10001 — Etoposide 50 Mg Cap 20 Each Blist Pack
Cite this view
HANK Price Transparency. (n.d.). etoposide 50 mg Cap 20 each BLIST PACK (CDM 10001) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/10001?code_type=CDM
“etoposide 50 mg Cap 20 each BLIST PACK (CDM 10001) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/10001?code_type=CDM. Accessed .
“etoposide 50 mg Cap 20 each BLIST PACK (CDM 10001) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/10001?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $109–$457 (25th–75th percentile) across 13 hospitals · 153 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 10001 — 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 |
|---|---|---|---|---|---|---|---|
| KAHUKU MEDICAL CENTER OutpatientFacility | Kaiser Permanente | Medicare | $1.68 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Devoted Health | Medicare | $1.68 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Ohana Health Plan | Medicaid | $1.68 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | UnitedHealthcare | Medicare | $1.68 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Humana | Medicare | $1.68 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | AlohaCare | Medicare | $1.68 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Ohana Health Plan | Medicare | $1.68 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Hawaii Medical Service Association | Medicare | $1.68 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | AlohaCare | Medicaid | $2.00 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Kaiser Permanente | Medicaid | $2.04 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | University Health Alliance | Commercial | $2.92 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DENVER HEALTH MED PLAN | DENVER HEALTH MED PLAN | $3.08 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLPOINT (AMGRP) | WELLPOINT (AMGRP) | $3.08 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID COLORADO | $3.08 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $3.08 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MISC MEDICAID GET NAME | $3.08 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICAID | MEDICAID BEACON HEALTH | $3.08 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO ACCESS | COLORADO ACCESS | $3.08 | $154.00 | — | 2026-03-31 | MRF ↗ |
| KAHUKU MEDICAL CENTER InpatientFacility | Health Management Network | Commercial | $3.40 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER InpatientFacility | Kaiser Permanente | Commercial | $3.60 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Deseret Mutual Benefit Administrators | Commercial | $3.68 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER OutpatientFacility | Hawaii Western Management Group | Commercial | $3.80 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| KAHUKU MEDICAL CENTER InpatientFacility | MDX Hawaii | PPO | $3.88 | $4.00 | $2.60 | 2026-07-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $11.21 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| GENOA COMMUNITY HOSPITAL Outpatient | Cigna | Commercial | $12.00 | $20.00 | $18.00 | 2026-03-13 | MRF ↗ |
| GENOA COMMUNITY HOSPITAL Outpatient | Wellcare of Nebraska | Commercial | $12.00 | $20.00 | $18.00 | 2026-03-13 | MRF ↗ |
| GENOA COMMUNITY HOSPITAL Outpatient | Nebraska Total Care | Commercial | $12.00 | $20.00 | $18.00 | 2026-03-13 | MRF ↗ |
| GENOA COMMUNITY HOSPITAL Outpatient | Blue Cross Blue Shield Nebraska | Commercial | $22.00 | $20.00 | $18.00 | 2026-03-13 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICARE | MEDICARE | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HUMANA GOLD CHOICE | HUMANA LIFE1 | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CTSI WOODMAN & POWERS | CTSI | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UNITED HEALTHCARE | AARP MC LIFE1 | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WPS TRICARE FOR LIFE | TRICARE FOR LIFE | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | FREEDOM NETWORK SELECT | FREEDOM NETWORK SELECT | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HEALTH NET LIFE INS CO | HEALTH NET LIFE INS CO | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CORVEL | CORVEL | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | AETNA | AETNA MEDICARE LIFE INS | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | AARP SUPPLEMENT | AARP MC ADVANTAGE | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | SECUREHORIZONS | SECUREHORIZONS | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | TRIWEST | TRIWEST | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CIRSA | CIRSA | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MISC WORK COMP | MISC WC GET COMPANY NAME | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CMI | CMI | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HUMANA GOLD CHOICE | HUMANA GOLD CHOICE | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MISC MCR ADV | MISC MEDICARE ADV | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE HEALTHPLA | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UNITED HEALTHCARE | UNITED MC LIFE1 | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | LIBERTY MUTUAL | LIBERTY MUTUAL | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | PINNACOL ASSURANCE | PINNACOL ASSURANCE | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | RAILROAD MEDICARE SERVICE | RAILROAD MEDICARE SERVICE | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | TRICARE WEST | TRICARE WEST | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DEVOTED | DEVOTED HEALTH PLAN | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | VHA OFFICE OF COMM CARE | VHA OFFICE OF COMM CARE | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UMWA THE FUNDS 2ND ALWAYS | UMWA RETIREE | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | US DEPT OF LABOR | US DEPT OF LABOR | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MUTUAL OF OMAHA | MUTUAL OF OMAHA | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | PRESBYTERIAN CENTENNIAL | PRESBYTERIAN MEDICARE | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLCARE | WELLCARE | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HALIBURTON | ESIS | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WPS CHAMPVA | CHAMPVA | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CIGNA HEALTHSPRING | CIGNA HEALTHSPRING | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | BANKERS LIFE | BANKERS LIFE | $30.