Q4155 — Neoxflo Or Clarixflo 1 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Neoxflo or clarixflo 1 mg (HCPCS Q4155) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q4155?code_type=HCPCS
MLA (9th ed.)
“Neoxflo or clarixflo 1 mg (HCPCS Q4155) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q4155?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Neoxflo or clarixflo 1 mg (HCPCS Q4155) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q4155?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $42–$2,342 (25th–75th percentile) across 1,199 hospitals · 1,531 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q4155 — 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
$42
$488 typical
$2,342
The middle 50% of negotiated facility rates for this procedure, measured across 1,199 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $488 |
| Likely subtotal | $488 |
Facility charge (no separate professional fee)
$488
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 $42–$2,342.
- 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $7,020.00 | $3,510.00 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $7,020.00 | $3,510.00 | 2024-12-15 | MRF ↗ |
| NATIONWIDE CHILDREN'S HOSPITAL OutpatientFacility | Anthem BCBS | All Products | $0.03 | — | — | 2026-04-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.04 | $20.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.04 | $19.84 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.04 | $19.84 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.04 | $20.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.05 | $25.54 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.05 | $25.54 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.07 | $37.20 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.07 | $41.34 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.07 | $41.34 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.07 | $37.20 | — | 2024-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.09 | $50.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $0.09 | $50.00 | — | 2024-12-31 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Bc State | $0.50 | — | — | 2026-10-03 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | Medciare Advantage (MMG) | $0.52 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | PHS/PPC/HMO (MMG) | $0.53 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | HealthOptions (MMG) | $0.53 | — | — | 2025-10-24 | MRF ↗ |
| DUNES SURGICAL HOSPITAL OutpatientFacility | United Healthcare | Medicaid | $0.53 | — | — | 2026-04-07 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | NetworkBlue (MMG) | $0.53 | — | — | 2025-10-24 | MRF ↗ |
| H Lee Moffitt Cancer Center & Research Institute I Outpatient | BlueCross | BlueSelect (MMG) | $0.53 | — | — | 2025-10-24 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | POS | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Medica | All Plans | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Aetna | MA | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Aetna | MA | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Aetna | POS | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | HealthChoice | PPO | $0.60 | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Medica | All Plans | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | HealthSmart | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Aetna | POS | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | — | 2026-03-05 | MRF ↗ |
| COMANCHE COUNTY MEMORIAL HOSPITAL OutpatientFacility | HealthChoice | PPO | $0.60 | — | — | 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 ↗ |
| James Cancer Hospital & Solove Research Institute Outpatient | Cigna | Cigna - Transplant | $0.62 | — | — | 2026-07-01 | MRF ↗ |
| STILLWATER MEDICAL CENTER OutpatientFacility | Preferred Community Choice | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| STILLWATER MEDICAL CENTER OutpatientFacility | UHC | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| STILLWATER MEDICAL CENTER OutpatientFacility | Community Care | HMO | — | — | — | 2025-12-31 | MRF ↗ |
| STILLWATER MEDICAL CENTER OutpatientFacility | HealthChoice | All Plans | $0.66 | — | — | 2025-12-31 | MRF ↗ |
| STILLWATER MEDICAL CENTER OutpatientFacility | Aetna | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| STILLWATER MEDICAL CENTER OutpatientFacility | Multiplan | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| STILLWATER MEDICAL CENTER OutpatientFacility | OSMA Health | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| STILLWATER MEDICAL CENTER OutpatientFacility | Cigna | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| STILLWATER MEDICAL CENTER OutpatientFacility | EBMS (Employee Benefit Management Services Inc.) | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| STILLWATER MEDICAL CENTER OutpatientFacility | BCBS of OK | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| STILLWATER MEDICAL CENTER OutpatientFacility | Coventry | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| STILLWATER MEDICAL CENTER OutpatientFacility | First Health | All Plans | — | — | — | 2025-12-31 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $0.84 | $133.00 | $99.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $0.99 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $87.00 | $65.25 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | $133.00 | $99.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $87.00 | $65.25 | 2026-05-20 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | $133.00 | $99.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE ADVANTAGE HMO | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | $133.00 | $99.75 | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $87.00 | $65.25 | 2026-05-20 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | $70.00 | $52.50 | 2026-09-02 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | $70.00 | $52.50 | 2026-09-02 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | $133.00 | $99.75 | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $87.00 | $65.25 | 2026-05-20 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BLUECROSSBLUESHIELD MI | $1.00 | $70.00 | $52.50 | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $87.00 | $65.25 | 2026-05-20 | MRF ↗ |
