J7520 — Sirolimus 1 Mg Tablet
Cite this view
HANK Price Transparency. (n.d.). SIROLIMUS 1 MG TABLET (HCPCS J7520) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7520?code_type=HCPCS
“SIROLIMUS 1 MG TABLET (HCPCS J7520) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7520?code_type=HCPCS. Accessed .
“SIROLIMUS 1 MG TABLET (HCPCS J7520) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7520?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8–$91 (25th–75th percentile) across 1,681 hospitals · 4,269 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J7520 — 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 |
|---|---|---|---|---|---|---|---|
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $2.85 | $2.42 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $2.93 | $2.49 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $60.22 | $51.19 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $562.61 | $281.31 | 2024-12-15 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $2.85 | $2.00 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $6.83 | $3.76 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $6.83 | $3.76 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $2.85 | $1.57 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $562.61 | $281.31 | 2024-12-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $25,622.40 | $16,654.56 | 2025-11-26 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 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 | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BRAND NEW DAY [1089] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | IMPERIAL HEALTH HOLDINGS [1132] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MEDICAID - OUT OF STATE [1047] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CAREMORE [2028] | MEDI-CAL | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | LA CARE HEALTH PLAN [2025] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALAMEDA ALLIANCE FOR HEALTH [2027] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL COMMUNITY CARE [10550015] | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | GOLD COAST HEALTH PLAN [2031] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | REGAL MG 'HERITAGE PROVIDER NETWORK' [2019] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEMET COMMUNITY MED GRP - PROMISECARE [1040] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SAN DIEGO COUNTY [1071] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY ELDERCARE [1027] | MEDI-CAL | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | OPTUM CARE NETWORK - PRIMECARE MED GRP [1065] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | SD PHYSICIANS MED GRP [1076] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CALIFORNIA DEPARTMENT OF PUBLIC HEALTH [1237] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALIGNMENT HEALTH PLAN [2020] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BRAND NEW DAY [1089] | MEDI-CAL | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UNLISTED MCAL HMO NON-CONTRACT [1049] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MOLINA [1055] | MOLINA MEDI-CAL [10550002] | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | STATE OF CALIFORNIA [1082] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | VANTAGE [1092] | PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.15 | $39.50 | $37.52 | 2026-02-20 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MEDI-CAL [2001] | MEDI-CAL | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | MEDI-CAL | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | FEDERAL PRISON [1031] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CAL OPTIMA [1016] | CalOptima Medi-Cal | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | HEALTH PLAN OF SAN JOAQUIN [2032] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | KERN HEALTH SYSTEMS [2033] | UCSD HB NON-CONTRACTED MEDI-CAL MANAGED CARE | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MEDI-CAL [1048] | MEDI-CAL | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | XIMED [2016] | MEDI-CAL | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MOLINA [1240] | MOLINA MEDI-CAL [12400001] | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | FEDERAL PRISON [1031] | FEDERAL PRISON [10310001] | $0.15 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.16 | $43.10 | $40.94 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.16 | $43.87 | $41.67 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.16 | $42.55 | $40.42 | 2026-02-20 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UHC HARMONY HMO [164026] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.18 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| LUMINIS HEALTH J KENT MCNEW FAMILY MEDICAL CENTER Both | None | — | — | $0.19 | $0.19 | 2026-01-15 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF MC HUMANA GENERIC PAYOR [164027] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF BLUE SHIELD SR/SDSM [164037] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC BLUE SHIELD HMO [164015] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HEALTHNET HMO [164004] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC SCAN GENERIC PAYOR [164034] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.18 | $1.06 | $0.22 | 2026-02-13 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HUMANA HMO [164013] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC AETNA GENERIC PAYOR [164008] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HEALTHNET GENERIC PAYOR [164010] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC AETNA HMO [164001] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF ANTHEM/XIMED HMO [164022] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC BRAND NEW DAY HMO [164030] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.18 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UHC VEBA GENERIC HMO [164032] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HNET BLUE&GOLD ACO [164017] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC BLUE SHIELD GENERIC PAYOR [164016] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC ANTHEM BLUE CROSS GENERIC PAYOR [164009] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UNITED HEALTHCARE HMO [164005] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HUMANA GENERIC PAYOR [164014] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UHC VEBA HMO [164033] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC ANTHEM BLUE CROSS HMO [164002] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.18 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC CIGNA HMO [164003] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC CIGNA GENERIC PAYOR [164007] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF ANTHEM/SDSM HMO [164024] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UHC ALLIANCE HMO [164020] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.18 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC BRAND NEW DAY GENERIC PAYOR [164031] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UNITED HEALTHCARE GENERIC PAYOR [164011] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.18 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC SCAN HMO [164035] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF HUMANA/SDSM [164025] | UC MANAGED CARE | $0.18 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.19 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.19 | $39.50 | $37.52 | 2026-02-20 | MRF ↗ |
| LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC Both | None | — | — | $0.21 | $0.21 | 2026-01-15 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.19 | $39.50 | $37.52 | 2026-02-20 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.19 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.19 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital InpatientFacility | United Healthcare | Managed Medicaid | $0.19 | $1.13 | $0.23 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.19 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC InpatientFacility | United Healthcare | Managed Medicaid | $0.19 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.20 | $1.06 | $0.22 | 2026-02-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.20 | $42.55 | $40.42 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.20 | $39.50 | $37.52 | 2026-02-20 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.20 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.20 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.20 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.20 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.20 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.21 | $43.87 | $41.67 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.21 | $43.10 | $40.94 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.21 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.21 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.21 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.21 | $1.13 | $0.23 | 2026-02-13 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.21 | $42.55 | $40.42 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.21 | $43.10 | $40.94 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.21 | $43.87 | $41.67 | 2026-02-20 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.21 | $1.06 | $0.22 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.21 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.21 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.21 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.21 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.21 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.21 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Better Health of Kentucky | Managed Medicaid | $0.21 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.22 | $42.55 | $40.42 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.22 | $43.10 | $40.94 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.23 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.23 | $43.87 | $41.67 | 2026-02-20 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.23 | $1.13 | $0.23 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Passport | Managed Medicaid | $0.23 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.23 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.23 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Passport | Managed Medicaid | $0.23 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PADRES WORKERS COMPENSATION [2013] | GLOBAL SPORTS SERVICES PROVIDER ALLIANCE (PADRES) | $0.24 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | PADRES [2014] | GLOBAL SPORTS SERVICES PROVIDER ALLIANCE (PADRES) | $0.24 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Humana Medicaid | Managed Medicaid | $0.26 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.26 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.26 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.26 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | United Healthcare Adult | Commercial | $0.26 | $1.06 | $0.22 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.26 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Humana Medicaid | Managed Medicaid | $0.27 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna | Medicare Advantage | $0.28 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.28 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.28 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.28 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | United Healthcare Adult | Commercial | $0.28 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | United Healthcare Adult | Commercial | $0.28 | $1.13 | $0.23 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna | Medicare Advantage | $0.28 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna | Medicare Advantage | $0.28 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna | Medicare Advantage | $0.28 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna | Medicare Advantage | $0.28 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna | Medicare Advantage | $0.28 | $1.06 | $0.22 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna | Medicare Advantage | $0.29 | $1.13 | $0.23 | 2026-02-13 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna | Medicare Advantage | $0.29 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna | Medicare Advantage | $0.29 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna | Medicare Advantage | $0.29 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna | Medicare Advantage | $0.29 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna | Medicare Advantage | $0.29 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE SHIELD PROMISE [1017] | BLUE SHIELD PROMISE (FKA CARE1ST HEALTHPLAN MEDI-CAL) | $0.30 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | EMBASSY SPONSORED [1101] | SALUDPOL Peru Police | $0.30 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UCR PROMPT PAY PAYOR [8240] | UCSD CHARITY MEDICARE CONTRACT | $0.30 | $1.49 | $0.82 | 2026-04-01 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.34 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.34 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Alternative | Commercial | $0.34 | $1.06 | $0.22 | 2026-02-13 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.34 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.34 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.34 | $92.40 | $87.78 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.34 | $92.40 | $87.78 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.36 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.36 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | Aetna Alternative | Commercial | $0.36 | $1.13 | $0.23 | 2026-02-13 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $0.36 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $0.36 | — | — | 2026-03-01 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.36 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Alternative | Commercial | $0.36 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.36 | $92.40 | $87.78 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.37 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | SIHO | Commercial | $0.37 | $1.06 | $0.22 | 2026-02-13 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.37 | $92.40 | $87.78 | 2026-02-20 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.37 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.37 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.37 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Magnolia TN | Exchange | $0.38 | $5.04 | $1.21 | 2026-02-27 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Magnolia TN | Exchange | $0.38 | $5.04 | $1.21 | 2026-02-27 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.39 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Magnolia TN | Exchange | $0.39 | $5.16 | $1.24 | 2026-02-27 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.39 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.39 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | SIHO | Commercial | $0.39 | $1.13 | $0.23 | 2026-02-11 | MRF ↗ |
| Norton Children's Hospital OutpatientFacility | SIHO | Commercial | $0.39 | $1.13 | $0.23 | 2026-02-13 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Magnolia TN | Exchange | $0.39 | $5.16 | $1.24 | 2026-02-27 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $0.40 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Adult | Commercial | $0.40 | $1.06 | $0.22 | 2026-02-11 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Magnolia TN | Exchange | $0.40 | $5.20 | $1.25 | 2026-02-27 | MRF ↗ |
| NORTON HOSPITALS, INC OutpatientFacility | Aetna Pediatric | Commercial | $0.40 | $1.06 | $0.22 | 2026-02-11 | 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.