Q5152 — Inj, Eculizumab-aeeb, 2 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Inj, eculizumab-aeeb, 2 mg (HCPCS Q5152) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q5152?code_type=HCPCS
MLA (9th ed.)
“Inj, eculizumab-aeeb, 2 mg (HCPCS Q5152) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q5152?code_type=HCPCS. Accessed .
Chicago (notes-bibliography)
“Inj, eculizumab-aeeb, 2 mg (HCPCS Q5152) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q5152?code_type=HCPCS.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $42–$201 (25th–75th percentile) across 838 hospitals · 937 payers.
“Negotiated” is the hospital’s negotiated facility rate for this HCPCS Q5152 — 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
$51 typical
$201
The middle 50% of negotiated facility rates for this procedure, measured across 838 hospitals.
What you’ll likely be billed
| Hospital facility Actual median across hospitals The hospital’s negotiated facility rate — from our MRF data. | $51 |
| Likely subtotal | $51 |
Facility charge (no separate professional fee)
$51
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–$201.
- 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 |
|---|---|---|---|---|---|---|---|
| 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 TRADITIONAL | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS EXCHANGE | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRUST PPO | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| Harper University Hospital OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS BLUE CARE NETWORK | $1.00 | — | — | 2026-09-02 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL OutpatientFacility | BLUE CROSS/BLUE SHIELD | BCBS TRADITIONAL | $1.00 | — | — | 2026-05-20 | MRF ↗ |
| MACNEAL HOSPITAL OutpatientFacility | BCBS IL | PPO | $7.14 | — | — | 2026-03-31 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO | $9.13 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | WELLCARE | MCARE HMO DUAL PLAN | $9.13 | — | — | 2025-12-23 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Suncoast Neighborly Care | MedicarePACE | $9.39 | $117.42 | $117.42 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | BCBS | SBN | $9.63 | $117.42 | $117.42 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Truli | BSL | $9.63 | $117.42 | $117.42 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | BCBS | BSL | $9.63 | $117.42 | $117.42 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | BCBS | MBN | $9.63 | $117.42 | $117.42 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | BCBS | HMO | $13.50 | $117.42 | $117.42 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | BCBS | NWB | $14.91 | $117.42 | $117.42 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | BCBS | PPO | $14.91 | $117.42 | $117.42 | 2026-03-01 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LEBN DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $17.28 | $19,678.85 | $12,791.25 | 2026-06-10 | MRF ↗ |
| MERCY HOSPITAL LEBANON OutpatientFacility | DEVOTED HEALTH MEDICARE CONTRACTED [320500] | HB LEBN DEVOTED HEALTH MEDICARE ADVANTAGE 104% W/SEQ | $17.28 | $19,666.85 | $12,783.45 | 2026-06-10 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | Simply Healthcare | MGMCR | $18.08 | $117.42 | $117.42 | 2026-03-01 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | United | OptionsPPO | $19.26 | $117.42 | $117.42 | 2026-03-01 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | United Healthcare | All Plans | — | — | $113.85 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Choice | $20.32 | — | $113.85 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Community Care | HMO | — | — | $113.85 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Traditional | $20.32 | — | $113.85 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Preferred | $20.32 | — | $113.85 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | United Healthcare | All Plans | — | — | $113.85 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Lincs | $20.32 | — | $113.85 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Global Health | HMO | — | — | $113.85 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Traditional | $20.32 | — | $113.85 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Preferred | $20.32 | — | $113.85 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Lincs | $20.32 | — | $113.85 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Advantage | $20.32 | — | $113.85 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Aetna | PPO | — | — | $113.85 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Global Health | HMO | — | — | $113.85 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Cigna | New Business | — | — | $113.85 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Community Care | HMO | — | — | $113.85 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Healthcare Highways | All Plans | — | — | $113.85 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | BCBS-OK | Blue Choice | $20.32 | — | $113.85 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Cigna | New Business | — | — | $113.85 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | BCBS-OK | Blue Advantage | $20.32 | — | $113.85 | 2026-03-31 | MRF ↗ |
| NORTHWEST SURGICAL HOSPITAL OutpatientFacility | Aetna | PPO | — | — | $113.85 | 2026-03-31 | MRF ↗ |
| COMMUNITY HOSPITAL, LLC OutpatientFacility | Healthcare Highways | All Plans | — | — | $113.85 | 2026-03-31 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Uhc | Mi Medicaid | $21.61 | — | — | 2026-09-21 | MRF ↗ |
