Q5122 — Inj, Nyvepria
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, nyvepria (HCPCS Q5122) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5122?code_type=HCPCS
MLA (9th ed.)
“Inj, nyvepria (HCPCS Q5122) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5122?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj, nyvepria (HCPCS Q5122) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5122?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $137–$4,929 (25th–75th percentile) across 1,607 hospitals · 4,219 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q5122 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
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 HOSPITAL MANSFIELD Inpatient | None | — | — | $9,199.32 | $4,599.66 | 2024-12-15 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $10,830.66 | $9,206.06 | 2025-01-01 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $9,199.32 | $4,599.66 | 2024-12-15 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | CareSource | Managed Care | — | $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 | Empower Healthcare Solutions | Exchange | — | $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 | Arkansas FirstSource | PPO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Primewell | Exchange | — | $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 | 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 ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Cigna HealthSpring | Medicare Advantage | — | $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 | Harmony Health Plan | Medicare Advantage Dual Windsor | — | $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 | Wellcare Health Plans | All Plans | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | CareSource | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | 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 | Harmony Health Plan | Medicare Advantage Non-Dual Windsor | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Covenant | All Plans | — | $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 ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Amerigroup by Anthem | Medicare Advantage | — | $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 ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Primewell Health Services | Exchange | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Health Advantage | PHO | — | $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 | Humana ChoiceCare | Medicare Advantage | — | $1.01 | $0.66 | 2025-06-11 | 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 | Blue Cross Blue Shield of Arkansas | Medicare Advantage | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Arkansas Total Care | Managed Care | — | $1.01 | $0.66 | 2025-02-14 | MRF ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Health Advantage | PHO | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| ST BERNARDS MEDICAL CENTER InpatientFacility | Humana ChoiceCare | 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 ↗ |
| 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 ↗ |
| CROSSRIDGE COMMUNITY HOSPITAL InpatientFacility | Ambetter | Managed Care | — | $1.01 | $0.66 | 2025-06-11 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | HORIZON NJ HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | BETTER HEALTH | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | FIDELIS CARE | MANAGED MEDICAID | $1.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MEDICARE BLUE | $1.57 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | WHOLE HEALTH | $1.85 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1.94 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | WELLPOINT | MANAGED MEDICAID | $1.96 | $10.00 | — | 2025-08-30 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.18 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | UnitedHealth Group of WI | Medicare Advantage | $2.18 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.18 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.24 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $2.30 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| FLAMBEAU HOSPITAL OutpatientFacility | Point Comfort Underwriters | Organizational | $2.35 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | OXFORD | ALL PRODUCTS | $2.45 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AETNA | POS - EPO - PPO | $2.70 | $10.00 | — | 2025-08-30 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.83 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.83 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.88 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Veteran's Administration (VA CCN) | VA Network | $2.88 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Security Health Plan (SHP) | Medicare Advantage | $2.88 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Point Comfort Underwriters | Organizational | $2.88 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Anthem BCBS of WI | Medicare Advantage | $2.94 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - LADYSMITH OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.00 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Group Health Cooperative of Eau Claire | Medicare Advantage | $3.06 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| MARSHFIELD MEDICAL CENTER - NEILLSVILLE OutpatientFacility | Point Comfort Underwriters | Organizational | $3.18 | $588.75 | $559.31 | 2026-02-20 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $3.50 | $7.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL InpatientFacility | Hamaspik Choice Inc | Medicaid | $3.50 | $7.00 | — | 2026-02-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | CARE WISCONSIN | MEDICARE ADVANTAGE | $3.78 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | ANTHEM BLUE CROSS | MEDICARE ADVANTAGE | $3.78 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $3.85 | $7.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | 1199SEIU National Benefit Fund | Commercial | $3.85 | $7.00 | — | 2026-02-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $3.91 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $4.55 | $7.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Special Needs Dual | $4.55 | $7.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $4.76 | $7.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | LocalPlus Benefit Plan | $4.76 | $7.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $5.25 | $7.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Brighton Health | Commercial | $5.25 | $7.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $5.60 | $7.00 | — | 2026-02-27 | MRF ↗ |
| ST BARNABAS HOSPITAL OutpatientFacility | Cigna | HMO/Network Benefit Plan/Open Access | $5.60 | $7.00 | — | 2026-02-27 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6.00 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | PPO | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | INDEMNITY | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SHORE MEDICAL CENTER OutpatientFacility | HORIZON | MANAGED | $6.31 | $10.00 | — | 2025-08-30 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | QUARTZ | MEDICARE ADVANTAGE | $7.82 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | CARE WISCONSIN | MANAGED MEDICAID | $8.20 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | CARE WISCONSIN | FAMILY CARE | $8.20 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | CARE WISCONSIN | PARTNERSHIP | $8.20 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $9.46 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER InpatientFacility | WPS | ALL PRODUCTS | $9.46 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | QUARTZ | ALL PRODUCTS | $9.84 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | ANTHEM BLUE CROSS | ALL PRODUCTS | $9.96 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | GROUP HEALTH COOPERATIVE OF SC | HMO | $10.09 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER InpatientFacility | GROUP HEALTH COOPERATIVE OF SC | ALL PRODUCTS | $10.34 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | UNITED