192573 — Injection, Polatuzumab Vedotin-piiq, 1 Mg
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Injection, polatuzumab vedotin-piiq, 1 mg (OTHER 192573) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/192573?code_type=OTHER
MLA (9th ed.)
“Injection, polatuzumab vedotin-piiq, 1 mg (OTHER 192573) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/192573?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Injection, polatuzumab vedotin-piiq, 1 mg (OTHER 192573) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/192573?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $16,536–$65,879 (25th–75th percentile) across 5 hospitals · 93 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 192573 — 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 |
|---|---|---|---|---|---|---|---|
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Ingalls Provider Group | — | $13,200.64 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Hmo | — | $13,200.64 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Blue Advantage Hmo | — | $13,200.64 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Hmo Illinois | — | $13,200.64 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Blue Cross Blue Shield Il Ppo | — | $15,217.79 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Federal | — | $15,217.79 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Bcbs Il Federal | — | $15,217.79 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Ppo | — | $15,217.79 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Out Of State Blue Cross Il Out Of State | — | $15,217.79 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Caresource Hhw | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Medicaid Package E Only | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Medicaid Hosp Presumptive Elig | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Mdwise Excel Hhw | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Health Services Managed Health Services | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Medicaid In Traditional | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicaid Mdwise Excel Hhw | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicaid Medicaid In Traditional | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicaid Anthem Medicaid | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Managed Health Services Managed Health Services | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicaid United Healthcare Care Connect | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Health Services Mhs Care Connect | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Anthem Medicaid | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Health Services Managed Health Services | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Managed Health Services Mhs Care Connect | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Anthem Medicaid | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Anthem Healthy Indiana Plan | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Medicaid In Traditional | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Caresource Hhw | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Medicaid In Traditional | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Medicaid Hosp Presumptive Elig | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Caresource Hip | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Managed Health Services Managed Hlth Serv Hip | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicaid Medicaid Package E Only | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Anthem Healthy Indiana Plan | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Anthem Care Connect | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Caresource Hhw | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Anthem Care Connect | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Health Services Mhs Care Connect | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicaid Medicaid Hosp Presumptive Elig | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Mdwise Excel Hip | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Health Services Mhs Care Connect | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid United Healthcare Care Connect | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Medicaid Package E Only | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Anthem Care Connect | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicaid Anthem Healthy Indiana Plan | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Health Services Managed Hlth Serv Hip | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Anthem Medicaid | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid United Healthcare Care Connect | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Caresource Hip | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Medicaid Hosp Presumptive Elig | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicaid Mdwise Excel Hip | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Anthem Healthy Indiana Plan | — | $16,380.00 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Mdwise Excel Hhw | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicaid Anthem Care Connect | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid United Healthcare Care Connect | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Health Services Managed Hlth Serv Hip | — | $16,380.00 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Medicaid Package E Only | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Health Services Managed Hlth Serv Hip | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Mdwise Excel Hip | — | $16,380.00 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Health Services Managed Hlth Serv Hip | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Mdwise Excel Hip | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Health Services Managed Health Services | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicaid Caresource Hhw | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Mdwise Excel Hip | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Mdwise Excel Hhw | — | $16,380.00 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicaid Caresource Hip | — | $16,380.00 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Anthem Healthy Indiana Plan | — | $16,380.00 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Caresource Hip | — | $16,380.00 | $154,526.25 | $55,165.87 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Ascension Complete Medicare Replacement | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part B | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Anthem Bc Medicare Replacement | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Gold Plus Mc Replacement | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Choice Pffs | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Plus Hmo | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Advocate Cigna Healthspring Mmai | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Medicare Part A & B | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Medicare Part A Only | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Medicare Part B | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Anthem Bc Medicare Replacement | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Medicare Choice Pffs | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Humana Gold Plus Mc Replacement | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Humana Medicare Plus Hmo | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Medicare Replacement Ins | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Medicare Part B | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Aetna Medicare Replacement | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Aetna Medicare Replacement | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellcare By Allwell | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement United Healthcare Mc Replacement | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Wellcare Medicare Replacement | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Medicare Plus Hmo | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Medicare Replacement Ins | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Optum Medicare Replacement | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Anthem Bc Medicare Replacement | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Iu Health Plans Mc Replacement | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Oak