J9282 — Mitomycin Intravesical Inst
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Mitomycin intravesical inst (HCPCS J9282) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9282?code_type=HCPCS
MLA (9th ed.)
“Mitomycin intravesical inst (HCPCS J9282) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9282?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Mitomycin intravesical inst (HCPCS J9282) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9282?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $296–$3,598 (25th–75th percentile) across 262 hospitals · 410 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9282 — 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
$296
$764 typical
$3,598
The middle 50% of negotiated facility rates for this procedure, measured across 262 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $764 |
| Likely subtotal | $764 |
Facility charge (no separate professional fee)
$764
- 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 |
|---|---|---|---|---|---|---|---|
| COX MONETT HOSPITAL OutpatientFacility | None | — | — | $1.00 | $0.31 | 2026-04-24 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | United Healthcare | Managed Medicaid | $43.04 | $1,076.00 | $1,076.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Fidelis Managed Medicaid | Managed Medicaid | $45.95 | $1,076.00 | $1,076.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Wellpoint | Managed Medicaid | $46.48 | $1,076.00 | $1,076.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna Better Health | Managed Medicaid | $58.10 | $1,076.00 | $1,076.00 | 2026-05-15 | MRF ↗ |
| NORTHERN LIGHT SEBASTICOOK VALLEY HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT EASTERN MAINE MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | — | 2026-02-03 | MRF ↗ |
| NORTHERN LIGHT MERCY HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-04-15 | MRF ↗ |
| NORTHERN LIGHT MAYO HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT MAINE COAST HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT A R GOULD HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT C A DEAN HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-30 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Omnia | $107.28 | $1,076.00 | $1,076.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Managed Care | $119.22 | $1,076.00 | $1,076.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | PPO | $128.69 | $1,076.00 | $1,076.00 | 2026-05-15 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Horizon Blue Cross | Indemnity | $128.69 | $1,076.00 | $1,076.00 | 2026-05-15 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Priority Health | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $144.77 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $145.57 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $145.57 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $145.57 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $145.57 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $145.57 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $145.57 | — | — | 2026-04-17 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $151.14 | — | — | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $151.14 | — | — | 2026-03-29 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $151.52 | $1,327.92 | $398.38 | 2026-04-01 | MRF ↗ |
| PIEDMONT HOSPITAL, INC Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $155.82 | $1,365.65 | $409.69 | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Blue Chip Direct Advance Other Commercial Plan | $189.63 | — | — | 2026-04-01 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Blue Chip Direct Advance Other Commercial Plan | $189.63 | — | — | 2026-04-01 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Meridian | Managed Medicaid | $195.15 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $195.15 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $195.15 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Molina | Managed Medicaid | $195.15 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $195.15 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $195.15 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $195.15 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $195.15 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $195.15 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $195.15 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Priority Health | Managed Medicaid | $195.15 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $196.22 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $196.22 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $196.22 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $196.22 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $196.22 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $196.22 | — | — | 2026-04-17 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $199.06 | $1,327.92 | $398.38 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $199.06 | $1,327.92 | $398.38 | 2026-04-01 | MRF ↗ |
| CAROLINA PINES REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | Blue Preferred | $200.24 | — | — | 2025-01-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $204.71 | $1,365.65 | $409.69 | 2026-04-01 | MRF ↗ |
| PIEDMONT CARTERSVILLE MEDICAL CENTER Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $204.71 | $1,365.65 | $409.69 | 2026-04-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $213.66 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $213.66 | — | — | 2026-01-01 | MRF ↗ |
| CAPITAL HEALTH MEDICAL CENTER - HOPEWELL OutpatientFacility | Aetna | Commercial | $218.43 | $1,076.00 | $1,076.00 | 2026-05-15 | MRF ↗ |
| CAROLINA PINES REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | Blue Choice | $226.33 | — | — | 2025-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $233.60 | — | — | 2026-01-01 | MRF ↗ |
