J9027 — Clofarabine 1 Mg/ml Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION (HCPCS J9027) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9027?code_type=HCPCS
MLA (9th ed.)
“CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION (HCPCS J9027) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9027?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“CLOFARABINE 1 MG/ML INTRAVENOUS SOLUTION (HCPCS J9027) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9027?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $18–$2,010 (25th–75th percentile) across 1,697 hospitals · 3,375 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9027 — 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
$18
$305 typical
$2,010
The middle 50% of negotiated facility rates for this procedure, measured across 1,697 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $305 |
| Likely subtotal | $305 |
Facility charge (no separate professional fee)
$305
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 $18–$2,010.
- 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 |
|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | CP-BCBS MIDTOWN IMAGING-NETWORK BLUE (UB) | $0.15 | — | — | 2026-09-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MIDTOWN IMAGING- NETWORK BLUE (HCFA) | $0.15 | — | — | 2026-09-01 | 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 ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | $206.00 | — | 2026-07-01 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Medical Rental Products | $0.72 | $213.87 | $213.87 | 2026-07-15 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Gatekeeper/Non Gatekeeper | $0.72 | $213.87 | $213.87 | 2026-07-15 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Epic Americas | AXA Assistance | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | $1.00 | $1,129.48 | $847.11 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $200.00 | $100.00 | 2026-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - HMO | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $126.87 | $95.15 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | $1.00 | $1,129.48 | $847.11 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $200.00 | $100.00 | 2026-07-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.07 | $594.29 | $32.23 | 2024-12-31 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $200.00 | $100.00 | 2026-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.11 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.11 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.11 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.14 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.17 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.20 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.24 | $335.74 | $318.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.24 | $335.74 | $318.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.24 | $335.74 | $318.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.28 | $335.74 | $318.95 | 2026-02-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - HMO | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health Medicare | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - PPO | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Multiplan | Multiplan | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | San Diego Pace | San Diego Pace | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - Standard | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - HMO | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | — | $100.94 | $75.70 | 2025-07-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.31 | $335.74 | $318.95 | 2026-02-20 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Humana Military | TRICARE | $1.33 | $4.74 | $4.74 | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR OutpatientFacility | Excellus BlueCross BlueShield | Medicare Advantage | $1.33 | $4.74 | $4.74 | 2026-10-12 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.34 | $335.74 | $318.95 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $1.39 | $375.55 | $356.77 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.39 | $375.55 | $356.77 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.39 | $375.55 | $356.77 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.43 | $375.55 | $356.77 | 2026-02-20 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $8,544.93 | $8,544.93 | 2026-04-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.46 | $375.55 | $356.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.47 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.47 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.50 | $375.55 | $356.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.50 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.56 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.62 | $300.20 | $285.19 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.65 | $335.74 | $318.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.65 | $335.74 | $318.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.68 | $335.74 | $318.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.75 | $335.74 | $318.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $1.81 | $335.74 | $318.95 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.84 | $375.55 | $356.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.84 | $375.55 | $356.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.88 | $375.55 | $356.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.95 | $375.55 | $356.77 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $2.03 | $375.55 | $356.77 | 2026-02-20 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | Asa_Whirlpool_Peia | $2.17 | $704.32 | $457.81 | 2026-06-15 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA HMO | $2.22 | $790.70 | $513.96 | 2026-03-30 | MRF ↗ |
