Q0164 — Prochlorperazine Maleate 5 Mg Tablet
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PROCHLORPERAZINE MALEATE 5 MG TABLET (HCPCS Q0164) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q0164?code_type=HCPCS
MLA (9th ed.)
“PROCHLORPERAZINE MALEATE 5 MG TABLET (HCPCS Q0164) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q0164?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“PROCHLORPERAZINE MALEATE 5 MG TABLET (HCPCS Q0164) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q0164?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1–$7 (25th–75th percentile) across 1,936 hospitals · 4,428 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q0164 — 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
$1
$2 typical
$7
The middle 50% of negotiated facility rates for this procedure, measured across 1,936 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $2 |
| Likely subtotal | $2 |
Facility charge (no separate professional fee)
$2
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 $1–$7.
- 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 |
|---|---|---|---|---|---|---|---|
| MAGEE GENERAL HOSPITAL Both | Galaxy Health Network | Default | — | $5.00 | $1.74 | 2025-09-09 | MRF ↗ |
| SAINT AGNES MEDICAL CENTER BothFacility | BSCA | EPN | — | $1.00 | $0.70 | 2025-01-01 | MRF ↗ |
| SUNNYVIEW HOSPITAL AND REHABILITATION CENTER OutpatientFacility | VNA Homecare Options | Medicaid | — | $1.00 | $0.85 | 2025-01-01 | MRF ↗ |
| SAMARITAN HOSPITAL OF TROY, NEW YORK OutpatientFacility | VNA Homecare Options | Medicaid | — | $1.00 | $0.85 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1.00 | $0.85 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | Aetna | Default | — | $5.00 | $1.74 | 2025-09-09 | MRF ↗ |
| JOHNSON MEMORIAL HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| SAINT MARY'S HOSPITAL OutpatientFacility | CTCare | Medicare Advantage | — | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| MAGEE GENERAL HOSPITAL Both | United Healthcare | Default | — | $5.00 | $1.74 | 2025-09-09 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | First Health PPO | — | — | — | 2026-03-15 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | Individual Pathway | $0.03 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | United Healthcare | United Healthcare - Essential Plan - Snch | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Healthfirst Blhc Child Health Plus T53 | Com | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | First Health | Commercial | — | — | — | 2026-03-04 | MRF ↗ |
| Salem Medical Center OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $0.03 | $0.37 | $0.37 | 2026-03-24 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Metroplus Harp Ve4 | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $0.03 | $0.32 | — | 2025-01-31 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Vnsnychoice Mltc Medicaid V65 | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| BUTLER HOSPITAL OutpatientFacility | TUFTS HEALTH PUBLIC PLANS | MANAGED MEDICAID MA | $0.03 | $0.91 | $0.32 | 2024-12-31 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Metroplus Health Child Health Plus T44 | Com | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| SHARP MEMORIAL HOSPITAL Outpatient | Molina | Molina Medi-Cal | $0.03 | $0.52 | $0.39 | 2025-07-01 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Healthfirst Medicaid V08 | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | $1.84 | — | 2025-09-05 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | Individual Pathway Preferred Tier | $0.03 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Unitedhealthcarecommty Essential 3N4 Vdm | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon NJ Health | ALL PRODUCTS | $0.03 | $0.32 | — | 2025-01-31 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Coventry | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | — | — | — | 2026-03-04 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Affinity By Molina Essential Plan Lvls 1And2 Tco | Com | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | Individual Pathway | $0.03 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-04 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $0.03 | $0.32 | — | 2025-01-31 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $0.03 | — | — | 2026-07-15 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Healthfirst Medicare U14 | Mcr | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | $0.03 | $0.52 | $0.39 | 2025-07-01 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Magnacare Medicaid Vcu | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Emblemhip Monte Behavioral Tbw | Com | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Emblemhip Monte Behavioral Mcaid Ve6 | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Emblemhealthhip Medicaid V75 | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Metroplus Health Medicare U70 | Mcr | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | GEHA | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Self Pay | Self Pay | — | — | — | 2026-03-04 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $0.03 | — | — | 2026-07-15 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Emblemhealthhip Monte Cmo Medicaid Vbx | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| EL CENTRO REGIONAL MEDICAL CENTER Outpatient | BLUE SHIELD-ALL PLANS | BLUE SHIELD-ALL PLANS | $0.03 | $1.10 | $0.77 | 2026-01-16 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Empire Hlthplus Essential Pln 3And4 Vdk | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | MCD | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | PHCS | Savility Network | — | — | — | 2026-03-15 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | PIP | — | — | — | 2026-03-04 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | — | — | — | 2026-03-04 