00002762301 — Pemetrexed Disodium 500 Mg IV Solr
Cite this view
HANK Price Transparency. (n.d.). PEMETREXED DISODIUM 500 MG IV SOLR (NDC 00002762301) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00002762301?code_type=NDC
“PEMETREXED DISODIUM 500 MG IV SOLR (NDC 00002762301) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00002762301?code_type=NDC. Accessed .
“PEMETREXED DISODIUM 500 MG IV SOLR (NDC 00002762301) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00002762301?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,654–$7,690 (25th–75th percentile) across 13 hospitals · 123 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 00002762301 — 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 |
|---|---|---|---|---|---|---|---|
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | UHC | ALL PRODUCTS | $0.38 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | INTEL | ALL PRODUCTS | $2.00 | $5.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | HEALTHCOMP | ALL PRODUCTS | $2.00 | $5.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA SELECT | ALL PRODUCTS | $2.09 | $5.00 | — | 2026-01-01 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA | SUREFIT | $2.10 | $5.00 | — | 2026-01-01 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NAVIGATE | $2.18 | $5.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $2.29 | $5.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $2.36 | $5.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NON OPTIONS | $2.37 | $5.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | ANTIDOTE | ALL PRODUCTS | $3.25 | $5.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | CIGNA | TXP LIFESOURCE TRANSPLANT | $3.48 | $5.00 | — | 2026-01-01 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Workers Comp | WORKERS COMP | $3.58 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Workers Comp | WORKERS COMP | $3.58 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | TriWest Healthcare Alliance | Other Government | $3.59 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Health Net Medicare | MEDICARE ADVANTAGE | $3.59 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Health Net Medicare | MEDICARE ADVANTAGE | $3.59 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | TriWest Healthcare Alliance | Other Government | $3.59 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $3.59 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $3.59 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | HealthCare Partners HMO | HMO-Medicare | $3.59 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | HealthCare Partners HMO | HMO-Medicare | $3.59 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | AETNA | HEALTHEZ | $3.67 | $5.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL InpatientFacility | CIGNA | TXP LIFESOURCE TRANSPLANT | $3.80 | $5.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | MULTIPLAN | ALL PRODUCTS | $4.00 | $5.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | CIGNA | BEHAVIORAL HEALTH | $4.00 | $5.00 | — | 2026-01-01 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC Medicare | MEDICARE ADVANTAGE | $4.18 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC Medicare | MEDICARE ADVANTAGE | $4.18 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Aetna Medicare Advantage | MEDICARE ADVANTAGE | $4.36 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Medicare Advantage | MEDICARE ADVANTAGE | $4.36 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | Medicare Advantage | $4.36 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Aetna Medicare Advantage | MEDICARE ADVANTAGE | $4.36 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Medicare Advantage | MEDICARE ADVANTAGE | $4.36 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | Medicare Advantage | $4.36 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Medicare_DSNP | MEDICARE ADVANTAGE_DSNP | $4.79 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Medicare_DSNP | MEDICARE ADVANTAGE_DSNP | $4.79 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Commercial | PASC | $4.93 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Commercial | PASC | $4.93 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Commercial | Covered CA | $5.23 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Commercial | Covered CA | $5.23 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $5.27 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $5.27 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $5.27 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $5.27 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Medi-Cal | MEDI-CAL | $7.68 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Medi-Cal | MEDI-CAL | $7.68 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | IFP-EPN | $10.31 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | IFP-EPN | $10.31 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | All Products | $10.31 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | All Products | $10.31 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Centivo | PPO | $10.46 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Centivo | PPO | $10.46 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Blue Cross | ALL PRODUCTS | $190.95 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Blue Cross | ALL PRODUCTS | $190.95 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Cigna PPO | PPO | $528.62 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Cigna HMO | HMO | $528.62 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Cigna HMO | HMO | $528.62 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Cigna PPO | PPO | $528.62 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Aetna | ALL PRODUCTS | $697.02 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Aetna | ALL PRODUCTS | $697.02 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UC Care | PPO | $699.15 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UC Care | PPO | $699.15 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UC Ship | PPO | $716.20 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UC Ship | PPO | $716.20 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $739.90 | $725.10 | 2025-03-17 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UC Care | PPO | $833.44 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UC Care | PPO | $833.44 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UC Ship | PPO | $861.15 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UC Ship | PPO | $861.15 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | IFP-EPN | $1,323.69 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | IFP-EPN | $1,323.69 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC Select_Select Plus | SELECT_SELECT PLUS | $1,887.70 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC Select_Select Plus | SELECT_SELECT PLUS | $1,887.70 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC National | NATIONAL | $1,930.97 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC National | NATIONAL | $1,930.97 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC HMO | HMO | $1,988.74 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC HMO | HMO | $1,988.74 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC National | NATIONAL | $2,018.15 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC National | NATIONAL | $2,018.15 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC HMO | HMO | $2,079.11 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC HMO | HMO | $2,079.11 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Health Net Commercial B&G | All PRODUCTS | $2,120.89 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Health Net Commercial B&G | All PRODUCTS | $2,120.89 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Health Net Commercial B&G | All PRODUCTS | $2,131.55 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC PPO | PPO | $2,131.55 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Health Net Commercial Non B&G | All PRODUCTS | $2,131.55 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Health Net Commercial Non B&G | All PRODUCTS | $2,131.55 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Indemnity | INDEMNITY | $2,131.55 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC PPO | PPO | $2,131.55 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Indemnity | INDEMNITY | $2,131.55 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Health Net Commercial B&G | All PRODUCTS | $2,131.55 | $2,131.55 | $1,172.35 | 2026-03-29 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | WellCare | Medicare Advantage | $2,324.97 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $2,746.31 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna Medicare | Medicare | $2,746.31 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $2,746.31 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $2,746.31 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $2,746.31 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | TriWest