HEALTHCARE | ALL PRODUCTS | $10.34 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $10.59 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $10.59 | — | — | 2024-10-01 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | GROUP HEALTH COOPERATIVE OF SC | ALL PRODUCTS | $10.97 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | HUMANA | ALL PRODUCTS | $11.35 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | HEALTHCHOICE | POS | $11.98 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER BothFacility | GROUP HEALTH EAU CLAIRE | MANAGED MEDICAID | $12.61 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | DEAN HEALTH PLAN | ALL PRODUCTS | $12.61 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | GROUP HEALTH SOUTH CENTRAL | MANAGED MEDICAID | $12.61 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| SOUTHWEST HEALTH CENTER OutpatientFacility | ANTHEM BLUE CROSS | MANAGED MEDICAID | $12.61 | $12.61 | $9.46 | 2026-03-27 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Cigna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $15.57 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $15.57 | — | — | 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 | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | United Healthcare | CommercialAllPlans | — | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $15.57 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $15.57 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Aetna | Commercial | — | — | — | 2025-04-16 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $16.50 | — | — | 2026-03-18 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Plain Church | All Products | $17.69 | $10,830.66 | $8,989.45 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Plain Church | All Products | $17.69 | $10,830.66 | $8,989.45 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH OutpatientFacility | Plain Church | All Products | $17.69 | $10,830.66 | $8,989.45 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO BothFacility | Borderland | Medicaid | $19.65 | $10,830.66 | $7,581.46 | 2025-01-01 | MRF ↗ |
| SAINT ALPHONSUS MEDICAL CENTER ONTARIO BothFacility | Borderland | Medicaid | $19.65 | $10,830.66 | $7,581.46 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $10,830.66 | $7,039.93 | 2025-01-01 | MRF ↗ |
| ST JOE MERCY HOSPITAL SYSTEM LIVONIA OutpatientFacility | VACCN United | Veterans Affairs | $20.50 | $10,830.66 | $7,039.93 | 2025-01-01 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Imperial Health Plan | MM | $20.61 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Imperial Health Plan | MM | $20.61 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS MOTHER FRANCES HOSPITAL OutpatientFacility | Imperial Health Plan | MM | $20.61 | — | — | 2026-01-12 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | PPOplus Llc | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Louisana Healthcare Connections | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield Of Louisiana | HMO Blue Connect | $21.98 | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | PPO | $21.98 | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Amerihealth Caritas Louisiana | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Gilsbar Inc. | PPO | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Provider Select | All Plans | — | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Healthy Blue Louisiana | Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | BCBS of Louisiana | HMO | $21.98 | — | — | 2026-05-11 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Payer | — | — | — | 2026-01-08 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Gilsbar | 360 Alliance PPO | — | — | — | 2026-05-11 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Multiplan | PPO | — | — | — | 2026-01-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield Of Louisiana | HMO Smart Blue | $21.98 | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | BCBS of Louisiana | Blue Advantage HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Verity | Healthnet | — | — | — | 2026-05-11 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield Of Louisiana | HMO | $21.98 | — | — | 2026-01-08 | MRF ↗ |
| CHRISTUS CENTRAL LOUISIANA SURGICAL HOSPITAL OutpatientFacility | Aetna | Better Health Medicaid | — | — | — | 2026-01-08 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Traditional | $21.98 | — | — | 2026-03-05 | MRF ↗ |
| THIBODAUX REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Hmo | Blue Cross Hmo | $21.98 | — | — | 2026-04-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield Of Louisiana | HMO Blue Connect | $21.98 | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield Of Louisiana | Traditional | $21.98 | — | — | 2026-03-05 | MRF ↗ |
| THIBODAUX REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Ppo | Blue Cross Ppo | $21.98 | — | — | 2026-04-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield Of Louisiana | HMO Smart Blue | $21.98 | — | — | 2026-03-05 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Louisiana Health Care Connections | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Better Health | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Amerihealth | Caritas | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | POS | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| THIBODAUX REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Hmo | Blue Cross Hmo | $21.98 | — | — | 2026-04-01 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Healthy Blue | Managed Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Healthy Horizons Medicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana Military | Tricare West | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Humana | Gold Medicare | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Aetna | Dual (D-SNP) | — | — | — | 2026-05-11 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Humana | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | HMOPPOPOS | — | — | — | 2026-05-11 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Multiplan/PHCS | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield Of Louisiana | PPOHMO | $21.98 | — | — | 2026-03-05 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | Dual Managed MedicareMedicaid | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | United Healthcare | VA CCN Optum | — | — | — | 2026-05-11 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Blue Cross Blue Shield Of Louisiana | PPOHMO | $21.98 | — | — | 2026-03-05 | MRF ↗ |
| THIBODAUX REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Ppo | Blue Cross Ppo | $21.98 | — | — | 2026-04-01 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | Aetna | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| OPELOUSAS GENERAL HEALTH SYSTEM OutpatientFacility | PPOplus Llc | Commercial | — | — | — | 2026-03-05 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Wellcare | HMO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | Cigna | PPO | — | — | — | 2026-05-11 | MRF ↗ |
| WEST FELICIANA PARISH HOSPITAL OutpatientFacility | BCBS of Louisiana | PPO | $21.98 | — | — | 2026-05-11 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $22.71 | — | — | 2026-03-31 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC BRAND NEW DAY GENERIC PAYOR [164031] | UC MANAGED CARE | $27.60 | $230.04 | $126.52 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HEALTHNET HMO [164004] | UC MANAGED CARE | $27.60 | $230.04 | $126.52 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC HUMANA HMO [164013] | UC MANAGED CARE | $27.60 | $230.04 | $126.52 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC UHC ALLIANCE HMO [164020] | UC MANAGED CARE | $27.60 | $230.04 | $126.52 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | UC AFF ANTHEM/SDSM HMO [164024] | UC MANAGED CARE | $27.60 | $230.04 | $126.52 | 2026-04-01 | MRF ↗ |
| UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR Outpatient | MC CIGNA HMO [164003] | UC MANAGED CARE | $27.60 | $230.04 | $126.52 | 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.