00085432402 — Posaconazole 100 Mg Tabletdelayed Release
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). POSACONAZOLE 100 MG TABLETDELAYED RELEASE (NDC 00085432402) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00085432402?code_type=NDC
MLA (9th ed.)
“POSACONAZOLE 100 MG TABLETDELAYED RELEASE (NDC 00085432402) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00085432402?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“POSACONAZOLE 100 MG TABLETDELAYED RELEASE (NDC 00085432402) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00085432402?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $295–$772 (25th–75th percentile) across 16 hospitals · 108 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 00085432402 — 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 |
|---|---|---|---|---|---|---|---|
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $53.12 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $62.13 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | MOLINA | MARKETPLACE | $62.13 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $62.13 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $62.13 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | WellCare | Medicare Advantage | $74.26 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL InpatientFacility | Cofinity Group Health | New Business All Products | $76.00 | $207.09 | — | 2025-06-28 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $89.56 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | AETNA | New Business Discount | $91.53 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | VitalCore Physicians Group of MI | All Products | $103.55 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | VitalCore Physicians Group of MI | All Products | $103.55 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | UHC | ALL PRODUCTS | $104.17 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | Cofinity Group Health | New Business All Products | $105.20 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Fully Insured | $107.54 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | NFL Health Services - Cigna | ALL PRODUCTS | $107.69 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | McLaren Health | Commercial HMO | $109.07 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | McLaren Health | Health Advantage PPO | $109.07 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | Priority Health | HMO/PPO | $111.10 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | Priority Health | HMO/PPO | $111.10 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL InpatientFacility | AETNA | New Business Discount | $111.62 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | Fully Insured | $113.36 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Cigna Transplants | ALL PRODUCTS | $122.18 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | Ontario Ministry of Health and Long-Term Care | ALL PRODUCTS | $124.25 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | McLaren Health | Health Advantage PPO | $125.83 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | McLaren Health | Commercial HMO | $125.83 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $130.05 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | AETNA | ALL PRODUCTS | $131.30 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Humana Transplants | MEDICARE ADVANTAGE | $134.61 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Humana Transplants | ALL PRODUCTS | $134.61 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | MULTIPLAN, INC. | Complementary Network | $136.68 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | MULTIPLAN, INC. | Complementary Network | $138.75 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | Priority Cigna | ALL PRODUCTS | $139.60 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | Self Insured | $147.41 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | UHC | ALL PRODUCTS | $148.07 | $207.09 | — | 2025-06-28 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE CCH | $149.27 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE CCH | $149.27 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Cofinity Group Health | ALL PRODUCTS | $153.25 | $207.09 | — | 2025-06-28 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Summacare | Medicare Advantage | $163.11 | $479.73 | $359.80 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Healthplan (Hometown) | Medicare Advantage | $163.11 | $479.73 | $359.80 | 2025-11-11 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | University of Michigan | ALL PRODUCTS | $165.67 | $207.09 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | University of Michigan | ALL PRODUCTS | $165.67 | $207.09 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | Priority Cigna | ALL PRODUCTS | $166.29 | $207.09 | — | 2025-06-28 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL BothFacility | Ohio Crippled Childrens Fund (OCCF | All Products | $172.70 | $479.73 | $359.80 | 2025-11-11 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL BothFacility | Northern Ohio Handicapped Fund (NOHF | All Products | $172.70 | $479.73 | $359.80 | 2025-11-11 | MRF ↗ |
| Henry Ford Hospital BothFacility | Cofinity Group Health | ALL PRODUCTS | $178.51 | $207.09 | — | 2025-06-28 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | HEALTHCOMP | ALL PRODUCTS | $207.20 | $518.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | INTEL | ALL PRODUCTS | $207.20 | $518.00 | — | 2026-01-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | Must-Mt Unified School Trust New Peak | $211.39 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Other | Prodegi New Peak | $211.39 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | Sound Health New Peak | $211.39 | $398.85 | — | 2026-07-14 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | CO CHOICE HEALTHPLAN - LUTHERAN HOSP ASSOC | ALL PRODUCTS | $211.46 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | CO CHOICE HEALTHPLAN - LUTHERAN HOSP ASSOC | ALL PRODUCTS | $211.46 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | CO CHOICE HEALTHPLAN - LUTHERAN HOSP ASSOC | ALL PRODUCTS | $211.46 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA SELECT | ALL PRODUCTS | $216.01 | $518.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA | SUREFIT | $217.56 | $518.00 | — | 2026-01-01 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | HMO HEALTH PLANS | HMO | $217.68 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | HMO HEALTH PLANS | HMO | $217.68 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | HMO HEALTH PLANS | HMO | $217.68 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| PRATTVILLE BAPTIST HOSPITAL OutpatientFacility | Viva Health | All Products | $219.28 | $487.28 | $292.37 | 2025-12-30 | MRF ↗ |
