187001050 — Sodium Benzoate-sodium Phenylacetate 10-10 % Soln 50 Ml Vial
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SODIUM BENZOATE-SODIUM PHENYLACETATE 10-10 % SOLN 50 ML VIAL (NDC 187001050) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/187001050?code_type=NDC
MLA (9th ed.)
“SODIUM BENZOATE-SODIUM PHENYLACETATE 10-10 % SOLN 50 ML VIAL (NDC 187001050) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/187001050?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“SODIUM BENZOATE-SODIUM PHENYLACETATE 10-10 % SOLN 50 ML VIAL (NDC 187001050) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/187001050?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $22,882–$92,716 (25th–75th percentile) across 42 hospitals · 73 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 187001050 — 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 |
|---|---|---|---|---|---|---|---|
| KULA HOSPITAL Outpatient | Uhc | Quest | $60.00 | $131,507.84 | $51,288.00 | 2026-07-15 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Broward County | Inmates w/o Other Insurance | $682.69 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | AETNA | AETNA MEDICARE | $1,920.05 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | AMERIGROUP | AMERIGROUP GA | $1,968.05 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | CARESOURCE | CARESOURCE GA MEDICAID | $1,968.05 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| Memorial Regional Hospital South BothFacility | Aetna Better Health | Healthy Kids-Ped | $2,109.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna Better Health | Healthy Kids | $2,109.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST BothFacility | Aetna Better Health | Healthy Kids-Ped | $2,109.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR BothFacility | Aetna Better Health | Healthy Kids-Ped | $2,109.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids | $2,109.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST BothFacility | Aetna Better Health | Healthy Kids-Ped | $2,109.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Aetna Better Health | Healthy Kids | $2,109.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids | $2,109.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| ERLANGER MEDICAL CENTER BothFacility | AETNA | EPO | $2,917.72 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER BothFacility | AETNA | PPO | $2,917.72 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER BothFacility | AETNA | HMO | $2,917.72 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | BCBSGA | HMO GEORGIA | $3,294.20 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | BCBST | NETWORK E | $3,388.32 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | BCBST | NETWORK E-CHILDREN | $3,388.32 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | UHC | UHC COMMUNITY-CHILDREN | $3,764.80 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | UHC | UHC COMMUNITY-ADULT | $3,764.80 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER TN | $3,764.80 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | UHC | UHC DUAL COMPLETE | $3,764.80 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | WELLPOINT | WELLPOINT TN -TENNCARE | $3,764.80 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | UHC | UHC DUAL COMPLETE ONE | $3,764.80 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | WELLPOINT | WELLPOINT TN MEDICARE | $3,764.80 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE BothFacility | AETNA | Qualified Health Plans-Ped | $4,037.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AETNA | Qualified Health Plans | $4,037.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR BothFacility | AETNA | Qualified Health Plans-Ped | $4,037.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AETNA | Qualified Health Plans | $4,037.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AETNA | Qualified Health Plans | $4,037.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AETNA | Qualified Health Plans | $4,037.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South BothFacility | AETNA | Qualified Health Plans-Ped | $4,037.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST BothFacility | AETNA | Qualified Health Plans-Ped | $4,037.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AETNA | Qualified Health Plans | $4,037.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST BothFacility | AETNA | Qualified Health Plans-Ped | $4,037.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| ERLANGER MEDICAL CENTER BothFacility | CIGNA | LIFESOURCE | $4,235.40 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER InpatientFacility | AETNA | HMO | $4,611.88 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER InpatientFacility | AETNA | PPO | $4,611.88 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER InpatientFacility | AETNA | EPO | $4,611.88 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | NHC | Medicare Advantage | $4,706.00 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | CARESOURCE | CARESOURCE MARKETPLACE PLANS | $4,706.00 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | CIGNA | Cigna IFP | $4,724.82 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | BCBST | NETWORK S | $4,800.12 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | CIGNA | OPEN ACCESS | $5,176.60 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | BCBST | NETWORK P | $5,176.60 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | CIGNA | Local Plus | $5,176.60 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER BothFacility | OLYMPUS | OLYMPUS VOLKSWAGEN | $5,176.60 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | HUMANA | HUMANACHOICE | $5,647.20 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | ATRIO HEALTH | Medicare Advantage | $5,647.20 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AETNA | Gatekeeper | $6,222.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR BothFacility | AETNA | Gatekeeper-Ped | $6,222.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST BothFacility | AETNA | Gatekeeper-Ped | $6,222.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AETNA | Gatekeeper | $6,222.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST BothFacility | AETNA | Gatekeeper-Ped | $6,222.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AETNA | Gatekeeper | $6,222.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE BothFacility | AETNA | Gatekeeper-Ped | $6,222.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AETNA | Gatekeeper | $6,222.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AETNA | Gatekeeper | $6,222.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South BothFacility | AETNA | Gatekeeper-Ped | $6,222.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | MyBlue-Ped | $6,281.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | MyBlue-Ped | $6,281.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue | $6,281.