0904-6639-61 — Quetiapine Fumarate 50 Mg Po Tabs
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). QUETIAPINE FUMARATE 50 MG PO TABS (NDC 0904-6639-61) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/0904-6639-61?code_type=NDC
MLA (9th ed.)
“QUETIAPINE FUMARATE 50 MG PO TABS (NDC 0904-6639-61) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/0904-6639-61?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“QUETIAPINE FUMARATE 50 MG PO TABS (NDC 0904-6639-61) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/0904-6639-61?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $7–$19 (25th–75th percentile) across 39 hospitals · 116 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 0904-6639-61 — 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 | None | — | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Managed Health Network | MHN - Medicare | $0.03 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Blue Cross | Blue Cross - Standard | $0.03 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Shield | Blue Shield - HMO | $0.06 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Aetna | First Health - Leased/CCN | $0.06 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | Aetna - PPO | $0.07 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - HMO/POS | $0.07 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | $0.07 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Managed Health Network | MHN - Medicare | $0.07 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | $0.07 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Cigna | Cigna - PPO | $0.07 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Cross | Blue Cross - Prudent Buyer | $0.07 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Aetna | First Health - Leased/CCN | $0.07 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna Whole Health | $0.08 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Kaiser | Kaiser - HMO | $0.08 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Interplan | Interplan | $0.08 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Blue Shield | Blue Shield - HMO | $0.08 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Health Net | Health Net Cal MediConnect | $0.08 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Humana | Choice Care Network | $0.08 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net - Medi-Cal | $0.08 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Interplan | Interplan | $0.08 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | San Diego Pace | San Diego Pace | $0.09 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | $0.09 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Aetna | Aetna - HMO/POS | $0.10 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | Blue Cross | Blue Cross - MCS | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Aetna | Aetna Whole Health | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Health Net | Health Net - Medicare | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | County Medical Services | County of San Diego | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Aetna | First Health - Leased/CCN | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Aetna | Aetna Whole Health | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Medicare | Medicare | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Molina | Molina - Cal Medi-Connect | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | United Healthcare | United Healthcare - PPO | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net - Medicare | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Allianz Global Assistance | AZGA Services Canada | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - PPO | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Cross | Blue Cross - Standard | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Indian Health Council | Indian Health Council | $0.11 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | $0.13 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net Individual - HMO | $0.13 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Blue Cross | Blue Cross - PPO | $0.13 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Aetna | First Health Medicare | $0.13 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | Molina | Molina - Exchange | $0.13 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - HMO/POS/EPO | $0.13 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Shield | Blue Shield - PPO | $0.13 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | Health Net | Health Net - HMO/POS/EPO | $0.13 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Medicare | Medicare | $0.13 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Cross | Blue Cross - MCS | $0.14 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | $0.14 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Cross | Blue Cross - PPO | $0.14 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Health Net | Health Net - HMO/POS/EPO | $0.14 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Kaiser | Kaiser - Rehab | $0.14 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net Individual - HMO | $0.14 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Cigna | Cigna - PPO | $0.15 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | United Healthcare | United Healthcare - Medicare | $0.15 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | First Health - Direct | $0.15 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Blue Cross | Blue Cross - HMO | $0.15 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | United Healthcare | United Healthcare - HMO | $0.15 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - HMO | $0.15 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Health Net | Health Net - Medicare | $0.15 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Health Net | Health Net - HMO/POS/EPO | $0.15 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Health Net | Health Net - Medicare | $0.15 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Cross | Blue Cross - MCS | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Health Net | Health Net - Medicare | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Cross | Blue Cross - Standard | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Epic Americas | AXA Assistance | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Managed Health Network | MHN - Medicare | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | United Healthcare | United Healthcare - Medicare | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Allianz Global Assistance | AZGA Services Canada | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Aetna | First Health Medicare | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Individual - HMO | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Shield | Blue Shield - HMO | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | Aetna - PPO | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | San Diego Pace | San Diego Pace | $0.16 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Cal Medi-Connect | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Multiplan | Multiplan | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Health Net | Health Net - HMO/POS/EPO | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Shield | Blue Shield - HMO | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | United Healthcare | United Healthcare - PPO | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Community Health Group | Community Health Group - Medi-Cal | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Community Health Group | Community Health Group - Medi-Cal | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Health Net | Health Net - HMO/POS/EPO | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Community Health Group | Community Health Group - Medi-Cal | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - PPO | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Molina | Molina Medi-Cal | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Community Health Group | Community Health Group - Medi-Cal | $0.17 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Aetna | Aetna Whole Health | $0.18 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Epic Americas | AXA Assistance | $0.18 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Molina | Molina Medi-Cal | $0.18 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Interplan | Interplan | $0.20 