00074-3641-03 — Lupron Depot
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lupron Depot (CPT 00074-3641-03) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00074-3641-03?code_type=CPT
MLA (9th ed.)
“Lupron Depot (CPT 00074-3641-03) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00074-3641-03?code_type=CPT. Accessed .
Chicago (notes-bibliography)
“Lupron Depot (CPT 00074-3641-03) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00074-3641-03?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,723–$1,949 (25th–75th percentile) across 11 hospitals · 164 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 00074-3641-03 — 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 |
|---|---|---|---|---|---|---|---|
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Medicaid Harp | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Cigna | Network Benefit/Open Access Plus | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Integra | Mltc | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Emblem Health | Ghi Network Access | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Medicaid Advantage Plus (Map) | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Medical Rental Products | $445.66 | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Fidelis | Child Health Plus | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Empire Blue Cross Blue Shield Amerigroup | Medicai | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Magnacare (Brighton Health Plan ) | Commercial | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Centers Plan For Health Living | Mltc | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Chp | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Cigna | All Other | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Gatekeeper/Non Gatekeeper | $445.66 | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Ny Essential Plans | Managed Medicaid | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Wellcare | Child Health Plus | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Medicaid, Hiv, Child Health Plus, Harp | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Qualified Health Plan | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Amida Care | Managed Medicaid | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Visiting Nurse Services | Choice | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Hamaspik | Medicaid Managed Care | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Cigna | Localplus | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Americhoice Ny Medicaid | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Empire Blue Cross Blue Shield Amerigroup | Chp | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Managed Medicaid/Child Health Plus | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Wellcare | Medicaid | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Emblem Health | Hip Govt Lines Of Business Nonmcr | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Fidelis | Medicaid Managed Care | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Medicaid/Fhp | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Exchange/Metroplus Gold | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Somos | Medicaid/Harp/Child Health Plus | — | $7,089.17 | $7,089.17 | 2026-05-26 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 2 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 5 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Communitycare | Communitycare Plus | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 6 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 5 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 2 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 2 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 6 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 5 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 2 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 6 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 5 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 6 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 2 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 5 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 6 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 2 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 5 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 5 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 5 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 2 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 6 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 2 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 2 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 6 | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 5 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 2 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 2 | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthsmart Preferred Care | Accel | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Managed Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Managed Medicaid | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Managed Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Managed Medicaid | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Oklahoma Complete Care | Managed Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 6 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 5 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 3.1 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 1 | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 6 | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial - D | 5 | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Aetna Better Health | Managed Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Quiktrip | Commercial | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Quiktrip | Commercial | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Quiktrip | Commercial | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Quiktrip | Commercial | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Quiktrip | Commercial | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Quiktrip | Commercial | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Quiktrip | Commercial | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Preferred Communitychoice | Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | United Healthcare | All Payer Appendix | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid Transplant Agre | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid Transplant Agre | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid Transplant Agre | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid Transplant Agre | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid Transplant Agre | — | $7,564.66 | $756.47 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid Transplant Agre | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid Transplant Agre | — | $7,204.44 | $720.44 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Commercial Ppo | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Humana | Healthy Horizons Medicaid | — | $4,612.00 | $461.20 | 2026-05-06 | MRF ↗ |
| O U MEDICAL CENTER Outpatient | Healthcare Highways - Commercial -D | 4 | — | $7,204.44 | $720.44 | 2026-05-06 | 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.