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | CHIP | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | Amerigroup | MCD | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | Aetna - PPO | $0.03 | $0.52 | $0.39 | 2026-04-01 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Omnia | — | — | — | 2026-03-04 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Qualcare Inc | HMO/POS/PPO/WC | $0.03 | — | — | 2026-03-04 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-04 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | MCD | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Molina | Molina Medi-Cal | $0.03 | $0.52 | $0.39 | 2025-07-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | Amerigroup | CHIP | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER OutpatientFacility | HUMANA | CP-HUMANA MIDTOWN IMAGING (UB) | $0.03 | — | — | 2026-09-01 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Commercial | $0.03 | $0.11 | $0.10 | 2026-04-17 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Emblemhealthhip Hcreprtns Medicaid Vc5 | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | — | — | — | 2026-03-04 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Amerigroup | ALL PRODUCTS | $0.03 | $0.32 | — | 2025-01-31 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $0.03 | — | — | 2026-07-18 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $0.03 | — | — | 2026-07-18 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership - Dhp | $0.03 | — | — | 2026-07-18 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | $1.84 | — | 2025-09-05 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Aetna | Aetna - PPO | $0.03 | $0.52 | $0.39 | 2026-04-01 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan - Dhp | $0.03 | — | — | 2026-07-18 | MRF ↗ |
| Seton Medical Center Coastside Outpatient | Workers Compensation Federal | Workers Compensation Federal | $0.03 | $17.64 | $17.64 | 2026-07-15 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | Individual Pathway Preferred Tier | $0.03 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | $0.03 | $0.52 | $0.39 | 2026-04-01 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Unitedhealthcarecommty Medicaid Vbk | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Unitedhealthcarecommty Medicaid Mltc Vd9 | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Unitedhealthcarecommty Essential 1N2 Tbn | Com | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Healthfirst Essential Planlvls 3And4 Vdh | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Emblem Essential Plan Lvls 3 And 4 Vdl | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Healthfirst Essential Planlvls 1And2 Tbi | Com | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-07-15 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Metroplus Hlth Essential Lvls 3And4 Vdw | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Healthfirst Fida Ubn | Mcr | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-07-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Healthfirst Child Health Plus T52 | Com | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Healthfirst Leaf Exchange Plan Tb9 | Com | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | Amerigroup | CHIP | $0.03 | — | — | 2026-03-01 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Healthfirst Blhc Medicaid V46 | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| TRINITAS REGIONAL MEDICAL CENTER OutpatientFacility | Horizon Blue Cross Blue Shield of New Jersey | Managed | — | — | — | 2026-03-04 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Okla Health Network | All Plans | — | — | — | 2026-03-15 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Cigna | HMO | — | — | — | 2026-03-15 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Braven Health | Medicare Advantage | $0.03 | $0.30 | $0.31 | 2026-03-24 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $0.03 | — | — | 2026-07-15 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Metroplus Health Medicaid V24 | Mcd | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Emblemhealthhip Child Health Plus T81 | Com | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Preferred Choice Community | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Americhoice | MEDICAID | $0.03 | $0.32 | — | 2025-01-31 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Archcare Senior Life Medicare U83 | Mcr | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Braven Health | Medicare Advantage | $0.03 | $0.37 | $0.37 | 2026-03-24 | MRF ↗ |
| BRONXCARE HOSPITAL CENTER Both | Healthfirst Medicare Blhc U58 | Mcr | $0.03 | $4.73 | $4.73 | 2026-07-17 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | Essential Plan 1-4_200-250 | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| HARLEM HOSPITAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Epic Americas | AXA Assistance | $0.03 | $0.52 | $0.39 | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | Managed Medicaid | $0.03 | — | — | 2025-09-05 | MRF ↗ |
| MOUNTAINS COMMUNITY HOSPITAL OutpatientFacility | BLUE SHIELD | COVERED CALIFORNIA | $0.03 | $5.34 | $2.14 | 2026-01-14 | MRF ↗ |
| SOUTHWEST GENERAL HEALTH CENTER OutpatientFacility | HealthSmart | All Products | $0.03 | $0.10 | $0.08 | 2026-07-01 | MRF ↗ |
| MCALESTER REGIONAL HEALTH CENTER OutpatientFacility | Beech Street | PPO | — | — | — | 2026-03-15 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Bcbs Of Vermont | Bcbs Of Vermont Non-Managed Care Plans | $0.04 | — | — | 2026-07-15 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Commercial | $0.04 | $0.11 | $0.10 | 2026-04-17 | MRF ↗ |
