Q9991 — Buprenorph Xr 100 Mg Or Less
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Buprenorph xr 100 mg or less (CPT Q9991) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/Q9991?code_type=CPT
MLA (9th ed.)
“Buprenorph xr 100 mg or less (CPT Q9991) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/Q9991?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Buprenorph xr 100 mg or less (CPT Q9991) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/Q9991?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,984–$4,776 (25th–75th percentile) across 1,318 hospitals · 2,519 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS Q9991 — 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 |
|---|---|---|---|---|---|---|---|
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $6,049.56 | $5,142.13 | 2025-01-01 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Medicare A Ky J15 | Default | $2.06 | $7.00 | $4.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $2.06 | $7.00 | $4.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Wellcare Health Plan Inc Mcr Adv | Medicare Advantage | $2.06 | $7.00 | $4.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Ky Anthem | Medicaid Replacement | $2.24 | $7.00 | $4.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Uhc Group Medicare Advantage | Medicare Advantage | $2.24 | $7.00 | $4.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Wellcare Health Plan Mcd Rep | Medicaid Replacement | $2.24 | $7.00 | $4.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Medicaid Kentucky | Default | $2.24 | $7.00 | $4.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Ky Anthem | Medicare Advantage | $2.24 | $7.00 | $4.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | United Healthcare | Default | $4.90 | $7.00 | $4.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield Of Ky Anthem | Default | $5.01 | $7.00 | $4.20 | 2026-05-22 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | MCR Advantage | $5.85 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Wellcare | MCR Advantage | $5.85 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | MCR Advantage | $5.85 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Martins Point | MCR Advantage | $5.85 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | MCR Advantage | $5.85 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | MCR Advantage | $5.85 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Humana | Default | $5.85 | $7.00 | $4.20 | 2026-05-22 | MRF ↗ |
| CARROLL COUNTY MEMORIAL HOSPITAL Both | Medicare B Ky J15 | Default | $6.86 | $7.00 | $4.20 | 2026-05-22 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | United Healthcare | Commercial | $7.80 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | HealthNet | Commercial | $8.45 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Anthem | Commercial | $10.11 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Community Health Options | Commercial | $11.05 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Harvard Pilgrim | Commercial | $11.77 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Aetna | Commercial | $11.89 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | Cigna | Commercial | $12.09 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| MOUNT DESERT ISLAND HOSPITAL BothFacility | First Health | Commercial | $12.35 | $13.00 | $11.70 | 2026-04-05 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCBlueChoice | $28.70 | — | — | 2024-12-08 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Outpatient | CARELON BEHAVIORAL HEALTH [5508] | AHS CARELON/VALUE OPTIONS BEHAVIORAL HEALTH | $30.00 | $859.01 | $859.01 | 2026-04-01 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCPreferredBlue | $30.90 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $33.10 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCPreferredBlue | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCBlueChoice | $34.60 | — | — | 2024-12-08 | MRF ↗ |
| INTEGRIS CANADIAN VALLEY HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $37.64 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH ENID HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $37.64 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH PONCA CITY OutpatientFacility | Healthchoice | All Commercial Plans | $37.64 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS GROVE HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $37.64 | — | — | 2026-04-01 | MRF ↗ |
| LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE OutpatientFacility | Healthchoice | All Commercial Plans | $37.64 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $37.64 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS MIAMI HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $37.64 | — | — | 2026-04-01 | MRF ↗ |
| INTEGRIS HEALTH EDMOND HOSPITAL OutpatientFacility | Healthchoice | All Commercial Plans | $37.64 | — | — | 2026-04-01 | MRF ↗ |
| ALLIANCEHEALTH WOODWARD OutpatientFacility | Healthchoice | All Commercial Plans | $37.64 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Outpatient | Humana | Humana Commercial | $48.55 | $5,019.00 | — | 2026-04-01 | MRF ↗ |
| HILTON HEAD REGIONAL MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| COASTAL CAROLINA HOSPITAL Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| EAST COOPER MEDICAL CENTER Outpatient | BCBS-SC | BCBSSCState | $50.00 | — | — | 2024-12-08 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $73.65 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusCentralHMO | $73.65 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $73.65 | — | — | 2025-04-16 | MRF ↗ |
| HEYWOOD HOSPITAL - Outpatient | Fallon | MedicarePlusHMO | $73.65 | — | — | 2025-04-16 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | MVP | Individual Plan | $89.00 | $6,049.56 | $5,142.13 | 2025-01-01 | MRF ↗ |
| HURON VALLEY-SINAI HOSPITAL Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| Harper University Hospital Outpatient | Hap | HAPHMO | $93.00 | — | — | 2025-01-31 | MRF ↗ |
| LOS ANGELES COMMUNITY HOSPITAL OutpatientFacility | Blue Shield of California | Commercial/IFP | $102.54 | — | — | 2026-03-18 | MRF ↗ |
| Rehabilitation Institute Of Michigan Outpatient | Hap | HAPHMO | $104.79 | — | — | 2025-01-31 | MRF ↗ |