| ESSENTIA HEALTH OutpatientFacility | BCBS PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | $70.00 | $52.50 | 2026-09-02 | MRF ↗ |
| ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER OutpatientFacility | BLUE PLUS PMAP PCC PRIME | Medicaid | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| Harper University Hospital BothFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | $70.00 | $52.50 | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| ESSENTIA HEALTH DULUTH OutpatientFacility | MN BCBS Commercial | BCBS MN | $1.00 | — | — | 2026-01-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $1.02 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE ADVANTAGE HMO | $1.15 | $133.00 | $99.75 | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.25 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE ADVANTAGE HMO | $1.43 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | $1.48 | — | — | 2026-09-01 | MRF ↗ |
| RESOLUTE HEALTH HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $1.58 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $1.60 | — | — | 2026-09-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MCRHMO | $1.64 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MCRPPO | $1.64 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $1.67 | $930.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.67 | $930.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $1.67 | $930.00 | — | 2024-12-31 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $2.26 | — | — | 2026-09-01 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | $2.32 | — | — | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE OPTIONS/BLUE PRECISION | $2.44 | $133.00 | $99.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO/POS | $2.77 | $133.00 | $99.75 | 2026-09-01 | MRF ↗ |
| SIERRA MEDICAL CENTER BothFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $2.92 | $133.00 | $99.75 | 2026-09-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $2.98 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $2.98 | — | — | 2024-10-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MCRPPO | $3.07 | $58.00 | $58.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MCRHMO | $3.07 | $58.00 | $58.00 | 2026-03-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $3.08 | $19.84 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $3.10 | $20.00 | — | 2024-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3.10 | $20.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $3.19 | $19.84 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $3.22 | $20.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MANAGED MEDICAID | $3.22 | $20.00 | — | 2025-12-31 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $3.22 | $24.00 | $9.36 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MBN | $3.29 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.35 | $1,860.00 | — | 2025-12-31 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | MBN | $3.38 | $31.00 | $31.00 | 2024-10-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $3.41 | $19.84 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $3.44 | $20.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | United | Managed Medicaid | $3.44 | $20.00 | — | 2024-12-31 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $3.46 | $24.00 | $5.76 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $3.46 | $24.00 | $5.76 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $3.46 | $24.00 | $4.32 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $3.46 | $24.00 | $4.32 | 2026-07-15 | MRF ↗ |
| COMMUNITY MEDICAL CENTER OutpatientFacility | Fidelis Care | NJ Family Care | $3.46 | $27.40 | $5.68 | 2026-03-04 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $3.46 | $24.00 | $5.76 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Non Par Medicaid Az | Non Par Medicaid Az | $3.46 | $24.00 | $5.76 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $3.46 | $24.00 | $4.32 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid | Az Medicaid | $3.46 | $24.00 | $4.32 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Medicaid | Az Medicaid | $3.46 | $24.00 | $5.76 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $3.46 | $24.00 | $5.76 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Az Medicaid Non Par | Az Medicaid Non Par | $3.46 | $24.00 | $4.32 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Apipa Medicaid Az | Apipa Medicaid Az | $3.46 | $24.00 | $4.32 | 2026-07-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS MYBLUE HEALTH | $3.50 | — | — | 2026-04-15 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS MYBLUE HEALTH HIX | $3.50 | — | — | 2026-04-15 | MRF ↗ |
| MCLAREN THUMB REGION Both | Tricare | Tricare | $3.55 | $10.00 | $5.00 | 2025-12-31 | MRF ↗ |
| MCLAREN BAY REGION Both | Tricare | Tricare | $3.55 | $10.00 | $5.00 | 2025-12-31 | MRF ↗ |
