00074364103 — Lupron Depot
Cite this view
HANK Price Transparency. (n.d.). Lupron Depot (CPT 00074364103) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00074364103?code_type=CPT
“Lupron Depot (CPT 00074364103) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00074364103?code_type=CPT. Accessed .
“Lupron Depot (CPT 00074364103) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00074364103?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,782–$3,087 (25th–75th percentile) across 12 hospitals · 106 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT 00074364103 — 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 | Emblem Health | Hip Govt Lines Of Business Nonmcr | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Qualified Health Plan | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Hamaspik | Medicaid Managed Care | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Fidelis | Child Health Plus | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Empire Blue Cross Blue Shield Amerigroup | Medicai | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Centers Plan For Health Living | Mltc | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Integra | Mltc | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Empire Blue Cross Blue Shield Amerigroup | Chp | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Cigna | Network Benefit/Open Access Plus | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Cigna | Localplus | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Exchange/Metroplus Gold | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Fidelis | Medicaid Managed Care | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Medicaid Harp | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Medicaid, Hiv, Child Health Plus, Harp | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Ny Essential Plans | Managed Medicaid | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Wellcare | Child Health Plus | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Gatekeeper/Non Gatekeeper | $445.66 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Americhoice Ny Medicaid | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Somos | Medicaid/Harp/Child Health Plus | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Visiting Nurse Services | Choice | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Medicaid Advantage Plus (Map) | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Medicaid/Fhp | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Wellcare | Medicaid | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Chp | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Cigna | All Other | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Medical Rental Products | $445.66 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Amida Care | Managed Medicaid | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Managed Medicaid/Child Health Plus | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Emblem Health | Ghi Network Access | — | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna/Coventry | Auto | $852.94 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Affinity | Essential 1, 2 | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Fidelis | Health Benefit Exchange | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthplus | Essential | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Carelon | Medicaid/Child Health Plus/Harp/Essentia | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Blue Cross | Epo/Hmo/Indemnity/Ppo | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Emblem Health | Hip Ppo/Epo/Vytra | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Affinity | Medicaid/Harp/Essential 3, 4/Child Plus | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Emblem Health | Hip Medicaid/Fhp/Chp | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Fidelis | Essential Aliessa/Qhp | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthfirst | Commercial | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Metroplus | Essential 3/4 Aliessa | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Fidelis | Medicaid Managed Care/Child Health Plus | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Cigna | Commercial | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Magnacare | Commercial | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Fidelis | Medicare/Medicaid Advantage Plus | $1,368.32 | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Aetna | Commercial | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Metroplus | Medicaid/Child Health Plus/Gold/Harp | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Blue Cross | Blue Access/Small Group | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Emblem Health | Ghi Ppo/Epo/Hmo | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Hamaspik | Medicaid | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Multiplan | Commercial | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Metroplus | Essential 1/2 Non Aliessa | — | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Healthfirst | Medicare Advantage | $1,464.01 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthfirst | Medicare | $1,465.42 | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthfirst | Medicaid/Harp | $1,500.73 | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthfirst | Chp | $1,500.73 | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humanamilitary | Tricare | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Excellus | Essentialplans1Thru4 | $1,576.12 | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Choicecare | Commercial | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Choicecare | Medicareadvantage | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Magnacare | — | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Excellus | Managedmedicaid | $1,576.12 | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Martinspoint | Tricare | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Aitherstregis | Hmo | $1,576.12 | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | United | Medicareadvantage | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humana | Medicareadvantage | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Humana | Commercial | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Mvp | Medicareadvantage | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Mvp | Individual | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Mvp | Smlggroup | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Cdphp | Commercial | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Cdphp | Medicareadvantage | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Aetna | Medicareadvantage | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Fidelis | Medicareadvantage | — | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY Both | Vaccn | — | $1,576.12 | $5,957.47 | $5,957.47 | 2026-05-09 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | 1199 National Benefit Fund | 1199 National Benefit Fund | $1,666.78 | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Vns | Snip Mltc | $1,677.29 | $1,801.11 | $1,801.11 | 2026-05-17 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Aetna | Commercial | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Medicaid | Arkansas Medicaid | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Triwest | Triwest | $1,710.95 | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Summit Community Care | Summit Community Care | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Total Care | Arkansas Total Care | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Empower | Empower | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Humana | Commercial | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Municipal Health Benefit Fund | Municipal Health Benefit Fund | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna C | 16 | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Caresource Passe | Caresource Passe | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | First Health | First Health | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna | Exchange Program | $1,710.95 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Healthscope Benefits | Healthscope Benefits | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Cigna | Cigna | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Multiplan | Multiplan | — | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Metroplus | Medicare Advantage/Fida | $1,728.59 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Amerigroup | Medicare Advantage | $1,763.87 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $1,763.87 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Amerigroup | Map | $1,763.87 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Phcs | Ppo | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Peachstate | Medicaid Cmo | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Fidelis | Health Benefit Exchange | $1,763.87 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $1,763.87 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Arkansas Medicare | Arkansas Medicare | $1,763.87 | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| University of Arkansas Medical Sciences Outpatient | Va | Community Care Network | $1,763.87 | $6,586.91 | $3,952.15 | 2026-05-08 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Humana | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Wellcare | Medicare Advantage | $1,763.87 | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Wellcare | Managed Medicaid | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Amerigroup | Medicaid Cmo | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Fidelis | Managed Long Term Care | $1,763.87 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Empire Blue Cross Blue Shield | Mediblue Hmo/Ppo | $1,763.87 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Carolina Complete Health | Managed Medicaid | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Physician'S Managed Care | Commercial | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Aetna | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Prime Health (Lucent) | Group Health/Commercial | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | United Healthcare | Compass | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Aetna Nc State Health Plan | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | United Healthcare | Managed Medicaid | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Cigna | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Multiplan | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Aetna New Business | Commerical | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Humana | Tricare | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Humana | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Healthy Blue | Managed Medicaid | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Caresource | Medicaid Cmo | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Medcost | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Humana Choicecare | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Humana | Tricare | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Blue Medicare Partner Health Plan | Medicare | $1,763.87 | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Emblem Health | Ghi & Hip Medicare | $1,763.87 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Cigna | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Multiplan | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Medcost | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Healthy Blue | Managed Medicaid | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Medcost | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | $1,763.87 | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Humana | Tricare | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Humana Choicecare | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Cigna | Behavioral Health | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | United Healthcare | Commercial | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Compass | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Longevity | Medicare Advantage | $1,763.87 | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna Nc State Health Plan | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Fidelis | Medicare Advantage | $1,763.87 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Affinity Health | Medicaid, Harp, Child Health Plu | $1,763.87 | $2,058.41 | $2,058.41 | 2026-05-26 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Optum Veterans Affairs Community Care Network | Optum Veterans Affairs Community Care Network | $1,763.87 | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Wellcare | Managed Medicaid | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Medicare Partner Health Plan | Medicare | $1,763.87 | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Humana Government | Tricare Prime | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Anthem | Commercial | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna New Business | Commerical | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Health Net Covered Ca | Commercial | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Humana/Choicecare | Commercial | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Anthem | Open Access (Hmo,Pos) | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Electrical Workers Health And Wellfare | Comm | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Anthem Blue Cross Of Ca - Managed Medi | Cal | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Hometown Health Plan | Commercial | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | United Healthcare | Veteran'S Affairs Community | $1,763.87 | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Longevity | Medicare Advantage | $1,763.87 | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Blue Shield Of California | Ppo | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Pacificare Of California | Commercial | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Hometown Health Plan/Horizon | Mco | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Ca Health & Wellness Plan - Managed Medi | Cal | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Alliant Health Plans | Solocare Exchange | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Anthem | Pathway.Pathway X | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Health Plan Of San Joaquin - Medi | Cal Hmo | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Kaiser | Commercial | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Novanet | Ppo | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Alliant Health Plans | Commercial | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Humana Choicecare | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Wellcare | Managed Medicaid | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Blue Medicare Partner Health Plan | Medicare | $1,763.87 | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Optum Veterans Affairs Community Care Network | Optum Veterans Affairs Community Care Network | $1,763.87 | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | United Healthcare | Managed Medicaid | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Aetna | Commercial | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Hometown Health Plan | Ppo (Leased) | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Aetna New Business | Commerical | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Aetna Nc State Health Plan | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | America'S Choice Provider Network | Commercial | — | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | First Health | Rental Ppo | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| BARTON MEMORIAL HOSPITAL Outpatient | Advanced Medical Management | Commercial | $1,763.87 | $10,709.30 | $7,496.51 | 2026-05-23 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Longevity | Medicare Advantage | $1,763.87 | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Carolina Complete Health | Managed Medicaid | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Blue Cross Blue Shield Of Nc | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Value Options | Commercial Behavioral Health | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Galaxy Health | Ppo | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Wellcare | Medicare Advantage | $1,763.87 | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | United Healthcare | Managed Medicaid | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Aetna | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | United Healthcare | Compass | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Cigna | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Multiplan | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY HOKE HOSPITAL Outpatient | Carolina Complete Health | Managed Medicaid | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Humana | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| TANNER MEDICAL CENTER - CARROLLTON Outpatient | Anthem | Ppo | — | $4,980.92 | $1,992.37 | 2026-05-06 | MRF ↗ |
| Highsmith Rainey Memorial Hospital Outpatient | Healthy Blue | Managed Medicaid | — | $9,744.71 | $5,846.83 | 2026-05-17 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Outpatient | Aetna | Commercial | — | $9,744.71 | $5,846.83 | 2026-05-22 | MRF ↗ |
| WYCKOFF HEIGHTS MEDICAL CENTER Outpatient | Affinity Health | Hix Qhp | $1,763.87 | $2,058.41 | $2,058.41 | 2026-05-26 | 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.