00187000714 — Ribavirin 6 Gram Solution For Inhalation
Cite this view
HANK Price Transparency. (n.d.). RIBAVIRIN 6 GRAM SOLUTION FOR INHALATION (NDC 00187000714) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00187000714?code_type=NDC
“RIBAVIRIN 6 GRAM SOLUTION FOR INHALATION (NDC 00187000714) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00187000714?code_type=NDC. Accessed .
“RIBAVIRIN 6 GRAM SOLUTION FOR INHALATION (NDC 00187000714) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00187000714?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $43,013–$88,976 (25th–75th percentile) across 5 hospitals · 40 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 00187000714 — 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 |
|---|---|---|---|---|---|---|---|
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $9,250.59 | $9,065.58 | 2025-03-17 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | ABD | $15,831.02 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - ABD | $15,831.02 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | ALOHACARE | MEDICAID | $15,831.02 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | QUEST - NON-ABD | $15,831.02 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | OHANA | NON-ABD | $15,831.02 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | BLENDED RATE UHC | ALL PRODUCTS | $16,264.75 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $28,755.36 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | HEALTH OPTIONS | $28,755.36 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | FIRSTCARE | STAR | $28,755.36 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | CHIP | $28,755.36 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | ALL PRODUCTS | $28,755.36 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | STAR | $28,755.36 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | CHIP | $28,755.36 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | HCHA | ALL PRODUCTS | $32,529.50 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | VERDEGARD | UNION TRUST FUND | $32,529.50 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | HWMG/HMAA | ALL PRODUCTS | $37,951.08 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | PAC ADMIN | ALL PRODUCTS | $37,951.08 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | CALVOS | SELECT CARE | $37,951.08 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | MIMOH | ALL PRODUCTS | $37,951.08 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | STAR PLUS | $39,826.17 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $39,826.17 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | STAR | $39,826.17 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | CHIP | $39,826.17 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HEALTH PLAN w. UHRIP | STAR | $39,826.17 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HEALTH PLAN w/o UHRIP | CHIP | $39,826.17 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w/o UHRIP | CHIP | $40,077.78 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w. UHRIP | STAR | $40,077.78 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | STAR | $40,077.78 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | MDC S&W | $40,077.78 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $40,077.78 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | STAR PLUS | $41,815.09 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | STAR | $41,815.09 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | CHIP | $41,815.09 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR PLUS | $42,090.66 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | CHIP | $42,090.66 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR | $42,090.66 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR | $42,090.66 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | CHIP | $42,090.66 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR KIDS | $42,090.66 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR PLUS | $42,090.66 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | CHIP STAR KIDS | $43,013.23 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | BCBS TX STAR | $43,013.23 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | CHIP | $43,013.23 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP STAR KIDS | $43,288.80 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP | $43,288.80 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | BCBS TX STAR | $43,288.80 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN OutpatientFacility | MDX | ALL PRODUCTS | $43,372.66 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | MULTIPLAN | ALL PRODUCTS | $43,372.66 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Aetna | BETTER HEALTH STAR Kids | $43,804.00 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Aetna | BETTER HEALTH STAR UHRIP | $43,804.00 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Aetna | BETTER HEALTH CHIP | $43,804.00 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR | $44,331.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | CHIP | $44,331.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | STAR | $44,331.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | STAR KIDS | $44,331.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR PLUS | $44,331.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR KIDS | $44,331.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | CHIP | $44,331.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w. UHRIP | STAR | $45,553.28 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | MULTIPLAN | ALL PRODUCTS | $46,083.46 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | MCCP | ALL PRODUCTS | $46,083.46 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | KAISER | ALL PRODUCTS | $47,709.93 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN BothFacility | COVENTRY | ALL PRODUCTS | $48,794.25 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UNITED COMMUNITY | STAR PLUS | $52,598.35 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UNITED COMMUNITY | STAR KIDS | $52,598.35 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UNITED COMMUNITY | CHIP | $52,598.35 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UNITED COMMUNITY | STAR | $52,598.35 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | STAR | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | RIGHTCARE | MDC S&W | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | STAR PLUS | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | CHIP | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | STAR | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Optum | ALL PRODUCTS | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | STAR | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | CHIP | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | STAR MEDICAID | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | HEALTH OPTIONS | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | STAR | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | ALL PRODUCTS | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | CHIP | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | CHIP | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Optum | ALL PRODUCTS | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | STAR KIDS | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | RIGHTCARE | STAR | $52,718.