0409-1323-05 — Lidocaine HCl
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lidocaine HCl (NDC 0409-1323-05) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0409-1323-05?code_type=NDC
MLA (9th ed.)
“Lidocaine HCl (NDC 0409-1323-05) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0409-1323-05?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“Lidocaine HCl (NDC 0409-1323-05) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0409-1323-05?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 11 hospitals · 29 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 0409-1323-05 — 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 |
|---|---|---|---|---|---|---|---|
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $0.62 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Medicare/Medicare Advantage | — | $0.71 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Medicaid/Medicaid Mco | — | $0.87 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Medicare/Medicare Advantage | — | $0.98 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Blue Cross Blue Shield | — | $1.10 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Blue Cross Blue Shield | — | $1.13 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Aetna | — | $1.20 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | United Healthcare | — | $1.27 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | United Healthcare | — | $1.29 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Cigna | — | $1.33 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Humana | — | $1.54 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Humana | — | $1.56 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Aetna | — | $1.62 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| SWEDISH HOSPITAL | Cigna | — | $2.06 | $5.02 | $5.02 | 2026-07-17 | MRF ↗ |
| GREATER BALTIMORE MEDICAL CENTER BothFacility | ALL PAYERS | ALL PLANS | $7.52 | $7.52 | $7.37 | 2026-07-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | ANTHEM | All Plans | — | $19.50 | $12.55 | 2024-12-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | HUMANA | All Plans | — | $19.50 | $12.55 | 2024-12-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | Ohio Health Choice | All Plans | — | $19.50 | $12.55 | 2024-12-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | United Behavioral Health | All Plans | — | $19.50 | $12.55 | 2024-12-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | Medical Mutual Ohio | All Plans | — | $19.50 | $12.55 | 2024-12-01 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Humana Commercial | Ppo | — | $38.00 | $19.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Wellcare Medicaid | Hmo | $34.87 | $38.00 | $25.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Galaxy Health Network | Ppo | — | $38.00 | $19.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Prime Health Services | Wc | — | $38.00 | $19.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Wellcare Medicaid | Hmo | — | $38.00 | $19.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | United Commercial | Ppo | — | $38.00 | $19.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Aetna Commerical | Ppo | — | $38.00 | $19.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Multiplan Commercial | Ppo | — | $38.00 | $19.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS WACCAMAW COMMUNITY HOSPITAL Both | Cigna Commerical | Ppo | — | $38.00 | $19.00 | 2026-10-22 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Prime Health Services | Wc | $34.87 | $38.00 | $25.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Humana Commercial | Ppo | $34.96 | $38.00 | $25.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Aetna Commerical | Ppo | $34.96 | $38.00 | $25.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | United Commercial | Ppo | $35.72 | $38.00 | $25.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Cigna Commerical | Ppo | $35.72 | $38.00 | $25.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Multiplan Commercial | Ppo | $36.86 | $38.00 | $25.00 | 2026-09-21 | MRF ↗ |
| TIDELANDS GEORGETOWN MEMORIAL HOSPITAL Both | Galaxy Health Network | Ppo | $36.86 | $38.00 | $25.00 | 2026-09-21 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Careoregon | Medicare Advantage Coa Star | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Wellpoint | Managed Medicaid | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Wellcare | Medicare Advantage | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Ambetter | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | United Healthcare | Medicare Payer Appendix | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Humana Health Plan | Medicare Hmo/Ppo | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Humana Health Plan | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Devoted | Medicare Advantage | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Aetna Health | Medicare Advantage | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Careoregon | Ohp/Medicaid | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Careoregon | Medicare Advantage | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | First Choice Health | Administrators | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Pacific Source | Medicare Advantage Hmo And Ppo | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Pacific Source | Commercial Psn/Voyager | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Ppo | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Hmo | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Moda Health Plan | Medicare Advantage | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Health Net Health Plan | Medicare Advantage | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Managed Medicaid | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Northwest | Medicare Advantage | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Kaiser Wa | All Other Lob | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Molina Healthcare Of Wa | Medicare Advantage | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Molina Healthcare Of Wa | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Global/Heritage | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH ST JOHN MEDICAL CENTER Inpatient | Premerafirst | Heritage Prime | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Ambetter | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Wellpoint | Managed Medicaid | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | United Healthcare | Ph Employees | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Humana Health Plan | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Premerafirst | Heritage Prime | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Premerafirst | Global/Heritage | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Molina Healthcare Of Wa | Managed Medicaid | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Kaiser Wa | Managed Medicaid | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | Regence Blue Shield | Ump | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH UNITED GENERAL MEDICAL CENTER Inpatient | First Choice Health | Administrators | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Providence Health Plan | Medicare Advantage | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Careoregon | Ohp/Medicaid | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Medicaid Hop/Ohp Bridge | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Commercial Psn/Voyager | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Ind Navigator/Coordinated Care | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Medicaid Ohp Plans | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Pacific Source | Nonind Navigator/Coordinated Care | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Ppo & Hmo | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Moda Health Plan | Medicare Advantage | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACE HARBOR MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Providence Health Plan | Medicare Advantage | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Regence Blue Shield | Medicare Advantage Ppo & Hmo | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Moda Health Plan | Medicare Advantage | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Moda Health Plan | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Medicaid Hop/Ohp Bridge | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Ind Navigator/Coordinated Care | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Commercial Psn/Voyager | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Nonind Navigator/Coordinated Care | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | Pacific Source | Medicaid Ohp Plans | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $77.10 | $50.12 | 2026-07-31 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | Providence Health Plan | Commercial | — | $77.10 | $50.12 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $77.10 | $50.12 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | Moda Health Plan | Endeavor/Pioneer | — | $77.10 | $50.12 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $77.10 | $50.12 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | United Healthcare – Ph Employees | United Healthcare – Ph Employees | — | $77.10 | $50.12 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | First Choice Health | Administrators | — | $77.10 | $50.12 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $77.10 | $50.12 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $77.10 | $50.12 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $77.10 | $50.12 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH KETCHIKAN MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $77.10 | $50.12 | 2026-07-15 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Kaiser Northwest | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Kaiser Wa | All Other Lob | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Molina Healthcare Of Wa | Managed Medicaid | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Premerafirst | Lifewise Primary | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Premerafirst | Lifewise Alpine | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Premerafirst | Heritage Prime | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Premerafirst | Global/Heritage | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Wellpoint | Managed Medicaid | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Ambetter | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | United Healthcare | All Payer Appendix | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | United Healthcare | Ph Employees | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | United Healthcare | Nexusaco | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | United Healthcare | Doctors Plan | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Humana Health Plan | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Cigna Health | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | First Choice Health | Administrators | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | First Choice Health | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Regence Blue Shield | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Moda Health Plan | Connexus/Synergy | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Health Net/Centene Health Plan | Commercial | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |
| PEACEHEALTH PEACE ISLAND MEDICAL CENTER Inpatient | Kaiser Wa | Managed Medicaid | — | $77.10 | $50.12 | 2026-08-01 | MRF ↗ |