| ST PETER'S HOSPITAL BothFacility | Empire | Medicare Advantage | $107.00 | $6,049.56 | $5,142.13 | 2025-01-01 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | PPO | $115.09 | $778.13 | $264.56 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | HMO | $115.47 | $778.13 | $264.56 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | Precision HMO | $129.40 | $778.13 | $264.56 | 2025-03-17 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $149.22 | — | — | 2025-12-31 | MRF ↗ |
| MARY GREELEY MEDICAL CENTER OutpatientFacility | Wellmark_Triwest_Healthcare_Alliance | Triwest_Healthcare_Alliance | $149.22 | — | — | 2025-12-31 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | PPO | $153.45 | $1,037.50 | $352.75 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | HMO | $153.97 | $1,037.50 | $352.75 | 2025-03-17 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | BSNENY | Medicare Advantage | $157.00 | $6,049.56 | $5,142.13 | 2025-01-01 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | Precision HMO | $172.54 | $1,037.50 | $352.75 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | NALC | All Commercial Plans | $198.42 | $778.13 | $264.56 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $198.42 | $778.13 | $264.56 | 2025-03-17 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Dean Health Plan | Managed Medicaid | $207.65 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Quartz | Managed Medicaid | $207.65 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | MEDICAID | MEDICAID | $207.65 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Anthem | Managed Medicaid | $207.65 | — | — | 2025-07-22 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | United Healthcare | Managed Medicaid | $211.80 | — | — | 2025-07-22 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER BothFacility | Group Health Eau Claire | Medicaid HMO | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER BothFacility | Group Health of South Central | Medicaid HMO | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER BothFacility | Anthem | Medicaid | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER BothFacility | Amerigroup | Medicaid HMO | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER BothFacility | Iowa Total Care | Medicaid | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER BothFacility | Molina Health | Managed Medicaid | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | ICare | Medicaid HMO | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | Managed Health Service | Managed Medicaid | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER OutpatientFacility | UHC | Medicaid | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER BothFacility | Group Health Eau Claire | Medicaid HMO | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $216.11 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER BothFacility | Amerigroup | Medicaid HMO | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER BothFacility | Anthem | Medicaid | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $216.11 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER BothFacility | Group Health of South Central | Medicaid HMO | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Molina Health | Managed Medicaid | $216.11 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN PALMER LUTHERAN HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $216.11 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN ST JOSEPHS HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $216.11 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN TRI-COUNTY HOSPITAL & CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $216.11 | — | — | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER BothFacility | Iowa Total Care | Medicaid | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN LUTHERAN MEDICAL CENTER BothFacility | Molina Health | Managed Medicaid | $216.11 | $5,108.55 | $1,925.92 | 2025-06-27 | MRF ↗ |
| GUNDERSEN MOUNDVIEW HOSPITAL AND CLINICS OutpatientFacility | Amerigroup | Medicaid HMO | $216.11 | — | — | 2025-06-27 | MRF ↗ |
| FORT MEMORIAL HOSPITAL OutpatientFacility | Managed Health Services | Managed Medicaid | $226.34 | — | — | 2025-07-22 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | PPO | $230.17 | $1,556.25 | $529.13 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | HMO | $230.95 | $1,556.25 | $529.13 | 2025-03-17 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Humana Choice Care | Commercial | $252.99 | $2,976.39 | $2,381.11 | 2026-03-26 | MRF ↗ |
| CASCADE VALLEY HOSPITAL Both | Kaiser | Medicare | — | $2,976.39 | $2,381.11 | 2026-03-26 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | Precision HMO | $258.80 | $1,556.25 | $529.13 | 2025-03-17 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Outpatient | Peach State | MGMCD | $261.09 | — | — | 2024-10-01 | MRF ↗ |
| SAVANNAH HEALTH SERVICES LLC DBA MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER Outpatient | Peach State | MGMCD | $261.09 | — | — | 2024-10-01 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | NALC | All Commercial Plans | $264.56 | $1,037.50 | $352.75 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Cigna | All Commercial Plans | $264.56 | $1,037.50 | $352.75 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | PPO | $272.79 | $1,844.44 | $627.11 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | HMO | $273.71 | $1,844.44 | $627.11 | 2025-03-17 | MRF ↗ |
| WEST SUBURBAN MEDICAL CENTER OutpatientFacility | Blue Cross | Precision HMO | $306.73 | $1,844.44 | $627.11 | 2025-03-17 | MRF ↗ |
