00074-3641-03 — Lupron Depot
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lupron Depot (OTHER 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=OTHER
MLA (9th ed.)
“Lupron Depot (OTHER 00074-3641-03) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00074-3641-03?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Lupron Depot (OTHER 00074-3641-03) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00074-3641-03?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,766–$2,866 (25th–75th percentile) across 10 hospitals · 77 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Amerihealth | Medicaid | $2.46 | $8.00 | $5.20 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Anthem Bcbs Nc | Medicaid | $2.46 | $8.00 | $5.20 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Inpatient | Bcbs | Hmo Ppo Pos | $3.08 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Outpatient | Bcbs | Hmo Ppo Pos | $3.27 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | United Health | Commercial | $4.56 | $8.00 | $5.20 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Outpatient | Cigna | — | $4.80 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Inpatient | Cigna | — | $4.96 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Outpatient | Medcost | Ppo | $5.22 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Aetna | Hmo Ppo Pos | $5.60 | $8.00 | $5.20 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Inpatient | Medcost | Ppo | $5.78 | — | — | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Humana Choice | — | $6.40 | $8.00 | $5.20 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Multiplan | — | $6.80 | $8.00 | $5.20 | 2026-05-06 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Pacific Source | Medicaid Hop/Ohp Bridge | — | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Careoregon | Ohp/Medicaid | $1,411.10 | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Pacific Source | Ind Navigator/Coordinated Care | — | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Pacific Source | Medicaid Ohp Plans | — | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Aetna Health | Commercial | — | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Health Net/Centene Health Plan | Commercial | — | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Careoregon | Medicare Advantage | $1,411.10 | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Pacific Source | Nonind Navigator/Coordinated Care | — | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Pacific Source | Commercial Psn/Voyager | — | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Kaiser Northwest | Commercial | — | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Medicare Adv | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Self Funded | $1,499.89 | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Ppo | $1,499.89 | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | State Products | $1,499.89 | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Independent Health Assoc | Hmo | $1,499.89 | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Univera | Medicaid | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Hmo/Ppo/Pos | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Medicare Advantage | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Indemnity | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Medicare | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Amerigroup | Commercial | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Humana | Commercial | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicaid | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicaid | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Health Benefit Exchange | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Medicare Advantage | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Fidelis | Essential Aliessa | — | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Multiplan | Commercial | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Nhhf | Medicaid | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Healthcare Value Management | Commercial | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Harvard Pilgrim Health Plan | Individual Market | $1,543.52 | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Martins Point | Medicare Advantage | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Aetna | Medicare Advantage | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Aetna | Commercial | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Amerihealth | Medicaid | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Humana | Medicare Advantage Plans | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Anthem | Medicare Advantage | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Anthem | Other Commercial | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Wellcare | Medicare Advantage | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | United Healthcare | All Payer | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | United Healthcare | Medicare Advantage | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | United Healthcare | Freedom Benefit | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Cigna | Commercial | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Cigna | Medicare Advantage | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Harvard Pilgrim Health Plan | Commercial | $1,543.52 | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Tufts Health | All Plans | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Maine Community Health Options | Large Group Plans | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Maine Community Health Options | Shop | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Maine Community Health Options | Hmo Plans | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Maine Community Health Options | Individual | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Wellsense | Medicaid Hmo | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Wellsense | Medicare Advantage | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGGINS HOSPITAL Outpatient | Allways | Commercial | — | $7,654.72 | $3,827.36 | 2026-05-14 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | United Health | Medicare | $1,553.71 | $8.00 | $5.20 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Bcbs Medicare | Bcbsnc | $1,553.71 | $8.00 | $5.20 | 2026-05-06 | MRF ↗ |
