J7686 — Treprostinil 1.74 Mg/2.9 Ml (0.6 Mg/ml) Solution For Nebulization
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION (HCPCS J7686) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J7686?code_type=HCPCS
MLA (9th ed.)
“TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION (HCPCS J7686) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J7686?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“TREPROSTINIL 1.74 MG/2.9 ML (0.6 MG/ML) SOLUTION FOR NEBULIZATION (HCPCS J7686) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J7686?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $784–$3,698 (25th–75th percentile) across 1,282 hospitals · 1,572 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J7686 — 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
$784
$1,387 typical
$3,698
The middle 50% of negotiated facility rates for this procedure, measured across 1,282 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $1,387 |
| Likely subtotal | $1,387 |
Facility charge (no separate professional fee)
$1,387
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 $784–$3,698.
- 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 |
|---|---|---|---|---|---|---|---|
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | 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 | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $51,746.21 | $33,635.04 | 2025-11-26 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Alignment Health Plan | Medicare Advantage | — | $51,746.21 | $33,635.04 | 2025-11-26 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $576.90 | — | 2026-07-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Central Health Plan of California | Medicare Advantage | — | $51,746.21 | $33,635.04 | 2025-11-26 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $51,746.21 | $33,635.04 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $51,746.21 | $33,635.04 | 2025-11-26 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $51,746.21 | $33,635.04 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHP/Medicare Advantage Special Needs HMO | — | $51,746.21 | $33,635.04 | 2025-11-26 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Blue Cross Blue Shield Co | — | $1.72 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $2.00 | $881.00 | $440.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $2.00 | $881.00 | $440.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $2.00 | $881.00 | $440.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $2.00 | $881.00 | $440.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $2.00 | $881.00 | $440.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH SEBRING Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $2.00 | $881.00 | $440.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $2.00 | $881.00 | $440.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WAUCHULA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $2.00 | $881.00 | $440.50 | 2024-12-15 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.40 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.40 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Humana Choicecare Commercial | — | $2.45 | $3.50 | — | 2026-07-30 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $51,746.21 | $33,635.04 | 2025-11-26 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cofinity | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Uhc Ip | — | $2.63 | $3.50 | — | 2026-07-30 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | CareMore Health Plan | Medicare Advantage | — | $51,746.21 | $33,635.04 | 2025-11-26 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.77 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Bcbs Nm Op: Par/ Ppo/ Pos/ Hmo | — | $2.80 | $3.50 | — | 2026-07-30 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-Cancer Inst-University | $2.82 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED FOOD & COMMERCIAL WORKERS [100309] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $3.03 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | CIGNA [100009] | HB CIGNA PPO - Germantown-North-South-Olive Branch-Cancer Inst-University | $3.03 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Aetna/ First Health Ccn | — | $3.08 | $3.50 | — | 2026-07-30 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Essential Plan | $3.21 | $16.05 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Medicaid | $3.21 | $16.05 | — | 2025-07-23 | MRF ↗ |
| ANIMAS SURGICAL HOSPITAL, LLC | Cigna | — | $3.27 | $3.50 | — | 2026-07-30 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $51,746.21 | $33,635.04 | 2025-11-26 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $3.95 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $3.95 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $3.95 | — | — | 2026-01-14 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Campus Care | All Products | $4.30 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Individual Commercial/Student Health | $4.54 | $16.05 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | United | Choice Epo | $4.56 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | United | Core Epo & Navigate Epo | $4.56 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | United | Hmo, Pos & Open Access | $4.56 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | UMR | Custom | $4.79 | $16.05 | — | 2025-07-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $4.96 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Precision Hmo | $5.16 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Cigna | All Products | $5.17 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Healthlink | Open Access | $5.21 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Healthlink | Hmo | $5.21 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Unified Physicians Network | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Partners In Health | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Uic Physician Group | Hmo | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | The University Of Chicago Medical Center | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Southwest Physician Group Ltd | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physician Care Network Inc | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Access Community Health Network | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Resurrection Phys Provider Group | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Sinai Medical Group | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Oak West Primary Care Alliance | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Dolton Medical Associates | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Physicians Health Association Of Il | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Mac Neal Health Providers | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Northshore Physician Association | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Lake County Physician Associates | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Franciscan Hammond Clinic Llc | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Northwest Primary Care Alliance | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Hmo Of Illinois | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Mercy Physician Association | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | West Suburban Health Providers | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Advantage Hmo | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | St Anthony Health Network | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Humboldt Park Health Partners | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Fox Valey Medicine Ltd | All Products | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Advocate Health Systems Ipa | $5.32 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice City Of Chicago | $5.36 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Small Large Group Commercial | $5.41 | $16.05 | — | 2025-07-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex Core | $5.59 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC Fed Ex NEXUS ACO | $5.65 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | MVP Health Care of NY | Cigna | $5.68 | $16.05 