| MEEKER MEMORIAL HOSPITAL BothFacility | BLUE CROSS | PLUS PMAP/MNCARE G | $316.70 | $5,081.62 | $3,252.24 | 2025-12-28 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Daniel Memorial | Managed Medicaid | $319.38 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $319.38 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Nassaua County Sheriff's Office | Managed Medicaid | $319.38 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Humana | Managed Medicaid | $319.38 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $319.38 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Daniel Memorial | Managed Medicaid | $319.38 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Daniel Memorial | Managed Medicaid | $319.38 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Amerigroup of Georgia | Managed Medicaid OOS | $319.38 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $319.39 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Healthy Kids | $319.39 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Healthy Kids | $319.39 | — | — | 2025-08-01 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | Humana | MANAGED MEDICAID | $319.39 | — | — | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Humana | MANAGED MEDICAID | $319.39 | — | — | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | Simply Healthcare | MANAGED MEDICAID | $319.39 | — | — | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | Simply Healthcare | MANAGED MEDICAID | $319.39 | — | — | 2026-03-31 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID HMO | $322.18 | — | — | 2025-12-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | UHC COMMUNITY | MCAID HMO | $322.18 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | FLORIDA MEDICAID | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | WEST VOLUSIA | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | UHC AMERICHOICE | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | Healthy Kids | $322.19 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | WEST VOLUSIA | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | FLORIDA MEDICAID | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | HUMANA | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | COVENTRY | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | HCRA | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | UHC AMERICHOICE | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH MEDICAL CENTER OutpatientFacility | MOLINA | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $322.19 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | SIMPLY HEALTHCARE HEALTHY KIDS | ALL PRODUCTS | $322.19 | — | — | 2025-12-23 | MRF ↗ |
| GULF BREEZE HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $322.19 | — | — | 2025-12-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $322.19 | — | — | 2025-12-23 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Community Care Plan | Healthy Kids | $322.19 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | Healthy Kids | $322.19 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | HCRA | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $322.19 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Community Care Plan | Healthy Kids | $322.19 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Community Care Plan | Healthy Kids | $322.19 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | AETNA | BETTER HLTHY KIDS | $322.19 | — | — | 2025-12-23 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Community Care Plan | Healthy Kids | $322.19 | — | — | 2025-07-30 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | COVENTRY | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | HUMANA | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| BAPTIST HOSPITAL OutpatientFacility | CHA HEALTH PLAN | HMO | $322.19 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | MOLINA | MANAGED MEDICAID | $322.19 | — | — | 2025-07-23 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Centene | Medicaid | $322.26 | — | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Centene | Medicaid | $322.26 | — | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Sunshine State Health Plan | Medicaid | $331.93 | — | — | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | Sunshine State Health Plan | Medicaid | $331.93 | — | — | 2025-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Sunshine | Child Welfare Program | $335.08 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Sunshine | Child Welfare Program | $335.08 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Sunshine | MEDICAID | $335.08 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | Sunshine | MEDICAID | $335.08 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | Child Welfare Program | $335.08 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | MEDICAID | $335.08 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Sunshine | MEDICAID | $335.08 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Sunshine | Child Welfare Program | $335.08 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Sunshine | MEDICAID | $335.08 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | Child Welfare Program | $335.08 | — | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Sunshine | MEDICAID | $335.08 | — | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Sunshine | Child Welfare Program | $335.08 | — | — | 2025-07-30 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $335.35 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $335.35 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $335.35 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $335.35 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Simply Healthcare Plans - CHA | Managed Medicaid | $335.35 | — | — | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Simply Healthcare Plans | Managed Medicaid | $335.35 | — | — | 2026-02-06 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Simply Healthcare | Medicaid HMO | $335.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Sunshine State | Medicaid HMO | $335.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Medicaid HMO | $335.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Sunshine State | Medicaid HMO | $335.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Simply Healthcare | Medicaid HMO | $335.36 | — | — | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Outpatient | Sunshine State | Medicaid HMO | $335.36 | — | — | 2025-08-01 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | UNITED | MEDICAID | $338.30 | — | — | 2025-07-30 | MRF ↗ |
| JAY HOSPITAL OutpatientFacility | STAYWELL | ALL PRODUCTS | $338.30 | — | — | 2025-12-23 | MRF ↗ |
| HALIFAX HEALTH /UF HEALTH MEDICAL CENTER OF DELTON OutpatientFacility | AETNA BETTER HEALTH | MANAGED MEDICAID | $338.30 | — | — | 2025-07-23 | MRF ↗ |
| MEMORIAL REGIONAL HOSPITAL OutpatientFacility | HUMANA | MEDICAID HMO | $338.30 | — | — | 2025-07-30 | 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.