0338-1113-04 — Clinimix E/dextrose (4.25/5) 4.25 % IV Soln
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CLINIMIX E/DEXTROSE (4.25/5) 4.25 % IV SOLN (NDC 0338-1113-04) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0338-1113-04?code_type=NDC
MLA (9th ed.)
“CLINIMIX E/DEXTROSE (4.25/5) 4.25 % IV SOLN (NDC 0338-1113-04) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0338-1113-04?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“CLINIMIX E/DEXTROSE (4.25/5) 4.25 % IV SOLN (NDC 0338-1113-04) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0338-1113-04?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $374–$1,098 (25th–75th percentile) across 34 hospitals · 95 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 0338-1113-04 — 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 | — | — | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| GREATER BALTIMORE MEDICAL CENTER BothFacility | ALL PAYERS | ALL PLANS | $67.79 | $67.79 | $66.43 | 2026-07-01 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | United_HealthCare | Exchange | $116.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $660.56 | $330.28 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | HMO_Medicare | — | $660.56 | $330.28 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO_Medicare | — | $660.56 | $330.28 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Aetna_Better_Health | HMO_Medicaid | $119.00 | $660.56 | $330.28 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS_Medicaid | HMO_Medicaid | — | $660.56 | $330.28 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $660.56 | $330.28 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | Medicaid | — | $660.56 | $330.28 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | WellCare_of_Kentucky | Medicaid | — | $660.56 | $330.28 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | United_Community_Plan_of_KY_ | Medicaid | — | $660.56 | $330.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Health_First_Health | HMO_PPO | $142.00 | $623.60 | $249.44 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | United_HealthCare | Exchange | $142.00 | $623.60 | $249.44 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Humana | HMO_Medicare | $144.00 | $1,071.40 | $428.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Health_First_Health | HMO_PPO | $147.00 | $646.28 | $258.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | Exchange | $153.00 | $646.28 | $258.51 | 2024-12-15 | MRF ↗ |
| UM Shore Emergency Center at Queenstown Both | — | — | — | $161.70 | $158.47 | 2025-11-05 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Humana | HMO_Medicare | $159.00 | $1,244.44 | $497.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | AMPS | PPO | $163.00 | $623.60 | $249.44 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Health_First_Health | HMO_PPO | $164.00 | $965.32 | $386.13 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | PPO_Medicare_ | $168.00 | $646.28 | $258.51 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | United_HealthCare | Exchange | $169.00 | $1,244.44 | $497.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AMPS | PPO | $169.00 | $646.28 | $258.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | United_HealthCare | Exchange | $172.00 | $1,071.40 | $428.56 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Health_First_Health | HMO_PPO | $177.00 | $775.64 | $310.26 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Health_First | HMO_PPO | $177.00 | $775.64 | $310.26 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | United_HealthCare | Exchange | $180.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Humana | PPO_Medicare_ | $181.00 | $623.60 | $249.44 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Centivo | PPO | $186.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Aetna | QHP_Exchange | $187.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Humana_Health_Plan | HMO_Medicare | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | United_HealthCare | NHP | $189.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Private_Healthcare_Systems | PPO | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Private_Healthcare_Systems | PPO | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Humana_Health_Plan | HMO_Medicare | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | United_HealthCare | Exchange | $191.00 | $965.32 | $386.13 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | United_HealthCare | Exchange | $191.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $200.00 | $1,220.00 | $488.00 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | EXCHANGE | $202.00 | $775.64 | $310.26 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | PPO_Medicare_ | $202.00 | $775.64 | $310.26 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | AMPS | HMO_PPO | $203.00 | $775.64 | $310.26 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AMPS | PPO | $203.00 | $775.64 | $310.26 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Aetna | QHP_Exchange | $205.00 | $965.32 | $386.13 | 2024-12-15 | MRF ↗ |
| UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both | — | — | — | $209.22 | $205.04 | 2025-11-05 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | AMPS | PPO | $207.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | United_HealthCare | HMO_PPO | $208.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_HealthCare | Medicaid | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | Medicare | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Molina | Medicare | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | Better_Health_Medicaid | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Amerigroup | Medicare | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Amerigroup | Medicare | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Aetna | Better_Health_Medicaid | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Molina | Medicare | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_HealthCare | Medicaid | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | Medicare | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $209.00 | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Wellcare | Medicare | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $209.00 | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Wellcare | Medicare | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Cigna_Health_Spring | Medicare | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Cigna_Health_Spring | Medicare | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $665.34 | $332.67 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | Exchange | $209.00 | $775.64 | $310.26 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Humana | HMO_PPO | $215.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Aetna | QHP_Exchange | $217.00 | $1,071.40 | $428.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $219.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Humana | PPO | — | $1,071.40 | $428.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Humana | HMO | — | $1,071.40 | $428.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Florida_HealthCare_Plan | HMO_Triple_Option | $224.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Humana | HMO_Medicare | $224.00 | $1,071.40 | $428.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $225.00 | $646.28 | $258.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Humana | HMO | $227.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Inpatient | Private_Healthcare_Systems | PPO | $229.00 | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Inpatient | Private_Healthcare_Systems | PPO | $229.00 | $635.36 | $317.68 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Health_First_Health | HMO_PPO | $230.