00338104702 — Nitroglycerin In D5w 100-5 Mcg/ml-% IV Soln
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NITROGLYCERIN IN D5W 100-5 MCG/ML-% IV SOLN (NDC 00338104702) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/00338104702?code_type=NDC
MLA (9th ed.)
“NITROGLYCERIN IN D5W 100-5 MCG/ML-% IV SOLN (NDC 00338104702) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/00338104702?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“NITROGLYCERIN IN D5W 100-5 MCG/ML-% IV SOLN (NDC 00338104702) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/00338104702?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $50–$568 (25th–75th percentile) across 30 hospitals · 227 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 00338104702 — 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 |
|---|---|---|---|---|---|---|---|
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Central Health Plan | Medicare HMO | $1.55 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $1.59 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | All Products | $1.59 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | All Products | $1.59 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | EPN | $1.59 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care Covered CA | HMO | $1.81 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $5.75 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| CAPE FEAR VALLEY MEDICAL CENTER Inpatient | Blue Medicare Partner Health Plan | Medicare | $8.07 | $133.47 | $80.08 | 2026-08-01 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MA-BEHAVIORAL HEALTH | $12.18 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MEDICARE ADV. | $12.18 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Allstate Insurance | Allstate | $12.29 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Affordable | Afford | $12.29 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Guardian Life | Guardli | $12.29 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | American Heritage Life | Amerher | $12.29 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Mutual Of Omaha | Mutualom | $12.29 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Gallagher Benefit Admin Inc | Gba | $12.29 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $12.30 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Americhoice | MEDICAID | $13.30 | $130.88 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH MEDICAID | $13.30 | $130.88 | — | 2025-01-31 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Great West Life Care | Greawstcar | $13.32 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Great West Life Care | Greawstcar 1 | $13.32 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | General American #2 | Generamer2 1 | $13.32 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | General American #1 | Generamer1 | $13.32 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | General American #2 | Generamer2 | $13.32 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | General American #1 | Generamer1 1 | $13.32 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $13.40 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | HEALTHNET | MEDICARE ADV. | $13.40 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $13.64 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Workers Compensation | Wc | $13.73 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Black Lung | Blklung | $13.73 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Horizon NJ Health | ALL PRODUCTS | $13.86 | $130.88 | — | 2025-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $13.86 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Better Health | BETTER HEALTH CHIP | $13.86 | $130.88 | — | 2025-01-31 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Amerigroup | ALL PRODUCTS | $13.86 | $130.88 | — | 2025-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $13.86 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $14.00 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $14.00 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $14.00 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $14.00 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $14.01 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Aetna Healthcare | Aetna4 | $14.34 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Central States | Centst | $14.34 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Employee Benefit Corp. | Emplbenefi | $14.34 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Geha | Geha | $14.34 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Operating Engineers, Local 312 | Opereng | $14.34 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Geha | Geha 1 | $14.34 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Alternative Insurance Resource | Alternins | $14.34 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Ghi | Ghi 1 | $14.81 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Cigna | Cigna 1 | $14.81 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $15.12 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $15.25 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $15.25 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $15.27 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Ccn / One Source | Ccn | $15.37 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | First Health | Firsthlt 1 | $15.37 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Ccn / One Source | Ccn 1 | $15.37 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | First Health | Firsthlt | $15.37 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $15.52 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $15.52 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $15.94 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $15.94 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $16.63 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Connecticut General Life Ins | Conngen | $16.80 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Connecticut General Life Ins | Conngen 1 | $16.80 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $16.93 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $17.39 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Black Lung | Blklung 1 | $17.62 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Workers Compensation | Wc 1 | $17.62 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Mclaren Health Plan Inc | Commercial Plans | $19.42 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Amish Church Of Michigan | — | $20.30 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Unicare | Unicare 1 | $20.49 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | United Healthcare | Unihltchoi 1 | $20.49 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Uhc Metra Health | Unihltmth 1 | $20.49 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | Ufcw Health & Welfare | Ufcw 1 | $20.49 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | United Healthcare Railroad | Unihltrail 1 | $20.49 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | United Healthcare Network | Unihltnetw 1 | $20.49 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | United Medical Resources | Unitmed 1 | $20.49 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| MEDICAL WEST, AN AFFILIATE OF UAB HEALTH SYSTEM Both | United Healthcare Proamerica | Unihltpro 1 | $20.49 | $20.49 | $5.12 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | SAMARITAN | MEDICARE ADV. | $21.00 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $21.00 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Medicare Advantage | $21.37 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | All Other Commercial Plans | $21.37 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Dow Chemical Employee Plans | $21.65 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Commercial Plans | $23.25 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | National Advantage | $23.25 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Choice Pos Ii | $23.25 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Qpos | $23.25 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Elect Choice | $23.25 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Select | $23.25 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Managed Choice Pos | $23.25 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Hmo | $23.25 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Open Choice Ppo | $23.25 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Ppo | $23.98 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Pos | $23.98 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | University Of Michigan Health Plan | Hmo | $23.98 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Blue Cross Blue Shield Of Michigan | Blue Care Network | $27.06 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| CAPE REGIONAL MEDICAL CENTER INC OutpatientFacility | Aetna Medicare | Medicare | $27.48 | $130.88 | — | 2025-01-31 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna Medicare | Medicare | $27.