00301234454 — Sodium Benzoate (bulk) Powder
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SODIUM BENZOATE (BULK) POWDER (NDC 00301234454) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00301234454?code_type=NDC
MLA (9th ed.)
“SODIUM BENZOATE (BULK) POWDER (NDC 00301234454) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00301234454?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“SODIUM BENZOATE (BULK) POWDER (NDC 00301234454) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00301234454?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11,326–$24,164 (25th–75th percentile) across 2 hospitals · 24 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 00301234454 — 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 |
|---|---|---|---|---|---|---|---|
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | CHIP | $7,435.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | FIRSTCARE | STAR | $7,435.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $7,435.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | CHIP | $7,435.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | ALL PRODUCTS | $7,435.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | STAR | $7,435.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | HEALTH OPTIONS | $7,435.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | STAR | $10,297.75 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | STAR PLUS | $10,297.75 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HEALTH PLAN w. UHRIP | STAR | $10,297.75 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HEALTH PLAN w/o UHRIP | CHIP | $10,297.75 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $10,297.75 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | CHIP | $10,297.75 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w. UHRIP | STAR | $10,362.81 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | MDC S&W | $10,362.81 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w/o UHRIP | CHIP | $10,362.81 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | STAR | $10,362.81 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $10,362.81 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | STAR PLUS | $10,812.02 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | STAR | $10,812.02 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | CHIP | $10,812.02 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR PLUS | $10,883.27 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR PLUS | $10,883.27 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR | $10,883.27 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR | $10,883.27 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | CHIP | $10,883.27 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR KIDS | $10,883.27 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | CHIP | $10,883.27 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | CHIP | $11,121.82 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | CHIP STAR KIDS | $11,121.82 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | BCBS TX STAR | $11,121.82 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP STAR KIDS | $11,193.07 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP | $11,193.07 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | BCBS TX STAR | $11,193.07 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Aetna | BETTER HEALTH STAR UHRIP | $11,326.29 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Aetna | BETTER HEALTH CHIP | $11,326.29 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Aetna | BETTER HEALTH STAR Kids | $11,326.29 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | CHIP | $11,462.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | STAR KIDS | $11,462.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | STAR | $11,462.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | CHIP | $11,462.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR PLUS | $11,462.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR KIDS | $11,462.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR | $11,462.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w. UHRIP | STAR | $11,778.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UNITED COMMUNITY | STAR | $13,600.22 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UNITED COMMUNITY | STAR PLUS | $13,600.22 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UNITED COMMUNITY | STAR KIDS | $13,600.22 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UNITED COMMUNITY | CHIP | $13,600.22 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | CHIP | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | STAR KIDS | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | CHIP | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | HEALTH OPTIONS | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Optum | ALL PRODUCTS | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | STAR MEDICAID | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | RIGHTCARE | MDC S&W | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | RIGHTCARE | STAR | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Optum | ALL PRODUCTS | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | STAR | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | STAR | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | STAR | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | ALL PRODUCTS | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | CHIP | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | CHIP | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | STAR PLUS | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | STAR | $13,631.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BEACON | ALL PRODUCTS | $14,250.80 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | EL PASO HEALTH FIRST | STAR MEDICAID | $14,250.80 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | EL PASO HEALTH FIRST | STAR | $14,250.80 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | EL PASO HEALTH FIRST | CHIP | $14,250.80 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | TX CHILDREN HEALTH | STAR KIDS | $14,250.80 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BEACON | HEALTH OPTIONS | $14,250.80 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BEACON | CHIP | $14,250.80 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BEACON | STAR | $14,250.80 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | TX CHILDREN HEALTH | STAR | $14,250.80 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | TX CHILDREN HEALTH | CHIP | $14,250.80 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRSTCARE | STAR | $14,312.76 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | FIRSTCARE | STAR | $14,963.34 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH STAR Kids | $14,994.32 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH STAR UHRIP | $14,994.32 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH CHIP | $14,994.32 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BCBS | HMO | $15,490.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $15,490.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BCBS | HMO | $15,490.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | Aetna | EMPLOYEE | $15,490.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $15,490.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $16,729.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | TX CHILDREN HEALTH | STAR KIDS | $16,729.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BEACON | HEALTH OPTIONS | $16,729.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BEACON | ALL PRODUCTS | $16,729.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BEACON | STAR | $16,729.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BEACON | CHIP | $16,729.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | EL PASO HEALTH FIRST | STAR | $16,729.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | EL PASO HEALTH FIRST | STAR MEDICAID | $16,729.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | EL PASO HEALTH FIRST | CHIP | $16,729.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | HEALTH PLAN w/o UHRIP | CHIP | $16,729.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | TX CHILDREN HEALTH | CHIP | $16,729.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | TX CHILDREN HEALTH | STAR | $16,729.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | FIRSTCARE | STAR | $17,565.66 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | Optum | ALL PRODUCTS | $17,968.40 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | Optum | ALL PRODUCTS | $17,968.40 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Aetna | EMPLOYEE | $18,588.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BCBS | HMO | $24,164.40 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BCBS | HMO | $24,164.40 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | FIRSTCARE | ALL PRODUCTS | $24,784.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRSTCARE | ALL PRODUCTS | $24,784.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BCBS | PPO | $26,023.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BCBS | PPO | $26,023.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | S&W HEALTH | ALL PRODUCTS | $26,023.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | S&W HEALTH | ALL PRODUCTS | $26,023.20 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UHC | MGD | $26,333.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Aetna | ALL PRODUCTS | $26,333.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | IMAGINE HEALTH | ALL PRODUCTS | $26,333.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Aetna | ALL PRODUCTS | $26,333.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | CIGNA | CIGNA-MGD | $26,333.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | CIGNA | CIGNA-MGD | $26,333.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HEALTHSCOPE | ALL PRODUCTS | $26,333.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | IMAGINE HEALTH | ALL PRODUCTS | $26,333.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTHSCOPE | ALL PRODUCTS | $26,333.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | UHC | MGD | $26,333.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MULTIPLAN | ALL PRODUCTS | $26,952.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | MULTIPLAN | ALL PRODUCTS | $26,952.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HUMANA | CONCENTRIC PPO | $26,952.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | MULTIPLAN | PHCS | $26,952.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MULTIPLAN | PHCS | $26,952.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HUMANA | CONCENTRIC PPO | $26,952.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HUMANA | CHOICECARE PPO | $27,262.40 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRST HEALTH | PPO | $27,262.40 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HUMANA | CHOICECARE PPO | $27,262.40 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | FIRST HEALTH | PPO | $27,262.40 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $27,882.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | GALAXY HEALTH | ALL PRODUCTS | $27,882.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $27,882.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Healthsmart | ALL PRODUCTS | $27,882.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | GALAXY HEALTH | ALL PRODUCTS | $27,882.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Healthsmart | ALL PRODUCTS | $27,882.00 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | USAMCO | ALL PRODUCTS | $28,501.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | USAMCO | ALL PRODUCTS | $28,501.60 | $30,980.00 | $23,235.00 | 2026-01-01 | MRF ↗ |