Street | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Plus Hmo | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement United Healthcare Mc Replacement | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Oak Street | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Choice Pffs | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Medicare Replacement Ins | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Blue Cross Community Mmai | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Gold Plus Mc Replacement | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part A Only | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part A & B | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Blue Cross Medicare Adv Il Out Of State | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Iu Health Plans Mc Replacement | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Advocate Humana | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Humana Medicare Choice Pffs | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Communicare Advantage Plan | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Aetna Better Health Premier Plan Mmai | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Cigna Healthspring Mmai | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Aetna Medicare Replacement | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Meridian Mmai | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Health Plan Mmai-Il | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Iu Health Plans Mc Replacement | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Cigna Healthspring Mc Replacement | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Gold Plus Mc Replacement | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Anthem Bc Medicare Replacement | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Aetna Medicare Replacement | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Morecare | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellcare Medicare Replacement | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Molina Healthcare Mmai | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part B | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Advocate Cigna Healthsprings Mc | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A Only | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A & B | — | $16,535.96 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Ascension Complete Medicare Replacement | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Medicare Part A & B | — | $16,535.96 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Optum Medicare Replacement | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Wellcare By Allwell | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement United Healthcare Mc Replacement | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Wellcare Medicare Replacement | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Medicare Replacement Ascension Complete Medicare Replacement | — | $16,535.96 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Medicare Replacement Ins | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Optum Medicare Replacement | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement United Healthcare Mc Replacement | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellcare By Allwell | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $16,535.96 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $22,201.16 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Localplus | — | $23,533.37 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Bcbs Il Blue Choice | — | $24,013.64 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Golden Rule Insurance | — | $25,576.60 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Medical Resources United Medical Resources | — | $25,576.60 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Medical Resources Umr-Wausau | — | $25,576.60 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Ppo | — | $25,576.60 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare | — | $25,576.60 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Navigate | — | $25,576.60 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Choice | — | $25,576.60 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Medical Resources United Medical Resources | — | $25,576.60 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare | — | $25,576.60 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Medical Resources Umr-Wausau | — | $25,576.60 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Ppo | — | $25,576.60 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Core | — | $25,576.60 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Student Resources | — | $25,576.60 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Choice | — | $25,576.60 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Unitedhealthcare Shared Services | — | $25,576.60 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care All Savers | — | $25,576.60 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Golden Rule Insurance | — | $25,576.60 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Unitedhealthcare Shared Services | — | $25,576.60 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care United Medical Resources | — | $25,576.60 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $26,895.28 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $27,932.61 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $29,494.91 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Unitedhealthcare Shared Services | — | $30,600.24 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Golden Rule Insurance | — | $30,600.24 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care All Savers | — | $30,600.24 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Medical Resources Umr-Wausau | — | $30,600.24 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Medical Resources United Medical Resources | — | $30,600.24 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Choice | — | $30,600.24 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Navigate | — | $30,600.24 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare Bind/Surest Insurance | — | $30,600.24 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Hmo | — | $30,600.24 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Core | — | $30,600.24 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare | — | $30,874.68 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Ppo | — | $30,874.68 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Meritain Health | — | $31,560.78 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Humana Humana Choice Pos | — | $31,560.78 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna Hmo/Pos | — | $31,560.78 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna Oap/Pos State Of Illinois | — | $31,560.78 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna | — | $31,560.78 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna Qchp State Of Illinois | — | $31,560.78 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna Choice Ppo | — | $31,560.78 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Workers Comp Generic Indiana | — | $33,071.92 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Franciscan Alliance Emp | — | $33,071.92 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Corvel | — | $33,071.92 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Us Dept Of Labor | — | $33,071.92 | $84,999.75 | $23,289.93 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Work Comp Franciscan Alliance Emp | — | $33,071.92 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Workers Comp Generic Indiana | — | $33,071.92 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Us Dept Of Labor | — | $33,071.92 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Workers Comp Generic Illinois | — | $33,071.92 | $68,610.40 | $21,056.53 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Wabash National | — | $33,071.92 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Amerisure Mutual Ins | — | $33,071.92 | $65,878.80 | $17,062.61 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Workers Comp Workers Comp Generic Indiana | — | $33,071.92 | $65,878.80 | $20,817.70 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CRAWFORDSVILLE | Workers Comp Work Comp Franciscan Alliance Emp | — | $33,071.92 | $65,878.80 | $20,817.70 | 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.