0251 — Pharmacy Generic Drugs
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PHARMACY GENERIC DRUGS (RC 0251) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0251?code_type=RC
MLA (9th ed.)
“PHARMACY GENERIC DRUGS (RC 0251) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0251?code_type=RC. Accessed .
Chicago (notes-bibliography)
“PHARMACY GENERIC DRUGS (RC 0251) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0251?code_type=RC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4–$42 (25th–75th percentile) across 49 hospitals · 105 payers.
“Negotiated” is the hospital’s negotiated facility rate for this RC 0251 — 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 |
|---|---|---|---|---|---|---|---|
| GENEVA GENERAL HOSPITAL OutpatientFacility | Emblem Group Health Incorporated | Commercial | $0.03 | $0.03 | $0.02 | 2025-08-07 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $0.03 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | United Healthcare | STAR+PLUS | $0.03 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Emblem | Commercial | $0.03 | $0.03 | $0.02 | 2025-08-07 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | WellCare | Medicare Advantage HMO and PPO | $0.04 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.04 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | $0.04 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare VA CCN | VA Community Care Network | $0.04 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Molina Medicare Medicaid | Molina Dual Options DSNP | $0.04 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Blue Cross Community DSNP | $0.04 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | $0.04 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | $0.04 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | $0.04 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Wellfirst (SSMHIC) Medicare Advantage | Medicare Advantage | $0.04 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Health Alliance | Medicare Advantage | $0.04 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $0.04 | $0.14 | $0.06 | 2025-08-07 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Meridian Medicare-Medicaid | MeridianComplete DSNP | $0.04 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna Better Health | Dual Medicare/Medicaid Premier Plan DSNP | $0.04 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicare Advantage HMO and PPO | $0.04 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.04 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Humana Medicare Medicaid | Humana Gold Integrated Plus DSNP | $0.04 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Excellus Blue Choice | Medicare Advantage | $0.05 | $0.14 | $0.06 | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Wellcare | Medicare Advantage | $0.05 | $0.14 | $0.06 | 2025-08-07 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.05 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Tufts Health Plan | Managed Medicaid | $0.05 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | United Healthcare | Medicare Advantage | $0.05 | $0.14 | $0.06 | 2025-08-07 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.05 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Tufts Health Plan | Managed Medicaid | $0.05 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | MVP Health Care | Commercial | $0.06 | $0.14 | $0.06 | 2025-08-07 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Neighborhood Health Plan of Rhode Island | RiteCare | $0.06 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Neighborhood Health Plan of Rhode Island | Rhody Health Plan | $0.06 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | $0.06 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Excellus Blue Cross | Commercial | $0.06 | $0.14 | $0.06 | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Aetna | Medicare Advantage | $0.06 | $0.14 | $0.06 | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Aetna | Commercial | $0.06 | $0.14 | $0.06 | 2025-08-07 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | $0.07 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Healthscope | Commercial | $0.07 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $0.07 | $0.32 | $0.16 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Alliance Coal | Alliance Coal Group Health | $0.07 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | UnitedHealthcare | HMO and PPO | $0.07 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Superior HealthPlan | CHIP | $0.07 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WellFirst (SSMHIC) | Commercial | $0.07 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HFN, Inc | HFN-20 | $0.08 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $0.08 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Cigna | HMO and PPO | $0.08 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | Devoted Health | Medicare Advantage | $0.08 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Health Select | PPO | $0.08 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Medicare Advantage | $0.08 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Health Select | PPO | $0.08 