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Blue Choice Opt Ppo | $5.68 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Caterpillar | Epo | $5.68 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Bcbs | Ppo | $5.75 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC Core | $5.76 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC NEXUS ACO ADULT | $5.82 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC FED EX ALL PAYER (CHOICE) | $6.01 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | UNITED HEALTHCARE [100060] | HB UHC All Payer Appendix - MUH-MNH-MSH-MGH-MCI | $6.20 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Aetna | Hmo & Pos | $6.22 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Aetna | St Of Il Qchp, Aexcel, Coventry Ppo & First Health Network Solutions | $6.22 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Aetna | Choice Pos & Health Network Option | $6.22 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | UMR | Standard | $6.36 | $16.05 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER OutpatientFacility | United Healthcare | Commercial | $6.52 | $16.05 | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Coventry | Work Comp | $6.93 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Coventry | Work Comp Cfd & Cpd | $6.93 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Healthsmart | Workers Comp | $6.93 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Equian | Workers Comp | $6.93 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Integrated Health Plan | Workers Comp | $6.93 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Zelis | Workers Comp | $6.93 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Aetna | Workers Comp | $6.93 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Axa/Haa Preferred Partners | Ppo | $7.82 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Multiplan | Ppo | $7.82 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Multiplan | Workers Comp | $7.82 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $8.25 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $8.25 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | PPO | $8.25 | — | — | 2026-01-12 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Redbridge Healthcare | Ppo International | $8.34 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Both | LANGSTON PERFORMANCE HEALTH [100405] | HB XR LANGSTON COMPANIES ALL ADULTS | $8.37 | $12.88 | $2.83 | 2026-03-19 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Healthsmart | Ppo & Hpo | $9.12 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Healthsmart | Accel Network | $9.12 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Healthsmart | Auto Medical Network | $9.12 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $51,746.21 | $33,635.04 | 2025-11-26 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Zelis | Ppo | $9.77 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Corvel | Auto Liability/Accident & Health | $9.77 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Integrated Health Plan | Ppo | $10.42 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Prime Health Services | Workers Comp | $11.08 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Both | Prime Health Services | Ppo | $11.08 | $13.03 | $3.91 | 2026-09-21 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Multiplan | Commercial | $12.36 | $16.05 | — | 2025-07-23 | MRF ↗ |
| LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD Outpatient | MERITAIN HEALTH | AETNA ALL OTHER PLANS | $19.67 | $63.66 | $31.83 | 2026-03-31 | MRF ↗ |
| LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD Outpatient | AETNA | AETNA ALL OTHER PLANS | $19.67 | $63.66 | $31.83 | 2026-03-31 | MRF ↗ |
| LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD Outpatient | CIGNA | CIGNA COM ALT HMO PLAN | $20.36 | $63.66 | $31.83 | 2026-03-31 | MRF ↗ |
| LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD Outpatient | SUTTER | SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS | $20.59 | $63.66 | $31.83 | 2026-03-31 | MRF ↗ |
| LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD Outpatient | UMR | SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS | $20.59 | $63.66 | $31.83 | 2026-03-31 | MRF ↗ |
| LUCILE SALTER PACKARD CHILDREN'S HSP AT STANFORD Outpatient | UNITED HEALTHCARE | SUTTER SELECT & SUTTER HEALTH PLAN HMO PLANS | $20.59 | $63.66 | $31.83 | 2026-03-31 | 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 | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Outpatient | Ccbh - Behavioral Health | Behavioral | — | — | — | 2026-07-19 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $42.10 | $200.43 | $122.27 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | United | Medicaid|Community Plan | $42.10 | $200.43 | $122.27 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | United | Medicaid|Community Plan | $42.10 | $200.43 | $122.27 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $42.52 | $200.43 | $122.27 | 2026-02-28 | MRF ↗ |
| CHI HEALTH GOOD SAMARITAN Outpatient | Centene | Medicaid|NE Total Care | $42.52 | $200.43 | $122.27 | 2026-02-28 | MRF ↗ |
| CHI Health Richard Young Behavioral Health Outpatient | Centene | Medicaid|NE Total Care | $42.52 | $200.43 | $122.27 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $42.94 | $200.43 | $166.36 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $42.94 | $200.43 | $166.36 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | Amerigroup | Medicaid|All Plans | $42.94 | $200.43 | $166.36 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $43.78 | $200.43 | $166.36 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $43.78 | $200.43 | $166.36 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. MARYS Outpatient | IAMolina | Medicaid|All Plans | $43.78 | $200.43 | $166.36 | 2026-02-28 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Health New England | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | MedicareAdvantage | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $45.96 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $45.96 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Health New England | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $45.96 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $45.96 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | MedicareAdvantage | — | — | — | 2025-04-16 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $46.10 | $200.43 | $100.22 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $46.10 | $200.43 | $118.26 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $46.10 | $200.43 | $118.26 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | United | Medicaid|Community Plan | $46.10 | $200.43 | $118.26 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | United | Medicaid|Community Plan | $46.10 | $200.43 | $100.22 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $46.56 | $200.43 | $118.26 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $46.56 | $200.43 | $100.22 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $46.56 | $200.43 | $118.26 | 2026-02-28 | MRF ↗ |
| CHI HEALTH ST. FRANCIS Outpatient | Centene | Medicaid|NE Total Care | $46.56 | $200.43 | $118.26 | 2025-09-30 | MRF ↗ |
| CHI HEALTH ST. ELIZABETH Outpatient | Centene | Medicaid|NE Total Care | $46.56 | $200.43 | $100.22 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $48.11 | $200.43 | $92.20 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $48.11 | $200.43 | $92.20 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | United | Medicaid|Community Plan | $48.11 | $200.43 | $92.20 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $48.59 | $200.43 | $92.20 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $48.59 | $200.43 | $92.20 | 2026-02-28 | MRF ↗ |
| CHI HEALTH NEBRASKA HEART Outpatient | Centene | Medicaid|NE Total Care | $48.59 | $200.43 | $92.20 | 2026-02-28 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $49.67 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $49.67 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $49.67 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $49.67 | — | — | 2025-07-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | — | — | — | 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.