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER Outpatient | Upmc Health Plan | Upmc | $0.04 | $21.00 | $17.85 | 2026-07-15 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Commercial | $0.04 | — | — | 2026-05-23 | MRF ↗ |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE OutpatientFacility | Humana | All Commercial Plans | $0.04 | — | — | 2025-01-01 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $0.04 | $11.00 | $4.40 | 2026-05-23 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - PPO | $0.04 | $0.28 | $0.21 | 2026-04-01 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Braven Health | Medicare Advantage | $0.04 | $0.37 | $0.37 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | United Healthcare Medicare | Medicare Advantage | $0.04 | $0.37 | $0.37 | 2026-03-24 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Aetna Medicare | Medicare Advantage | $0.04 | $0.30 | $0.31 | 2026-03-24 | MRF ↗ |
| OUR LADY OF THE ANGELS HOSPITAL Outpatient | LSU FIRST CHOICE - ALL PLANS | LSU FIRST CHOICE - ALL PLANS | $0.04 | $9.95 | $4.98 | 2026-03-18 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Magnolia TN | Exchange | $0.04 | $0.59 | $0.14 | 2026-02-27 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | UNITEDHEALTHCARE | ALL PRODUCTS | $0.04 | $13.00 | — | 2025-07-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | BlueCare/Century Preferred Tier | $0.04 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| Mount Sinai Rehabilitation Hospital Inc OutpatientFacility | Anthem | Individual Pathway | $0.04 | — | — | 2025-01-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina Medi-Cal | $0.04 | $0.29 | $0.21 | 2025-07-01 | MRF ↗ |
| NORTH ADAMS REGIONAL HOSPITAL CORPORATION Outpatient | Mcdmanaged Hne Mcdaco | Mcdmanaged Hne Mcdaco | $0.04 | $5.14 | $4.88 | 2026-07-15 | MRF ↗ |
| NORTH ADAMS REGIONAL HOSPITAL CORPORATION Outpatient | Mcd Out Of State | Mcd Out Of State | $0.04 | $5.14 | $4.88 | 2026-07-15 | MRF ↗ |
| NORTH ADAMS REGIONAL HOSPITAL CORPORATION Outpatient | Mcdmanaged Medicaid Acos | Mcdmanaged Medicaid Acos | $0.04 | $5.14 | $4.88 | 2026-07-15 | MRF ↗ |
| PALI MOMI MEDICAL CENTER OutpatientFacility | UHA | ALL PRODUCTS | $0.04 | — | — | 2026-02-12 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| QUEENS HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | Small Group Pathway Preferred Tier | $0.04 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| North Central Bronx Hospital OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Both | Iehp | Medicaid | $0.04 | $11.00 | $4.40 | 2026-05-14 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | Blue Prime Network | $0.04 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicare Onn - Snch | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| JACOBI MEDICAL CENTER OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| CLARION HOSPITAL Outpatient | Upmc | Commercial | $0.04 | — | — | 2026-05-13 | MRF ↗ |
| ELMHURST HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $0.04 | $1.84 | — | 2025-09-05 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | NovaSys | Commercial/Exchange | $0.04 | $0.23 | $0.03 | 2026-02-27 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND OutpatientFacility | Braven Health | Medicare Advantage | $0.04 | $0.30 | $0.31 | 2026-03-24 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL-CRITTENDEN, INC OutpatientFacility | NovaSys | Commercial/Exchange | $0.04 | $0.27 | $0.04 | 2026-02-27 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | All Products | $0.04 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | UHA | ALL PRODUCTS | $0.04 | — | — | 2026-02-12 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | Blue Connection Network | $0.04 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | Blue Prime Network | $0.04 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| ST FRANCIS HOSPITAL- EMORY HEALTHCARE OutpatientFacility | Humana | All Commercial Plans | $0.04 | — | — | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | Small Group Pathway | $0.04 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | Small Group Pathway Preferred Tier | $0.04 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | BlueCare/Century Preferred Tier | $0.04 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | Small Group Pathway | $0.04 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| MOUNT SINAI SOUTH NASSAU OutpatientFacility | Healthfirst | Healthfirst Medicaid Chp Inn/Onn - Snch | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| METROPOLITAN HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| WOODHULL MEDICAL & MENTAL HEALTH CENTER OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| NORTH ADAMS REGIONAL HOSPITAL CORPORATION Outpatient | Mcdmanaged Cdphp | Mcdmanaged Cdphp | $0.04 | $5.14 | $4.88 | 2026-07-15 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | University Health Alliance | Commercial | $0.04 | — | — | 2026-02-12 | MRF ↗ |
| BAPTIST MEMORIAL HOSPITAL TIPTON OutpatientFacility | Magnolia TN | Exchange | $0.04 | $0.59 | $0.14 | 2026-02-27 | MRF ↗ |
| STRAUB CLINIC AND HOSPITAL Outpatient | University Health Alliance | Commercial | $0.04 | — | — | 2026-02-12 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | University Health Alliance | Commercial | $0.04 | — | — | 2026-02-12 | MRF ↗ |
| BELLEVUE HOSPITAL CENTER OutpatientFacility | UNITED | HARP | $0.04 | — | — | 2025-09-05 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | Anthem | Blue Connection Network | $0.04 | $1.00 | $0.55 | 2025-01-01 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | University Health Alliance | Commercial | $0.04 | — | — | 2026-02-12 | MRF ↗ |
| NORTH ADAMS REGIONAL HOSPITAL CORPORATION Outpatient | Mcdmanaged Network | Mcdmanaged Tufts (Network) | $0.04 | $5.14 | $4.88 | 2026-07-15 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst - Medicare Inn - Msq | $0.04 | — | — | 2026-04-01 | MRF ↗ |
| Mount Sinai Behavioral Health Center OutpatientFacility | Healthfirst | Healthfirst - Medicare Onn - Msq | $0.04 | — | — | 2026-04-01 | 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.