J8498 — Promethazine 25 Mg Rectal Suppository
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PROMETHAZINE 25 MG RECTAL SUPPOSITORY (HCPCS J8498) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J8498?code_type=HCPCS
MLA (9th ed.)
“PROMETHAZINE 25 MG RECTAL SUPPOSITORY (HCPCS J8498) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J8498?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PROMETHAZINE 25 MG RECTAL SUPPOSITORY (HCPCS J8498) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J8498?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11–$63 (25th–75th percentile) across 420 hospitals · 1,177 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J8498 — 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
$11
$27 typical
$63
The middle 50% of negotiated facility rates for this procedure, measured across 420 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $27 |
| Likely subtotal | $27 |
Facility charge (no separate professional fee)
$27
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 $11–$63.
- 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 | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $290.00 | $188.50 | 2025-11-26 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Advantage PPO | BCBS Advantage PPO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-31 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Blue Lincs HMO | BCBS Blue Lincs HMO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Preferred | BCBS Preferred | $0.18 | — | — | 2026-08-30 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Choice | BCBS Choice | $0.21 | — | — | 2026-08-30 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | POS | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | POS | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Medica | All Plans | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Medica | All Plans | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Traditional | BCBS Traditional | $0.24 | — | — | 2026-08-30 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | OSMA Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Medica | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Friday Health Plan | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | First Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Cigna | PPO/POS | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Humana Military Tricare | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Cigna | PPO/POS | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | OSMA Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Friday Health Plan | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Friday Health Plan | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | OSMA Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Cigna | PPO/POS | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Humana Military Tricare | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2026-03-14 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Generations Healthcare | Medicare Adv | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Healthcare Highways | Sync | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Community Care | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | Medicare HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | Savility | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| CAROMONT REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | $0.28 | $75.60 | $75.60 | 2026-05-11 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | WebTPA | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| CaroMont Regional Medical Center - Belmont OutpatientFacility | Cigna | PPO | $0.28 | $75.60 | $75.60 | 2026-05-11 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $0.29 | — | — | 2026-09-01 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER OutpatientFacility | ValueOptions | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Aetna | Gatekeeper | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Global Health | Commercial | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Global Health | Medicare Advantage | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Cigna | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | United Healthcare | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Coventry | First Health PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Coventry | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Humana | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Phcs | Multiplan Savility PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Coventry | First Health PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Phcs | Multiplan PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Coventry | Medicare Advantage | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Prime Health Services | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Aetna | Non Gatekeeper | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Prime Health Services | Medicare Advantage | — | — | — | 2025-12-31 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Other (No Contract) | Other (No Contract) | $0.35 | — | — | 2026-08-30 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Humana Advantage Care Plans Med Advantage | Default | $0.41 | $2.00 | $1.00 | 2024-10-24 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Aetna | Default | $0.41 | $2.00 | $1.00 | 2024-10-24 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Medicare A LA JH | Default | $0.41 | $2.00 | $1.00 | 2024-10-24 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Medicare B LA JH | Default | — | $2.00 | $1.00 | 2024-10-24 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | VA Community Care Network VACCN Region 1-3 Triwest | Default | $0.42 | $2.00 | $1.00 | 2024-10-24 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Dignity Health Plan DOS lt 01012023 | Default | $0.43 | $2.00 | $1.00 | 2024-10-24 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicare | $0.45 | $3.00 | $1.20 