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 2,061 hospitals · 5,071 payers.
“Negotiated” is the hospital’s negotiated facility rate for this 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
$205 typical
$999
The middle 50% of negotiated facility rates for this procedure, measured across 2,061 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $205 |
| Likely subtotal | $205 |
Facility charge (no separate professional fee)
$205
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 $28–$999.
- 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 |
|---|---|---|---|---|---|---|---|
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Clover Health | Medicare Advantage | — | $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 | United Healthcare Medicare | 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 ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | Aetna Assure Premier Plus | 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 ↗ |
| Salem Medical Center InpatientFacility | Clover Health | 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 | Braven Health | Medicare Advantage | — | $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 ↗ |
| 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 VINELAND InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $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 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 | Wellpoint | 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 VINELAND InpatientFacility | United Healthcare Medicare | Medicare Advantage | — | $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 VINELAND InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $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 Woodbury InpatientFacility | Horizon BCBS Indemnity | 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 | Healthspring | Medicare Advantage | — | $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 VINELAND InpatientFacility | AmeriHealth Medicare | 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 Woodbury InpatientFacility | United Healthcare Community Plan | Managed Medicaid | — | $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 ↗ |
| INSPIRA MEDICAL CENTER VINELAND InpatientFacility | Aetna Assure Premier Plus | Medicare Advantage | — | $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 | Ambetter | Commercial | — | $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 MULLICA HILL InpatientFacility | Horizon BCBS PPO | Commercial | — | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| Salem Medical Center InpatientFacility | Independence Blue Cross | Commercial | — | $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 MULLICA HILL InpatientFacility | Horizon BCBS OMNIA | 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 VINELAND InpatientFacility | AmeriHealth | Commercial | — | $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 VINELAND InpatientFacility | Wellcare Dual Liberty | Medicare Advantage | — | $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 | Horizon BCBS Managed Care | Commercial | — | $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 MULLICA HILL InpatientFacility | Braven Health | 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 | Wellpoint | Managed Medicaid | — | $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 | Horizon BCBS SHBP | Commercial | — | $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 ↗ |
| Inspira Medical Center Woodbury InpatientFacility | Aetna | Commercial | — | $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 Woodbury InpatientFacility | Horizon NJ Health | Managed Medicaid | — | $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 | AmeriHealth | 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 Woodbury InpatientFacility | Wellcare Dual Liberty | 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 VINELAND InpatientFacility | Ambetter | Commercial | — | $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 Indemnity | Commercial | — | $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 MULLICA HILL InpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $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 Woodbury InpatientFacility | Horizon NJ Total Care | Medicare Advantage | — | $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 Woodbury InpatientFacility | Horizon BCBS PPO | 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 VINELAND InpatientFacility | Aetna | Commercial | — | $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 VINELAND InpatientFacility | UHC Dual Complete | 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 ↗ |
| Salem Medical Center InpatientFacility | Wellpoint Full Dual Advantage | 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 | Wellcare Dual Liberty | 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 ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $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 Woodbury InpatientFacility | AmeriHealth Medicare | 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 ↗ |
| Salem Medical Center InpatientFacility | Aetna Medicare | Medicare Advantage | — | $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 ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL 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 VINELAND InpatientFacility | Wellpoint Full Dual Advantage | Medicare Advantage | — | $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 ↗ |
| Salem Medical Center InpatientFacility | Horizon BCBS Indemnity | 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 ↗ |
| Salem Medical Center InpatientFacility | AmeriHealth | Commercial | — | $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 MULLICA HILL InpatientFacility | Independence Blue Cross | 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 Woodbury InpatientFacility | Horizon BCBS SHBP | Commercial | — | $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 | Horizon NJ Health | Managed Medicaid | — | $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 ↗ |
| Salem Medical Center InpatientFacility | UHC Dual Complete | Medicare Advantage | — | $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 | Healthspring | Medicare Advantage | — | $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 ↗ |
