13925-522-01 — Pentamidine Isethionate 300 Mg In Solr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PENTAMIDINE ISETHIONATE 300 MG IN SOLR (NDC 13925-522-01) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/13925-522-01?code_type=NDC
MLA (9th ed.)
“PENTAMIDINE ISETHIONATE 300 MG IN SOLR (NDC 13925-522-01) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/13925-522-01?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“PENTAMIDINE ISETHIONATE 300 MG IN SOLR (NDC 13925-522-01) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/13925-522-01?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $36,057–$171,569 (25th–75th percentile) across 28 hospitals · 99 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 13925-522-01 — 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 | — | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Private_Healthcare_Systems | PPO | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Private_Healthcare_Systems | PPO | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Humana_Health_Plan | HMO_Medicare | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Humana_Health_Plan | HMO_Medicare | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $110,911.79 | $55,455.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Health_First_Health | HMO_PPO | $6,858.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | Exchange | $7,099.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO_Medicare | — | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | Medicaid | — | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | United_Community_Plan_of_KY_ | Medicaid | — | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | HMO_Medicare | — | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Aetna_Better_Health | HMO_Medicaid | $7,648.00 | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS_Medicaid | HMO_Medicaid | — | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | WellCare_of_Kentucky | Medicaid | — | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | PPO_Medicare_ | $7,821.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AMPS | PPO | $7,881.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $10,468.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $10,874.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $11,506.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Health_First | HMO_PPO | $11,744.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Health_First_Health | HMO_PPO | $11,744.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | QHP_Exchange | $11,804.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $12,032.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $12,273.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $12,300.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $12,935.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | PPO_Medicare_ | $13,393.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | EXCHANGE | $13,444.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | AMPS | HMO_PPO | $13,496.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AMPS | PPO | $13,496.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $13,837.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | Exchange | $13,856.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | United_HealthCare | Exchange | $13,997.00 | $61,661.03 | $24,664.41 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Health_First_Health | HMO_PPO | $14,059.00 | $61,661.03 | $24,664.41 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | NHP | $14,348.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | HMO_EPO | $14,439.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | HMO_PPO | $14,619.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | Medicare | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_HealthCare | Medicaid | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Cigna_Health_Spring | Medicare | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Molina | Medicare | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Cigna_Health_Spring | Medicare | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Amerigroup | Medicare | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Molina | Medicare | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | Medicare | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Amerigroup | Medicare | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_HealthCare | Medicaid | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Wellcare | Medicare | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Wellcare | Medicare | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | Better_Health_Medicaid | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $15,112.00 | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Aetna | Better_Health_Medicaid | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $15,112.00 | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $15,191.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | HMO_PPO | $15,702.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $15,792.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Humana | HMO_EPO | $15,943.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | AMPS | PPO | $16,155.00 | $61,661.03 | $24,664.41 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AvMed | HMO | $16,273.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | HMO_PPO | $16,815.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Inpatient | Republic_Health | HMO_PPO | $16,995.00 | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Humana | PPO | $17,146.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Humana | PPO_Medicare_ | $17,882.00 | $61,661.03 | $24,664.41 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Plotkin | International | $18,800.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | United_HealthCare | International | $18,800.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | MYBLUE | $18,904.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Aetna | ASA_PPO | $18,951.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | International | $19,041.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | GMMI | PPO | $19,552.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | UPMC | HMO_PPO | $19,552.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Private_Healthcare_Systems | PPO_NR | $19,552.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Aetna | International_PPO | $19,552.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Aetna_Whole_Health | HMO_PPO | $19,552.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Inpatient | Humana_Health_Plan | HMO_POS_PPO_EPO | $19,689.00 | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Humana_Health_Plan | HMO_POS_PPO_EPO | $19,689.00 | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $20,171.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $20,604.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Florida_Health_Care_Plan | Medicare | $20,604.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $20,959.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | BLUE_SELECT | $20,959.