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | MyBlue | $6,281.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue-Ped | $6,281.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue-Ped | $6,281.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | MyBlue | $6,281.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | MyBlue | $6,281.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | MyBlue | $6,281.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | BLUE SELECT | $6,402.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | BLUE SELECT | $6,402.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Blue Select-Ped | $6,402.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | BLUE SELECT | $6,402.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Blue Select-Ped | $6,402.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Blue Select-Ped | $6,402.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | BLUE SELECT | $6,402.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | Blue Select-Ped | $6,420.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | BLUE SELECT | $6,420.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| ERLANGER MEDICAL CENTER BothFacility | OLYMPUS | OLYMPUS OTHER | $7,059.00 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | ALLIANT | PPO | $7,059.00 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER BothFacility | First Health | FIRST HEALTH-ADULT | $7,529.60 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | PNOA | PNOA | $7,529.60 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER BothFacility | BCBSGA | PPO GEORGIA | $7,529.60 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $7,890.47 | $131,507.84 | $51,288.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $7,890.47 | $131,507.84 | $51,288.00 | 2026-07-15 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | Simply Blue | $7,900.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | Simply Blue | $7,900.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Simply Blue | $7,900.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $7,900.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $7,900.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue | $7,900.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $7,900.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue | $7,900.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Simply Blue-Ped | $7,900.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| ERLANGER MEDICAL CENTER BothFacility | First Health | FIRST HEALTH-CHILDREN | $8,000.20 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | HMO-Ped | $8,168.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | HMO | $8,168.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | HMO | $8,168.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | HMO-Ped | $8,168.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | HMO | $8,168.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | HMO | $8,168.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | HMO | $8,168.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | HMO-Ped | $8,168.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | HMO-Ped | $8,168.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | NetworkBlue/BlueOptions-Ped | $9,285.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | NetworkBlue/BlueOptions-Ped | $9,285.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | NetworkBlue/BlueOptions | $9,285.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | NetworkBlue/BlueOptions | $9,285.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | NetworkBlue/BlueOptions | $9,285.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | NetworkBlue/BlueOptions | $9,285.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | NetworkBlue/BlueOptions-Ped | $9,285.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | NetworkBlue/BlueOptions | $9,285.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | NetworkBlue/BlueOptions-Ped | $9,285.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | OPTUM VACCN | VETERANS CHOICE | $9,412.00 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| ERLANGER MEDICAL CENTER OutpatientFacility | OPTUM VACCN | VA COMMUNITY CARE NETWORK | $9,412.00 | $9,412.00 | $4,969.54 | 2026-01-25 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Blue Cross PPC | Blue Choice | $10,466.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Blue Cross PPC | Blue Choice | $10,466.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Blue Cross PHS | ALL PRODUCTS | $10,803.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Blue Cross PHS | ALL PRODUCTS | $10,803.00 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | BlueMedicare HMO | $21,396.06 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Medicare PPO | $21,396.06 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-18 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-17 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | UNITED | EXCHANGE | $22,679.82 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | UNITED | EXCHANGE | $22,679.82 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | EXCHANGE | $22,679.82 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | EXCHANGE | $22,679.82 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | UNITED | EXCHANGE | $22,679.82 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-17 | MRF ↗ |
| ORO VALLEY HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - DOWNEY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $68,384.08 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-17 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $73,644.39 | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AVMED | Medicare | $24,106.23 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AVMED | Medicare | $24,106.23 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AVMED | Medicare | $24,106.23 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AVMED | Medicare | $24,106.23 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AVMED | Medicare | $24,106.23 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | CIGNA | EXCHANGE | $24,248.87 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | CIGNA | EXCHANGE | $24,248.87 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | CIGNA | EXCHANGE | $24,248.87 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | EXCHANGE | $24,248.87 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | EXCHANGE | $24,248.87 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE BothFacility | Aetna Better Health | Healthy Kids | $25,675.27 | $142,640.39 | — | 2025-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $131,507.84 | $98,630.88 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $68,384.08 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $68,384.08 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $131,507.84 | $68,384.08 | 2026-07-15 | 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.