| Inspira Medical Center Woodbury OutpatientFacility | Aetna | Commercial | $0.03 | $0.04 | $0.04 | 2026-03-24 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $0.03 | $0.03 | $0.01 | 2026-07-15 | MRF ↗ |
| INSPIRA MEDICAL CENTER MULLICA HILL 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 ↗ |
| CEDARS-SINAI MEDICAL CENTER Inpatient | HealthNet of California, Inc. | HMO | — | $6,335.52 | $4,118.09 | 2025-11-26 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Carolina Complete Health | Managed Medicaid | $0.28 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $0.31 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $0.31 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $0.31 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $0.31 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $0.32 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| DICKINSON COUNTY MEMORIAL HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $0.33 | $82.50 | $78.38 | 2026-02-20 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Compass | $0.35 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Ambetter | Commercial | $0.35 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | $0.38 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | $0.38 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Healthy Blue | Managed Medicaid | $0.38 | $1.01 | $0.61 | 2026-08-01 | 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 | Veteran's Administration (VA CCN) | VA Network | $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 ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Exchange | $0.41 | $1.01 | $0.91 | 2026-07-15 | 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 ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna Nc State Health Plan | Commercial | $0.48 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Outpatient | Bcbs | Bc State | $0.50 | — | — | 2026-10-03 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna New Business | Commerical | $0.59 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | $0.59 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial | $0.61 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Medcost | Commercial | $0.61 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Nc | Commercial | $0.65 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Humana Choicecare | Commercial | $0.76 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Humana | Commercial | $0.76 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Wellcare by Allwell | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-02-14 | 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 Dual Windsor | — | $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 ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Blue Cross Blue Shield of Arkansas | 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 ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $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 | Humana ChoiceCare | Medicare Advantage | — | $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 ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Exchange | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Ambetter | Managed Care | — | $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 | Covenant | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Anthem | All Plans | — | $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 ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas FirstSource | PPO | — | $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 ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | QualChoice of Arkansas | 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 ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Primewell Health Services | Exchange | — | $1.01 | $0.66 | 2025-02-14 | 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 | Wellcare Health Plans | Medicare Advantage Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Assured Benefits | All Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Empower Healthcare Solutions | Exchange | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield of Arkansas | All Commercial Plans | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Multiplan | Commercial | $0.83 | $1.01 | $0.61 | 2026-08-01 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Bcbs | Commercial | $0.96 | $1.01 | $0.91 | 2026-07-15 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Serenity Pace | Medicare Managed Care | $0.99 | $198.97 | $198.97 | 2026-06-05 | 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 ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| THE HOSPITALS OF PROVIDENCE - MEMORIAL CAMPUS OutpatientFacility | UNITED HEALTHCARE | UNITED HEALTHCARE NEW MEXICO MEDICAID | $1.00 | — | — | 2026-09-01 | MRF ↗ |
| COX MEDICAL CENTERS Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.25 | 2026-07-15 | MRF ↗ |
| SIERRA MEDICAL CENTER OutpatientFacility | BLUE CROSS/BLUE SHIELD | BLUECROSS AND BLUESHIELD OF NEW MEXICO BLUE SALUD | $1.00 | — | — | 2026-09-01 | 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 ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $200.00 | $100.00 | 2026-07-01 | MRF ↗ |
| COX MONETT HOSPITAL Outpatient | Bjc Health Solutions | Commercial | $1.00 | $1.00 | $0.31 | 2026-07-15 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $200.00 | $100.00 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $200.00 | $100.00 | 2026-07-01 | 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 ↗ |
| BAYSTATE WING HOSPITAL Both | Wellpoint | All Commercial | $1.29 | $198.97 | $198.97 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | Multiplan | All Commercial Plans | $1.39 | $198.97 | $198.97 | 2026-06-05 | MRF ↗ |
| BOSTON CHILDREN'S HOSPITAL Both | Optum/URN | COMM Inpatient | — | $1,093.38 | $1,093.38 | 2026-04-01 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | HMO Commercial | $1.52 | $198.97 | $198.97 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | Indemnity Commercial | $1.53 | $198.97 | $198.97 | 2026-06-05 | MRF ↗ |
| BAYSTATE WING HOSPITAL Both | BCBS | PPO Commercial | $1.53 | $198.97 | $198.97 | 2026-06-05 | 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.