| BOCA RATON REGIONAL HOSPITAL Both | CIGNA | CIGNA SUREFIT | $2.22 | $790.70 | $513.96 | 2026-03-30 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $2.25 | — | — | 2026-10-16 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $2.25 | — | — | 2026-05-13 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Priority Health Medicaid | Hmo | $2.25 | $1,130.51 | $282.63 | 2026-10-12 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $2.25 | — | — | 2026-10-16 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $2.25 | — | — | 2026-10-16 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $2.25 | — | — | 2026-09-21 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $2.25 | — | — | 2026-09-21 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $2.25 | — | — | 2026-05-13 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | Priority Health | Choice Medicaid | $2.25 | $2,324.66 | $1,859.73 | 2026-02-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $2.25 | — | — | 2026-10-16 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $2.25 | — | — | 2026-05-13 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | UHCCP | Medicaid | $2.25 | $2,324.66 | $1,859.73 | 2026-02-01 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $2.25 | — | — | 2026-05-13 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Blue Cross Complete Medicaid | Hmo | $2.25 | $1,130.51 | $282.63 | 2026-10-12 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Mclaren Medicaid | Hmo | $2.25 | $1,130.51 | $282.63 | 2026-10-12 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $2.25 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $2.25 | — | — | 2026-10-16 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | Mclaren | Medicaid | $2.25 | $2,324.66 | $1,859.73 | 2026-02-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $2.25 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $2.25 | — | — | 2026-05-13 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Medicaid | Caid | $2.25 | $1,130.51 | $282.63 | 2026-10-12 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $2.28 | $4.74 | $4.74 | 2026-10-12 | MRF ↗ |
| MCLAREN FLINT Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $2.29 | $26.74 | $13.37 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.29 | $33.86 | $16.93 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $2.29 | $51.74 | $25.87 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $2.29 | $49.99 | $25.00 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.29 | $49.99 | $25.00 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $2.29 | $33.86 | $16.93 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Midwest | Medicaid - Midwest | $2.29 | $28.78 | $14.39 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Meridian | Medicaid - Meridian | $2.29 | $44.25 | $22.13 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.29 | $28.78 | $14.39 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - United | Medicaid - United | $2.29 | $49.99 | $25.00 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.29 | $54.93 | $27.47 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $2.29 | $49.99 | $25.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Meridian | Medicaid - Meridian | $2.29 | $28.78 | $14.39 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $2.29 | $28.78 | $14.39 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - United | Medicaid - United | $2.29 | $28.78 | $14.39 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Both | Medicaid - United | Medicaid - United | $2.29 | $51.74 | $25.87 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.29 | $44.25 | $22.13 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Midwest | Medicaid - Midwest | $2.29 | $28.78 | $14.39 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Meridian | Medicaid - Meridian | $2.29 | $28.78 | $14.39 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $2.29 | $28.78 | $14.39 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.29 | $28.78 | $14.39 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - Meridian | Medicaid - Meridian | $2.29 | $49.99 | $25.00 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Both | Medicaid - Meridian | Medicaid - Meridian | $2.29 | $26.74 | $13.37 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Midwest | Medicaid - Midwest | $2.29 | $33.86 | $16.93 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - Midwest | Medicaid - Midwest | $2.29 | $49.99 | $25.00 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Both | Medicaid - Meridian | Medicaid - Meridian | $2.29 | $51.74 | $25.87 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Medicaid - United | Medicaid - United | $2.29 | $54.93 | $27.47 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Both | Medicaid - Midwest | Medicaid - Midwest | $2.29 | $26.74 | $13.37 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.29 | $49.99 | $25.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Midwest | Medicaid - Midwest | $2.29 | $44.25 | $22.13 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Meridian | Medicaid - Meridian | $2.29 | $33.86 | $16.93 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Both | Medicaid - Midwest | Medicaid - Midwest | $2.29 | $51.74 | $25.87 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.29 | $26.74 | $13.37 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $2.29 | $54.93 | $27.47 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Medicaid - Meridian | Medicaid - Meridian | $2.29 | $54.93 | $27.47 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - Meridian | Medicaid - Meridian | $2.29 | $49.99 | $25.00 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - United | Medicaid - United | $2.29 | $44.25 | $22.13 | 2025-12-31 | MRF ↗ |
