0078-0697-19 — Eltrombopag Olamine 25 Mg Po Pack
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ELTROMBOPAG OLAMINE 25 MG PO PACK (NDC 0078-0697-19) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0078-0697-19?code_type=NDC
MLA (9th ed.)
“ELTROMBOPAG OLAMINE 25 MG PO PACK (NDC 0078-0697-19) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0078-0697-19?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“ELTROMBOPAG OLAMINE 25 MG PO PACK (NDC 0078-0697-19) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0078-0697-19?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $20,368–$72,830 (25th–75th percentile) across 28 hospitals · 86 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 0078-0697-19 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Humana_Health_Plan | HMO_Medicare | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Humana_Health_Plan | HMO_Medicare | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Private_Healthcare_Systems | PPO | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Private_Healthcare_Systems | PPO | — | $64,108.49 | $32,054.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Amerigroup_Community_Care | HMO_Medicaid | $3,401.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Oscar | HMO | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Trustmark_Apache_AMPS | Medicare_HMO_PPO | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $3,401.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Humana | Medicare_PFFS | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Devoted_Health | HMO_PPO_Medicare | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Aetna_of_GA | Medicare_HMO | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Oscar_Health_Plan_of_Georgia | HMO | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Trustmark_Apache_Mills_AMPS | HMO_PPO_Medicare | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Devoted | Medicare_HMO_PPO | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Alliant_Health | Solocare_Exchange | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna_Healthcare_of_Georgia | _Medicare_HMO | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Aetna | HMO_Medicare | — | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Caresource_GA | HMO_Medicaid | $3,860.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $3,860.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan | HMO_Medicaid | $4,102.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Health_First | HMO_PPO | $6,627.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Health_First_Health | HMO_PPO | $6,627.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | United_HealthCare | Exchange | $7,113.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Health_First_Health | HMO_PPO | $7,145.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Health_First_Health | HMO_PPO | $7,145.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | Exchange | $7,395.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | PPO_Medicare_ | $7,557.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | EXCHANGE | $7,587.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AMPS | PPO | $7,616.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | AMPS | HMO_PPO | $7,616.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | Exchange | $7,819.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | PPO_Medicare_ | $8,147.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AMPS | PPO | $8,210.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | AMPS | PPO | $8,210.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Humana | PPO_Medicare_ | $9,087.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Humana | HMO_Medicare | $10,141.00 | $75,678.65 | $30,271.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | MYBLUE | $10,668.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $10,905.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Humana | HMO_Medicare | $11,217.00 | $87,636.25 | $35,054.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $11,328.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $11,383.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Health_First_Health | HMO_PPO | $11,388.00 | $66,985.69 | $26,794.28 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $11,627.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Florida_Health_Care_Plan | Medicare | $11,627.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | BLUE_SELECT | $11,827.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $11,827.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | United_HealthCare | Exchange | $11,919.00 | $87,636.25 | $35,054.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $11,986.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Cigna_HealthCare | SureFit_EPO | $12,158.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | United_HealthCare | Exchange | $12,184.00 | $75,678.65 | $30,271.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | QHP_Exchange | $12,296.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Aetna | QHP_Exchange | $12,336.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Aetna | QHP | $12,336.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | FHCP | HMO | $12,499.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $12,499.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | HEALTH_OPTIONS | $12,511.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $12,511.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $12,534.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | Medicare_ | $12,534.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $12,785.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $12,813.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | Surefit | $13,167.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | SureFit_EPO | $13,167.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Aetna | QHP_Exchange | $13,174.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $73,519.56 | $36,759.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS_Medicaid | HMO_Medicaid | — | $73,519.56 | $36,759.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | United_Community_Plan_of_KY_ | Medicaid | — | $73,519.56 | $36,759.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | Medicaid | — | $73,519.56 | $36,759.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $73,519.56 | $36,759.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO_Medicare | — | $73,519.56 | $36,759.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | WellCare_of_Kentucky | Medicaid | — | $73,519.56 | $36,759.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | HMO_Medicare | — | $73,519.56 | $36,759.78 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Aetna_Better_Health | HMO_Medicaid | $13,234.00 | $73,519.56 | $36,759.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | United_HealthCare | Exchange | $13,263.00 | $66,985.69 | $26,794.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | NETWORK_BLUE | $13,415.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $13,417.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $13,474.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $13,474.