00024515175 — Rasburicase 7.5 Mg IV Solr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). RASBURICASE 7.5 MG IV SOLR (NDC 00024515175) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00024515175?code_type=NDC
MLA (9th ed.)
“RASBURICASE 7.5 MG IV SOLR (NDC 00024515175) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00024515175?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“RASBURICASE 7.5 MG IV SOLR (NDC 00024515175) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00024515175?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,149–$11,282 (25th–75th percentile) across 9 hospitals · 194 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 00024515175 — 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 |
|---|---|---|---|---|---|---|---|
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AmeriChoice | Managed Medicaid | $0.14 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | UHC COMMUNITY | ALL PRODUCTS | $0.14 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Wellcare | Managed Medicaid | $0.15 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | HORIZON | BLUE ADVANTAGE | $0.16 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | HORIZON | BCBS Medicare | $0.16 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | SELF PAY | SELF PAY | $0.17 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Health Partners Plan | Jefferson Health Plan | $0.28 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIGROUP | Managed Medicaid | $0.29 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | Preferred | $0.45 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | CIGNA | LOCAL PLUS | $0.47 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | UHC ALL PAYER | ALL PRODUCTS | $0.50 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | GREAT WEST LIFE | ALL PRODUCTS | $0.56 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | CIGNA | ALL PRODUCTS | $0.56 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | QUALCARE COMMERCIAL | ALL PRODUCTS | $0.56 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | EVERNORTH | Behavioral Health | $0.56 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Devoted Health Plan | Medicare | $0.56 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Aetna | WHOLE HEALTH | $0.64 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | UHC ALL PAYER | ALL PRODUCTS | $0.65 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HORIZON | Casualty WC | $0.67 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | AMERIHEALTH | WORKERS COMP | $0.72 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | FIRST MCO | WORKERS COMP | $0.73 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MUTUAL OF OMAHA | ALL PRODUCTS | $0.73 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | ACTIVE CARE PLUS | ALL PRODUCTS | $0.73 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | QUALCARE WC | ALL PRODUCTS | $0.73 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIHEALTH | LOCAL VALUE | $0.76 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | CONSUMER HEALTH NETWORK (CHN) | ALL PRODUCTS | $0.78 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | CONSUMER HEALTH NETWORK (CHN) | WORKER'S COMP | $0.78 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | HORIZON | Casualty NF | $0.78 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | DONIO TRUCKING | ALL PRODUCTS | $0.78 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | Aetna | WORKER'S COMP | $0.78 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | United Healthcare | COMPASS W/OXFORD HEALTH PLANS | $0.80 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | DEVON/ ULLICARE | ALL PRODUCTS | $0.84 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | OXFORD | ALL PRODUCTS | $0.84 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | AMERIHEALTH | WORKERS COMP | $0.84 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Aetna | AETNA BLENDED | $0.87 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | COVENTRY HEALTH CARE | ALL PRODUCTS | $0.90 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | PRIVATE HEALTHCARE SYSTEM (PHCS) | ALL PRODUCTS | $0.90 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | HMO/DIRECT PLUS | $0.90 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | HORIZON BCBS | INDEMNITY | $0.92 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Aetna | SAVINGS PLUS | $0.93 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIHEALTH | REGIONAL PREFERRED | $0.94 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HEALTH SOUTH | ALL PRODUCTS | $0.95 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | METRAHEALTH OF NJ | ALL PRODUCTS | $0.95 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HEALTH PAYORS ORG | ALL PRODUCTS | $0.95 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | PPO | $0.95 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | THREE RIVERS PROVIDER NETWORK (TRPN) | ALL PRODUCTS | $0.95 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | Prime Health Services | ALL PRODUCTS | $0.95 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | PROVIDER SELECT, INC | ALL PRODUCTS | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | WORKER'S COMP | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | ACTIVE CARE NJ PIP | ALL PRODUCTS | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | CONSUMER HEALTH NETWORK (CHN) | NO FAULT | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HEALTH NETWORK INC | ALL PRODUCTS | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | DEPARTMENT OF CORRECTIONS | ALL PRODUCTS | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | GALAXY HEALTH NETWORK | ALL PRODUCTS | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | METRACOMP | ALL PRODUCTS | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | INTERGROUP PREFERRED PROGRAM | ALL PRODUCTS | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | NO FAULT | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | Beech Street | ALL PRODUCTS | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MULTIPLAN | ALL PRODUCTS | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | CHOICE CARE | ALL PRODUCTS | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MCS COMMERCIAL | ALL PRODUCTS | $1.01 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | ATLANTIS HEALTH PLAN | ALL PRODUCTS | $1.04 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MASTER CARE INC | ALL PRODUCTS | $1.04 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | ADVANCE HEALTHCARE SYSTEM | ALL PRODUCTS | $1.06 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | COMMUNITY CARE NETWORK | ALL PRODUCTS | $1.06 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | NATIONAL HEALTH PLAN | ALL PRODUCTS | $1.06 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HEALTH NETWORK AMERICA | ALL PRODUCTS | $1.06 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MCSI/MRSI WORKER'S COMP | ALL PRODUCTS | $1.06 | $1.12 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MCSI/MRSI NO FAULT | ALL PRODUCTS | $1.06 | $1.12 | — | 2026-03-18 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $16,122.71 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $16,122.71 | — | 2025-06-28 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $209.32 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $209.32 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $273.68 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $369.97 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $369.97 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | All Products | $370.81 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicare | Trad | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Pos | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Wv Senior Adv | Isnp | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicare | Securecare | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicare | Wellcare | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Hmo | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Valor Health Plans | Isnp | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Trad | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medical Mutual Medicare | Mcradv | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Ppo | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Hmo | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Ppo | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Wvdsnp | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $371.29 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Mediare Advantage | Medicare Advantage | $371.29 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Ppo | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Hmo | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care DSNP | Medicare HMO | $371.29 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Duals | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Ppo | $371.29 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $376.38 