| MEMORIAL HOSPITAL OF SOUTH BEND Outpatient | Mclaren | Mi Medicaid | $21.61 | — | — | 2026-09-21 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Priority Health | Mi Medicaid | $21.61 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Mi Medicaid | $21.61 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Aetna | Mi Medicaid | $21.61 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Mi Medicaid | $21.61 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Molina | Mi Medicaid | $21.61 | — | — | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mclaren (Mi | Mi Medicaid | $21.61 | — | — | 2026-05-13 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Mclaren | Mi Medicaid | $21.61 | — | — | 2026-05-13 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $21.86 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $21.86 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $21.86 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $21.86 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $21.86 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $21.86 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Meridian | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Molina | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON MEDICAL CENTER OutpatientFacility | Priority Health | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE GRAYLING HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE MANISTEE HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| MUNSON HEALTHCARE CADILLAC HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $22.15 | — | — | 2026-04-17 | MRF ↗ |
| JEFFERSON HOSPITAL Outpatient | Highmark | Highmark Together Blue | $22.62 | — | — | 2026-04-14 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $23.12 | — | — | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $23.12 | — | — | 2026-03-29 | MRF ↗ |
| SAINT VINCENT HOSPITAL Outpatient | Highmark | Highmark Together Blue | $24.02 | — | — | 2026-04-14 | MRF ↗ |
| HCA FLORIDA PASADENA HOSPITAL A PART OF HCA FLORID Outpatient | BCBS | PHS | $24.54 | $117.42 | $117.42 | 2026-03-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE OSBORN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE THOMPSON PEAK MED CTR OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH FLORENCE MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH MOUNTAIN VISTA MEDICAL CENTER OutpatientFacility | Bcbs-Florence | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH DEER VALLEY MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH TEMPE MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONOR HEALTH JOHN C. LINCOLN MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SONORAN CROSSING MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER OutpatientFacility | Bcbs | All Commercial Plans | $24.65 | — | — | 2026-04-01 | MRF ↗ |
| FORBES HOSPITAL Outpatient | Highmark | Highmark Together Blue | $26.80 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Outpatient | Highmark | Highmark Together Blue | $26.80 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Outpatient | Highmark | Highmark Together Blue | $26.80 | — | — | 2026-04-14 | MRF ↗ |
| RHODE ISLAND HOSPITAL OutpatientFacility | Bcbs | Blue Chip Direct Advance Other Commercial Plan | $27.62 | — | — | 2026-04-01 | MRF ↗ |
| GLENS FALLS HOSPITAL OutpatientFacility | Emblem | Commercial_All Products | $28.63 | — | — | 2025-12-31 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $29.46 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $29.46 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $29.46 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $29.46 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $29.46 | — | — | 2026-04-17 | MRF ↗ |
| PAUL OLIVER MEMORIAL HOSPITAL OutpatientFacility | Molina | Managed Medicaid | $29.46 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Meridian | Managed Medicaid | $29.85 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Priority Health | Managed Medicaid | $29.85 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | United Healthcare | Managed Medicaid | $29.85 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Blue Cross Complete | Managed Medicaid | $29.85 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | Molina | Managed Medicaid | $29.85 | — | — | 2026-04-17 | MRF ↗ |
| KALKASKA MEMORIAL HEALTH CENTER OutpatientFacility | McLaren Health Plan | Managed Medicaid | $29.85 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Blue Cross Complete | Managed Medicaid | $29.85 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | McLaren Health Plan | Managed Medicaid | $29.85 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $29.85 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Priority Health | Managed Medicaid | $29.85 | — | — | 2026-04-17 | MRF ↗ |
| CHARLEVOIX AREA HOSPITAL OutpatientFacility | Meridian | Managed Medicaid | $29.85 | — | — | 2026-04-17 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Together Blue | $30.14 | — | — | 2026-04-14 | MRF ↗ |
| WESTFIELD MEMORIAL HOSPITAL, INC Outpatient | Highmark | Highmark Together Blue | $30.14 | — | — | 2026-04-14 | MRF ↗ |
| WILCOX MEMORIAL HOSPITAL Outpatient | UnitedHealthcare | Quest | $30.23 | — | — | 2026-02-12 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $30.23 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $30.23 | — | — | 2026-01-01 | MRF ↗ |
| PALI MOMI MEDICAL CENTER Outpatient | UnitedHealthcare | Quest | $30.23 | — | — | 2026-02-12 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | Advanced Health Systems | Commercial | $30.53 | — | — | 2026-01-30 | MRF ↗ |
| WALTHALL COUNTY GENERAL HOSPITAL CAH OutpatientFacility | Blue Cross | Commercial | $30.53 | — | — | 2026-01-30 | MRF ↗ |
| PERRY COUNTY GENERAL HOSPITAL OutpatientFacility | Blue Cross | Commercial | $30.53 | — | — | 2026-01-30 | MRF ↗ |
| PERRY COUNTY GENERAL HOSPITAL OutpatientFacility | Advanced Health Systems | Commercial | $30.53 | — | — | 2026-01-30 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Advanced Health Systems | Commercial | $30.53 | — | — | 2026-01-30 | MRF ↗ |