| WHITFIELD REGIONAL HOSPITAL OutpatientFacility | WellCare | All Products | $235.29 | — | — | 2026-04-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $247.84 | — | — | 2026-01-01 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Commercial | $249.13 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Commercial | $249.13 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Commercial | $249.13 | — | — | 2026-04-17 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | HEALTHNET | MEDI-CAL | $249.13 | — | — | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $261.04 | $3,078.36 | $923.51 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $261.04 | $3,078.36 | $923.51 | 2026-04-01 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | Medicare Advantage | $262.97 | — | — | 2026-03-31 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Heritage Provider Network (HPN) | Medicare Advantage | $262.97 | — | — | 2026-03-26 | MRF ↗ |
| Nationwide Children's Hospital OutpatientFacility | Tricare CHAMPUS | All Products | $262.97 | — | — | 2026-04-01 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Tricare CHAMPUS | All Products | $262.97 | — | — | 2026-04-01 | MRF ↗ |
| JEWISH HOME & REHAB CENTER OutpatientFacility | HealthNet | Medicare Advantage | $262.97 | — | — | 2026-04-30 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC OutpatientFacility | Tricare CHAMPUS | All Products | $262.97 | — | — | 2026-04-01 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Heritage Provider Network (HPN) | Commercial | $262.97 | — | — | 2026-03-26 | MRF ↗ |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL OutpatientFacility | Heritage Provider Network (HPN) | Exchange | $262.97 | — | — | 2026-03-26 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | Medicare Advantage | $262.97 | — | — | 2026-03-31 | MRF ↗ |
| Nationwide Children’s Hospital Toledo, Llc OutpatientFacility | Tricare CHAMPUS | All Products | $262.97 | — | — | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $264.24 | $3,116.09 | $934.83 | 2026-04-01 | MRF ↗ |
| PIEDMONT HENRY HOSPITAL Both | AMERIGROUP MEDICAID [20100] | Amerigroup | $264.24 | $3,116.09 | $934.83 | 2026-04-01 | MRF ↗ |
| POMONA VALLEY HOSPITAL MEDICAL CENTER Both | Aetna | HMO/PPO | $267.68 | — | — | 2026-05-12 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CAL OPTIMA [1016] | CalOptima Medi-Cal | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | BLUE CROSS MEDI-CAL UNLISTED IPA [10130011] | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | ALTERNATE MEDI-CAL [2001] | MEDI-CAL | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MEDI-CAL [1048] | MEDI-CAL | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | ALL PRODUCTS | $268.75 | — | — | 2026-03-20 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | DIGNITY HEALTH | MEDI-CAL | $268.75 | — | — | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | BLUE CROSS | MEDI-CAL | $268.75 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Health Net | All Commercial Products | — | — | — | 2026-04-01 | MRF ↗ |
| SIERRA VIEW MEDICAL CENTER OutpatientFacility | LASALLE | MEDI-CAL | $268.75 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | AllCare IPA | All Commercial Products | $268.75 | — | — | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY CARE IPA [1131] | Community Care IPA Medi-Cal Managed Care | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CMS - COUNTY MEDICAL SERVICES [1025] | COUNTY MEDICAL SERVICES | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BLUE CROSS [1013] | MEDI-CAL | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | COMMUNITY ELDERCARE [1027] | MEDI-CAL | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CAREMORE [2028] | MEDI-CAL | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | CALIFORNIA HEALTH & WELLNESS MEDI-CAL [1122] | CALIFORNIA HEALTH AND WELLNESS MEDI-CAL (no longer Medi-Cal plan as of 1/1/24) | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| UPLAND HILLS HEALTH OutpatientFacility | UHC | ALL PRODUCTS | $268.75 | — | — | 2026-03-20 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | BRAND NEW DAY [1089] | MEDI-CAL | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | VANTAGE [1092] | PROSPECT VANTAGE MEDICAL GROUP MEDI-CAL | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | XIMED [2016] | MEDI-CAL | $268.75 | $58,050.00 | $31,927.50 | 2026-04-01 | MRF ↗ |
| USA HEALTH UNIVERSITY HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Alabama | Medicare Advantage | $272.77 | — | — | 2026-04-30 | MRF ↗ |
| USA HEALTH CHILDREN'S & WOMEN'S HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Alabama | Medicare Advantage | $272.77 | — | — | 2026-04-30 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Pipe Trades | Ucd Hb Blue Shield Referred | $274.12 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Referred | $274.12 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Calpers | $274.12 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Ufcw | Ucd Hb Blue Shield Referred | $274.12 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Blue Shield | Ucd Hb Blue Shield Ifp | $274.12 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER OutpatientFacility | Sheet Metal Workers Union(Smw) | Ucd Hb Blue Shield Referred | $274.12 | — | — | 2026-04-01 | MRF ↗ |
