J9395 — Fulvestrant 250 Mg/5 Ml Intramuscular Syringe
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE (CPT J9395) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/J9395?code_type=CPT
MLA (9th ed.)
“FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE (CPT J9395) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/J9395?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“FULVESTRANT 250 MG/5 ML INTRAMUSCULAR SYRINGE (CPT J9395) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/J9395?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $25–$630 (25th–75th percentile) across 2,014 hospitals · 5,979 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS J9395 — 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
$25
$220 typical
$630
The middle 50% of negotiated facility rates for this procedure, measured across 2,014 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $220 |
| Likely subtotal | $220 |
Facility charge (no separate professional fee)
$220
- 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 |
|---|---|---|---|---|---|---|---|
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $197.16 | $108.44 | 2025-01-01 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Excellus BCBS | Managed Medicaid _CHP_SP | — | $320.09 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Health Benefit Exchange | — | $320.09 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | Fidelis | Managed Medicaid_Fidelis Medicaid_ FamilyHealth Plus_CHP | — | $320.09 | — | 2025-05-02 | MRF ↗ |
| SCHUYLER HOSPITAL OutpatientFacility | FIDELIS | Managed Medicaid_Aliessa and QHP | — | $320.09 | — | 2025-05-02 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $2,180.00 | $1,199.00 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $2,180.00 | $1,199.00 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $281.64 | $239.39 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $197.16 | $167.59 | 2025-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.18 | $47.40 | $45.03 | 2026-02-20 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.19 | $1.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $0.19 | $1.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $0.19 | $1.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $0.19 | $1.00 | — | 2025-08-30 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.22 | $58.46 | $55.54 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.23 | $63.20 | $60.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.23 | $47.40 | $45.03 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.23 | $47.40 | $45.03 | 2026-02-20 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $0.25 | $1.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $0.25 | $1.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $0.27 | $1.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $0.27 | $1.00 | — | 2025-08-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.28 | $58.46 | $55.54 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.29 | $58.46 | $55.54 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.30 | $58.46 | $55.54 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.30 | $63.20 | $60.04 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.30 | $58.46 | $55.54 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.31 | $63.20 | $60.04 | 2026-02-20 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-PPO | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UMR - Commercial-PPO | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-Indemnity | Aetna | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-PPO | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-PPO | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UMR - Commercial-PPO | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-HMO | Aetna | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO INC - Medicaid | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-HMO | Aetna | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-PPO | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-POS | Aetna | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO INC - Medicaid | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-Indemnity | Aetna | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-POS | Aetna | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-HMO | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITEDHEALTHCARE - Commercial-HMO | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS | United Healthcare | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | AETNA - Commercial-PPO | Aetna | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.34 | $63.20 | $60.04 | 2026-02-20 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $0.40 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $0.40 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.41 | $110.60 | $105.07 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.41 | $110.60 | $105.07 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.42 | $110.60 | $105.07 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.43 | $110.60 | $105.07 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.44 | $110.60 | $105.07 | 2026-02-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | $0.52 | $745.88 | $559.41 | 2026-04-01 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $0.52 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | San Diego Pace | San Diego Pace | $0.52 | $130.12 | $97.59 | 2026-04-01 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $0.53 | $1.95 | $1.56 | 2026-01-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.53 | $110.60 | $105.07 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.53 | $110.60 | $105.07 | 2026-02-20 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $0.53 | $1.95 | $1.56 | 2026-01-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.54 | $110.60 | $105.07 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.54 | $110.60 | $105.07 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.54 | $110.60 | $105.07 | 2026-02-20 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Medicare-HMO | Community Insurance Company | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-HMO | Community Insurance Company | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-EPO | Community Insurance Company | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Medicare-HMO | Community Insurance Company | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-POS | Community Insurance Company | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-POS | Community Insurance Company | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-Indemnity | Community Insurance Company | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-PPO | Community Insurance Company | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-PPO | Community Insurance Company | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-HMO | Community Insurance Company | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-Indemnity | Community Insurance Company | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| SUMMA WESTERN RESERVE HOSPITAL BothFacility | COMMUNITY INSURANCE COMPANY - Commercial-EPO | Community Insurance Company | — | $444.00 | $244.20 | 2026-01-01 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.58 | $110.60 | $105.07 | 2026-02-20 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $0.58 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $0.59 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $0.60 | $1.