0409-1208-11 — Cisatracurium Besylate
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Cisatracurium Besylate (NDC 0409-1208-11) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0409-1208-11?code_type=NDC
MLA (9th ed.)
“Cisatracurium Besylate (NDC 0409-1208-11) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0409-1208-11?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“Cisatracurium Besylate (NDC 0409-1208-11) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0409-1208-11?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $660–$5,223 (25th–75th percentile) across 12 hospitals · 35 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 0409-1208-11 — 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 |
|---|---|---|---|---|---|---|---|
| UMD UPPER CHESAPEAKE MEDICAL CENTER Both | — | — | — | $53.22 | $52.16 | 2025-11-05 | MRF ↗ |
| UNIVERSITY OF MD MEDICAL CENTER MIDTOWN CAMPUS Both | — | — | — | $54.61 | $53.52 | 2025-11-05 | MRF ↗ |
| UM UPPER CHESAPEAKE BEHAVIORAL HEALTH PAVILION AT Outpatient | — | — | — | $81.13 | $79.51 | 2025-11-05 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | United | Commercial/PPO | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | Clover Health | Medicare HMO/PPO | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | Fidelis | Medicare | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | UHC | Medicaid | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | Fidelis | Medicaid | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | UHC | Medicare | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | Aetna | Commercial | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | Aetna | Medicare | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | Correctional Medical Services | Correctional Medical Services | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | WellPoint | WellPoint | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | Horizon | Medicare Advantage | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | Horizon | NJ Health | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| THE UNIVERSITY HOSPITAL Both | Aetna | Better Health | $83.64 | $83.64 | — | 2026-08-13 | MRF ↗ |
| UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER Both | — | — | — | $85.80 | $84.08 | 2025-11-05 | MRF ↗ |
| UM UPPER CHESAPEAKE BEHAVIORAL HEALTH PAVILION AT Both | — | — | — | $107.21 | $105.07 | 2025-11-05 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Blue Cross Blue Shield | BCBS PPO | $151.39 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | MercyCare Health | MercyCare Health - HMO/PPO | $154.73 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Aetna | Aetna Northwestern | $209.10 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Blue Cross Blue Shield | Unified Physicians Network | $234.19 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Dupage Medical Group | $250.92 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Blue Cross Blue Shield | Northwestern Medicine Physician Network IPA | $250.92 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Methodist First Choice | Methodist First Choice | $292.74 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Health Plus | Health Plus - PHO | $292.74 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | St. Francis | St. Francis - IPA | $292.74 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Swedish Covenant Physician Partners | Swedish Covenant Physician Partners | $313.65 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Health Alliance | Health Alliance - PPO | $334.56 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Blue Cross Blue Shield | Sherman Choice - PHO | $334.56 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Healthlink Inc. | Healthlink Inc. | $345.02 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | HFN Inc | HFN - EPO | $355.47 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Unicare | Unicare | $363.83 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Swedish American | Swedish American | $376.38 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Outpatient | Private Health Care System | Private Health Care System - EPO | $376.38 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Employer's Coalition on Health | Employer's Coalition on Health | $376.38 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| ANN & ROBERT H LURIE CHILDRENS HOSPITAL OF CHICAGO Inpatient | Multiplan | Multiplan - PPO | $397.29 | $418.20 | $292.74 | 2026-09-01 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Humana Health Plan | Medicare Hmo/Ppo | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Wellpoint | Managed Medicaid | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Wellcare | Medicare Advantage | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Ambetter | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | United Healthcare | Medicare Payer Appendix | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Humana Health Plan | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Devoted | Medicare Advantage | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Aetna Health | Medicare Advantage | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Careoregon | Ohp/Medicaid | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Careoregon | Medicare Advantage | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Careoregon | Medicare Advantage Coa Star | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | First Choice Health | Administrators | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Pacific Source | Medicare Advantage Hmo And Ppo | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Pacific Source | Commercial Psn/Voyager | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Ppo | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Hmo | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Moda Health Plan | Medicare Advantage | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Health Net Health Plan | Medicare Advantage | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Managed Medicaid | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Medicare Advantage | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Wa | All Other Lob | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Molina Healthcare Of Wa | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Molina Healthcare Of Wa | Medicare Advantage | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Heritage Prime | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Global/Heritage | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | United Healthcare | Ph Employees | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Humana Health Plan | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | First Choice Health | Administrators | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Regence Blue Shield | Ump | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Kaiser Wa | Managed Medicaid | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Molina Healthcare Of Wa | Managed Medicaid | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Premerafirst | Heritage Prime | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Premerafirst | Global/Heritage | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Wellpoint | Managed Medicaid | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Ambetter | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Providence Health Plan | Medicare Advantage | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Careoregon | Ohp/Medicaid | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Nonind Navigator/Coordinated Care | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Ind Navigator/Coordinated Care | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Medicaid Hop/Ohp Bridge | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Medicaid Ohp Plans | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Commercial Psn/Voyager | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Ppo & Hmo | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Moda Health Plan | Medicare Advantage | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Providence Health Plan | Medicare Advantage | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Commercial Psn/Voyager | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Nonind Navigator/Coordinated Care | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Ind Navigator/Coordinated Care | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Medicaid Hop/Ohp Bridge | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Medicaid Ohp Plans | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Ppo & Hmo | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Moda Health Plan | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Moda Health Plan | Medicare Advantage | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $69.95 | $45.47 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $69.95 | $45.47 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $69.95 | $45.47 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $69.95 | $45.47 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | Moda Health Plan | Endeavor/Pioneer | — | $69.95 | $45.47 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $69.95 | $45.47 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | First Choice Health | Administrators | — | $69.95 | $45.47 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $69.95 | $45.47 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $69.95 | $45.47 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $69.95 | $45.47 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $69.95 | $45.47 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | First Choice Health | Administrators | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Humana Health Plan | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | United Healthcare | Ph Employees | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Ambetter | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Wellpoint | Managed Medicaid | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Premerafirst | Heritage Prime | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Premerafirst | Global/Heritage | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Premerafirst | Lifewise Alpine | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Molina Healthcare Of Wa | Managed Medicaid | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Kaiser Wa | All Other Lob | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Kaiser Wa | Managed Medicaid | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $69.95 | $45.47 | 2026-08-01 | MRF ↗ |