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Cigna | Cigna - HMO | $0.20 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | $1.00 | $0.22 | $0.17 | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Devoted_Health | HMO_PPO_Medicare | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Alliant_Health | Solocare_Exchange | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Aetna | HMO_Medicare | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Devoted | Medicare_HMO_PPO | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $1.00 | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Humana | Medicare_PFFS | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Trustmark_Apache_Mills_AMPS | HMO_PPO_Medicare | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Aetna_of_GA | Medicare_HMO | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Oscar | HMO | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan | HMO_Medicaid | $1.00 | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $1.00 | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Oscar_Health_Plan_of_Georgia | HMO | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Trustmark_Apache_AMPS | Medicare_HMO_PPO | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna_Healthcare_of_Georgia | _Medicare_HMO | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Caresource_GA | HMO_Medicaid | $1.00 | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Amerigroup_Community_Care | HMO_Medicaid | $1.00 | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | Exchange | $2.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Health_First_Health | HMO_PPO | $2.00 | $10.50 | $4.20 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | United_HealthCare | Exchange | $2.00 | $10.50 | $4.20 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Health_First_Health | HMO_PPO | $2.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Humana | HMO_Medicare | $3.00 | $22.84 | $9.14 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | United_HealthCare | Exchange | $3.00 | $22.84 | $9.14 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Health_First_Health | HMO_PPO | $3.00 | $18.61 | $7.44 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Cigna | _Medicare_HMO | — | $31.23 | $15.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $31.23 | $15.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AMPS | PPO | $3.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Anthem_BCBS_of_GA | _Medicare_HMO | — | $31.23 | $15.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $3.00 | $31.23 | $15.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Humana | HMO_Medicare | — | $31.23 | $15.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | PPO_Medicare_ | $3.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Devoted_Health | Medicare_HMO_PPO | — | $31.23 | $15.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Humana | PPO_Medicare_ | $3.00 | $10.50 | $4.20 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | AMPS | PPO | $3.00 | $10.50 | $4.20 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | United_HealthCare | Exchange | $3.00 | $20.22 | $8.09 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Humana | HMO_Medicare | $3.00 | $20.22 | $8.09 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | EXCHANGE | $4.00 | $16.20 | $6.48 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $4.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Aetna_of_GA | Medicare_HMO | $4.00 | $31.23 | $15.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $4.00 | $31.23 | $15.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Aetna | QHP_Exchange | $4.00 | $18.61 | $7.44 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Peach_State_Health_Plan | Medicaid_HMO | $4.00 | $31.23 | $15.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Health_First | HMO_PPO | $4.00 | $16.20 | $6.48 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $4.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $19.78 | $9.89 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO_Medicare | — | $19.78 | $9.89 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | QHP_Exchange | $4.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $4.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | Medicare_ | $4.00 | $10.50 | $4.20 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $4.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $4.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Aetna | QHP_Exchange | $4.00 | $10.50 | $4.20 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Aetna | QHP_Exchange | $4.00 | $20.22 | $8.09 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Health_First_Health | HMO_PPO | $4.00 | $16.20 | $6.48 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AMPS | PPO | $4.00 | $16.20 | $6.48 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | Exchange | $4.00 | $16.20 | $6.48 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $4.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $19.78 | $9.89 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | PPO_Medicare_ | $4.00 | $16.20 | $6.48 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | United_HealthCare | Exchange | $4.00 | $18.61 | $7.44 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | HMO_Medicare | — | $19.78 | $9.89 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | Medicaid | — | $19.78 | $9.89 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Aetna_Better_Health | HMO_Medicaid | $4.00 | $19.78 | $9.89 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS_Medicaid | HMO_Medicaid | — | $19.78 | $9.89 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | United_Community_Plan_of_KY_ | Medicaid | — | $19.78 | $9.89 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | WellCare_of_Kentucky | Medicaid | — | $19.78 | $9.89 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | AMPS | HMO_PPO | $4.00 | $16.20 | $6.48 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Cigna_HealthCare | SureFit_EPO | $4.00 | $10.50 | $4.20 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Aetna | QHP_Exchange | $5.00 | $22.84 | $9.14 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Molina | Medicare | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_HealthCare | Medicaid | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Amerigroup | Medicare | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Inpatient | United_HealthCare_of_Georgia | HMO_PPO | $5.00 | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Cigna_Health_Spring | Medicare | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | Medicare | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $5.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Wellcare | Medicare | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Cigna_HealthCare_of_Georgia | PPO | $5.00 | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Aetna | Better_Health_Medicaid | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $5.00 | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | HMO_PPO | $5.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | NHP | $5.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_HealthCare | Medicaid | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Inpatient | Health_One_Alliance | PPO | $5.00 | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | HMO_PPO | $5.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $5.00 | $10.50 | $4.20 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $5.00 | $10.50 | $4.20 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | Medicare | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | HMO_EPO | $5.00 | $10.48 | $4.19 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | Better_Health_Medicaid | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Amerigroup | Medicare | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Molina | Medicare | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Centivo | PPO | $5.00 | $20.22 | $8.09 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Cigna_HealthCare | SureFit_EPO | $5.00 | $18.61 | $7.44 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Aetna | QHP_Exchange | $5.00 | $17.18 | $6.87 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Wellcare | Medicare | — | $15.07 | $7.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Alliant_Health_Plans | PPO | $5.00 | $10.50 | $5.25 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | United_HealthCare | Exchange | $5.00 | $17.18 | $6.87 | 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.