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Humana | HMO_Medicare | — | $125,834.16 | $62,917.08 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $13,656.00 | $125,834.16 | $62,917.08 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $125,834.16 | $62,917.08 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Anthem_BCBS_of_GA | _Medicare_HMO | — | $125,834.16 | $62,917.08 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Cigna | _Medicare_HMO | — | $125,834.16 | $62,917.08 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Devoted_Health | Medicare_HMO_PPO | — | $125,834.16 | $62,917.08 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Aetna | QHP_Exchange | $14,201.00 | $66,985.69 | $26,794.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $14,414.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | EPO | $14,534.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | NHP | $14,947.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | HMO_EPO | $15,041.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | HMO_PPO | $15,229.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | PPC | $15,269.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $15,272.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Aetna | QHP_Exchange | $15,363.00 | $75,678.65 | $30,271.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Inpatient | United_HealthCare_of_Georgia | HMO_PPO | $15,386.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | United_HealthCare_of_GA | HMO_PPO_UMR | $15,386.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $15,501.00 | $125,834.16 | $62,917.08 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Humana | HMO_Medicare | $15,817.00 | $75,678.65 | $30,271.46 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $15,825.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $15,825.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Avmed | State_of_Florida | $15,842.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | NHP | $15,871.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Alliant_Health_Plans | PPO | $16,044.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Alliant_Health | HMO_PPO | $16,044.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | EPO | $16,278.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | HMO | $16,278.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Inpatient | Health_One_Alliance | PPO | $16,295.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | NHP | $16,307.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Cigna_HealthCare_of_Georgia | PPO | $16,357.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | HMO_PPO | $16,357.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna | HMO_PPO | $16,451.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Inpatient | Cigna_HealthCare_of_Georgia | PPO | $16,451.00 | $31,335.82 | $15,667.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $16,451.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | FHCP | HMO | $16,452.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $16,452.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Peach_State_Health_Plan | Medicaid_HMO | $16,472.00 | $125,834.16 | $62,917.08 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Humana | HMO_EPO | $16,608.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Cigna_HealthCare | HMO_PPO | $16,639.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Humana | HMO | $16,921.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Humana | EPO | $16,921.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | County_of_Volusia | $16,946.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | Volusia_County | $16,946.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AvMed | HMO | $16,953.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Cigna_HealthCare | SureFit_EPO | $17,282.00 | $66,985.69 | $26,794.28 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $17,331.00 | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_HealthCare | Medicaid | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | Better_Health_Medicaid | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Amerigroup | Medicare | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Wellcare | Medicare | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Molina | Medicare | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_HealthCare | Medicaid | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | Medicare | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Molina | Medicare | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Cigna_Health_Spring | Medicare | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Aetna | Better_Health_Medicaid | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $17,331.00 | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Amerigroup | Medicare | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Cigna_Health_Spring | Medicare | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | Medicare | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Wellcare | Medicare | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $55,195.55 | $27,597.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | HMO_PPO | $17,353.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | PPO | $17,440.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | HMO_PPO | $17,517.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Aetna | QHP_Exchange | $17,527.00 | $87,636.25 | $35,054.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Aetna_of_GA | Medicare_HMO | $17,617.00 | $125,834.16 | $62,917.08 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AvMed_Health_Plan | HMO | $17,760.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | HMO_PPO | $17,818.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Humana | PPO | $17,861.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | AvMed | HMO | $17,955.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | HMO_PPO | $18,022.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | HMO_PPO | $18,022.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Polkin_Health | PPO | $18,167.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Plotkin | International | $18,167.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Humana | PPO | $18,175.00 | $31,335.82 | $12,534.33 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Aetna | ASA | $18,312.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | UHC | International | $18,312.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | United_HealthCare | International | $18,312.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Aetna | ASA_PPO | $18,312.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $18,440.00 | $112,437.12 | $44,974.85 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Aetna | HMO_PPO | $18,690.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Aetna | HMO_PPO | $18,690.00 | $29,067.20 | $11,626.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Aetna | QHP_Exchange | $18,697.00 | $62,115.56 | $24,846.22 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Aetna | HMO_PPO | $18,739.00 | $31,335.82 | $12,534.33 | 2024-12-15 | 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.