143901 — Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION (OTHER 143901) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/143901?code_type=OTHER
MLA (9th ed.)
“SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION (OTHER 143901) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/143901?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION (OTHER 143901) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/143901?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $137,866–$315,714 (25th–75th percentile) across 11 hospitals · 49 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 143901 — 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 |
|---|---|---|---|---|---|---|---|
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $124.63 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $134.31 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $134.31 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $138.49 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $201.96 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $201.96 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $227.37 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $227.37 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $275.55 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $275.55 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $351.45 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $351.45 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $356.29 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $379.50 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $414.59 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $455.13 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $488.21 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $498.52 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $498.52 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $498.52 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $498.52 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $498.52 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $498.52 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $498.52 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $498.52 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $498.52 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $540.10 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $558.80 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $571.83 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $577.38 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $580.44 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $596.53 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $602.80 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $602.80 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $604.23 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $619.74 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $631.51 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $634.48 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $641.74 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $649.00 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos | $665.50 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo - Arnb | $675.40 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $684.20 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Maine Community Health Options | Mcho Indiv - Exchange | $700.70 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $702.46 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $705.65 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $721.72 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Bcbs Of Vermont | Bcbs Of Vermont Non-Managed Care Plans | $734.80 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $737.00 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | $742.50 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | $742.50 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $750.26 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $750.26 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $750.26 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $750.26 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $750.26 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc - Self Insured Elevatehealth | $750.26 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc/Health Plans Inc Self Insured - Hmo/Pos/Ppo | $750.26 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $750.26 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Cigna | Cigna Ppo | $754.60 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $767.04 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $772.20 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $778.48 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $780.52 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $782.90 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $783.24 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $808.06 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Maine Community Health Options | Mcho Shop - Exchange | $808.50 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $811.80 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $815.53 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $815.76 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $816.75 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $816.75 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Mvp | Mvp - Hmo/Pos/Ppo | $816.75 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Hmo-Pos | $816.75 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $816.75 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Cigna | Cigna Ppo | $816.75 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $844.80 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $858.59 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $886.01 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $897.34 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity | $902.66 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $902.66 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Coventry | Coventry- Workers Comp | $957.00 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | First Health/Hcvm | First Health/Hcvm | $957.00 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $958.54 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $973.50 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $973.50 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $978.91 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Phcs | Phcs - Ppo | $990.00 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $1,001.55 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $1,001.55 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Corvel | Corvel - Workers Comp | $1,012.00 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Inpatient | Ccmsi | Ccmsi - Workers Comp | $1,045.00 | $1,100.00 | $336.60 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $1,053.20 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $1,053.20 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $1,070.68 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $1,076.35 | $1,133.00 | $517.78 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $1,128.60 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Pos/Ppo | $1,128.60 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $1,217.70 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $1,217.70 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $1,252.35 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $1,252.35 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $1,263.57 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity | $1,263.57 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity | $1,263.57 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $1,263.57 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $1,264.06 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Anthem Health Plans Of Nh | Anthem - Federal Employee Program | $1,264.06 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $1,310.76 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont Non-Managed Care Plans | $1,310.76 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $1,310.76 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont - Vermont Health Partnership | $1,310.76 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont Non-Managed Care Plans | $1,310.76 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Bcbs Of Vermont | Bcbs Of Vermont - The Vermont Health Plan | $1,310.76 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | $1,402.50 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | $1,402.50 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Phcs | Phcs | $1,485.00 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Phcs | Phcs | $1,485.00 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $1,650.00 | $1,650.00 | $455.40 | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Inpatient | Mass General Brigham Health Plan | Mgbhp Hmo/Ppo | $1,650.00 | $1,650.00 | $455.40 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Medicaid | — | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Molina | Commercial | — | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Select Health | Medicaid | — | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Commercial | — | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Absolute Total Care | Medicaid | — | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Commercial | — | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Medicare | $2,361.04 | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicare | — | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Humana | Medicaid | — | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Devoted Health | Medicare | — | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Blue Choice Of Sc | Medicaid | — | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Bcbs Of Sc | Medicare | — | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | United Healthcare | Medicare | $2,597.14 | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Blue Choice Of Sc | Commercial | $4,840.13 | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Cigna | Commercial | $5,454.00 | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | Aetna | Commercial | $5,540.57 | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| ABBEVILLE AREA MEDICAL CENTER Outpatient | United Healthcare | Commercial | $5,658.62 | $7,870.13 | $5,509.09 | 2026-05-08 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $102,021.10 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $102,021.10 | $551,465.43 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $102,021.10 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $102,021.10 | $551,465.43 | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Pathway | $116,225.07 | $334,172.15 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $126,651.24 | $334,172.15 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $126,651.24 | $334,172.15 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $126,651.24 | $334,172.15 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Indemnity | $126,651.24 | $334,172.15 | — | 2026-05-17 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $126,651.24 | $334,172.15 | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $126,837.05 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Self Funded | Kaiser Self Funded | $126,837.05 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $126,837.05 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $126,837.05 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Self Funded | Kaiser Self Funded | $126,837.05 | $551,465.43 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $126,837.05 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $126,837.05 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $126,837.05 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $126,837.05 | $551,465.43 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $126,837.05 | $551,465.43 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Self Funded | Kaiser Self Funded | $126,837.05 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $126,837.05 | $551,465.43 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Self Funded | Kaiser Self Funded | $126,837.05 | $551,465.43 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $126,837.05 | $551,465.43 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $126,837.05 | $551,465.43 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $126,837.05 | $551,465.43 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $128,712.03 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $128,712.03 | $551,465.43 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $128,712.03 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $128,712.03 | $551,465.43 | — | 2026-05-18 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | United Healthcare | Uhc Rocky Mountain Hmo | $133,869.36 | $334,172.15 | — | 2026-05-17 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Mrp | Kaiser Mrp Out Of State | $137,866.36 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Mrp | Kaiser Permanente Mcr | $137,866.36 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $137,866.36 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Snp | Kaiser Snp | $137,866.36 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Allegiance | Cigna Sclhs Employees | $137,866.36 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $137,866.36 | $551,465.43 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $137,866.36 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Allegiance | Cigna Sclhs Employees | $137,866.36 | $551,465.43 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Allegiance | Cigna Sclhs Employees | $137,866.36 | $551,465.43 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $137,866.36 | $551,465.43 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $137,866.36 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Surefit | $140,347.95 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Co Public Option | $140,347.95 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Connect Exchange | $140,347.95 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Connect Exchange | $140,347.95 | $551,465.43 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Surefit | $140,347.95 | $551,465.43 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Co Public Option | $140,347.95 | $551,465.43 | — | 2026-05-18 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Surefit | $140,347.95 | $551,465.43 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Connect Exchange | $140,347.95 | $551,465.43 | — | 2026-05-22 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Outpatient | Cigna | Cigna Co Public Option | $140,347.95 | $551,465.43 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Connect Exchange | $140,347.95 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Co Public Option | $140,347.95 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Surefit | $140,347.95 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Mmia | $153,719.19 | $334,172.15 | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Tire Rama | Tire Rama | $153,719.19 | $334,172.15 | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Inpatient | Umr United Med Resources | Umr Mesa Cnty Valley School Dist 51 | $160,402.63 | $334,172.15 | — | 2026-05-17 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $162,682.30 | $551,465.43 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $162,682.30 | $551,465.43 | — | 2026-05-14 | MRF ↗ |
| GOOD SAMARITAN MEDICAL CENTER LLC Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $162,682.30 | $551,465.43 | — | 2026-05-18 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $162,682.30 | $551,465.43 | — | 2026-05-14 | 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.