| PRATTVILLE BAPTIST HOSPITAL OutpatientFacility | Viva Health | All Products | $219.28 | $487.28 | $292.37 | 2025-12-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER EAST OutpatientFacility | Viva Health | All Products | $219.28 | $487.28 | $292.37 | 2025-12-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER EAST OutpatientFacility | Viva Health | All Products | $219.28 | $487.28 | $292.37 | 2025-12-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER SOUTH OutpatientFacility | Viva Health | All Products | $219.28 | $487.28 | $292.37 | 2025-12-30 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NAVIGATE | $225.33 | $518.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $237.24 | $518.00 | — | 2026-01-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Mt Health Co-Op | Rocky Mountain Health Plan | $239.31 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Exchange Other | Exchange Other | $239.31 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Mt Health Co-Op | Mountain Health Co-Op | $239.31 | $398.85 | — | 2026-07-14 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL BothFacility | Amish Church Fund | All Products | $239.87 | $479.73 | $359.80 | 2025-11-11 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $243.30 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | Boon-Chapman | $243.30 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Meritain Health | Meritain Health | $243.30 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | First Choice Health | $243.30 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | First Choice Other | $243.30 | $398.85 | — | 2026-07-14 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $244.50 | $518.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NON OPTIONS | $245.01 | $518.00 | — | 2026-01-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | Sound Health | $251.28 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Aetna | Aetna Pos/Qpos | $251.28 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Aetna | Aetna Src | $251.28 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Aetna | Aetna Ppo | $251.28 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Aetna | Aetna Hmo/Epo | $251.28 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | Must-Mt Unified School Trust | $251.28 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Other | Prodegi | $251.28 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Exchange Other | Exchange Other | $259.25 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Mt Health Co-Op | Mountain Health Co-Op | $259.25 | $398.85 | — | 2026-07-14 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | AETNA | CCH | $264.32 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | AETNA | CCH | $264.32 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $270.30 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $270.30 | $398.85 | — | 2026-07-14 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | AETNA | ALL PRODUCTS | $272.10 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | UHC | ALL PRODUCTS | $273.03 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | UHC | ALL PRODUCTS | $273.03 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | UHC | ALL PRODUCTS | $273.03 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | MULTIPLAN | PPO | $273.65 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | GALAXY HEALTH NETWORK | PPO | $273.65 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | BLUE CROSS | ALL PRODUCTS | $273.65 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | MULTIPLAN | PPO | $273.65 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | BLUE CROSS | ALL PRODUCTS | $273.65 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | BLUE CROSS | ALL PRODUCTS | $273.65 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | GALAXY HEALTH NETWORK | PPO | $273.65 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | MULTIPLAN | PPO | $273.65 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | GALAXY HEALTH NETWORK | PPO | $273.65 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | HUMANA CONEJOS COUNTY HOSPITAL | MEDICARE CAH | $279.87 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | MULTIPLAN | WORKERS COMP | $279.87 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | MULTIPLAN | WORKERS COMP | $279.87 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | HUMANA CHOICE CARE | ALL PRODUCTS | $279.87 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | HUMANA CONEJOS COUNTY HOSPITAL | MEDICARE CAH | $279.87 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | HUMANA CONEJOS COUNTY HOSPITAL | MEDICARE CAH | $279.87 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | HUMANA CHOICE CARE | ALL PRODUCTS | $279.87 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | HUMANA CHOICE CARE | ALL PRODUCTS | $279.87 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | MULTIPLAN | WORKERS COMP | $279.87 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | UMR INTEGRATED HEALTH PLAN | ALL PRODUCTS | $286.09 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | UMR INTEGRATED HEALTH PLAN | ALL PRODUCTS | $286.09 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | UMR INTEGRATED HEALTH PLAN | ALL PRODUCTS | $286.09 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | PINNACOL ASSURANCE | ALL PRODUCTS | $289.20 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | PINNACOL ASSURANCE | ALL PRODUCTS | $289.20 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | PINNACOL ASSURANCE | ALL PRODUCTS | $289.20 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | COLORADO ACCESS | HMO | $293.87 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER OutpatientFacility | COLORADO ACCESS | HMO | $293.87 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | COLORADO ACCESS | HMO | $293.87 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | Boon-Chapman Existing Ppo | $295.15 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit Existing Ppo | $295.15 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Meritain Health | Meritain Health Existing Ppo | $295.15 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | First Choice Health Existing Ppo | $295.15 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | First Choice Health | First Choice Other Existing Ppo | $295.15 | $398.85 | — | 2026-07-14 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | KAISER | MEDICARE ADVANTAGE | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | UCHPA PHS | ALL PRODUCTS | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER OutpatientFacility | KAISER | MEDICARE ADVANTAGE | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | UC HEALTH PLAN | BEST | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | KAISER | PPO | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | KAISER | PPO | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | UCHPA PHS | ALL PRODUCTS | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | ROCKY MOUNTAIN | HMO | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | CIGNA GATEKEEPER | ALL PRODUCTS | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | UCHPA PHS | ALL PRODUCTS | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | UC HEALTH PLAN | BEST | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | ROCKY MOUNTAIN | HMO | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | FOUNDATION HEALTH CORP | ALL PRODUCTS | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | FOUNDATION HEALTH CORP | ALL PRODUCTS | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | CIGNA GATEKEEPER | ALL PRODUCTS | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | ROCKY MOUNTAIN | HMO | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | KAISER | PPO | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL OutpatientFacility | KAISER | MEDICARE ADVANTAGE | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | FOUNDATION HEALTH CORP | ALL PRODUCTS | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY HEALTH CONEJOS COUNTY HOSPITAL BothFacility | CIGNA GATEKEEPER | ALL PRODUCTS | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| SAN LUIS VALLEY REGIONAL MEDICAL CENTER BothFacility | UC HEALTH PLAN | BEST | $295.42 | $310.97 | $171.03 | 2026-03-26 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | St Of Mt Employees | $296.35 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt - Federal | $296.35 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt Closed Plan | $296.35 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt- Yellowstone County | $296.35 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Allegiance | Cigna Sclhs Employees | $297.22 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $297.22 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt Pos | $305.12 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt Pos Exchange | $305.12 | $398.85 | — | 2026-07-14 | MRF ↗ |
| AKRON CHILDREN'S HOSPITAL OutpatientFacility | Optum (UHC) | Behavioral Health | $311.82 | $479.73 | $359.80 | 2025-11-11 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | St Of Mt Employees | $314.29 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt - Federal | $314.29 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Pos Exchange | $314.29 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Closed Plan | $314.29 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Pos | $314.29 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt- Yellowstone County | $314.29 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Traditional | $327.06 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Mt Traditional Exchange | $327.06 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt Traditional | $331.05 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Mt Traditional Exchange | $331.05 | $398.85 | — | 2026-07-14 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | ANTIDOTE | ALL PRODUCTS | $336.70 | $518.00 | — | 2026-01-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Preferred One | Preferred One | $339.02 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Ebms-Employee Benefit Mng | Billings Schools District 2 | $339.02 | $398.85 | — | 2026-07-14 | MRF ↗ |
| BAPTIST MEDICAL CENTER EAST BothFacility | First Health | All Products | $341.10 | $487.28 | $292.37 | 2025-12-30 | MRF ↗ |
| PRATTVILLE BAPTIST HOSPITAL BothFacility | First Health | All Products | $341.10 | $487.28 | $292.37 | 2025-12-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER SOUTH BothFacility | First Health | All Products | $341.10 | $487.28 | $292.37 | 2025-12-30 | MRF ↗ |
| BAPTIST MEDICAL CENTER EAST BothFacility | First Health | All Products | $341.10 | $487.28 | $292.37 | 2025-12-30 | MRF ↗ |
| PRATTVILLE BAPTIST HOSPITAL BothFacility | First Health | All Products | $341.10 | $487.28 | $292.37 | 2025-12-30 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | First Choice Health | Must-Mt Unified School Trust New Peak | $352.58 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | First Choice Health | Sound Health New Peak | $352.58 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Other | Prodegi New Peak | $352.58 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Interwest | Montana Teamsters | $354.98 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Interwest | Interwest Other | $354.98 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Cigna | Cigna Ppo | $354.98 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Cigna | Eighth Dist Elect Ben Pln | $354.98 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Cigna | Cigna Pos/Qpos | $354.98 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Allegiance | Cigna - Commercial | $354.98 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Allegiance | Allegiance Group Health | $354.98 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Allegiance | Allegiance Other | $354.98 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Cigna | Cigna Hmo | $354.98 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Cigna | Cigna Connect Exchange | $354.98 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Cigna | Health-Partners | $354.98 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Pacificsource | Pacificsource Voyager Network | $354.98 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Outpatient | Pacificsource | Pacificsource Voyager Network | $357.77 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Private Hlthcare Sys | Phcs Other | $358.96 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | Private Hlthcare Sys | Phcs Ppo | $358.96 | $398.85 | — | 2026-07-14 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | CIGNA | TXP LIFESOURCE TRANSPLANT | $360.53 | $518.00 | — | 2026-01-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | United Healthcare | Golden Rule Ins | $362.95 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | United Healthcare | Medica | $362.95 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | United Healthcare | All Savers Alternative Funding | $362.95 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | United Healthcare | Uhc Exchange Plan | $362.95 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | United Healthcare | Uhc Other/Supplemental | $362.95 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | United Healthcare | Umr-United Med Resources | $362.95 | $398.85 | — | 2026-07-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST VINCENT REGIONAL HOSPITAL Inpatient | United Healthcare | Uhc Charter/Navigate | $362.95 | $398.85 | — | 2026-07-14 | 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.