Q5121 — Infliximab-axxq 100 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION (HCPCS Q5121) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5121?code_type=HCPCS
MLA (9th ed.)
“INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION (HCPCS Q5121) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5121?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“INFLIXIMAB-AXXQ 100 MG INTRAVENOUS SOLUTION (HCPCS Q5121) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5121?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $28–$999 (25th–75th percentile) across 1,718 hospitals · 5,136 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q5121 — 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
$28
$204 typical
$999
The middle 50% of negotiated facility rates for this procedure, measured across 1,718 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $204 |
| Likely subtotal | $204 |
Facility charge (no separate professional fee)
$204
- 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 |
|---|---|---|---|---|---|---|---|
| Salem Medical Center InpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Wellpoint | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Ambetter | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon BCBS OMNIA | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | AmeriHealth Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Wellpoint | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Jefferson Health Plan | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon BCBS Indemnity | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon BCBS SHBP | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Aetna Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Braven Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | AmeriHealth | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Healthspring | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon BCBS Managed Care | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon BCBS Indemnity | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Fidelis Care of NJ | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Fidelis Care of NJ | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Clover Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon BCBS PPO | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon BCBS PPO | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Healthspring | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Healthspring | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon BCBS Indemnity | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Ambetter | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Braven Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna Better Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Humana | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Clover Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Humana | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon BCBS Managed Care | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon BCBS PPO | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Clover Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | AmeriHealth Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | AmeriHealth | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Independence Blue Cross | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Aetna Better Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Aetna | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Aetna Better Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna Better Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | AmeriHealth | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon BCBS SHBP | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Horizon BCBS OMNIA | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon BCBS Managed Care | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Aetna Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Wellpoint | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Fidelis Care of NJ | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Jefferson Health Plan | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Fidelis Care of NJ | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | AmeriHealth Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Healthspring | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Ambetter | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon BCBS Indemnity | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon BCBS SHBP | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon BCBS PPO | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Braven Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon BCBS SHBP | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Clover Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Ambetter | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | AmeriHealth | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Humana | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | AmeriHealth Medicare | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Jefferson Health Plan | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Aetna | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Braven Health | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Independence Blue Cross | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Horizon BCBS OMNIA | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Wellpoint | Managed Medicaid | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Jefferson Health Plan | Medicare Advantage | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon BCBS Managed Care | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Horizon BCBS OMNIA | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna | Commercial | $0.03 | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center OutpatientFacility | Aetna | Commercial | $0.03 | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL OutpatientFacility | Aetna | Commercial | $0.03 | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $6,335.52 | $4,118.09 | 2025-11-26 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.31 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.31 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.33 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.40 