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | EPN | $376.38 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | All Products | $376.38 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $377.52 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $383.37 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | TriWest Healthcare Alliance | Other Government | $383.37 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $383.37 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Medicare | Medicare | $383.37 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | TriWest Healthcare Alliance | Other Government | $383.37 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $383.37 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community Medicare | Medicare | $383.37 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | Medicare HMO | $383.37 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $408.42 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Memorial Medicare | HMO-Medicare | $408.42 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Central Health Plan | Medicare HMO | $440.72 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthSmart | Workers Compensation | $460.04 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | SCAN | Medicare | $501.24 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care Covered CA | HMO | $514.18 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Exchange | Hmo | $519.81 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centivo | PPO | $920.09 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Commercial | All Products | $1,058.10 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | Medicare | $1,100.27 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthy | $2,529.96 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthypremier | $2,529.96 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Medicaid | Hmo | $3,102.22 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicaid | Trad | $3,102.22 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicaid | Hmo | $3,102.22 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Unison Medicaid | Hmo | $3,195.28 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Molina Medicaid | Hmo | $3,195.28 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicaid | Hmo | $3,257.33 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicaid | Hmo | $3,257.33 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Paramount Medicaid | Hmo | $3,257.33 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Mutual Of Omaha | Mutualom | $3,320.98 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Affordable | Afford | $3,320.98 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Allstate Insurance | Allstate | $3,320.98 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Guardian Life | Guardli | $3,320.98 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | American Heritage Life | Amerher | $3,320.98 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Gallagher Benefit Admin Inc | Gba | $3,320.98 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | General American #2 | Generamer2 1 | $3,597.72 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Great West Life Care | Greawstcar 1 | $3,597.72 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | General American #2 | Generamer2 | $3,597.72 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Great West Life Care | Greawstcar | $3,597.72 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | General American #1 | Generamer1 | $3,597.72 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | General American #1 | Generamer1 1 | $3,597.72 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Workers Compensation | Wc | $3,708.42 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Black Lung | Blklung | $3,708.42 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Geha | Geha 1 | $3,874.47 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Geha | Geha | $3,874.47 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Aetna Healthcare | Aetna4 | $3,874.47 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Central States | Centst | $3,874.47 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Operating Engineers, Local 312 | Opereng | $3,874.47 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Alternative Insurance Resource | Alternins | $3,874.47 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Employee Benefit Corp. | Emplbenefi | $3,874.47 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Ghi | Ghi 1 | $4,001.78 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Cigna | Cigna 1 | $4,001.78 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna Medicare | Medicare | $4,029.43 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $4,029.43 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $4,135.48 | $16,122.71 | — | 2025-06-28 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Ccn / One Source | Ccn | $4,151.22 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Ccn / One Source | Ccn 1 | $4,151.22 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | First Health | Firsthlt 1 | $4,151.22 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | First Health | Firsthlt | $4,151.22 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiouniv | $4,427.43 | $12,650.00 | $6,324.90 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Gold Coast Health Plan | HMO | $4,512.96 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Gold Coast Health Plan | HMO | $4,512.96 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Connecticut General Life Ins | Conngen 1 | $4,538.67 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Connecticut General Life Ins | Conngen | $4,538.67 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Workers Comp | Workers Comp | $4,624.17 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $4,724.10 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Workers Compensation | Wc 1 | $4,760.07 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Black Lung | Blklung 1 | $4,760.07 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $4,836.81 | $16,122.71 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $4,836.81 | $16,122.71 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $4,836.81 | $16,122.71 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $4,836.81 | $16,122.71 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $4,869.06 | $16,122.71 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $5,241.48 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $5,286.61 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $5,415.55 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $5,415.55 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Unicare | Unicare 1 | $5,534.96 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Uhc Metra Health | Unihltmth 1 | $5,534.96 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | United Medical Resources | Unitmed 1 | $5,534.96 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | United Healthcare Railroad | Unihltrail 1 | $5,534.96 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Ufcw Health & Welfare | Ufcw 1 | $5,534.96 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | United Healthcare Network | Unihltnetw 1 | $5,534.96 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | United Healthcare Proamerica | Unihltpro 1 | $5,534.96 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | United Healthcare | Unihltchoi 1 | $5,534.96 | $5,534.96 | $1,383.74 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | Medicare Advantage | $5,641.20 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $5,641.20 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | CenCal Transplant Medi-Cal HMO | Medi-Cal HMO | $5,641.20 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA - RMG | All Products | $5,641.20 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Providence Healthcare | Medicare | $5,641.20 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA - RMG | All Products | $5,641.20 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $5,641.20 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | CenCal Medi-Cal HMO | Medi-Cal HMO | $5,641.20 | $16,117.71 | $8,864.74 | 2026-03-29 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Fidelis | Medicare | — | $3,777.00 | $3,210.45 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Oscar | Commercial | — | $3,777.00 | $3,210.45 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Wellcare | Wellcare | — | $3,777.00 | $3,210.45 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Oscar | Medicare | — | $3,777.00 | $3,210.45 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Mvp | Medicare | — | $3,777.00 | $3,210.45 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Aetna | Medicare | — | $3,777.00 | $3,210.45 | 2026-08-01 | MRF ↗ |
| ST JOHN'S RIVERSIDE HOSPITAL Inpatient | Emblem Health | Hip | — | $3,777.00 | $3,210.45 | 2026-08-01 | 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.