11403 — Sodium Chloride 0.9 % Irrigation Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION (OTHER 11403) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/11403?code_type=OTHER
MLA (9th ed.)
“SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION (OTHER 11403) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/11403?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“SODIUM CHLORIDE 0.9 % IRRIGATION SOLUTION (OTHER 11403) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/11403?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $46–$825 (25th–75th percentile) across 342 hospitals · 1,129 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 11403 — 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 |
|---|---|---|---|---|---|---|---|
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $0.20 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $0.20 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $0.20 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $0.20 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $0.20 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $0.20 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Blue Shield | Medicare Adv | $0.29 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Health Net | Medicare Adv | $0.29 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $0.29 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Donor Connect | Other | $0.30 | $30.00 | $22.50 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $0.38 | $20.25 | $15.19 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $0.38 | $27.00 | $20.25 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $0.38 | $27.00 | $20.25 | 2026-05-22 | MRF ↗ |
| LDS HOSPITAL Inpatient | Donor Connect | Other | $0.39 | $30.00 | $22.50 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $0.42 | $30.00 | $22.50 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $0.42 | $30.00 | $22.50 | 2026-05-18 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $0.43 | $22.50 | $16.88 | 2026-05-22 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $0.49 | $27.00 | $20.25 | 2026-05-09 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $0.50 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $0.50 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $0.50 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $0.54 | $30.00 | $22.50 | 2026-05-09 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $0.55 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $0.55 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $0.55 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $0.55 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $0.55 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $0.55 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $0.58 | $24.00 | $18.00 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $0.60 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $0.60 | — | — | 2026-05-14 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $0.61 | $22.50 | $16.88 | 2026-05-22 | MRF ↗ |
| PARK CITY HOSPITAL Inpatient | Donor Connect | Other | $0.61 | $22.50 | $16.88 | 2026-05-18 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $0.64 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $0.64 | — | — | 2026-05-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $0.65 | $27.00 | $20.25 | 2026-05-14 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Donor Connect | Other | $0.72 | $30.00 | $22.50 | 2026-05-14 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $0.76 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $0.76 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $0.76 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $0.78 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $0.78 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $0.78 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $0.82 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $0.82 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $0.82 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $0.83 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $0.83 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $0.83 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $0.90 | $1.00 | $0.70 | 2026-05-27 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $0.97 | $27.00 | $20.25 | 2026-05-22 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $0.97 | $27.00 | $20.25 | 2026-05-18 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $1.00 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $1.00 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $1.07 | $10.00 | $5.90 | 2025-01-10 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $1.08 | $30.00 | $22.50 | 2026-05-18 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $1.08 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $1.08 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $1.08 | $30.00 | $22.50 | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $1.11 | $27.00 | $20.25 | 2026-05-22 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $1.12 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $1.12 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $1.13 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $1.14 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $1.22 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $1.23 | $30.00 | $22.50 | 2026-05-22 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $1.33 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $1.34 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $1.44 | $45.00 | $22.95 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $1.45 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $1.45 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $1.49 | $10.00 | $5.90 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $1.50 | $10.00 | $5.90 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $1.50 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $1.51 | $10.00 | $5.90 | 2025-01-10 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $1.51 | $108.00 | $81.00 | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Donor Connect | Other | $1.51 | $108.00 | $81.00 | 2026-05-22 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Donor Connect | Other | $1.54 | $81.00 | $60.75 | 2026-05-22 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $1.62 | $10.00 | $5.90 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $1.69 | $17.50 | $8.93 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Champus | All Plans | $1.72 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $1.75 | $17.50 | $8.93 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $1.77 | $55.00 | $28.05 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $1.87 | $17.50 | $10.33 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $1.93 | $20.00 | $10.20 | 2025-01-10 | MRF ↗ |