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $0.40 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.40 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.40 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.40 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.40 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.41 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.42 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.43 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $0.45 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Assured Benefits | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Anthem | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Primewell Health Services | Exchange | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare Health Plans | Medicare Advantage Non-Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Wellcare Health Plans | Medicare Advantage Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Covenant | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Harmony Health Plan | Medicare Advantage Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Primewell Health Services | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | QualChoice of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Empower Healthcare Solutions | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare Health Plans | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Harmony Health Plan | Medicare Advantage Non-Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | SCAN Health Plan | Medicare Advantage | — | $6,335.52 | $4,118.09 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | UHC of California, dba UnitedHealthcare of California and fka PacificCare of California | Medicare Advantage | — | $6,335.52 | $4,118.09 | 2025-11-26 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | AIDS Healthcare Foundation and AHF Healthcare Centers | PHC California/Medi-Cal HMO | — | $6,335.52 | $4,118.09 | 2025-11-26 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $1,093.38 | $1,093.38 | 2026-04-01 | MRF ↗ |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid | Medicaid Managed Care | $1.60 | $809.25 | $453.18 | 2026-03-02 | MRF ↗ |
| THEDACARE REGIONAL MED CTR - NEENAH BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid | Medicaid Managed Care | $1.60 | $809.25 | $453.18 | 2026-03-02 | MRF ↗ |
| ThedaCare Oshkosh BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid | Medicaid Managed Care | $1.60 | $809.25 | $453.18 | 2026-03-02 | MRF ↗ |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid | Medicaid Managed Care | $1.60 | $809.25 | $453.18 | 2026-03-02 | MRF ↗ |
| THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid | Medicaid Managed Care | $1.60 | $809.25 | $453.18 | 2026-03-02 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $2.58 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $2.58 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $2.58 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $2.58 | — | — | 2025-04-16 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $2.78 | — | — | 2026-03-18 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $2.86 | — | — | 2024-10-01 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $2.86 | — | — | 2024-10-01 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $3.59 | — | — | 2026-03-31 | MRF ↗ |
| CEDARS-SINAI MEDICAL CENTER Outpatient | Kaiser Foundation Hospitals | Medicare Advantage | — | $6,335.52 | $4,118.09 | 2025-11-26 | MRF ↗ |
| ST LUKES REGIONAL MEDICAL CENTER OutpatientFacility | Nebraska Total Care | Managed Medicaid | $3.60 | $13.83 | $11.07 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Health Partners Open Network | Commercial | $3.66 | $13.52 | $10.82 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Trinity Moline OutpatientFacility | Health Partners Open Network | Commercial | $3.66 | $13.52 | $10.82 | 2026-01-28 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Health Partners Open Network | Commercial | $3.67 | $18.00 | $14.40 | 2026-01-28 | MRF ↗ |
| UnityPoint Health - Iowa Lutheran Hospital OutpatientFacility | Health Partners Open Network | Commercial | $3.67 | $18.00 | $14.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Health Partners Open Network | Commercial | $3.67 | $18.00 | $14.40 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Health Partners Open Network | Commercial | $4.26 | $13.58 | $10.87 | 2026-01-28 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Exchange Inspire | Commercial | $4.54 | $13.58 | $10.87 | 2026-01-28 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $4.60 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $4.60 | — | — | 2025-12-23 | MRF ↗ |
| TRINITY MUSCATINE OutpatientFacility | Medica Exchange Inspire | Commercial | $4.72 | $18.00 | $14.40 | 2026-01-28 | MRF ↗ |
| UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI OutpatientFacility | Medica Exchange Inspire | Commercial | $4.72 | $18.00 | $14.40 | 2026-01-28 | MRF ↗ |
| TRINITY - BETTENDORF OutpatientFacility | Medica Exchange Inspire | Commercial | $4.73 | $13.52 | $10.82 | 2026-01-28 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $4.79 | $1,295.00 | $1,230.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $4.79 | $1,295.00 | $1,230.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $4.79 | $1,295.00 | $1,230.25 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $4.92 | $1,295.00 | $1,230.25 | 2026-02-20 | MRF ↗ |
| THEDACARE REGIONAL MED CTR - NEENAH BothFacility | UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid | Medicaid Managed Care | $4.97 | $809.25 | $453.18 | 2026-03-02 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $5.05 | $1,295.00 | $1,230.25 | 2026-02-20 | MRF ↗ |
| ST LUKES HOSPITAL OutpatientFacility | Medica Exchange Insure | Commercial | $5.09 | $13.58 | $10.87 | 2026-01-28 | MRF ↗ |
| THEDACARE REGIONAL MED CTR - NEENAH BothFacility | MANAGED HEALTH SERVICES INS CORP - Medicaid | Medicaid Managed Care | $5.12 | $809.25 | $453.18 | 2026-03-02 | MRF ↗ |
| WELLSPAN WAYNESBORO HOSPITAL Outpatient | Health_Partners_Medicaid | All_Other_Plans | $5.15 | $2,133.50 | $1,706.80 | 2026-01-01 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $5.18 | $1,295.00 | $1,230.25 | 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.