J9219 — Leuprolide Acetate Implant
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Leuprolide acetate implant (HCPCS J9219) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9219?code_type=HCPCS
MLA (9th ed.)
“Leuprolide acetate implant (HCPCS J9219) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9219?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Leuprolide acetate implant (HCPCS J9219) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9219?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,820–$9,939 (25th–75th percentile) across 835 hospitals · 481 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS J9219 — 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
$4,820
$6,884 typical
$9,939
The middle 50% of negotiated facility rates for this procedure, measured across 835 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $6,884 |
| Likely subtotal | $6,884 |
Facility charge (no separate professional fee)
$6,884
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 $4,820–$9,939.
- 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 |
|---|---|---|---|---|---|---|---|
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | — | — | — | 2026-07-15 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | — | — | — | 2026-07-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Other | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha-Asa | — | — | — | 2026-07-15 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | All Commercial Plans | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-10-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Nap | — | — | — | 2026-07-15 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | Whole Health Other Commercial | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Src | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Indemnity | — | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | — | — | — | 2026-07-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-10-22 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Community Care | Medicare Advantage | — | — | — | 2026-10-22 | MRF ↗ |
| NORWALK HOSPITAL OutpatientFacility | Aetna | Whole Health Other Commercial | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-10-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Ppo | — | — | — | 2026-07-15 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| VAN WERT COUNTY HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Other Commercial Plan | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Connection Hmo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Traditional | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH MANSFIELD HOSPITAL OutpatientFacility | Bcbs | Anthem All Commercial Plans | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| OHIOHEALTH O'BLENESS HOSPITAL OutpatientFacility | Bcbs | Anthem Blue Access Hmo/Ppo | $0.07 | — | — | 2026-04-01 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | — | 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 | Healthcare Highways | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-31 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Advantage PPO | BCBS Advantage PPO | $0.15 | — | — | 2026-08-30 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | — | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-31 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Blue Lincs HMO | BCBS Blue Lincs HMO | $0.15 | — | — | 2026-08-30 | 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 | Medica | All Plans | — | — | — | 2026-03-05 | 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 | United Healthcare | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | POS | — | — | — | 2026-03-05 | 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 | Medica | All Plans | — | — | — | 2026-03-05 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | BCBS Traditional | BCBS Traditional | $0.24 | — | — | 2026-08-30 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Medica | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Sync 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 | Medica | 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 | Self Pay | Self Pay | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Cigna | PPO/POS | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | OSMA Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Humana Military Tricare | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Friday Health Plan | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC 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 ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Preferred Community Choice | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Humana Military Tricare | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Healthcare Highways | Logix PPO | — | — | — | 2026-03-14 | MRF ↗ |
| DUNCAN REGIONAL HOSPITAL, INC OutpatientFacility | Friday Health Plan | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | OSMA Health | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Cigna | PPO/POS | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Oklahoma Health Network (OHN) | PPO | — | — | — | 2026-03-14 | MRF ↗ |
| JEFFERSON COUNTY HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2026-03-14 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | First Health | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Medica | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Community Care | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Global Health | Medicare HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | WebTPA | All Plans | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Healthcare Highways | Sync | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Generations Healthcare | Medicare Adv | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Aetna | HMO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-12 | MRF ↗ |
| GRADY MEMORIAL HOSPITAL OutpatientFacility | Multiplan | Savility | — | — | — | 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 ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Phcs | Multiplan Savility PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Healthcare Highways | Sync PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Aetna | Gatekeeper | — | — | — | 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 | Preferred Community Choice | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Global Health | Medicare Advantage | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Phcs | Multiplan PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Aetna | Non Gatekeeper | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Aetna | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Coventry | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Prime Health Services | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Coventry | Medicare Advantage | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Coventry | First Health PPO | — | — | — | 2025-12-31 | MRF ↗ |
| JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY OutpatientFacility | Cigna | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Prime Health Services | Medicare Advantage | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Global Health | Commercial | — | — | — | 2025-12-31 | MRF ↗ |
| HARMON MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | — | — | — | 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 | Humana | PPO | — | — | — | 2025-12-31 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HMO | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN/HMO | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| HIGHLANDS ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HMO | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Pathway HMO | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Traditional/PPO/HMO | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Pathway HPN | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HMO | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| SUMMIT MEDICAL CENTER Outpatient | Other (No Contract) | Other (No Contract) | $0.35 | — | — | 2026-08-30 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | $0.35 | $191.00 | $114.60 | 2025-01-22 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | First Health | First Health Ppo | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Aetna | Aetna | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Multiplan | Multiplan | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Gateway | Gateway Piedmont | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Bcbs Of Va | Anthem Blue Cross Hmo | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville OutpatientFacility | — | — | — | $5.00 | $2.00 | 2026-07-10 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Cigna | Cigna | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Uhc | Uhc | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Coventry | Coventry Hix | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Optima Health Plan | Sentara (Optima) | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Bcbs Of Va | Anthem Blue Cross Ppo | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Southern Health Services | Southern Health Services | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Medcost | Medcost | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Bcbs Of Va | Anthem Hix | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| Sovah Health - Martinsville Outpatient | Hooker Furniture Inc | Hooker Furniture | — | $5.00 | $2.00 | 2026-05-17 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $0.60 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN OF SC | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECHOICE HEALTHPLAN STATE EMPLOYEE | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| PIEDMONT MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS PREFERRED BLUE PPO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| BECKLEY ARH HOSPITAL OutpatientFacility | Humana | Choice Care Commercial | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| BECKLEY ARH HOSPITAL OutpatientFacility | Humana | Choice Care | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| BECKLEY ARH HOSPITAL OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| BECKLEY ARH HOSPITAL OutpatientFacility | The Health Plan | Commercial HMO/POS/PPO | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| BECKLEY ARH HOSPITAL BothFacility | Aetna | Commercial Health | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| HAZARD ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HMO | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER BothFacility | Aetna | Commercial Health | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care Commercial | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Molina | Medicaid | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | CareSource | Medicare Just for Me | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Traditional/PPO/HMO | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HMO | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway HPN | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Pathway Transition HMO | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Better Health | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Care Source | Just 4 Me Medicare | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL BothFacility | Aetna | Commercial Health | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | United Health Care / UMR | Commercial Plans | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Humana | Choice Care Commercial | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Humana | Choice Care | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Aetna | Better Health | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | WellCare | Medicaid | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | The Health Plan | Commercial HMO/POS/PPO | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| TUG VALLEY ARH REGIONAL MEDICAL CENTER OutpatientFacility | Humana | Choice Care | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Pathway Transition HMO | — | $52.00 | $31.20 | 2025-01-22 | MRF ↗ |
| MIDDLESBORO ARH HOSPITAL OutpatientFacility | Anthem | Pathway HPN | — | $52.00 | $31.20 | 2025-01-22 | 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.