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Optum Care Network | Managed Medicare | $0.45 | $3.00 | $1.20 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Cigna Healthcare | Managed Medicare | $0.45 | $3.00 | $1.20 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Kaiser | Managed Medicare | $0.45 | $3.00 | $1.20 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Humana | Managed Medicare | $0.45 | $3.00 | $1.20 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Managed Medicare | Managed Medicare | $0.45 | $3.00 | $1.20 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Innovage | Managed Medicare | $0.45 | $3.00 | $1.20 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Aetna | Managed Medicare | $0.45 | $3.00 | $1.20 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Devoted Health | Managed Medicare | $0.45 | $3.00 | $1.20 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | Medicare | Managed Medicare | $0.45 | $3.00 | $1.20 | 2026-02-04 | MRF ↗ |
| ST THOMAS MORE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicare | $0.48 | $3.00 | $1.20 | 2026-02-04 | MRF ↗ |
| CHERRY COUNTY HOSPITAL Outpatient | AMBETTER COMM - ALL PLANS | AMBETTER COMM - ALL PLANS | $0.52 | $50.28 | $50.28 | 2026-04-24 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Medicaid Louisiana IP OP | Default | $0.54 | $2.00 | $1.00 | 2024-10-24 | MRF ↗ |
| RIVERLAND MEDICAL CENTER Both | Healthy Blue Community Care of LA MCD | Default | $0.54 | $2.00 | $1.00 | 2024-10-24 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | EmblemHealth | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Cigna | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 3 & 4 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Charter/Charter Balanced/Charter Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Behavioral Health | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Essential Plan | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | MagnaCare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Centers Plan for Healthy Living | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Health Benefit Exchange | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Healthfirst | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Core | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Compass | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Essential | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Humana | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | ValueOptions | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | 1199SEIU National Benefit Funds | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Medicare Advantage | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Aetna Whole Health | Commercial | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Anthem Blue Cross and Blue Shield (FKA Empire) | Managed Medicaid | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Molina Healthcare (FKA Affinity) | Essential Plan 1 & 2 | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | Fidelis Care | Child Health Plus | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| NASSAU UNIVERSITY MEDICAL CENTER InpatientFacility | United Healthcare | VACCN | — | $1.24 | $0.87 | 2025-10-28 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Fidelis Child Health Plus T40 | Com | $0.75 | $27.68 | $27.68 | 2026-07-17 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Fidelis Medicare U48 | Mcr | $0.75 | $27.68 | $27.68 | 2026-07-17 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Fidelis Medicaid V49 | Mcd | $0.75 | $27.68 | $27.68 | 2026-07-17 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Fidelis Fida Ubl | Mcr | $0.75 | $27.68 | $27.68 | 2026-07-17 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $0.80 | $2.14 | — | 2026-01-01 | MRF ↗ |
| BRUSHY CREEK FAMILY HOSPITAL LLC Both | United Healthcare | Humana Commercial | — | $0.91 | $0.82 | 2026-07-15 | MRF ↗ |
| BRUSHY CREEK FAMILY HOSPITAL LLC Both | Medicare Traditional | Medicare Traditional | — | $0.91 | $0.82 | 2026-07-15 | MRF ↗ |
| BRUSHY CREEK FAMILY HOSPITAL LLC Both | United Healthcare | Aetna Commercial | — | $0.91 | $0.82 | 2026-07-15 | MRF ↗ |
| BRUSHY CREEK FAMILY HOSPITAL LLC Both | United Healthcare | Uhc Hmo Ppo | — | $0.91 | $0.82 | 2026-07-15 | MRF ↗ |
| BANDERA FAMILY HOSPITAL Both | Medicare Traditional | Medicare Traditional | — | $0.91 | $0.82 | 2026-07-15 | MRF ↗ |
| BRUSHY CREEK FAMILY HOSPITAL LLC Both | United Healthcare | Cigna Commercial | — | $0.91 | $0.82 | 2026-07-15 | MRF ↗ |
| BRUSHY CREEK FAMILY HOSPITAL LLC Both | United Healthcare | Bcbs Commercial | — | $0.91 | $0.82 | 2026-07-15 | MRF ↗ |
| BANDERA FAMILY HOSPITAL Both | United Healthcare | Bcbs Commercial | — | $0.91 | $0.82 | 2026-07-15 | MRF ↗ |
| BANDERA FAMILY HOSPITAL Both | United Healthcare | Cigna Commercial | — | $0.91 | $0.82 | 2026-07-15 | MRF ↗ |
| BANDERA FAMILY HOSPITAL Both | United Healthcare | Humana Commercial | — | $0.91 | $0.82 | 2026-07-15 | MRF ↗ |
| BANDERA FAMILY HOSPITAL Both | United Healthcare | Aetna Commercial | — | $0.91 | $0.82 | 2026-07-15 | MRF ↗ |
| BANDERA FAMILY HOSPITAL Both | United Healthcare | Uhc Hmo Ppo | — | $0.91 | $0.82 | 2026-07-15 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | INTEL | ALL PRODUCTS | $0.86 | $2.14 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | HEALTHCOMP | ALL PRODUCTS | $0.86 | $2.14 | — | 2026-01-01 | MRF ↗ |
| COMMUNITY CARE HOSPITAL Both | — | — | — | $0.91 | $0.82 | 2026-06-11 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NAVIGATE | $0.93 | $2.14 | — | 2026-01-01 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Managed Medicare | Managed Medicare | $0.96 | $3.00 | $1.20 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Humana | Managed Medicare | $0.96 | $3.00 | $1.20 | 2026-02-03 | MRF ↗ |
| BOB WILSON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Managed Medicare | $0.96 | $3.00 | $1.20 | 2026-02-03 | 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.