| HUGH CHATHAM MEMORIAL HOSPITAL Both | Humana | Medicare Advantage | $1,553.71 | $8.00 | $5.20 | 2026-05-06 | MRF ↗ |
| NIAGARA FALLS MEMORIAL MEDICAL CENTER Outpatient | Aetna | Commercial | $1,580.25 | $2,829.80 | $1,980.86 | 2026-05-14 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $1,649.57 | $4,106.48 | $1,876.66 | 2026-05-23 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | United Healthcare | All Payer Appendix | — | $7,949.91 | $7,949.91 | 2026-05-15 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource | Caresource | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana | Managed Medicaid | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Better Health Wv Mgd Medicaid | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna | Aetna | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Pennsylvania Health & Wellness | Medicaid | $1,763.87 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Amerihealth Caritas Oh | Managed Medicaid | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh | Managed Medicaid | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh | Managed Medicaid | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh | Managed Medicaid | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Rental | First Health | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Traditional | Blue Cross Blue Shield Traditional | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Commercial | Buckeye Commercial | $1,763.87 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Geisinger Pennsylvania | Mgd Medicaid | $1,763.87 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Highmark Wholecare Pennsylvania Medicaid | Highmark Wholecare Pennsylvania Medicaid | $1,763.87 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Health Options West Va | Mgd Mcaid | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | $1,763.87 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | $1,763.87 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Molina Oh Medicare Advantage | All Plans | $1,763.87 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | $1,763.87 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | $1,763.87 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv | Mgd Mcaid | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | $1,763.87 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | United Mine Workers Of America Medicare Advantage | United Mine Workers Of America Medicare Advantage | $1,763.87 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | $1,763.87 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Blue Cross Blue Shield Ppo | Blue Cross Blue Shield Ppo | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Peak Health Medicare Advantage | All Plans | $1,763.87 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Pathway | Anthem Pathway | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Cigna | Cigna | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Multiplan | Multiplan | — | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Altius Health Plans | Mt Health Cooperative Ppo | — | $7,949.91 | $7,949.91 | 2026-05-22 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Blue Cross Blue Shield Of Mt | Medicare Advantage | $1,763.87 | $7,949.91 | $7,949.91 | 2026-05-22 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Blue Cross Blue Shield Of Mt | Medicaid | — | $7,949.91 | $7,949.91 | 2026-05-22 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Blue Cross Blue Shield Of Mt | Commercial | — | $7,949.91 | $7,949.91 | 2026-05-22 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Allegiance Benefit Plan Management | Commercial | — | $7,949.91 | $7,949.91 | 2026-05-22 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Interwest | Ppo Network | — | $7,949.91 | $7,949.91 | 2026-05-22 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Pacificsource | Commercial | — | $7,949.91 | $7,949.91 | 2026-05-22 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | First Choice Health | Commercial | — | $7,949.91 | $7,949.91 | 2026-05-22 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Triwest | Triwest | $1,763.87 | $7,949.91 | $7,949.91 | 2026-05-22 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Humana | Choicecare Medicare Advantage | $1,763.87 | $7,949.91 | $7,949.91 | 2026-05-22 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | United Healthcare | All Payer Appendix | — | $7,949.91 | $7,949.91 | 2026-05-22 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Coventry | All Products | — | $7,949.91 | $7,949.91 | 2026-05-22 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Altius Health Plans | Mt Health Cooperative Ppo | — | $7,949.91 | $7,949.91 | 2026-05-15 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Blue Cross Blue Shield Of Mt | Commercial | — | $7,949.91 | $7,949.91 | 2026-05-15 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Blue Cross Blue Shield Of Mt | Medicaid | — | $7,949.91 | $7,949.91 | 2026-05-15 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Blue Cross Blue Shield Of Mt | Medicare Advantage | $1,763.87 | $7,949.91 | $7,949.91 | 2026-05-15 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Allegiance Benefit Plan Management | Commercial | — | $7,949.91 | $7,949.91 | 2026-05-15 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Interwest | Ppo Network | — | $7,949.91 | $7,949.91 | 2026-05-15 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Pacificsource | Commercial | — | $7,949.91 | $7,949.91 | 2026-05-15 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | First Choice Health | Commercial | — | $7,949.91 | $7,949.91 | 2026-05-15 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Triwest | Triwest | $1,763.87 | $7,949.91 | $7,949.91 | 2026-05-15 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Humana | Choicecare Medicare Advantage | $1,763.87 | $7,949.91 | $7,949.91 | 2026-05-15 | MRF ↗ |