| MCLAREN GREATER LANSING Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $2.29 | $51.74 | $25.87 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - United | Medicaid - United | $2.29 | $33.86 | $16.93 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $2.29 | $44.25 | $22.13 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Medicaid - Midwest | Medicaid - Midwest | $2.29 | $54.93 | $27.47 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - Midwest | Medicaid - Midwest | $2.29 | $49.99 | $25.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - United | Medicaid - United | $2.29 | $28.78 | $14.39 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Both | Medicaid - United | Medicaid - United | $2.29 | $26.74 | $13.37 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - United | Medicaid - United | $2.29 | $49.99 | $25.00 | 2025-12-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Aetna Medicaid | Hmo | $2.34 | $1,130.51 | $282.63 | 2026-10-12 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Molina | Medicaid - Molina | $2.36 | $28.78 | $14.39 | 2025-12-31 | MRF ↗ |
| MCLAREN CENTRAL MICHIGAN Both | Medicaid - Molina | Medicaid - Molina | $2.36 | $44.25 | $22.13 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - Molina | Medicaid - Molina | $2.36 | $49.99 | $25.00 | 2025-12-31 | MRF ↗ |
| MCLAREN NORTHERN MICHIGAN Both | Medicaid - Molina | Medicaid - Molina | $2.36 | $33.86 | $16.93 | 2025-12-31 | MRF ↗ |
| MCLAREN LAPEER REGION Both | Medicaid - Molina | Medicaid - Molina | $2.36 | $49.99 | $25.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Medicaid - Molina | Medicaid - Molina | $2.36 | $28.78 | $14.39 | 2025-12-31 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | Meridian | Medicaid | $2.36 | $2,324.66 | $1,859.73 | 2026-02-01 | MRF ↗ |
| BRONSON METHODIST HOSPITAL OutpatientFacility | BCBS | Complete | $2.36 | $2,324.66 | $1,859.73 | 2026-02-01 | MRF ↗ |
| MCLAREN GREATER LANSING Both | Medicaid - Molina | Medicaid - Molina | $2.36 | $51.74 | $25.87 | 2025-12-31 | MRF ↗ |
| MCLAREN FLINT Both | Medicaid - Molina | Medicaid - Molina | $2.36 | $26.74 | $13.37 | 2025-12-31 | MRF ↗ |
| MCLAREN PORT HURON Both | Medicaid - Molina | Medicaid - Molina | $2.36 | $54.93 | $27.47 | 2025-12-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Capital District Physicians' Health Plan | Managed Medicaid/Essential Plans | $2.37 | $4.74 | $4.74 | 2026-10-12 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Molina Medicaid | Hmo | $2.47 | $1,130.51 | $282.63 | 2026-10-12 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $2.51 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $2.51 | — | — | 2026-05-24 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $2.53 | — | — | 2026-03-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Wellpath | Correctional Healthcare | $2.61 | $4.74 | $4.74 | 2026-10-12 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | Managed Medicaid | $2.65 | $1,135.00 | $681.00 | 2026-03-06 | MRF ↗ |
| UPMC Shadyside OutpatientFacility | UPMC Health Plan | Managed Medicaid | $2.65 | $1,465.00 | $879.00 | 2026-03-06 | MRF ↗ |
| MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM OutpatientFacility | UPMC Health Plan | Managed Medicaid | $2.65 | $1,135.00 | $681.00 | 2026-03-06 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $2.66 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $2.66 | — | — | 2026-01-14 | MRF ↗ |
| CHRISTUS GOOD SHEPHERD MEDICAL CENTER OutpatientFacility | Cigna | New Business | $2.66 | — | — | 2026-01-12 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Select Health | Medicare Managed Care Plan | $2.72 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Select Health | Medicare Managed Care Plan | $2.72 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE SADDLEBACK MEDICAL CENTER OutpatientFacility | Select Health | Medicare Managed Care Plan | $2.72 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIALCARE LONG BEACH MEDICAL CENTER OutpatientFacility | Select Health | Medicare Managed Care Plan | $2.72 | — | — | 2026-04-01 | MRF ↗ |
| MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB OutpatientFacility | Select Health | Medicare Managed Care Plan | $2.72 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Blue Chip Direct Advance Other Commercial Plan | $2.79 | — | — | 2026-04-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Cigna | Behavioral Health | $2.84 | $4.74 | $4.74 | 2026-10-12 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $2.88 | — | — | 2026-03-01 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $2.88 | — | — | 2026-03-01 | MRF ↗ |
| MCLAREN CARO REGION Both | Medicaid - Total Healthcare | Medicaid - Total Healthcare | $3.09 | $23.62 | $11.81 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Both | Medicaid - Meridian | Medicaid - Meridian | $3.09 | $23.62 | $11.81 | 2025-12-31 | MRF ↗ |
| MCLAREN CARO REGION Both | Medicaid - Midwest | Medicaid - Midwest | $3.09 | $23.62 | $11.81 | 2025-12-31 | 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.