J9177 — Inj Enfort Vedo-ejfv 0.25mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj enfort vedo-ejfv 0.25mg (HCPCS J9177) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9177?code_type=HCPCS
MLA (9th ed.)
“Inj enfort vedo-ejfv 0.25mg (HCPCS J9177) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9177?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj enfort vedo-ejfv 0.25mg (HCPCS J9177) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9177?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $51–$8,003 (25th–75th percentile) across 1,668 hospitals · 4,910 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9177 — 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
$51
$2,938 typical
$8,003
The middle 50% of negotiated facility rates for this procedure, measured across 1,668 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2,938 |
| Likely subtotal | $2,938 |
Facility charge (no separate professional fee)
$2,938
- 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $12,640.50 | $10,744.43 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $8,427.00 | $4,634.85 | 2025-01-01 | MRF ↗ |
| MONTGOMERY CANCER CENTER Outpatient | United Healthcare | Medicare Advantage | $0.45 | $63.20 | $37.92 | 2025-12-30 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $25,281.00 | $16,432.65 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $25,281.00 | $16,432.65 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $25,281.00 | $16,432.65 | 2025-11-26 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $1.50 | $3.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $1.50 | $3.00 | — | 2026-02-27 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $1.65 | $3.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $1.65 | $3.00 | — | 2026-02-27 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $1.85 | — | — | 2026-03-18 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $1.95 | $3.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $1.95 | $3.00 | — | 2026-02-27 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $2.04 | $3.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $2.04 | $3.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $2.25 | $3.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $2.25 | $3.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $2.40 | $3.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $2.40 | $3.00 | — | 2026-02-27 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $2.50 | $5.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $2.50 | $5.00 | — | 2026-02-27 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $2.75 | $5.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $2.75 | $5.00 | — | 2026-02-27 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Signature Advantage Plan (Medicare) | Signature Advantage | $3.00 | $7,088.84 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Molina Healthcare (Medicare) | Passport Health Plan Medicare | $3.00 | $7,088.84 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | Humana (Medicare) | All Plans | $3.00 | $7,088.84 | — | 2026-04-01 | MRF ↗ |
| The Medical Center at Russellville Outpatient | United Healthcare (Medicare) | All Plans | $3.00 | $7,088.84 | — | 2026-04-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $3.25 | $5.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $3.25 | $5.00 | — | 2026-02-27 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Ind | $3.29 | $12,829.00 | $11,546.76 | 2026-05-22 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Ind | $3.29 | $12,773.00 | $12,390.62 | 2026-05-09 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Com | $3.29 | $12,829.00 | $11,546.76 | 2026-05-14 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Ind | $3.29 | $12,829.00 | $11,546.76 | 2026-05-14 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $3.29 | $12,823.00 | $11,541.45 | 2026-05-13 | MRF ↗ |
| AVERA QUEEN OF PEACE Outpatient | Medica Insurance | Com | $3.29 | $12,773.00 | $12,390.62 | 2026-05-09 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Outpatient | Medica Insurance | Ind | $3.29 | $19,110.00 | $18,537.43 | 2026-05-09 | MRF ↗ |
| AVERA MARSHALL REGIONAL MEDICAL CTR Outpatient | Medica Insurance | Com | $3.29 | $19,110.00 | $18,537.43 | 2026-05-09 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Com | $3.29 | $12,823.00 | $11,541.45 | 2026-05-23 | MRF ↗ |
| AVERA ST MARY'S HOSPITAL Outpatient | Medica Insurance | Com | $3.29 | $12,829.00 | $11,546.76 | 2026-05-22 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $3.29 | $12,823.00 | $11,541.45 | 2026-05-23 | MRF ↗ |
| AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER Outpatient | Medica Insurance | Ind | $3.29 | $12,823.00 | $11,541.45 | 2026-05-13 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $3.40 | $5.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $3.40 | $5.00 | — | 2026-02-27 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $25,281.00 | $16,432.65 | 2025-11-26 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $3.61 | $8,427.00 | $5,477.55 | 2025-01-01 | MRF ↗ |