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $27.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $27.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $27.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $27.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Multiplan Commercial Plans | $27.68 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Emergis | $27.68 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $28.14 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $28.14 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Three Rivers Provider Network Trpn | All Plans | $28.29 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Integrated Health Plan Commercial Plans | $28.29 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Multiplan | Viant | $28.44 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Great West Healthcare | $28.60 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $29.40 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $29.40 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $29.40 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | EPO | $29.40 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $29.40 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Connecticut Life | $29.43 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Cigna | Commercial Plans | $29.43 | $30.75 | $30.75 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Gold Coast Health Plan | HMO | $30.80 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Gold Coast Health Plan | HMO | $30.80 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Workers Comp | Workers Comp | $31.56 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $32.24 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $32.24 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $33.60 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $33.60 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $33.60 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $33.60 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $33.60 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | SAMARITAN | SAMARITAN CHOICE | $33.60 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $35.36 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | REGENCE | ALL PRODUCTS | $35.36 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $35.70 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $35.70 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $35.70 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $35.70 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $35.77 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Ambetter | Commercial | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | GlobalHealth | Commercial | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | CommunityCare | Commercial | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Aetna | Medicare Advantage | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | UnitedHealthcare | Commercial | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | UnitedHealthcare | Medicare Advantage | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Humana Healthy Horizons | Medicaid | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Aetna | Commercial | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | UnitedHealthcare | VA Community Care | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Native Blue | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Medicare Advantage | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Preferred | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Blue LinCS | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Healthcare Highways | Commercial | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | HealthChoice | Commercial | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Choice | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Medicaid | Traditional | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Traditional | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Humana | Medicare Advantage | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Tricare | Standard | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Cigna | Medicare Advantage | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | BCBS | Blue Advantage | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Medicare | Traditional | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Oklahoma Complete Health | Medicaid | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Wellcare | Commercial | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Aetna Better Health | Medicaid | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | CommunityCare | Medicare Advantage | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | Cigna | Commercial | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| RURAL WELLNESS FAIRFAX HOSPITAL Both | GlobalHealth | Medicare Advantage | — | $96.90 | $58.14 | 2026-03-23 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $36.08 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $36.29 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $36.96 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $36.96 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $38.29 | $37.52 | 2025-03-17 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $37.75 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $37.75 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $37.75 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $37.75 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | CenCal Medi-Cal HMO | Medi-Cal HMO | $38.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $38.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | CenCal Transplant Medi-Cal HMO | Medi-Cal HMO | — | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA - RMG | All Products | $38.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA - RMG | All Products | $38.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $38.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | Medicare Advantage | $38.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | CenCal Transplant Medi-Cal HMO | Medi-Cal HMO | $38.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $38.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Providence Healthcare | Medicare | $38.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $38.50 | $110.00 | $60.50 | 2026-03-29 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $39.36 | $82.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $39.36 | $82.00 | — | 2025-06-04 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $39.48 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $39.90 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $39.90 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $39.90 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $39.90 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $39.90 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $39.90 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $39.90 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $39.90 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | AETNA | ALL PRODUCTS | $39.90 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $39.90 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $39.90 | $42.00 | $33.60 | 2026-01-31 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | IOWA TOTAL CARE | ALL PRODUCTS | $40.18 | $82.00 | — | 2025-06-04 | MRF ↗ |
| HENRY COUNTY HEALTH CENTER OutpatientFacility | IOWA TOTAL CARE | ALL PRODUCTS | $40.18 | $82.00 | — | 2025-06-04 | 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.