| PEARL RIVER COUNTY HOSPITAL OutpatientFacility | Advanced Health Systems | Commercial | $30.53 | — | — | 2026-01-30 | MRF ↗ |
| MARION GENERAL HOSPITAL OutpatientFacility | Blue Cross | Commercial | $30.53 | — | — | 2026-01-30 | MRF ↗ |
| PEARL RIVER COUNTY HOSPITAL OutpatientFacility | Blue Cross | Commercial | $30.53 | — | — | 2026-01-30 | MRF ↗ |
| KING'S DAUGHTERS' MEDICAL CENTER OutpatientFacility | Healthsmart | Commercial | $30.87 | — | — | 2026-09-25 | MRF ↗ |
| WEST PENN HOSPITAL Outpatient | Highmark | Highmark Together Blue | $31.03 | — | — | 2026-04-14 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $31.36 | — | — | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $31.36 | — | — | 2026-07-01 | MRF ↗ |
| WILLIAMSON MEDICAL CENTER Outpatient | United | Dsnp | $31.44 | — | — | 2026-07-15 | MRF ↗ |
| CAROLINA PINES REGIONAL MEDICAL CENTER OutpatientFacility | BCBS | Blue Preferred | $31.91 | — | — | 2025-01-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | CHIP | $32.16 | — | — | 2026-07-01 | MRF ↗ |
| SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD OutpatientFacility | Health Net of California | Managed Medi-Cal | $32.25 | — | — | 2026-03-18 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | OPTUM HEALTH | MANAGED MEDICAID | $32.25 | — | $41.49 | 2025-12-31 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Health Net of California | Managed Medi-Cal | $32.25 | — | — | 2026-03-18 | MRF ↗ |
| Southern California Hospital At Culver City OutpatientFacility | Health Net of California | Managed Medi-Cal | $32.25 | — | — | 2026-03-18 | MRF ↗ |
| Hackensack University Medical Center OutpatientFacility | OPTUM HEALTH | MANAGED MEDICAID | $32.25 | — | $41.49 | 2025-12-31 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $33.06 | — | — | 2026-01-01 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Outpatient | Highmark | Highmark Together Blue | $33.27 | — | — | 2026-04-14 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Selecthealth | Medicaid | $33.29 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Molina | Medicaid | $33.29 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Health Plan Of Nevada | Medicaid | $33.29 | — | — | 2026-07-15 | MRF ↗ |
| PARK CITY HOSPITAL Outpatient | Healthy U | Medicaid | $33.29 | — | — | 2026-07-15 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | NAP | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | FH | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | ACA | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | United Healthcare | Options PPO | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | Aetna Whole Health | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Aetna | ASA | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Medcost - SC | Commercial | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | BlueCross BlueShield of South Carolina | Blue Cross Blue Essentials HIX (BCBE) | $33.46 | — | $48.46 | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Plotkin Health | Commercial | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | NAP | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | BlueCross BlueShield of South Carolina | Blue Cross Blue Essentials HIX (BCBE) | $33.46 | — | $48.46 | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Aetna Whole Health | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | ACA | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Plotkin Health | Commercial | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | ASA | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Phcs | Commercial | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | PPO | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Medcost - SC | Commercial | — | — | $48.46 | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | FH | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | BlueCross BlueShield of South Carolina | Blue Choice Blue Option HIX (BCBO) | $33.46 | — | $48.46 | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | BlueCross BlueShield of South Carolina | Blue Choice Blue Option HIX (BCBO) | $33.46 | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Exchange | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Cigna | HMOOPA | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Commercial | — | — | $48.46 | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | United Healthcare | All Other Plans | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | NAP | — | — | $48.46 | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | All Other Plans | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Non-Par Products of APCN | — | — | $48.46 | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | BlueCross BlueShield of South Carolina | Blue Choice Blue Option HIX (BCBO) | $33.46 | — | $48.46 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | ASA | — | — | $48.46 | 2026-03-10 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | Options PPO | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | Aetna Whole Health | — | — | $48.46 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | ACA | — | — | $48.46 | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Phcs | Commercial | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Aetna | FH | — | — | $48.46 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Plotkin Health | Commercial | — | — | $48.46 | 2026-03-10 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL OutpatientFacility | Phcs | Commercial | — | — | $48.46 | 2026-03-10 | MRF ↗ |
| EAST COOPER MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | $48.46 | 2026-03-12 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER OutpatientFacility | Multiplan | Commercial | — | — | $48.46 | 2026-03-12 | 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.