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $33.68 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $34.90 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $37.33 | $349.00 | $205.91 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Harvard Pilgrim | All Plans | $41.80 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WPS CHAMPVA | CHAMPVA | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CORVEL | CORVEL | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CTSI WOODMAN & POWERS | CTSI | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | US DEPT OF LABOR | US DEPT OF LABOR | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HALIBURTON | ESIS | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CMI | CMI | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | LIBERTY MUTUAL | LIBERTY MUTUAL | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CIRSA | CIRSA | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | PINNACOL ASSURANCE | PINNACOL ASSURANCE | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MISC WORK COMP | MISC WC GET COMPANY NAME | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MUTUAL OF OMAHA | MUTUAL OF OMAHA | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | AARP SUPPLEMENT | AARP MC ADVANTAGE | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MEDICARE | MEDICARE | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HUMANA GOLD CHOICE | HUMANA LIFE1 | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UNITED HEALTHCARE | AARP MC LIFE1 | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UNITED HEALTHCARE | UNITED MC LIFE1 | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | AETNA | AETNA MEDICARE LIFE INS | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | TRICARE WEST | TRICARE WEST | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UNITED HEALTHCARE | UNITED MEDICARE HEALTHPLA | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HUMANA GOLD CHOICE | HUMANA GOLD CHOICE | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | PRESBYTERIAN CENTENNIAL | PRESBYTERIAN MEDICARE | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HEALTH NET LIFE INS CO | HEALTH NET LIFE INS CO | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WELLCARE | WELLCARE | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DEVOTED | DEVOTED HEALTH PLAN | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MISC MCR ADV | MISC MEDICARE ADV | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | RAILROAD MEDICARE SERVICE | RAILROAD MEDICARE SERVICE | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CIGNA HEALTHSPRING | CIGNA HEALTHSPRING | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | FREEDOM NETWORK SELECT | FREEDOM NETWORK SELECT | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | BANKERS LIFE | BANKERS LIFE | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UMWA THE FUNDS 2ND ALWAYS | UMWA RETIREE | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | SECUREHORIZONS | SECUREHORIZONS | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | VHA OFFICE OF COMM CARE | VHA OFFICE OF COMM CARE | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WPS TRICARE FOR LIFE | TRICARE FOR LIFE | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | TRIWEST | TRIWEST | $43.12 | $154.00 | — | 2026-03-31 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $46.36 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $46.74 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $50.44 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $50.47 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $52.10 | $349.00 | $205.91 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $52.31 | $349.00 | $205.91 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $52.35 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $52.85 | $349.00 | $205.91 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $56.54 | $349.00 | $205.91 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Champus | All Plans | $80.15 | $349.00 | $205.91 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oscar | All Plans | $94.97 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Optum | All Plans | $101.21 | $349.00 | $205.91 | 2025-01-10 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Ambetter | Commercial | $104.00 | $230.00 | $184.00 | 2026-06-22 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | PRIVATE PAY | PRIVATE PAY | $107.80 | $154.00 | — | 2026-03-31 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Tufts | All Plans | $114.17 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HRSA COVID 19 FUNDS | HRSA COVID 19 FUNDS | $123.20 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CORRECTION HEALTH PARTNER | CORRECTIONAL HEALTH PARTN | $123.20 | $154.00 | — | 2026-03-31 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oxford | All Plans | $123.81 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magnacare | All Plans | $124.80 | $349.00 | $205.91 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Champus | All Plans | $128.13 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magellan | All Plans | $129.13 | $349.00 | $205.91 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | UHC | All Plans | $131.73 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Create Alliance | All Plans | $132.62 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Anthem | All Plans | $132.62 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | CtCare | All Plans | $136.07 | $349.00 | $205.91 | 2025-01-10 | MRF ↗ |
