10122050201 — Elapegademase-lvlr 2.4 Mg/1.5 Ml (1.6 mg/mL) Soln 1.5 Ml Vial
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). elapegademase-lvlr 2.4 mg/1.5 mL (1.6 mg/mL) Soln 1.5 mL VIAL (OTHER 10122050201) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/10122050201?code_type=OTHER
MLA (9th ed.)
“elapegademase-lvlr 2.4 mg/1.5 mL (1.6 mg/mL) Soln 1.5 mL VIAL (OTHER 10122050201) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/10122050201?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“elapegademase-lvlr 2.4 mg/1.5 mL (1.6 mg/mL) Soln 1.5 mL VIAL (OTHER 10122050201) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/10122050201?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,391–$18,366 (25th–75th percentile) across 38 hospitals · 10 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 10122050201 — 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 |
|---|---|---|---|---|---|---|---|
| KULA HOSPITAL Outpatient | Uhc | Quest | $60.00 | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Alohacare | Quest | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Mdx | Medadvantage | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Devoted | Medadvantage | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Ohana | Medadvantage | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmaa | All Commercial Plans | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Ohana | Quest | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Medadvantage | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Alohacare | Medadvantage | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Triwest | All Payors | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | Medadvantage | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | Quest | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | All Commercial Plans | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uha | All Commercial Plans | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Mdx | All Commercial Plans | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uhc | Medadvantage | — | $36,732.20 | $14,326.00 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $16,001.64 | $13,601.40 | 2026-05-08 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $16,001.64 | $13,601.40 | 2026-05-09 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $16,001.64 | $13,601.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $16,001.64 | $13,601.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-14 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| ORO VALLEY HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-07 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-07 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - DOWNEY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $19,960.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $38,384.93 | $28,788.70 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - DOWNEY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-07 | MRF ↗ |
| ORO VALLEY HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-07 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $19,960.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $38,384.93 | $28,788.70 | 2026-05-09 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $16,001.64 | $13,601.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $16,001.64 | $13,601.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-07 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-07 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - DOWNEY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-09 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-08 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $19,960.16 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $21,495.56 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $38,384.93 | $28,788.70 | 2026-05-09 | MRF ↗ |