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $233.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $234.00 | $646.28 | $258.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Aetna | QHP_Exchange | $239.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Aetna | Medicare | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Aetna | Better_Health_Medicaid | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | ApexHealth_Medicare_Advantage | HMO_Medicare | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Blue_Cross_Blue_Shield_of_North_Carolina | Medicare | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Humana_Health | Medicare_HMO_PPO | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Alignment_Medicare | HMO_PPO_Medicare | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Longevity_Health_Plan | Medicare | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Oscar_Health_Plan_of_NC | Medicare_HMO | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare | Medicaid | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Troy_Medicare | Medicare_HMO_PPO | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Wellcare_of_NC | Medicare_HMO | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | MedCost_Ultra | PPO | $240.00 | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare | Medicare_HMO_PPO | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Humana_Health | PFFS_Medicare | — | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Cigna_HealthCare | SureFit_EPO | $242.00 | $623.60 | $249.44 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $247.00 | $646.28 | $258.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | Medicare_ | $249.00 | $623.60 | $249.44 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Cigna_HealthCare | SureFit_EPO | $249.00 | $965.32 | $386.13 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Aetna | QHP_Exchange | $249.00 | $1,244.44 | $497.78 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $253.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | QHP_Exchange | $254.00 | $646.28 | $258.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $255.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Inpatient | Humana | HMO | $258.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | United_HealthCare | NHP | $258.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $259.00 | $646.28 | $258.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $261.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $262.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Aetna | QHP_Exchange | $262.00 | $623.60 | $249.44 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Cigna_ | HMO_PPO_POS | $263.00 | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $263.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Devoted | Medicare_HMO_PPO | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Trustmark_Apache_AMPS | Medicare_HMO_PPO | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Inpatient | Republic_Health | HMO_PPO | $264.00 | $660.56 | $330.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Oscar | HMO | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Aetna_of_GA | Medicare_HMO | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $264.00 | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Humana | Medicare_PFFS | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Cigna_HealthCare | HMO_PPO | $264.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna_Healthcare_of_Georgia | _Medicare_HMO | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Aetna | HMO_Medicare | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Amerigroup_Community_Care | HMO_Medicaid | $264.00 | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $264.00 | $646.28 | $258.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $264.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Trustmark_Apache_Mills_AMPS | HMO_PPO_Medicare | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Oscar_Health_Plan_of_Georgia | HMO | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Devoted_Health | HMO_PPO_Medicare | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Alliant_Health | Solocare_Exchange | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $264.00 | $646.28 | $258.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $2,433.31 | $1,216.66 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Cigna | _Medicare_HMO | — | $2,448.43 | $1,224.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Humana | HMO_Medicare | — | $2,448.43 | $1,224.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $266.00 | $2,448.43 | $1,224.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Anthem_BCBS_of_GA | _Medicare_HMO | — | $2,448.43 | $1,224.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Devoted_Health | Medicare_HMO_PPO | — | $2,448.43 | $1,224.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $2,448.43 | $1,224.21 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $268.00 | $623.60 | $249.44 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Centivo | PPO | $270.00 | $1,071.40 | $428.56 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | MedCost | PPO | $271.00 | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WESLEY CHAPEL Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $273.00 | $737.64 | $295.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | GMMI | PPO | $277.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $278.00 | $646.28 | $258.51 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Plotkin | International | $280.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | United_HealthCare | International | $281.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | Aetna | ASA_PPO | $282.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | United_HealthCare | International | $282.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | United_HealthCare | HMO_PPO | $282.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $283.00 | $447.20 | $178.88 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | United_HealthCare_of_NC | HMO_PPO | $284.00 | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | MYBLUE | $285.00 | $775.64 | $310.26 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH HENDERSONVILLE Outpatient | Blue_Cross_Blue_Shield_of_North_Carolina | HMO_PPO | $289.00 | $400.72 | $200.36 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | UPMC_Health_Plan | Medicare | — | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | United_HealthCare | Exchange | $290.00 | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | United_HealthCare | Dual_Medicare | — | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Optimum | Medicare | — | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Simply_Healthcare | Medicare | — | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Oscar_ | EPO | — | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | WellCare_of_Florida | HMO_PPO_Medicare | — | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Sunshine_State_Health_Plan | Exchange | — | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Humana | HMO_PPO_PFFS_Medicare | — | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Sunshine_State_Health_Plan | Medicare | — | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Devoted_Health | Medicare | — | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Cigna_HealthCare | _Medicare | — | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | _Medicare_Adv_HMO_PPO | — | $1,944.37 | $777.75 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH OCALA Outpatient | Aetna_Health | Medicare | — | $1,944.37 | $777.75 | 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.