| ST JOSEPH'S HOSPITAL HEALTH CENTER OutpatientFacility | Fidelis | Medicare Advantage | $3.61 | $8,427.00 | $5,477.55 | 2025-01-01 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $3.75 | $5.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $3.75 | $5.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $4.00 | $5.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $4.00 | $5.00 | — | 2026-02-27 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | CIGNA | IFP | $4.66 | $11.00 | $8.80 | 2025-12-16 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Aetna | PPO | — | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | PPO | — | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $4.76 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Aetna | HMO | — | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $4.76 | — | — | 2024-10-01 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | OPTIONS | $5.50 | $11.00 | $8.80 | 2025-12-16 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | UHC | MAMSI-NON OPTIONS | $5.50 | $11.00 | $8.80 | 2025-12-16 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| CHRISTUS SPOHN HOSPITAL KLEBERG OutpatientFacility | Christus Health | HIX | $6.03 | — | — | 2026-01-13 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | POS-EPO-HMO | $6.05 | $11.00 | $8.80 | 2025-12-16 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $6.31 | — | — | 2026-03-31 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $6.36 | $149.00 | $149.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Wellcare | Managed Medicaid | $6.36 | $149.00 | $149.00 | 2026-04-30 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STAR | $6.45 | $129.00 | $129.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | STARPLUS | $6.45 | $129.00 | $129.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHPFC | $6.45 | $129.00 | $129.00 | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | Superior Health Plan | CHIP | $6.45 | $129.00 | $129.00 | 2026-03-01 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $6.48 | $149.00 | $149.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Amerigroup | Managed Medicaid | $6.48 | $149.00 | $149.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $6.56 | $164.00 | $164.00 | 2026-05-15 | MRF ↗ |
| RANGE REGIONAL HEALTH SERVICES OutpatientFacility | Blue Cross of Minnesota | PMAP | $6.82 | $153.85 | $65.39 | 2026-01-29 | MRF ↗ |
| VIRGINIA HOSPITAL CENTER OutpatientFacility | AETNA | PPO | $6.93 | $11.00 | $8.80 | 2025-12-16 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $7.00 | $164.00 | $164.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $7.08 | $164.00 | $164.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $7.84 | $149.00 | $149.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $7.84 | $149.00 | $149.00 | 2026-04-30 | MRF ↗ |
| Westchester Medical Center T C OutpatientFacility | None | — | — | $23.34 | $7.93 | 2026-04-02 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $8.07 | $11,172.00 | $1,675.80 | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $8.07 | $11,172.00 | $1,675.80 | 2025-12-23 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $8.11 | $149.00 | $149.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna Better Health | Managed Medicaid | $8.11 | $149.00 | $149.00 | 2026-04-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $8.86 | $164.00 | $164.00 | 2026-05-15 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $9.51 | $35.11 | $28.09 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $9.51 | $35.11 | $28.09 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $9.52 | $35.12 | $28.10 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $9.52 | $35.12 | $28.10 | 2026-01-28 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | HealthNet of California, Inc. | HMO | — | $25,281.00 | $16,432.65 | 2025-11-26 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Medi-Cal | Medi-Cal | $9.81 | $33,048.00 | $24,786.00 | 2026-04-01 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | $103.77 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | $103.77 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | $103.77 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Choice | $9.85 | — | $103.77 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Lincs | $9.85 | — | $103.77 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Traditional | $9.85 | — | $103.77 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Preferred | $9.85 | — | $103.77 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Advantage | $9.85 | — | $103.77 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | $103.77 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | $103.77 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | $103.77 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Advantage | $9.85 | — | $103.77 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | $103.77 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | $103.77 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Preferred | $9.85 | — | $103.77 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | $103.77 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | $103.77 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Choice | $9.85 | — | $103.77 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Lincs | $9.85 | — | $103.77 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | $103.77 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | $103.77 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Traditional | $9.85 | — | $103.77 | 2026-03-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Bluelincs | $10.53 | — | — | 2025-10-31 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Advantage | $10.53 | — | — | 2025-10-31 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $12.29 | $35.11 | $28.09 | 2026-01-28 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan | $12.46 | — | — | 2026-03-01 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Cigna All Programs | Commercial | $12.46 | $95.87 | $67.11 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare National Hospital | PPO | — | $95.87 | $67.11 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield PHP | Commercial | — | $95.87 | $67.11 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Celtic/Ambetter | Commercial | — | $95.87 | $67.11 | 2026-04-07 | MRF ↗ |
