00264785000 — Water For Injection
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Water For Injection (OTHER 00264785000) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00264785000?code_type=OTHER
MLA (9th ed.)
“Water For Injection (OTHER 00264785000) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00264785000?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Water For Injection (OTHER 00264785000) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00264785000?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,882–$3,004 (25th–75th percentile) across 8 hospitals · 44 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 00264785000 — 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 |
|---|---|---|---|---|---|---|---|
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Alliance Coal Health Plan | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Stratose | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Centene Trillium Community Health Plan | Mgd Mcd | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Sutter Medical Foundation | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Uc Of Davis | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Centene Ambttr Slvr Smmit Hlth Pln | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Northbay Healthcare | Medicare Advantage | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Multiplan | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Kaiser Permanente | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Triwest Healthcare Alliance | Triwest | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Health Smart | Preferred Care | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Dignity Health | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Prime Health Services | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Providence Health Plan | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Sana Benefits | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF Inpatient | Health Net Federal Services | Tricare | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Alliance Coal Health Plan | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Health Smart | Preferred Care | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Humana | Tricare | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Multiplan | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Prime Health Services | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Providence Health Plan | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Sana Benefits | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Soonercare | Managed Medicaid | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Stratose | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Vantage Health Plan | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Sentara Health Administration | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Humana | Tricare | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Independence Blue Cross | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Health Smart | Preferred Care | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Prime Health Services | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Providence Health Plan | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Sana Benefits | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Alliance Coal Health Plan | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Stratose | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Centene Managed Health Services | Mgd. Medicaid | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Soonercare | Managed Medicaid | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA Inpatient | Multiplan | Commercial | — | $145.74 | $145.74 | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Soonercare | Managed Medicaid | — | $145.74 | $145.74 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Centene Managed Health Services | Mgd. Medicaid | — | $145.74 | $145.74 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Stratose | Commercial | — | $145.74 | $145.74 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Multiplan | Commercial | — | $145.74 | $145.74 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Healthlink | Hmo | — | $145.74 | $145.74 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Healthlink | Ppo | — | $145.74 | $145.74 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Health Smart | Preferred Care | — | $145.74 | $145.74 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Alliance Coal Health Plan | Commercial | — | $145.74 | $145.74 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Sana Benefits | Commercial | — | $145.74 | $145.74 | 2026-05-17 | MRF ↗ |
| SHRINERS HOSPITALS FOR CHILDREN Inpatient | Providence Health Plan | Commercial | — | $145.74 | $145.74 | 2026-05-17 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare | Medicaid Mscan | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Cigna | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Cigna | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicare | Government | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicare | Government | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Humana | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Humana | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicaid | [State] | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicaid | [State] | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Aetna | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Aetna | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Blue Cross Blue Shield | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Blue Cross Blue Shield | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicaid Hmo | Generic | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicaid Hmo | Generic | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Shared Health | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Shared Health | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicare Advantage | Generic | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Magnolia | Medicaid Mscan | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Magnolia | Medicaid Mscan | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Ambetter Exchange | Commercial | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina Children'S | Managed Medicaid | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina Healthcare Of Ms | Commercial | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina Healthcare Of Ms | Commercial | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Tricare Humana & Behavior Health | Commercial | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Tricare Humana & Behavior Health | Commercial | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare Children'S | Managed Medicaid | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare Children'S | Managed Medicaid | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Unitedhealthcare Marketplace Exchange | Commercial | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Optum | Veteran Affairs | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina Children'S Health | Managed Medicaid | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Optum Veteran Affairs | Optum Veteran Affairs | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Unitedhealthcare Marketplace Exchange | Commercial | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Wellcare | Medicare Advantage | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Ambetter | Exchange Commercial | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Molina | Medicaid Mscan | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | United Healthcare | Medicaid Mscan | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | United Healthcare | Medicare Advantage | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Cigna | Medicare Advantage | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Humana | Medicare Advantage | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Aetna | Medicare Advantage | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Blue Cross Blue Shield | Medicare Advantage | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Shared Health | Medicare Advantage | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Magnolia | Medicaid Mscan | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Molina Children'S | Managed Medicaid | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Molina Healthcare Of Ms | Commercial | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Tricare Humana & Behavior Health | Commercial | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | United Healthcare Children'S | Managed Medicaid | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER GULFPORT Inpatient | Unitedhealthcare Marketplace Exchange | Commercial | — | $0.01 | — | 2026-05-09 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Optum | Veteran Affairs | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Wellcare | Medicare Advantage | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Ambetter | Exchange Commercial | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina | Medicaid Mscan | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare | Medicare Advantage | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare | Medicaid Mscan | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Cigna | Medicare Advantage | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicare | Government | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Humana | Medicare Advantage | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicaid | [State] | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Aetna | Medicare Advantage | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Blue Cross Blue Shield | Medicare Advantage | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicaid Hmo | Generic | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Shared Health | Medicare Advantage | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Medicare Advantage | Generic | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Magnolia | Medicaid Mscan | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina Children'S | Managed Medicaid | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina Healthcare Of Ms | Commercial | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Tricare Humana & Behavior Health | Commercial | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Truecare – Medicaid Mscan | Truecare – Medicaid Mscan | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare Children'S | Managed Medicaid | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Unitedhealthcare Marketplace Exchange | Commercial | — | $0.01 | — | 2026-05-13 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Optum | Veteran Affairs | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Wellcare | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Wellcare | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Ambetter | Exchange Commercial | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina | Medicaid Mscan | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | Molina | Medicaid Mscan | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare | Medicaid Mscan | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SINGING RIVER HEALTH SYSTEM Inpatient | United Healthcare | Medicare Advantage | — | $0.01 | — | 2026-05-23 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Hawaii Medical Service Association | Ppo | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Prime Health Services | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Providence Health Plan | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Sana Benefits | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Net Federal Services | Tricare | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Alliance Coal Health Plan | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Calvos Selectcare | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Stratose | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Hawaii Medical Service Association | Hmo | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Multiplan | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Takecare | Commercial | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Smart | Preferred Care | — | $145.74 | $145.74 | 2026-05-24 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | Blue Cross Blue Shield Wy Ppo | Commercial | — | $92.50 | $52.73 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | First Choice | Commercial | — | $92.50 | $52.73 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | Medica | Commercial | — | $92.50 | $52.73 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | Cigna | Commercial | — | $92.50 | $52.73 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | United Healthcare | Commercial/Medicare Advantage | — | $92.50 | $52.73 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | First Health | Commercial | — | $92.50 | $52.73 | 2026-05-17 | MRF ↗ |
| MEMORIAL HOSPITAL OF CONVERSE COUNTY Inpatient | Mountain Health Co | Op | — | $92.50 | $52.73 | 2026-05-17 | MRF ↗ |