| GREAT FALLS CLINIC HOSPITAL Outpatient | Coventry | All Products | — | $7,949.91 | $7,949.91 | 2026-05-15 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Moda Health Plan | Connexus/Synergy | $1,763.87 | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Moda Health Plan | Medicare Advantage | $1,763.87 | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Anthem | Ppo/Indemnity | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Western Healthcare Alliance | Commercial | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Government Employees Hospital Org | Commercial | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Aspen Skiing Company | Community Health Plan | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rocky Mountain | Private Plan | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rocky Mountain Health | Co Public Option Plan | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rocky Mountain Health | Ppo,Self Insured Plan | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rocky Mountain Health | Medicaid | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Rocky Mountain Health | Chp+ | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Great West | Commercial | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Aetna | All Plans | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Humana Choicecare | Network Ppo | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Humana Choicecare | Health Insurance Company | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Three Rivers Provider Network | Workers Comp | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Umr | United Healthcare Vvh | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Multiplan | Commercial | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Cigna | Commercial | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | United Healthcare | Colorado Option Appendix | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | United Healthcare | All Payer Appendix | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Anthem | Pathway Standard Plans | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| VALLEY VIEW HOSPITAL ASSOCIATION Outpatient | Anthem | Hmo,Pathway Epo/Ppo | — | $86.62 | $73.63 | 2026-05-13 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $1,769.48 | $4,106.48 | $1,876.66 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $1,806.85 | $4,106.48 | $1,876.66 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $1,806.85 | $4,106.48 | $1,876.66 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $1,806.85 | $4,106.48 | $1,876.66 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $1,806.85 | $4,106.48 | $1,876.66 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $1,806.85 | $4,106.48 | $1,876.66 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $1,806.85 | $4,106.48 | $1,876.66 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $1,806.85 | $4,106.48 | $1,876.66 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $1,806.85 | $4,106.48 | $1,876.66 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $1,806.85 | $4,106.48 | $1,876.66 | 2026-05-23 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Wholecare Pa Medicare Advantage | All Pla | $1,816.79 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Oh Medicare Advantage | Hmo | $1,816.79 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Anthem Ohio | Managed Medicaid | $1,816.79 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Highmark Wv Medicare Advantage | All Plans | $1,834.42 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Regence Blue Shield | Medicare Advantage Ppo | $1,843.24 | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Regence Blue Shield | Medicare Advantage Hmo | $1,843.24 | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Amerihealth Caritas Pa Medicare Advantage | All Pl | $1,852.06 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Amerihealth Caritas Pa Medicare Advantage | All Pl | $1,852.06 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Buckeye Oh Medicare Advantage | All Plans | $1,852.06 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | $1,852.06 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | $1,852.06 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | $1,852.06 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | $1,852.06 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | $1,852.06 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Amerihealth Caritas Pa Medicare Advantage | All Pl | $1,852.06 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | $1,852.06 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | $1,852.06 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | $1,852.06 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | $1,852.06 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Senior Life Medicare Advantage | All Plans | $1,852.06 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Humana Medicare Advantage | All Plans | $1,852.06 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Upmc For Life Medicare Advantage | All Plans | $1,852.06 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna Medicare Advantage | All Plans | $1,852.06 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Caresource Oh Medicare Advantage | All Plans | $1,852.06 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | $1,852.06 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | United Healthcare | Medicare Payer Appendix | $1,852.06 | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Devoted | Medicare Advantage | $1,852.06 | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| SACRED HEART MEDICAL CENTER - RIVERBEND Outpatient | Kaiser Northwest | Medicare Advantage | $1,852.06 | $8,004.55 | $5,202.96 | 2026-05-14 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv Medicare Advantage | All Plans | $1,869.70 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| WETZEL COUNTY HOSPITAL Outpatient | The Health Plan Wv Medicare Advantage | All Plans | $1,869.70 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | $1,869.70 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | $1,869.70 | $7,821.32 | $3,910.66 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Pa Health & Wellness Medicare Advantage | All Plan | $1,869.70 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Geisinger Pa Medicare Advantage | All Plans | $1,869.70 | $7,448.85 | $3,724.43 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | The Health Plan Wv Medicare Advantage | All Plans | $1,869.70 | $7,448.85 | $3,724.43 | 2026-05-13 | 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.