| CASS REGIONAL MEDICAL CENTER InpatientFacility | Aetna I-35 NN | Commercial | — | $95.87 | $67.11 | 2026-04-07 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Medica | Medicaid Managed Care Plan – Hmo | $12.46 | — | — | 2026-03-01 | MRF ↗ |
| GRAND ITASCA CLINIC AND HOSPITAL OutpatientFacility | Blue Cross of Minnesota | PMAP | $12.71 | $156.92 | $66.70 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $13.03 | $35.12 | $28.10 | 2026-01-28 | MRF ↗ |
| ALLEN HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $13.03 | $35.12 | $28.10 | 2026-01-28 | MRF ↗ |
| OKLAHOMA SURGICAL HOSPITAL, LLC OutpatientFacility | BCBS | Preferred | $13.08 | — | — | 2025-10-31 | MRF ↗ |
| HELEN NEWBERRY JOY HOSPITAL Outpatient | MI WC - ALL PLANS | MI WC - ALL PLANS | $13.20 | $36.66 | $23.10 | 2026-01-27 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $13.76 | $35.11 | $28.09 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $13.77 | $35.12 | $28.10 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $13.83 | $35.11 | $28.09 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $13.84 | $35.12 | $28.10 | 2026-01-28 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | $14,359.61 | $7,179.81 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Ambetter | Exchange | — | $14,359.61 | $7,179.81 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Ambetter | Exchange | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Initial Group | PPO | — | $14,359.61 | $7,179.81 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | $14,359.61 | $7,179.81 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $13.98 | $14,359.61 | $7,179.81 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | MedSave USA | Commercial | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | National Provider Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | EHN | NetworkLease | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Ambetter | Exchange | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $13.98 | $14,359.61 | $7,179.81 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Direct Care America | PPO | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | NovaNet | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Galaxy Health Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | USA Managed Care Organization | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | Aetna | Commercial | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| ROANE MEDICAL CENTER Outpatient | CCN Mangaged Care | PPO | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | National Provider Network | PPO | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Correctional Medical Services | CorrectionalFacilities InmateClaims | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | Galaxy | PPO | — | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| PARKWEST MEDICAL CENTER BothFacility | United Healthcare | Tenncare | $13.98 | $9,573.07 | $2,967.65 | 2025-12-23 | MRF ↗ |
| ROANE MEDICAL CENTER BothFacility | United Healthcare | Tenncare | $13.98 | $9,573.07 | $2,967.65 | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | United Healthcare | Tenncare | $13.98 | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Direct Care America | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| FORT LOUDOUN MEDICAL CENTER Outpatient | United Healthcare | Tenncare | $13.98 | $9,573.07 | $4,786.54 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Galaxy Health Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | NovaNet | Network Lease | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | National Provider Network | PPO | — | $14,359.61 | $7,179.81 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Galaxy | PPO | — | $14,359.61 | $7,179.81 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | USA Managed Care Organization | PPO | — | $14,359.61 | $7,179.81 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | USA Managed Care Organization | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Aetna | Commercial | — | $14,359.61 | $7,179.81 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | National Provider Network | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | Direct Care America | PPO | — | — | — | 2025-12-23 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | NovaNet | NetworkLease | — | $14,359.61 | $7,179.81 | 2024-12-10 | MRF ↗ |
| LECONTE MEDICAL CENTER Outpatient | Community Services Network | NonProfitPublicBenefit | — | $14,359.61 | $7,179.81 | 2024-12-10 | MRF ↗ |
| CLAIBORNE MEDICAL CENTER OutpatientFacility | EHN | Network Lease | — | — | — | 2025-12-23 | 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.