| WINCHESTER HOSPITAL OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured All Commercial Plans | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| NEW ENGLAND BAPTIST HOSPITAL OutpatientFacility | Harvard Pilgrim Healthcare | All Commercial Plans | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Priority Health | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Cigna | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIHEALTH | REGIONAL PREFERRED | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | IBC | JAB001 PPO | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | IBC | JCC001 PPO | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | IBC | JCC002 PPO | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Cigna | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | IBC | JAB001 HMO | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIHEALTH | LOCAL VALUE | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| JEFFERSON ABINGTON HOSPITAL OutpatientFacility | IBC | JAB001 Indem_Trad | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| THOMAS JEFFERSON UNIVERSITY HOSPITAL OutpatientFacility | IBC | JCC001 HMO | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| Jefferson Methodist Hospital OutpatientFacility | IBC | JCC002 HMO | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | IBC | JAB002 HMO | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE 5158 | UNITED HEALTHCARE 515803 | $274.13 | — | — | 2026-01-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | IBC | JNE01_JNE02_JNE03 PPO | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | Blue Shield of California | IFP-EPN | $274.13 | — | — | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | Blue Shield of California | All Products | $274.13 | — | — | 2026-03-29 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | IBC | JNE01_JNE02_JNE03 HMO | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | IBC | JAB002 Indem_Trad | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| NORTHEAST HOSPITAL CORPORATION OutpatientFacility | Harvard Pilgrim Healthcare | All Commercial Plans | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| Beth Israel Deaconess Med Ctr - Transplant Center OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured Non Lcu All Commercial Plans | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured All Commercial Plans | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Harvard Pilgrim | INDIVIDUAL | $274.13 | — | — | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Harvard Pilgrim | HMO | $274.13 | — | — | 2026-03-01 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Harvard Pilgrim | ELEVATE | $274.13 | — | — | 2026-03-01 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured Non Lcu All Commercial Plans | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON LANSDALE HOSPITAL OutpatientFacility | IBC | JAB002 PPO | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Harvard Pilgrim | PPO | $274.13 | — | — | 2026-03-01 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $274.13 | — | — | 2026-03-29 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Blue Shield | Value Network | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | All Products | $274.13 | — | — | 2026-03-29 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Cigna | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Blue Shield | All Commercial Products | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Cigna | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Priority Health | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH OutpatientFacility | Harvard Pilgrim Healthcare | Ppo | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | EPN | $274.13 | — | — | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | All Products | $274.13 | — | — | 2026-03-29 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH OutpatientFacility | Harvard Pilgrim Healthcare | Hmo/Pos | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL OutpatientFacility | Community Care Health Plan | Commercial HMO | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | IBC | JNE01_JNE02_JNE03 PPO | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| JEFFERSON HEALTH- NORTHEAST OutpatientFacility | IBC | JNE01_JNE02_JNE03 HMO | $274.13 | — | — | 2026-03-18 | MRF ↗ |
| CATHOLIC MEDICAL CENTER Outpatient | Harvard Pilgrim | POS | $274.13 | — | — | 2026-03-01 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Priority Health | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | EPN | $274.13 | — | — | 2026-03-29 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Cigna | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured Non Lcu All Commercial Plans | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| ALTRU HOSPITAL OutpatientFacility | Sanford Health Plan | All Commercial Plans | $274.13 | — | — | 2026-03-01 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | Blue Shield of California | IFP-EPN | $274.13 | — | — | 2026-03-29 | MRF ↗ |
| BETH ISRAEL DEACONESS HOSPITAL - NEEDHAM OutpatientFacility | Harvard Pilgrim Healthcare | Self Insured All Commercial Plans | $274.13 | — | — | 2026-04-01 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Outpatient | Blue Shield of California | All Products | $274.13 | — | — | 2026-03-29 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Cigna | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Commercial | $274.13 | — | — | 2026-04-17 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE 5158 | UNITED HEALTHCARE 515803 | $274.13 | — | — | 2026-01-01 | MRF ↗ |
| JEWISH HOME & REHAB CENTER OutpatientFacility | Chinese Community Health Plan | All Products | $276.81 | — | — | 2026-04-30 | MRF ↗ |
| JEWISH HOME & REHAB CENTER OutpatientFacility | Chinese Community Health Plan | Medicare Advantage | $276.81 | — | — | 2026-04-30 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Braven Health | Medicare Advantage | $276.81 | — | — | 2026-03-24 | MRF ↗ |
| JEWISH HOME & REHAB CENTER OutpatientFacility | Imperial Health | Medicare Advantage (Psych) | $276.81 | — | — | 2026-04-30 | MRF ↗ |
| JEWISH HOME & REHAB CENTER OutpatientFacility | BAACN Canopy | Medicare Adv. | $276.81 | — | — | 2026-04-30 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $276.81 | — | — | 2026-03-24 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Medicare | Medicare | $276.81 | — | — | 2026-03-29 | MRF ↗ |
| JEWISH HOME & REHAB CENTER OutpatientFacility | Imperial Health | Medicare Advantage | $276.81 | — | — | 2026-04-30 | 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.