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Medicare Advantage | $0.08 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | HMO | $0.08 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $0.08 | $0.26 | $0.11 | 2025-08-07 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | Aetna | Medicare Advantage | — | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Harvard Pilgrim | Commercial | $0.08 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | STAR+PLUS | — | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Health Alliance | HMO,PPO, and Exchange | $0.08 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | Ambetter/Superior Health | Commercial/Exchange | — | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $0.08 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | Humana ChoiceCare | Medicare Advantage | — | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | Superior HealthPlan | CHIP | — | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | HMO | $0.08 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | Superior HealthPlan | STAR/STAR+PLUS | — | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Managed Medicaid | — | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HOPE Trust | Commercial | $0.08 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | SIHO | PPO | $0.09 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Illinois | Blue Choice | $0.09 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Multiplan | PPO | $0.09 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Cigna | Commercial | $0.09 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | HFN, Inc | HFN-10 | $0.09 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Cigna | Commercial | $0.09 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Three Rivers Provider | PPO | $0.09 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | 90 Degree Benefits | Commercial | $0.09 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Aetna | First Health PPO | $0.09 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Blue Cross Blue Shield of Illinois | Traditional and PPO | $0.09 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | 90 Degree Benefits | Commercial | $0.09 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | HealthLink | HMO | $0.09 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | $0.09 | $0.32 | $0.16 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $0.09 | $0.44 | $0.22 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | $0.09 | $0.32 | $0.16 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | HMO, PPO | $0.09 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $0.09 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | HealthLink | PPO | $0.09 | $0.10 | $0.09 | 2026-06-11 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | $0.09 | $0.32 | $0.16 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Aetna | HMO, PPO | $0.09 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | $0.09 | $0.32 | $0.16 | 2026-01-01 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | POS/PPO | $0.10 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Indemnity/Traditional | $0.10 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | United Healthcare | Medicare Advantage | $0.10 | $0.26 | $0.11 | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Wellcare | Medicare Advantage | $0.10 | $0.26 | $0.11 | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Excellus Blue Choice | Medicare Advantage | $0.10 | $0.26 | $0.11 | 2025-08-07 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $0.10 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Stratose | PPO | $0.10 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Blue Cross Blue Shield | Blue Essential | $0.10 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | Healthsmart | PPO | $0.10 | $0.10 | $0.08 | 2026-06-11 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Tufts Health Plan | Commercial HMO-EPO-POS-PPO and Medicare Complement Program | $0.11 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Aetna | Commercial | $0.11 | $0.26 | $0.11 | 2025-08-07 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Meridian Medicare-Medicaid | MeridianComplete DSNP | $0.11 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | United Healthcare | Commercial | $0.11 | $0.14 | $0.06 | 2025-08-07 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Aetna | Medicare Advantage | $0.11 | $0.26 | $0.11 | 2025-08-07 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Tufts Health Plan | Managed Medicaid | $0.11 | $0.32 | $0.16 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Blue Cross Community DSNP | $0.11 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | MVP Health Care | Commercial | $0.11 | $0.26 | $0.11 | 2025-08-07 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Tufts Health Plan | Commercial HMO-EPO-POS-PPO and Medicare Complement Program | $0.11 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Tufts Health Plan | Managed Medicaid | $0.11 | $0.32 | $0.16 | 2026-01-01 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Aetna | Commercial | $0.11 | $0.14 | $0.06 | 2025-08-07 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER InpatientFacility | Harvard Pilgrim | Commercial | $0.11 | $0.14 | $0.07 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Health Alliance | Medicare Advantage | $0.12 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna Better Health | Dual Medicare/Medicaid Premier Plan DSNP | $0.12 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Humana Medicare Medicaid | Humana Gold Integrated Plus DSNP | $0.12 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | POS/PPO | $0.12 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | $0.12 | $0.44 | $0.22 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.12 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Medicare Advantage | $0.12 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Blue Cross Community DSNP | $0.12 | $0.31 | $0.29 | 2026-06-11 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Indemnity/Traditional | $0.12 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.12 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Emblem | Commercial | $0.12 | $0.14 | $0.06 | 2025-08-07 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | $0.12 | $0.44 | $0.22 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | $0.12 | $0.44 | $0.22 | 2026-01-01 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | HMO/POS/PPO | $0.12 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | HMO/POS/PPO | $0.12 | $0.19 | $0.06 | 2025-02-14 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | Blue Cross Blue Shield | Blue Essential | $0.12 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | Excellus Blue Cross | Commercial | $0.12 | $0.26 | $0.11 | 2025-08-07 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | WellCare | Medicare Advantage HMO and PPO | $0.12 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare VA CCN | VA Community Care Network | $0.12 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Wellfirst (SSMHIC) Medicare Advantage | Medicare Advantage | $0.12 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| GENEVA GENERAL HOSPITAL OutpatientFacility | Emblem Group Health Incorporated | Commercial | $0.12 | $0.14 | $0.06 | 2025-08-07 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Meridian Medicare-Medicaid | MeridianComplete DSNP | $0.12 | $0.31 | $0.29 | 2026-06-11 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | Humana ChoiceCare | PPO | $0.12 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER InpatientFacility | United Healthcare | Commercial | $0.12 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | $0.12 | $0.44 | $0.22 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicare Advantage HMO and PPO | $0.12 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Molina Medicare Medicaid | Molina Dual Options DSNP | $0.12 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | WellCare | Medicare Advantage HMO and PPO | $0.13 | $0.31 | $0.29 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare VA CCN | VA Community Care Network | $0.13 | $0.31 | $0.29 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Molina Medicare Medicaid | Molina Dual Options DSNP | $0.13 | $0.31 | $0.29 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Humana Medicare Medicaid | Humana Gold Integrated Plus DSNP | $0.13 | $0.31 | $0.29 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.13 | $0.31 | $0.29 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Health Alliance | Medicare Advantage | $0.13 | $0.31 | $0.29 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.13 | $0.31 | $0.29 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna Better Health | Dual Medicare/Medicaid Premier Plan DSNP | $0.13 | $0.31 | $0.29 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Blue Cross Community DSNP | $0.13 | $0.34 | $0.31 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicare Advantage HMO and PPO | $0.13 | $0.31 | $0.29 | 2026-06-11 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $0.13 | $0.63 | $0.32 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Meridian Medicare-Medicaid | MeridianComplete DSNP | $0.13 | $0.34 | $0.31 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Wellfirst (SSMHIC) Medicare Advantage | Medicare Advantage | $0.13 | $0.31 | $0.29 | 2026-06-11 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.14 | $0.57 | $0.16 | 2025-02-14 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.14 | $0.34 | $0.31 | 2026-06-11 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | $0.14 | $0.32 | $0.16 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Neighborhood Health Plan of Rhode Island | Rhody Health Plan | $0.14 | $0.32 | $0.16 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Humana Medicare Medicaid | Humana Gold Integrated Plus DSNP | $0.14 | $0.34 | $0.31 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Molina Medicare Medicaid | Molina Dual Options DSNP | $0.14 | $0.34 | $0.31 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicare Advantage HMO and PPO | $0.14 | $0.34 | $0.31 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | United Healthcare VA CCN | VA Community Care Network | $0.14 | $0.34 | $0.31 | 2026-06-11 | MRF ↗ |
| PETERSON REGIONAL MEDICAL CENTER OutpatientFacility | Superior HealthPlan | STAR/STAR+PLUS | $0.14 | $0.13 | $0.09 | 2026-08-17 | MRF ↗ |
