | McLaren | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Meridian Health Plan of MI | MEDICAID HMO | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Priority Health | MEDICAID | $105.68 | — | — | 2025-06-28 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Highmark | Highmark Together Blue | $106.47 | — | — | 2026-04-14 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $107.14 | — | — | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $107.14 | — | — | 2026-03-29 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Medical Mutual | Cle-Care Hmo | $107.18 | — | — | 2026-04-01 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $107.85 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Blue Cross Complete | MEDICAID | $107.85 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Aetna Better Health | MEDICAID | $110.96 | — | — | 2025-06-28 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Pathway Exchange | $112.38 | — | — | 2026-04-01 | MRF ↗ |
| METROHEALTH SYSTEM OutpatientFacility | Bcbs | Anthem Pathway Hmo Exchange | $112.38 | — | — | 2026-04-01 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Highmark | Highmark Together Blue | $113.03 | — | — | 2026-04-14 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | MOLINA | MEDICAID HMO | $114.14 | — | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | MOLINA | MEDICAID HMO | $114.14 | — | — | 2025-06-28 | 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.