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $0.60 | $1.00 | — | 2025-08-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.60 | $110.60 | $105.07 | 2026-02-20 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $0.63 | $1.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $0.63 | $1.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $0.63 | $1.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $0.63 | $1.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $0.63 | $1.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $0.63 | $1.00 | — | 2025-08-30 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Insure | Commercial | $0.66 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $0.68 | $1.95 | $1.56 | 2026-01-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.76 | $205.40 | $195.13 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.76 | $205.40 | $195.13 | 2026-02-20 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Insure | Commercial | $0.76 | $1.95 | $1.56 | 2026-01-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.76 | $205.40 | $195.13 | 2026-02-20 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Inspire | Commercial | $0.77 | $1.95 | $1.56 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Cigna/Midlands | Commercial | $0.79 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Cigna/Midlands | Commercial | $0.79 | $1.49 | $1.20 | 2026-01-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.82 | $205.40 | $195.13 | 2026-02-20 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Medica Exchange Insure | Commercial | $0.86 | $1.95 | $1.56 | 2026-01-28 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $1.00 | $1.00 | 2026-05-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $1.00 | $1.00 | 2026-05-11 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.96 | $259.00 | $246.05 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.96 | $259.00 | $246.05 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.96 | $259.00 | $246.05 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.98 | $259.00 | $246.05 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.99 | $268.60 | $255.17 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.99 | $205.40 | $195.13 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.99 | $205.40 | $195.13 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.99 | $268.60 | $255.17 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.99 | $268.60 | $255.17 | 2026-02-20 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | $1.00 | $745.88 | $559.41 | 2026-04-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Wellcare | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldofCA | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldReciprocity | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldPromiseMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Anthem | BlueCrossMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Blue Shield | BlueShieldMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | $1.00 | $130.12 | $97.59 | 2026-04-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Enlyte/Genex/Coventry | CoventryAKAGenexWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCareDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Morongo Basin Community Health | MorongoBasinCommunityHealth | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prospect Health | ProspectMgdComm | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageCommercialDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Central California Alliance For Health | CentralCAAllianceMediCal | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageTrioHIXDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Affiliated Health Fund | AffiliatedHealthFundAHF | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Imperial Health Plan | ImperialHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Commonwealth Care Alliance | CommonwealthCareAllianceMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | BrandNewDayMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Employers Choice Network | EmployersChoiceNetworkWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Scan | SCANMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | CentralHealthPlanofCaliforniaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Alignment Health Plan | AlignmentHealthPlanMedicare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | $1.00 | $745.88 | $559.41 | 2026-04-01 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CAHealthandWellnessMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | AmbetterHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Prime Health Services | PrimeHealthServicesWC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Molina Healthcare Of Texas (Claims Only) | MolinaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetWholecarePurecareHIX | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | CenteneHNWellcareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Optumcare | PrimeCareMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Cigna | CignaHealthPlanHMO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | LA Care Health Plan | LACareHealthPlanMgdMCaid | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Humana | HumanaCommercial | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Naval Medical Center | NavalMedicalCenter | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Live Well | LiveWellIPAAncillary | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Heritage | HeritageMgdMCaidDOHC | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedBehavioral | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | United Healthcare | UnitedMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Centene | HealthNetEnhancedCareSBGPPO | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Aetna | AetnaNonGatekeeper | — | — | — | 2025-01-31 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Iehp | IEHPMgdMCare | — | — | — | 2025-01-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $543.36 | $353.18 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | SCAN Health Plan | Medicare Advantage | — | $543.36 | $353.18 | 2025-11-26 | MRF ↗ |
| HI-DESERT MEDICAL CENTER Outpatient | Corvel | CorvelWC | — | — | — | 2025-01-31 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $1.01 | $205.40 | $195.13 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $1.01 | $259.00 | $246.05 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $1.01 | $205.40 | $195.13 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $1.01 | $205.40 | $195.13 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.01 | $205.40 | $195.13 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.02 | $268.60 | $255.17 | 2026-02-20 | MRF ↗ |
| TRINITY - BETTENDORF InpatientFacility | Cigna/Midlands | Commercial | $1.03 | $1.95 | $1.56 | 2026-01-28 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $1.03 | $205.40 | $195.13 | 2026-02-20 | MRF ↗ |
| UnityPoint Health - Trinity Moline InpatientFacility | Cigna/Midlands | Commercial | $1.03 | $1.95 | $1.56 | 2026-01-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $1.04 | $259.00 | $246.05 | 2026-02-20 | 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.