| SAMARITAN MEDICAL CENTER OutpatientFacility | MVP | Individual Commercial (HMO, EPO/PPO) Plans | $0.14 | $0.21 | $0.21 | 2026-02-02 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Neighborhood Health Plan of Rhode Island | RiteCare | $0.14 | $0.32 | $0.16 | 2026-01-01 | MRF ↗ |
| SAMARITAN MEDICAL CENTER OutpatientFacility | UMR | Commercial | $0.14 | $0.21 | $0.21 | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER OutpatientFacility | MVP | Small/Large Group Commercial (HMO, EPO/PPO, ASO) Plans | $0.14 | $0.21 | $0.21 | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER OutpatientFacility | MVP | Student Health Plans | $0.14 | $0.21 | $0.21 | 2026-02-02 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.14 | $0.57 | $0.16 | 2025-02-14 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Wellfirst (SSMHIC) Medicare Advantage | Medicare Advantage | $0.14 | $0.34 | $0.31 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Health Alliance | Medicare Advantage | $0.14 | $0.34 | $0.31 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.14 | $0.34 | $0.31 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | WellCare | Medicare Advantage HMO and PPO | $0.14 | $0.34 | $0.31 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna Better Health | Dual Medicare/Medicaid Premier Plan DSNP | $0.14 | $0.34 | $0.31 | 2026-06-11 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Tufts Health Plan | Managed Medicaid | $0.15 | $0.44 | $0.22 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Tufts Health Plan | Managed Medicaid | $0.15 | $0.44 | $0.22 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | $0.17 | $0.32 | $0.16 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | $0.17 | $0.63 | $0.32 | 2026-01-01 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | $0.17 | $0.63 | $0.32 | 2026-01-01 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.17 | $0.71 | $0.20 | 2025-02-14 | MRF ↗ |
| SAMARITAN MEDICAL CENTER OutpatientFacility | GHI Emblem | Commercial | $0.17 | $0.21 | $0.21 | 2026-02-02 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.17 | $0.71 | $0.20 | 2025-02-14 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Aetna | Commercial | $0.18 | $0.86 | $0.43 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Commercial | $0.18 | $0.63 | $0.32 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Blue Cross and Blue Shield of Rhode Island | Medicare Advantage | $0.18 | $0.63 | $0.32 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Meridian Medicare-Medicaid | MeridianComplete DSNP | $0.19 | $0.51 | $0.47 | 2026-06-11 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.19 | $0.80 | $0.23 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.19 | $0.80 | $0.23 | 2025-02-14 | MRF ↗ |
| OUR LADY OF FATIMA HOSPITAL InpatientFacility | Harvard Pilgrim | Commercial | $0.19 | $0.32 | $0.16 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | $0.20 | $0.44 | $0.22 | 2026-01-01 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Neighborhood Health Plan of Rhode Island | Rhody Health Plan | $0.20 | $0.44 | $0.22 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Blue Cross Community DSNP | $0.20 | $0.53 | $0.49 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Meridian Medicare-Medicaid | MeridianComplete DSNP | $0.20 | $0.53 | $0.49 | 2026-06-11 | MRF ↗ |
| ROGER WILLIAMS MEDICAL CENTER OutpatientFacility | Neighborhood Health Plan of Rhode Island | RiteCare | $0.20 | $0.44 | $0.22 | 2026-01-01 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Blue Cross Blue Shield of Illinois | Medicare Advantage HMO and PPO | $0.21 | $0.53 | $0.49 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Healthscope | Commercial | $0.21 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Humana Medicare Medicaid | Humana Gold Integrated Plus DSNP | $0.21 | $0.53 | $0.49 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $0.21 | $0.53 | $0.49 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Alliance Coal | Alliance Coal Group Health | $0.21 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna Better Health | Dual Medicare/Medicaid Premier Plan DSNP | $0.21 | $0.53 | $0.49 | 2026-06-11 | MRF ↗ |
| SOLDIERS AND SAILORS MEMORIAL HOSPITAL OF YATES OutpatientFacility | United Healthcare | Commercial | $0.21 | $0.26 | $0.11 | 2025-08-07 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | UnitedHealthcare | HMO and PPO | $0.21 | $0.30 | $0.27 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | WellCare | Medicare Advantage HMO and PPO | $0.21 | $0.53 | $0.49 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Wellfirst (SSMHIC) Medicare Advantage | Medicare Advantage | $0.21 | $0.53 | $0.49 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $0.21 | $0.53 | $0.48 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Molina Medicare Medicaid | Molina Dual Options DSNP | $0.21 | $0.53 | $0.49 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL InpatientFacility | WellFirst (SSMHIC) | Commercial | $0.21 | $0.30 | $0.24 | 2026-06-11 | MRF ↗ |
| HAMILTON MEMORIAL HOSPITAL OutpatientFacility | Health Alliance | Medicare Advantage | $0.21 | $0.53 | $0.49 | 2026-06-11 | 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.