Healthcare Alliance | Other Government | — | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Gold Coast Health Plan | HMO | $3,075.87 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Gold Coast Health Plan | HMO | $3,075.87 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $3,123.91 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Workers Comp | Workers Comp | $3,151.67 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $3,219.78 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $3,219.78 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $3,572.40 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $3,603.16 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $3,624.03 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $3,653.70 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $3,653.70 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $3,653.70 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $3,653.70 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $3,653.70 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | MOLINA | MARKETPLACE | $3,653.70 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $3,653.70 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MOLINA | MARKETPLACE | $3,653.70 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $3,653.70 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $3,678.06 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $3,691.04 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $3,691.04 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | Medicare Advantage | $3,844.84 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $3,844.84 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | CenCal Transplant Medi-Cal HMO | Medi-Cal HMO | $3,844.84 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Providence Healthcare | Medicare | $3,844.84 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA - RMG | All Products | $3,844.84 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $3,844.84 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA - RMG | All Products | $3,844.84 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $3,844.84 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | CenCal Medi-Cal HMO | Medi-Cal HMO | $3,844.84 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $3,844.84 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RUSSELL MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $3,878.85 | $15,767.70 | $5,676.37 | 2026-04-01 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $4,025.00 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $4,025.00 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $4,295.23 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | WellCare | Medicare Advantage | $4,367.39 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCI University - RMG | All Products | $4,394.10 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $4,394.10 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $4,394.10 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Children Hospital of Orange County | Medicaid HMO | $4,394.10 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Molina Healthcare HMO | MediCal HMO | $4,394.10 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCI University - RMG | All Products | $4,394.10 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Molina Healthcare HMO | MediCal HMO | $4,394.10 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Children Hospital of Orange County | Medicaid HMO | $4,394.10 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $4,438.04 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $4,438.04 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL InpatientFacility | Cofinity Group Health | New Business All Products | $4,469.69 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | Cofinity Group Health | New Business All Products | $4,481.87 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLPOINT (AMERIGROUP) | MANAGED MEDICAID | $4,754.40 | $8,490.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLMARK BLUE CROSS | MEDICARE ADV | $4,839.30 | $8,490.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | MOLINA | ALL PRODUCTS | $5,094.00 | $8,490.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | MOLINA | MEDICARE ADV | $5,094.00 | $8,490.00 | — | 2025-06-04 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER BothFacility | McLaren Health | Commercial HMO | $5,165.11 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER BothFacility | McLaren Health | Health Advantage PPO | $5,165.11 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UC Ship | PPO | $5,217.99 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER BothFacility | Cofinity Group Health | New Business All Products | $5,249.15 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER BothFacility | AETNA | New Business Discount | $5,322.22 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | IMMUGRUN | ALL PRODUCTS | $5,348.70 | $8,490.00 | — | 2025-06-04 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | AETNA | New Business Discount | $5,383.12 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Fully Insured | $5,444.01 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | PLAIN CHURCH | ALL PRODUCTS | $5,518.50 | $8,490.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | BRIGHTON AMISH CHURCH | ALL PRODUCTS | $5,518.50 | $8,490.00 | — | 2025-06-04 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | AETNA | New Business Discount | $5,529.27 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | Medicare | $5,547.55 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $5,547.55 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | Medicare | $5,547.55 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $5,547.55 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | ABSOLUTE SOLUTIONS | ALL PRODUCTS | $5,943.00 | $8,490.00 | — | 2025-06-04 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $5,997.95 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $5,997.95 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $5,997.95 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care Covered CA | HMO | $6,041.89 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Optum | Medicare | $6,041.89 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care DSNP | Medicare HMO | $6,041.89 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | HealthCare Partners HMO | HMO-Medicare | $6,041.89 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | Medicare | $6,041.89 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthCare Partners HMO | HMO-Medicare | $6,041.89 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care Covered CA | HMO | $6,041.89 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care DSNP | Medicare HMO | $6,041.89 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | VitalCore Physicians Group of MI | All Products | $6,089.50 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | VitalCore Physicians Group of MI | All Products | $6,089.50 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | VitalCore Physicians Group of MI | All Products | $6,089.50 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | VitalCore Physicians Group of MI | All Products | $6,089.50 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | VitalCore Physicians Group of MI | All Products | $6,089.50 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | McLaren Health | Commercial HMO | $6,116.29 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $6,140.75 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $6,151.74 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $6,151.74 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | Cofinity Group Health | New Business All Products | $6,186.93 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Kaiser | All Products | $6,261.59 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Fully Insured | $6,312.38 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Fully Insured | $6,324.55 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | Jackson County Offiice of the Sheriff | Jackson County Jail | $6,333.08 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | NFL Health Services - Cigna | ALL PRODUCTS | $6,333.08 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | NFL Health Services - Cigna | ALL PRODUCTS | $6,333.08 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | EBS NETWORK | ALL PRODUCTS | $6,367.50 | $8,490.00 | — | 2025-06-04 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community General Services | HMO | $6,371.45 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Redlands Community General Services | HMO | $6,371.45 | $10,985.25 | $6,041.89 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | McLaren Health | Commercial HMO | $6,414.68 | $12,179.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | McLaren Health | Health Advantage PPO | $6,414.68 | $12,179.00 | — | 2025-06-28 | 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.