17119 — Promethazine 12.5mg Supp
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PROMETHAZINE 12.5MG SUPP (CDM 17119) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/17119?code_type=CDM
MLA (9th ed.)
“PROMETHAZINE 12.5MG SUPP (CDM 17119) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/17119?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“PROMETHAZINE 12.5MG SUPP (CDM 17119) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/17119?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15–$55 (25th–75th percentile) across 23 hospitals · 67 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 17119 — 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 |
|---|---|---|---|---|---|---|---|
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $1.20 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $1.35 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | NBR | $1.47 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $1.52 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | NPR | $1.57 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $1.71 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $1.76 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $1.98 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $2.33 | $75.25 | $75.25 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $2.33 | $75.25 | $75.25 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $2.76 | $67.00 | $67.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $2.76 | $67.00 | $67.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $2.80 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenbrier Sporting Club | COMM | $2.91 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | SharedSavings | $3.04 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $3.15 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $3.21 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | SharedSavings | $3.24 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenbrier Sporting Club | COMM | $3.27 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $3.29 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $3.60 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | HMO | $3.60 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | HMO | $3.61 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $3.73 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $3.96 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $4.00 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $4.05 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | Broad | $4.48 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $4.50 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Apex Health | MCR | $4.59 | $22.94 | $22.94 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Apex Health | MCR | $4.59 | $22.94 | $22.94 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | Broad | $4.77 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $4.80 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Value Options | COMM | $4.80 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $5.40 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $5.48 | $67.00 | $67.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $5.48 | $67.00 | $67.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Graham-White Manufacturing | COMM | $5.60 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Nursing Center | COMM | $5.60 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $5.64 | $75.25 | $75.25 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $5.64 | $75.25 | $75.25 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | MCR | $5.74 | $22.94 | $22.94 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Aetna | MCR | $5.74 | $22.94 | $22.94 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $5.76 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CorVel | WorkersComp | $5.76 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | WC | $5.76 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | GM Southwest | COMM | $6.00 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Retirement Community | COMM | $6.00 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Community Care Network | COMM | $6.00 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Graham-White Manufacturing | COMM | $6.30 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Nursing Center | COMM | $6.30 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Aetna | MGMCR | $6.30 | $42.00 | $42.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | WC | $6.39 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $6.39 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $6.40 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CSX Hotels | Product | $6.40 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | John W Hancock | COMM | $6.40 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | POS | $6.40 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | PPO | $6.40 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CorVel | WorkersComp | $6.48 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Community Care Network | COMM | $6.75 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Retirement Community | COMM | $6.75 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Bright Health | COMM | $6.79 | $42.00 | $42.00 | 2024-10-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Aetna | MGMCR | $6.80 | $45.36 | $45.36 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Patients Choice | COMM | $7.04 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Star Transportation | COMM | $7.20 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | 4Most | COMM | $7.20 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $7.20 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Alleghany Highland Community | COMM | $7.20 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | C&O Employees Hospital Assn | COMM | $7.20 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CSX Hotels | Product | $7.20 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Aetna | MGMCR | $7.20 | $48.00 | $48.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | PHCS | COMM | $7.20 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | American Postal Workers Union | COMM | $7.20 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | PPO | $7.20 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | POS | $7.20 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Bright Health | COMM | $7.33 | $45.36 | $45.36 | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Aetna | MGMCR | $7.65 | $51.00 | $51.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Patients Choice | COMM | $7.92 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Lifeworks | MCR | $7.98 | $42.00 | $42.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $8.00 | $8.00 | $8.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Multiplan | PHCS | $8.10 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Alleghany Highland Community | COMM | $8.10 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | 4Most | COMM | $8.10 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | PHCS | COMM | $8.10 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Star Transportation | COMM | $8.10 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | American Postal Workers Union | COMM | $8.10 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | C&O Employees Hospital Assn | COMM | $8.10 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Lifeworks | MCR | $8.62 | $45.36 | $45.36 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $9.00 | $9.00 | $9.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Lifeworks | MCR | $9.12 | $48.00 | $48.00 | 2024-10-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | HMO | $9.33 | $22.94 | $22.94 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | PPO | $9.33 | $22.94 | $22.94 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | BlueSelect | $9.33 | $22.94 | $22.94 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | HMO | $9.33 | $22.94 | $22.94 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | BlueValue | $9.33 | $22.94 | $22.94 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | BlueValue | $9.33 | $22.94 | $22.94 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | BlueSelect | $9.33 | $22.94 | $22.94 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | PPO | $9.33 | $22.94 | $22.94 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | BCBS | MGMCD | $9.60 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| THE MCDOWELL HOSPITAL Outpatient | BCBS | MGMCD | $9.60 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Lifeworks | MCR | $9.69 | $51.00 | $51.00 | 2026-03-07 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | BHMGMCD | $9.74 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| THE MCDOWELL HOSPITAL Outpatient | United | BHMGMCD | $9.74 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | WellCare | MGMCD | $9.89 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| THE MCDOWELL HOSPITAL Outpatient | WellCare | MGMCD | $9.89 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| THE MCDOWELL HOSPITAL Outpatient | AmeriHealth | MGMCD | $9.98 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | AmeriHealth | MGMCD | $9.98 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| THE MCDOWELL HOSPITAL Outpatient | Vaya Health | MedicaidDirect | $10.08 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| THE MCDOWELL HOSPITAL Outpatient | Vaya Health | MedicaidTailoredPlan | $10.08 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Vaya Health | MedicaidTailoredPlan | $10.08 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Partners Health Management | MGMCD | $10.08 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Vaya Health | MedicaidDirect | $10.08 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| THE MCDOWELL HOSPITAL Outpatient | Partners Health Management | MGMCD | $10.08 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Universal Healthcare Group | MCR | $10.56 | $48.00 | $48.00 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | BCBS | MCR | $10.68 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | BCBS | MGMCD | $10.88 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Aetna | MGMCR | $10.95 | $73.00 | $73.00 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | BHMGMCD | $11.04 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | MGMCD | $11.04 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Aetna | MGMCR | $11.07 | $73.81 | $73.81 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Vaya Health | MedicaidTailoredPlan | $11.21 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | WellCare | MGMCD | $11.21 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Vaya Health | MedicaidDirect | $11.21 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| LEWISGALE HOSPITAL PULASKI Outpatient | Universal Healthcare Group | MCR | $11.22 | $51.00 | $51.00 | 2026-03-07 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | AmeriHealth | MGMCD | $11.32 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Aetna | MGMCR | $11.38 | $75.87 | $75.87 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Partners Health Management | MGMCD | $11.43 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | BCBS | MCR | $11.53 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | IFP | $11.72 | $42.00 | $42.00 | 2024-10-01 | MRF ↗ |
| STONESPRINGS HOSPITAL CENTER Outpatient | Aetna | MGMCR | $11.96 | $79.71 | $79.71 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | Cigna | IFP | $12.07 | $45.36 | $45.36 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | BCBS | MGMCD | $12.09 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | BCBS | MCR | $12.25 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | BCBS | MCR | $12.25 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | BCBS | MGMCD | $12.25 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | BHMGMCD | $12.27 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Oscar | HIX | $12.39 | $22.94 | $22.94 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | Oscar | HIX | $12.39 | $22.94 | $22.94 | 2026-09-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | BHMGMCD | $12.44 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | MGMCD | $12.44 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | WellCare | MGMCD | $12.45 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| RESTON HOSPITAL CENTER Outpatient | Aetna | MGMCR | $12.52 | $83.46 | $83.46 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | AmeriHealth | MGMCD | $12.58 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Vaya Health | MedicaidTailoredPlan | $12.62 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Vaya Health | MedicaidDirect | $12.62 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | WellCare | MGMCD | $12.62 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Partners Health Management | MGMCD | $12.70 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $12.70 | $45.36 | $45.36 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Vaya Health | MedicaidDirect | $12.70 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Vaya Health | MedicaidTailoredPlan | $12.70 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | United | AllPayerAppendix | $12.71 | $22.94 | $22.94 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | United | AllPayerAppendix | $12.71 | $22.94 | $22.94 | 2026-09-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | AmeriHealth | MGMCD | $12.74 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Partners Health Management | MGMCD | $12.87 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | BCBS | MGMCD | $12.89 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | BCBS | MGMCD | $12.89 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| SPOTSYLVANIA REGIONAL MEDICAL CENTER Outpatient | United | OptionsPPO | $12.94 | $42.00 | $42.00 | 2024-10-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | United | BHMGMCD | $13.09 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | United | BHMGMCD | $13.09 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | BCBS | MGMCD | $13.24 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | BCBS | MGMCD | $13.24 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | WellCare | MGMCD | $13.28 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | WellCare | MGMCD | $13.28 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Apex Health | MCR | $13.35 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | BCBS | MCR | $13.35 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | Apex Health | MCR | $13.35 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| HIGHLANDS CASHIERS HOSPITAL Outpatient | Apex Health | MCR | $13.35 | $66.73 | $66.73 | 2024-10-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | AmeriHealth | MGMCD | $13.41 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | AmeriHealth | MGMCD | $13.41 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | BHMGMCD | $13.44 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | United | BHMGMCD | $13.44 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | MGMCD | $13.45 | $22.94 | $22.94 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | BCBS | MGMCD | $13.45 | $22.94 | $22.94 | 2026-03-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Vaya Health | MedicaidTailoredPlan | $13.53 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Vaya Health | MedicaidTailoredPlan | $13.53 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Partners Health Management | MGMCD | $13.53 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Vaya Health | MedicaidDirect | $13.53 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Vaya Health | MedicaidDirect | $13.53 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| ANGEL MEDICAL CENTER Outpatient | Partners Health Management | MGMCD | $13.53 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | BCBS | MGMCD | $13.61 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | BCBS | MGMCD | $13.61 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | WellCare | MGMCD | $13.64 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | WellCare | MGMCD | $13.64 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | United | BHMGMCD | $13.66 | $22.94 | $22.94 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | United | BHMGMCD | $13.66 | $22.94 | $22.94 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | CARESOURCE | HIX | $13.76 | $22.94 | $22.94 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | CARESOURCE | HIX | $13.76 | $22.94 | $22.94 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | AmeriHealth | MGMCD | $13.77 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | AmeriHealth | MGMCD | $13.77 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | BHMGMCD | $13.82 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Outpatient | United | BHMGMCD | $13.82 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | WellCare | MGMCD | $13.86 | $22.94 | $22.94 | 2026-09-01 | MRF ↗ |
| Carepartners Rehabilitation Hosp Outpatient | WellCare | MGMCD | $13.86 | $22.94 | $22.94 | 2026-03-01 | MRF ↗ |
| LEWISGALE HOSPITAL ALLEGHANY Outpatient | Lifeworks | MCR | $13.87 | $73.00 | $73.00 | 2024-10-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Vaya Health | MedicaidDirect | $13.90 | $72.07 | $72.07 | 2026-09-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Vaya Health | MedicaidTailoredPlan | $13.90 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Vaya Health | MedicaidDirect | $13.90 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Partners Health Management | MGMCD | $13.90 | $72.07 | $72.07 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Vaya Health | MedicaidTailoredPlan | $13.90 | $72.07 | $72.07 | 2026-09-01 | 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.