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | First_Health_Network | PPO | $21,056.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_Health_Care_Plan | Self_Funded_HMO | $21,056.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | National_Healthcare_Solutions | International_PPO | $21,056.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Beech_Street_Corporation | PPO | $21,056.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | HealthOne_Alliance | HMO | $21,056.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Aetna | QHP | $21,861.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Aetna | QHP_Exchange | $21,861.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | AvMed | HMO | $21,989.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | FHCP | HMO | $22,149.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $22,149.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $22,170.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | HEALTH_OPTIONS | $22,170.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield_of_Kansas | HMO | $22,234.00 | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield_of_Kansas | HMO | $22,234.00 | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | Surefit | $23,334.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | SureFit_EPO | $23,334.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | NETWORK_BLUE | $23,772.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $23,777.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Cigna_HealthCare | SureFit_EPO | $23,924.00 | $61,661.03 | $24,664.41 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | Medicare_ | $24,664.00 | $61,661.03 | $24,664.41 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Health_First_Health | HMO_PPO | $24,926.00 | $146,625.40 | $58,650.16 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $25,034.00 | $152,643.35 | $61,057.34 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Inpatient | United_Healthcare_of_KY | Medicare_HMO | $25,747.00 | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | United_Healthcare_of_KY | Medicare_HMO | $25,747.00 | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | EPO | $25,755.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | POS_EPO_HMO_PPO | $25,878.00 | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Aetna | POS_EPO_HMO_PPO | $25,878.00 | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Aetna | QHP_Exchange | $25,922.00 | $61,661.03 | $24,664.41 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $26,134.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Multiplan | PPO | $26,170.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | PPO | $26,296.00 | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | PPO | $26,296.00 | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | HMO | $26,479.00 | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | HMO | $26,479.00 | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $26,514.00 | $61,661.03 | $24,664.41 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Cigna | HMO | $26,927.00 | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Cigna | HMO | $26,927.00 | $48,126.30 | $24,063.15 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | PPC | $27,058.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $27,063.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Zelis | PPO | $27,072.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Beech_Street_Corporation_ | Accelerated_PPO | $27,072.00 | $30,080.39 | $12,032.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Amerigroup_Community_Care | HMO_Medicaid | $27,296.00 | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $27,296.00 | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Devoted | Medicare_HMO_PPO | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Aetna_of_GA | Medicare_HMO | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Oscar | HMO | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Trustmark_Apache_AMPS | Medicare_HMO_PPO | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna_Healthcare_of_Georgia | _Medicare_HMO | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Humana | Medicare_PFFS | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Devoted_Health | HMO_PPO_Medicare | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Trustmark_Apache_Mills_AMPS | HMO_PPO_Medicare | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Oscar_Health_Plan_of_Georgia | HMO | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Aetna | HMO_Medicare | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Alliant_Health | Solocare_Exchange | — | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Avmed | State_of_Florida | $28,073.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | NHP | $28,125.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | EPO | $28,846.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | HMO | $28,846.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | NHP | $28,897.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | United_HealthCare | Exchange | $29,032.00 | $146,625.40 | $58,650.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | FHCP | HMO | $29,155.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $29,155.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | United_HealthCare | Exchange | $29,849.00 | $74,067.71 | $29,627.08 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Cigna | _Medicare_HMO | — | $276,334.37 | $138,167.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $29,989.00 | $276,334.37 | $138,167.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Humana | HMO_Medicare | — | $276,334.37 | $138,167.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Devoted_Health | Medicare_HMO_PPO | — | $276,334.37 | $138,167.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Anthem_BCBS_of_GA | _Medicare_HMO | — | $276,334.37 | $138,167.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $276,334.37 | $138,167.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | County_of_Volusia | $30,030.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | Volusia_County | $30,030.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | HMO_PPO | $30,752.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | PPO | $30,906.00 | $51,510.11 | $20,604.04 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $30,983.00 | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Caresource_GA | HMO_Medicaid | $30,983.00 | $251,521.01 | $125,760.50 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Humana | HMO_Medicare | $31,034.00 | $231,595.10 | $92,638.04 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Inpatient | Anthem_BCBS | HMO_PPO | $31,058.00 | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO | $31,058.00 | $42,487.07 | $21,243.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Aetna | QHP_Exchange | $31,085.00 | $146,625.40 | $58,650.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $31,139.00 | $61,661.03 | $24,664.41 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AvMed_Health_Plan | HMO | $31,473.00 | $51,510.11 | $20,604.04 | 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.