| MACON COUNTY SAMARITAN MEMORIAL HOSPITAL Outpatient | Healthscope | Commercial | $138.00 | $230.00 | $184.00 | 2026-06-22 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | FRIDAY HEALTH PLAN | FRIDAY HEALTH PLAN | $138.60 | $154.00 | — | 2026-03-31 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Aetna | All Plans | $139.43 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Cigna | All Plans | $142.23 | $349.00 | $177.99 | 2025-01-10 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | GREAT WEST | GREATWEST ONE HEALTH | $143.22 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | GREAT WEST | GREATWEST SLMC | $143.22 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HEALTHCARE | $143.22 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CIGNA HEALTHCARE | ALLEGIANCE | $143.22 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | GREAT WEST CASUALTY | GREAT WEST CASUALTY | $143.22 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | ROCKY MTN HEALTH PLANS | ROCKY MTN HEALTH PLANS | $143.22 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CIGNA HEALTHCARE | CIGNA | $143.22 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HUMANA | HUMANA COMMERCIAL | $146.30 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO HEALTH NETWORK | COLORADO HEALTH NETWORK | $146.30 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UMWA THE FUNDS 2ND ALWAYS | UMWA COMMERCIAL | $147.84 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | GOLDEN RULE | GOLDEN RULE INSURANCE | $147.84 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UMR MSA | UMR MSA | $147.84 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UNITED HEALTHCARE | ALL SAVERS | $147.84 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UNITED HEALTHCARE | MISC UNITED HEALTHCARE | $147.84 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | GEHA | GEHA | $147.84 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UNITED HEALTHCARE | UNITED HEALTHCARE | $147.84 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | ROCKY MTN HEALTH PLANS | ROCKY MTN HEALTH PLANS | $149.38 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COVENTRY HEALTH CARE | COVENTRY HEALTH CARE | $150.92 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | UNITED HEALTHCARE | ALLIED BENEFIT SYSTEMS | $150.92 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | AETNA | AETNA | $150.92 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COFINITY | COFINITY | $150.92 | $154.00 | $107.80 | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MERITAIN HEALTH | MERITAIN HEALTH | $150.92 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | PRESBYTERIAN CENTENNIAL | PRESBYTERIAN HEALTH PLAN | $150.92 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | STATE FARM | STATE FARM | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | STANDARD LIFE | STANDARD LIFE | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | NALC | NALC HEALTH BENEFIT PLAN | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MAIL HANDLERS | MAIL HANDLERS | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | USAA LIFE INSURANCE CO | USAA LIFE INSURANCE CO | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | FARMERS INS | FARMERS INSURANCE | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | EQUITABLE LIFE | EQUITABLE LIFE & CASUALTY | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CHESTERFIELD RESOURCES IN | CHESTERFIELD RESOURCES IN | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CF&I STEEL | CF&I RETIREES VEBA | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | BLACK LUNG | BLACK LUNG | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COVENTRY HEALTH CARE | COVENTRY HEALTH CARE | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | DISCOUNT CARE PROGRAM CO | SCREENING DISCOUNT CARE | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HEALTH NET LIFE INS CO | HEALTH NET OF ORGEON | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HEALTH NET LIFE INS CO | HEALTH NET OF OREGON | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HEALTH NET LIFE INS CO | HEALTH NET | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | FREEDOM NETWORK SELECT | FREEDOM NETWORK SELECT | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | BANKERS LIFE | BANKERS LIFE | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | AARP SUPPLEMENT | AARP SUPPLEMENT | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | AARP SUPPLEMENT | AARP SUPPLEMENTAL | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | HEALTH CHOICE | HEALTH CHOICE | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | PHYSICIANS MUTUAL | PHYSICIANS MUTUAL INS | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | GUARDIAN | GUARDIAN | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | AMERICAN REPUBLIC | AMERICAN REPUBLIC INS | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | AETNA | AETNA SENIOR SUPPLEMENTAL | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CICP | CICP RATE F | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MISC MVA | MISC MVA GET COMPANY NAME | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | COLORADO HEALTH NETWORK | COLORADO HEALTH NETWORK | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | TRAVELERS | TRAVELERS | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WESTERN SKY COMMUNITY CAR | WESTERN SKY COMM CARE | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WESTERN SKY COMMUNITY CAR | WESTERN SKY COMMUNITY CAR | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CICP | CICP RATE Z HOMELESS | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CICP | CICP RATE G | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CICP | CICP RATE I | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CICP | CICP RATE H | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CICP | CICP RATE E | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | SPECTRA | SPECTRA | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | LAB CORP OF AMERICA | LAB CORP OF AMERICA | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | WOMEN'S WELLNESS CONNECT | WOMEN'S WELLNESS CONNECT | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | KEY BENEFITS ADMIN | KEY BENEFITS ADMIN | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | PROGRESSIVE PREFERRED INS | PROGRESSIVE INS COMPANY | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | PROGRESSIVE PREFERRED INS | PROGRESSIVE CLAIMS | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | TRINIDAD STATE NURSING HM | PROGRESSIVE CLAIMS | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | TRINIDAD STATE NURSING HM | TRINIDAD STATE NURSING HM | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | MINERS COLFAX MED CENTER | MINERS COLFAX MED CENTER | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | FISERV HEALTH | FISERV HEALTH | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | ASSURANT HEALTH | ASSURANT HEALTH | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | ASSURANT HEALTH | ASSURANT HEALTH GW | $154.00 | $154.00 | — | 2026-03-31 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | CAREMARK | CAREMARK | $154.00 | $154.00 | — | 2026-03-31 | 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.