1624 — Chlordiazepoxide 5 Mg Capsule
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CHLORDIAZEPOXIDE 5 MG CAPSULE (OTHER 1624) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/1624?code_type=OTHER
MLA (9th ed.)
“CHLORDIAZEPOXIDE 5 MG CAPSULE (OTHER 1624) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/1624?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CHLORDIAZEPOXIDE 5 MG CAPSULE (OTHER 1624) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/1624?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10–$36,818 (25th–75th percentile) across 57 hospitals · 173 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 1624 — 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 |
|---|---|---|---|---|---|---|---|
| SELF REGIONAL HEALTHCARE | Molina Medicare | — | $0.46 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Marketplace | — | $0.50 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $0.53 | $12.16 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $0.53 | $12.16 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $0.53 | $12.16 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $0.53 | $12.16 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $0.53 | $12.16 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $0.53 | $12.16 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $0.53 | $12.16 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $0.53 | $12.16 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $0.53 | $12.16 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $0.53 | $12.16 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $0.55 | $12.16 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $0.55 | $12.16 | — | 2026-05-23 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Marketplace | — | $0.57 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Humana Medicare | — | $0.58 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicare | — | $0.60 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Aetna Medicare | — | $0.64 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicare | — | $0.71 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Healthy Connection Prime | — | $0.73 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicaid | — | $0.76 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Medicare | — | $0.79 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $0.92 | $12.16 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $0.92 | $12.16 | — | 2026-05-23 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Select Medicaid | — | $0.94 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicaid | — | $0.99 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicaid | — | $1.04 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Bluechoice Medicaid | — | $1.08 | $2.50 | $1.50 | 2026-07-17 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $1.08 | $12.16 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $1.08 | $12.16 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $1.19 | $12.16 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $1.19 | $12.16 | — | 2026-05-13 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Ingalls Provider Group | — | $2.50 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Hmo | — | $2.50 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Hmo Illinois | — | $2.50 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Blue Advantage Hmo | — | $2.50 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Federal | — | $2.88 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Ppo | — | $2.88 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Blue Cross Blue Shield Il Ppo | — | $2.88 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Bcbs Il Federal | — | $2.88 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Out Of State Blue Cross Il Out Of State | — | $2.88 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $4.38 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Localplus | — | $4.46 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $4.51 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Bcbs Il Blue Choice | — | $4.55 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $4.81 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $5.03 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $5.10 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Healthsync | — | $5.32 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $5.32 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $5.46 | $14.00 | $9.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $5.46 | $14.00 | $9.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $5.46 | $14.00 | $9.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $5.46 | $14.00 | $9.80 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $5.51 | $13.00 | $4.11 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $5.58 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $5.60 | $14.00 | $9.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $5.60 | $14.00 | $9.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $5.60 | $14.00 | $9.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $5.60 | $14.00 | $9.80 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $5.60 | $14.00 | $9.80 | 2026-07-30 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Priority Medicare Advantage Op | — | $5.70 | $20.36 | $5.09 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Medicare Op | — | $5.70 | $20.36 | $5.09 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Bcn Medicare Advantage Op | — | $5.70 | $20.36 | $5.09 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Blue Cross Medicare Plus Blue Op | — | $5.70 | $20.36 | $5.09 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Humana Medicare Advantage Op | — | $5.70 | $20.36 | $5.09 | 2026-08-01 | MRF ↗ |
| SPARROW CLINTON HOSPITAL | Php Medicare Advantage Op | — | $5.70 | $20.36 | $5.09 | 2026-08-01 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $5.88 | $14.00 | $9.80 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Hmo | — | $5.95 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Ppo | — | $5.95 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Out Of State Blue Cross In Out Of State | — | $5.95 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Federal | — | $5.95 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Humana Humana Choice Pos | — | $5.98 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $6.02 | $14.00 | $9.80 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Healthsync | — | $6.05 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Wellcare By Allwell | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Optum Medicare Replacement | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna Choice Ppo | — | $6.11 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Humana Gold Plus Mc Replacement | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Humana Medicare Plus Hmo | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Iu Health Plans Mc Replacement | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Medicare Part B | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Aetna Medicare Replacement | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Humana Health Plan Mmai-Il | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna Oap/Pos State Of Illinois | — | $6.11 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Medicare Part A & B | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Anthem Bc Medicare Replacement | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Meritain Health | — | $6.11 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Medicare Part A Only | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna Qchp State Of Illinois | — | $6.11 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Humana Medicare Choice Pffs | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Wellcare Medicare Replacement | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna | — | $6.11 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement United Healthcare Mc Replacement | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna Hmo/Pos | — | $6.11 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Medicare Replacement Ins | — | $6.11 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care Unitedhealthcare Shared Services | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Managed Care Unitedhealthcare Shared Services | — | $6.24 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | United Healthcare United Healthcare Core | — | $6.24 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care United Medical Resources | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Managed Care Golden Rule Insurance | — | $6.24 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Navigate | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Hmo | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | United Healthcare United Healthcare Choice | — | $6.24 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Hmo | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Choice | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care All Savers | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Managed Care All Savers | — | $6.24 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Core | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Medical Resources Umr-Wausau | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Medical Resources United Medical Resources | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Medical Resources United Medical Resources | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Navigate | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Unitedhealthcare Shared Services | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Choice | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | United Healthcare United Healthcare Hmo | — | $6.24 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | United Healthcare United Healthcare Navigate | — | $6.24 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | United Medical Resources United Medical Resources | — | $6.24 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Core | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care All Savers | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Medical Resources Umr-Wausau | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | United Medical Resources Umr-Wausau | — | $6.24 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Golden Rule Insurance | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care All Savers | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Unitedhealthcare Shared Services | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Medical Resources Umr-Wausau | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Core | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Choice | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Medical Resources United Medical Resources | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Golden Rule Insurance | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Illinois St Anthony Healthnetwork Hmo | — | $6.50 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare | — | $6.50 | $20.00 | $5.00 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare Bind/Surest Insurance | — | $6.57 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Hmo | — | $6.57 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care All Savers | — | $6.57 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Navigate | — | $6.57 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Medical Resources Umr-Wausau | — | $6.57 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Golden Rule Insurance | — | $6.57 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Unitedhealthcare Shared Services | — | $6.57 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Medical Resources United Medical Resources | — | $6.57 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Core | — | $6.57 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Choice | — | $6.57 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $6.69 | $12.16 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $6.69 | $12.16 | — | 2026-05-13 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Hmo | — | $6.70 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care National Assoc Of Letter Carriers | — | $6.70 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Ppo | — | $6.70 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Oa Plus | — | $6.70 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Out Of State Blue Cross In Out Of State | — | $6.76 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Hmo | — | $6.76 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Federal | — | $6.76 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Ppo | — | $6.76 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Healthsync | — | $6.78 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Illinois St Anthony Healthnetwork Hmo | — | $6.83 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare | — | $6.92 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Ppo | — | $6.92 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Student Resources | — | $6.92 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Healthsync | — | $7.07 | $13.00 | $4.11 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Illinois Hmo Illinois | — | $7.15 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Illinois Blue Advantage Hmo | — | $7.15 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare | — | $7.28 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Ppo | — | $7.28 | $13.00 | $3.99 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Aetna Aetna Choice Ppo | — | $7.38 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Aetna Aetna Hmo/Pos | — | $7.38 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Aetna Aetna Oap/Pos State Of Illinois | — | $7.38 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Managed Care Meritain Health | — | $7.38 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Aetna Aetna | — | $7.38 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Aetna Aetna Qchp State Of Illinois | — | $7.38 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care Meritain Health | — | $7.38 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Aetna Aetna | — | $7.38 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Aetna Aetna Oap/Pos State Of Illinois | — | $7.38 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Aetna Aetna Hmo/Pos | — | $7.38 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Aetna Aetna Qchp State Of Illinois | — | $7.38 | $13.00 | $3.89 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Aetna Aetna Choice Ppo | — | $7.38 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Qchp State Of Illinois | — | $7.38 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Meritain Health | — | $7.38 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna | — | $7.38 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Oap/Pos State Of Illinois | — | $7.38 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Hmo/Pos | — | $7.38 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Choice Ppo | — | $7.38 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Highmark | — | $7.58 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Ppo | — | $7.58 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Hmo | — | $7.58 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Out Of State Blue Cross In Out Of State | — | $7.58 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Federal | — | $7.58 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $7.59 | $20.35 | $7.26 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Medical Resources United Medical Resources | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare Core | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Medical Resources Umr-Darden | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Medical Resources Umr-Wausau | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare Choice | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care United Medical Resources | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care All Savers | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Golden Rule Insurance | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Unitedhealthcare Shared Services | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Cigna Cigna Oa Plus | — | $7.85 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care National Assoc Of Letter Carriers | — | $7.85 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Navigate | — | $7.88 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Choice | — | $7.88 | $13.00 | $3.56 | 2026-07-30 | 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.