| AMERICAN FORK HOSPITAL Inpatient | Donor Connect | Other | $1.94 | $108.00 | $81.00 | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $1.95 | $30.00 | $22.50 | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL Inpatient | Donor Connect | Other | $1.95 | $30.00 | $22.50 | 2026-05-22 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $1.99 | $15.00 | $7.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $2.00 | $20.00 | $10.20 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $2.01 | $15.00 | $7.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $2.01 | $62.70 | $31.98 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oscar | All Plans | $2.04 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $2.14 | $20.00 | $11.80 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $2.17 | $15.00 | $7.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $2.17 | $22.50 | $11.48 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $2.17 | $15.00 | $7.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Optum | All Plans | $2.18 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $2.24 | $15.00 | $8.85 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $2.25 | $15.00 | $7.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $2.25 | $22.50 | $11.48 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $2.25 | $15.00 | $8.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $2.27 | $15.00 | $8.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Champus | All Plans | $2.30 | $10.00 | $5.90 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $2.32 | $17.50 | $8.93 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $2.34 | $17.50 | $8.93 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $2.41 | $22.50 | $13.28 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $2.43 | $15.00 | $8.85 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Tufts | All Plans | $2.45 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $2.53 | $17.50 | $8.93 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $2.53 | $17.50 | $8.93 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $2.61 | $17.50 | $10.33 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $2.62 | $17.50 | $10.33 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $2.63 | $17.50 | $8.93 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $2.65 | $17.50 | $10.33 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $2.66 | $20.00 | $10.20 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oxford | All Plans | $2.66 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magnacare | All Plans | $2.68 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $2.68 | $20.00 | $10.20 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oscar | All Plans | $2.72 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Champus | All Plans | $2.75 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magellan | All Plans | $2.78 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | UHC | All Plans | $2.83 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $2.84 | $17.50 | $10.33 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Create Alliance | All Plans | $2.85 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Anthem | All Plans | $2.85 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $2.89 | $20.00 | $10.20 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $2.89 | $20.00 | $10.20 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Optum | All Plans | $2.90 | $10.00 | $5.90 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | CtCare | All Plans | $2.92 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $2.99 | $20.00 | $11.80 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $2.99 | $22.50 | $11.48 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $3.00 | $20.00 | $10.20 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $3.00 | $20.00 | $11.80 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Aetna | All Plans | $3.00 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $3.01 | $22.50 | $11.48 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $3.03 | $20.00 | $11.80 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Cigna | All Plans | $3.06 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $3.24 | $20.00 | $11.80 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $3.25 | $22.50 | $11.48 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $3.25 | $22.50 | $11.48 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Tufts | All Plans | $3.27 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Harvard Pilgrim | All Plans | $3.35 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $3.36 | $22.50 | $13.28 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Multiplan | All Plans | $3.36 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $3.37 | $22.50 | $13.28 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $3.38 | $22.50 | $11.48 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Harvard Pilgrim | All Plans | $3.39 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $3.41 | $22.50 | $13.28 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Champus | All Plans | $3.44 | $15.00 | $8.85 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oxford | All Plans | $3.55 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magnacare | All Plans | $3.58 | $10.00 | $5.90 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Oxford | All Plans | $3.59 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Cigna | All Plans | $3.62 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Aetna | All Plans | $3.63 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $3.65 | $22.50 | $13.28 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Champus | All Plans | $3.67 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magellan | All Plans | $3.70 | $10.00 | $5.90 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | UHC | All Plans | $3.77 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | UHC | All Plans | $3.77 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Anthem | All Plans | $3.78 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Create Alliance | All Plans | $3.80 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Anthem | All Plans | $3.80 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $3.89 | $108.00 | $81.00 | 2026-05-18 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Donor Connect | Other | $3.89 | $108.00 | $81.00 | 2026-05-22 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | CtCare | All Plans | $3.90 | $10.00 | $5.90 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Claimdoc | All Plans | $3.92 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | AMPS | All Plans | $3.92 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Aetna | All Plans | $4.00 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Champus | All Plans | $4.02 | $17.50 | $10.33 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Cigna | All Plans | $4.08 | $10.00 | $5.10 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oscar | All Plans | $4.08 | $15.00 | $7.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Create | All Plans | $4.13 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Multiplan | All Plans | $4.13 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | MagnaCare | All Plans | $4.29 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Great West | All Plans | $4.32 | $7.50 | $3.83 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $4.34 | $45.00 | $22.95 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Optum | All Plans | $4.35 | $15.00 | $8.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | First Choice | All Plans | $4.43 | $7.50 | $4.43 | 2025-01-10 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Donor Connect | Other | $4.43 | $108.00 | $81.00 | 2026-05-22 | 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.