0338-9555-24 — dexmedeTOMIDine Hcl-sodium Chloride
Cite this view
HANK Price Transparency. (n.d.). dexmedeTOMIDine HCl-Sodium Chloride (NDC 0338-9555-24) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0338-9555-24?code_type=NDC
“dexmedeTOMIDine HCl-Sodium Chloride (NDC 0338-9555-24) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0338-9555-24?code_type=NDC. Accessed .
“dexmedeTOMIDine HCl-Sodium Chloride (NDC 0338-9555-24) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0338-9555-24?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $660–$5,383 (25th–75th percentile) across 7 hospitals · 19 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 0338-9555-24 — 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 |
|---|---|---|---|---|---|---|---|
| UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS Both | — | — | — | $48.39 | $47.42 | 2025-11-05 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Humana Health Plan | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Humana Health Plan | Medicare Hmo/Ppo | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Devoted | Medicare Advantage | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Aetna Health | Medicare Advantage | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Careoregon | Medicare Advantage Coa Star | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Careoregon | Medicare Advantage | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Careoregon | Ohp/Medicaid | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | First Choice Health | Administrators | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Pacific Source | Commercial Psn/Voyager | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Pacific Source | Medicare Advantage Hmo And Ppo | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Hmo | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Ppo | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Moda Health Plan | Medicare Advantage | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Health Net Health Plan | Medicare Advantage | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Heritage Prime | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Global/Heritage | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Molina Healthcare Of Wa | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Molina Healthcare Of Wa | Medicare Advantage | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Wa | All Other Lob | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Managed Medicaid | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Medicare Advantage | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Wellpoint | Managed Medicaid | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Wellcare | Medicare Advantage | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | United Healthcare | Medicare Payer Appendix | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Ambetter | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Premerafirst | Heritage Prime | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Wellpoint | Managed Medicaid | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Ambetter | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | United Healthcare | Ph Employees | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Humana Health Plan | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | First Choice Health | Administrators | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Regence Blue Shield | Ump | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Kaiser Wa | Managed Medicaid | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Molina Healthcare Of Wa | Managed Medicaid | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Premerafirst | Global/Heritage | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Medicaid Hop/Ohp Bridge | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Medicaid Ohp Plans | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Nonind Navigator/Coordinated Care | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Ppo & Hmo | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Moda Health Plan | Medicare Advantage | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Providence Health Plan | Medicare Advantage | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Careoregon | Ohp/Medicaid | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Ind Navigator/Coordinated Care | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Commercial Psn/Voyager | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Medicaid Ohp Plans | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Commercial Psn/Voyager | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Ppo & Hmo | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Moda Health Plan | Medicare Advantage | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Moda Health Plan | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Providence Health Plan | Medicare Advantage | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Ind Navigator/Coordinated Care | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Nonind Navigator/Coordinated Care | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Medicaid Hop/Ohp Bridge | — | $202.00 | $131.30 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $202.00 | $131.30 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $202.00 | $131.30 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $202.00 | $131.30 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | Moda Health Plan | Endeavor/Pioneer | — | $202.00 | $131.30 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $202.00 | $131.30 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | First Choice Health | Administrators | — | $202.00 | $131.30 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $202.00 | $131.30 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $202.00 | $131.30 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $202.00 | $131.30 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $202.00 | $131.30 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Wellpoint | Managed Medicaid | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Ambetter | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | United Healthcare | Ph Employees | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Humana Health Plan | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | First Choice Health | Administrators | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Kaiser Wa | Managed Medicaid | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Kaiser Wa | All Other Lob | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Molina Healthcare Of Wa | Managed Medicaid | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Premerafirst | Lifewise Alpine | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Premerafirst | Heritage Prime | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Premerafirst | Global/Heritage | — | $202.00 | $131.30 | 2026-08-01 | MRF ↗ |