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN InpatientFacility | UHA | ALL PRODUCTS | $54,215.83 | $54,215.83 | $32,529.50 | 2026-02-12 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BEACON | STAR | $55,114.44 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | EL PASO HEALTH FIRST | CHIP | $55,114.44 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | TX CHILDREN HEALTH | STAR KIDS | $55,114.44 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | TX CHILDREN HEALTH | STAR | $55,114.44 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BEACON | ALL PRODUCTS | $55,114.44 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BEACON | HEALTH OPTIONS | $55,114.44 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BEACON | CHIP | $55,114.44 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | EL PASO HEALTH FIRST | STAR MEDICAID | $55,114.44 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | EL PASO HEALTH FIRST | STAR | $55,114.44 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | TX CHILDREN HEALTH | CHIP | $55,114.44 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRSTCARE | STAR | $55,354.07 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | FIRSTCARE | STAR | $57,870.16 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH STAR Kids | $57,989.98 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH CHIP | $57,989.98 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH STAR UHRIP | $57,989.98 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BCBS | HMO | $59,907.00 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $59,907.00 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | Aetna | EMPLOYEE | $59,907.00 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $59,907.00 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BCBS | HMO | $59,907.00 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $64,699.56 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | TX CHILDREN HEALTH | STAR KIDS | $64,699.56 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | TX CHILDREN HEALTH | CHIP | $64,699.56 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | TX CHILDREN HEALTH | STAR | $64,699.56 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | EL PASO HEALTH FIRST | CHIP | $64,699.56 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BEACON | ALL PRODUCTS | $64,699.56 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BEACON | STAR | $64,699.56 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BEACON | CHIP | $64,699.56 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BEACON | HEALTH OPTIONS | $64,699.56 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | EL PASO HEALTH FIRST | STAR | $64,699.56 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | EL PASO HEALTH FIRST | STAR MEDICAID | $64,699.56 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | HEALTH PLAN w/o UHRIP | CHIP | $64,699.56 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | FIRSTCARE | STAR | $67,934.54 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | Optum | ALL PRODUCTS | $69,492.12 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | Optum | ALL PRODUCTS | $69,492.12 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Aetna | EMPLOYEE | $71,888.40 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | INTEL | ALL PRODUCTS | $75,363.20 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | HEALTHCOMP | ALL PRODUCTS | $75,363.20 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA SELECT | ALL PRODUCTS | $78,566.14 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA | SUREFIT | $79,131.36 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NAVIGATE | $81,957.48 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $86,290.86 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $88,928.58 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL OutpatientFacility | UHC | NON OPTIONS | $89,116.98 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BCBS | HMO | $93,454.92 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BCBS | HMO | $93,454.92 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRSTCARE | ALL PRODUCTS | $95,851.20 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | FIRSTCARE | ALL PRODUCTS | $95,851.20 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | S&W HEALTH | ALL PRODUCTS | $100,643.76 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | S&W HEALTH | ALL PRODUCTS | $100,643.76 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BCBS | PPO | $100,643.76 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BCBS | PPO | $100,643.76 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | IMAGINE HEALTH | ALL PRODUCTS | $101,841.90 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Aetna | ALL PRODUCTS | $101,841.90 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | UHC | MGD | $101,841.90 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | CIGNA | CIGNA-MGD | $101,841.90 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | IMAGINE HEALTH | ALL PRODUCTS | $101,841.90 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Aetna | ALL PRODUCTS | $101,841.90 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UHC | MGD | $101,841.90 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HEALTHSCOPE | ALL PRODUCTS | $101,841.90 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | CIGNA | CIGNA-MGD | $101,841.90 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTHSCOPE | ALL PRODUCTS | $101,841.90 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MULTIPLAN | PHCS | $104,238.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HUMANA | CONCENTRIC PPO | $104,238.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MULTIPLAN | ALL PRODUCTS | $104,238.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HUMANA | CONCENTRIC PPO | $104,238.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | MULTIPLAN | ALL PRODUCTS | $104,238.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | MULTIPLAN | PHCS | $104,238.18 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | FIRST HEALTH | PPO | $105,436.32 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HUMANA | CHOICECARE PPO | $105,436.32 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HUMANA | CHOICECARE PPO | $105,436.32 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRST HEALTH | PPO | $105,436.32 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | GALAXY HEALTH | ALL PRODUCTS | $107,832.60 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $107,832.60 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Healthsmart | ALL PRODUCTS | $107,832.60 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Healthsmart | ALL PRODUCTS | $107,832.60 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $107,832.60 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | GALAXY HEALTH | ALL PRODUCTS | $107,832.60 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | USAMCO | ALL PRODUCTS | $110,228.88 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | USAMCO | ALL PRODUCTS | $110,228.88 | $119,814.00 | $89,860.50 | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | ANTIDOTE | ALL PRODUCTS | $122,465.20 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | CIGNA | TXP LIFESOURCE TRANSPLANT | $131,131.97 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | AETNA | HEALTHEZ | $138,103.06 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL InpatientFacility | CIGNA | TXP LIFESOURCE TRANSPLANT | $143,001.67 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | MULTIPLAN | ALL PRODUCTS | $150,726.40 | $188,408.00 | — | 2026-01-01 | MRF ↗ |
| PHOENIX CHILDREN'S HOSPITAL BothFacility | CIGNA | BEHAVIORAL HEALTH | $150,726.40 | $188,408.00 | — | 2026-01-01 | MRF ↗ |