| CLARA MAASS MEDICAL CENTER OutpatientFacility | Fidelis Care | NJ Family Care | $3.55 | $27.40 | $5.44 | 2026-03-04 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.57 | $19.84 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.57 | $19.84 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.57 | $19.84 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.57 | $19.84 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.57 | $19.84 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.60 | $20.00 | — | 2024-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.60 | $20.00 | — | 2024-12-31 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.60 | $20.00 | — | 2024-12-31 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Chs Group Health Plan Bcbst | Chs Group Health Plan Bcbst | $3.60 | $24.00 | $8.64 | 2026-07-15 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Clover | Managed Medicare | $3.60 | $20.00 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | CLOVER | MEDICARE ADVANTAGE | $3.60 | $20.00 | — | 2025-12-31 | MRF ↗ |
| BAYSHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3.62 | $20.00 | — | 2025-12-31 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Magellan | Magellan Medicaid Az | $3.63 | $24.00 | $5.76 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Magellan Medicaid Az | Magellan Medicaid Az | $3.63 | $24.00 | $4.32 | 2026-07-15 | MRF ↗ |
| MCLAREN BAY REGION Both | Detroit Medical Center | Detroit Medical Center | $3.69 | $10.00 | $5.00 | 2025-12-31 | MRF ↗ |
| KARMANOS CANCER CENTER Both | Detroit Medical Center | Detroit Medical Center | $3.69 | $10.00 | $5.00 | 2025-12-31 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $3.70 | $24.00 | $4.32 | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Outpatient | Banner Ufc Medicaid Az | Banner Ufc Medicaid Az | $3.70 | $24.00 | $5.76 | 2026-07-15 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | HIX | $3.72 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | United | OptionsPPO | $3.72 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| RARITAN BAY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $3.96 | $25.54 | — | 2024-12-31 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS HMO | $3.99 | — | — | 2026-04-15 | MRF ↗ |
| SAINT PETER'S UNIVERSITY HOSPITAL Both | Managed Care Medicaid | OTHER MANAGED MEDICAID | $4.00 | $40.00 | $36.00 | 2025-11-19 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | AvMed | HIX | $4.03 | $31.00 | $31.00 | 2024-10-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $4.05 | $19.84 | — | 2024-12-31 | MRF ↗ |
| PALISADES MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $4.05 | $19.84 | — | 2024-12-31 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | United | OptionsPPO | $4.06 | $31.00 | $31.00 | 2024-10-01 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4.08 | $20.00 | — | 2025-12-31 | MRF ↗ |
| OCEAN MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $4.08 | $20.00 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $4.09 | $19.84 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $4.09 | $19.84 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicaid | $4.11 | $25.54 | — | 2024-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $4.12 | $20.00 | — | 2024-12-31 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4.12 | $20.00 | — | 2025-12-31 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $4.12 | $20.00 | — | 2024-12-31 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | HMO | $4.12 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4.12 | $20.00 | — | 2025-12-31 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | SBN | $4.12 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| HACKENSACK UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4.12 | $20.00 | — | 2025-12-31 | MRF ↗ |
| TOPS SURGICAL SPECIALTY HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO BLUE | $4.15 | — | — | 2026-04-15 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $4.17 | $19.84 | — | 2024-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4.18 | $20.00 | — | 2025-12-31 | MRF ↗ |
| SOUTHERN OCEAN MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4.18 | $20.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4.20 | $20.00 | — | 2025-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $4.20 | $20.00 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4.20 | $20.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $4.21 | $19.84 | — | 2024-12-31 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | HMO | $4.22 | $31.00 | $31.00 | 2024-10-01 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4.24 | $20.00 | — | 2025-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | Aetna | Managed Medicare | $4.24 | $20.00 | — | 2024-12-31 | MRF ↗ |
| JERSEY SHORE UNIVERSITY MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4.24 | $20.00 | — | 2025-12-31 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Aetna | Aetna Asbait | $4.32 | $24.00 | $8.64 | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Outpatient | Self Pay | Self Pay | $4.32 | $24.00 | $4.32 | 2026-07-15 | MRF ↗ |
| JFK UNIVERSITY MEDICAL CENTER OutpatientFacility | Amerigroup | Medicare Advantage | $4.33 | $19.84 | — | 2024-12-31 | MRF ↗ |
| RIVERVIEW MEDICAL CENTER OutpatientFacility | Horizon Braven | Managed Medicare | $4.33 | $19.84 | — | 2024-12-31 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | NWB | $4.34 | $31.00 | $31.00 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA ORANGE PARK HOSPITAL Outpatient | BCBS | PPO | $4.34 | $31.00 | $31.00 | 2026-03-01 | 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.