21045 — Leuprolide 22.5 Mg Sykt 1 Each Kit
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). leuprolide 22.5 mg Sykt 1 each KIT (CDM 21045) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/21045?code_type=CDM
MLA (9th ed.)
“leuprolide 22.5 mg Sykt 1 each KIT (CDM 21045) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/21045?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“leuprolide 22.5 mg Sykt 1 each KIT (CDM 21045) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/21045?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,099–$20,334 (25th–75th percentile) across 15 hospitals · 118 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 21045 — 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 |
|---|---|---|---|---|---|---|---|
| ARKANSAS HEART HOSPITAL, LLC Outpatient | UHC MCAID | UHC MCAID | $2.11 | $8.45 | $5.32 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA COMM - ALL OTHER PLANS | AETNA COMM - ALL OTHER PLANS | $2.96 | $8.45 | $5.32 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | AETNA MCR ADV | AETNA MCR ADV | $2.96 | $8.45 | $5.32 | 2026-03-25 | MRF ↗ |
| KANSAS HEART HOSPITAL Both | WPPA | COMMERCIAL | $3.38 | $8.45 | — | 2024-07-10 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | WPPA - ALL PLANS | WPPA - ALL PLANS | $3.38 | $8.45 | $5.32 | 2026-03-25 | MRF ↗ |
| ARKANSAS HEART HOSPITAL, LLC Outpatient | MULTIPLAN - ALL PLANS | MULTIPLAN - ALL PLANS | $7.61 | $8.45 | $5.32 | 2026-03-25 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Aetna | MGMCRPPO | $11.32 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Aetna | MGMCRSNP | $11.32 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Aetna | MGMCRHMO | $11.32 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Bright Health | HIX | $12.84 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Kentucky Labor Cabinet | WORKERSCOMP | $13.90 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Oscar | HIX | $14.19 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | NHC Advantage, Inc. | MCRHMO | $14.35 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Pruitt Health (AllyAlign) | MCR | $14.35 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Apex Health | MCR | $14.35 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Ambetter | CORE | $17.44 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Ambetter | Select | $17.52 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Bright Health | SmallGroup | $18.12 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | BCBS | NetworkP | $18.12 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Humana | TRICARE | $18.88 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | United | OptionsPPO | $19.71 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Aetna | NewBusiness | $21.89 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Cigna | OAP | $23.33 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Amerigroup | MGMCR | $23.41 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Cigna | PPO | $25.44 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Aetna | COMM | $25.67 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | United | GlobalBenefitPlan | $33.98 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | BGFH SingleSource | DIRECTNETWORK | $37.75 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Plumbers and Pipefitters Local 572 | COMMPPO | $37.75 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Multiplan | COMM | $41.52 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Southern Health Partners | Prison | $45.30 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Both | CIGNA OAP | 4_CIGNA OAP | $45.52 | $74.25 | $22.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Both | CIGNA LOCAL PLUS | 3_CIGNA LOCAL PLUS | $45.96 | $74.25 | $22.28 | 2026-01-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Both | CIGNA PPO | 5_CIGNA PPO | $45.96 | $74.25 | $22.28 | 2026-01-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Employers Health Network | COMM | $52.85 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Odom's TN Pride Sausage | WORKERSCOMP | $56.63 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Both | AETNA COMMERCIAL | 2_AETNA COMMERCIAL | $57.91 | $74.25 | $22.28 | 2026-01-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | BGFH SingleSource | LEASEDNETWORK | $64.17 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | Beech Street | COMM | $69.46 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $74.25 | $74.25 | $22.28 | 2026-01-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | American Health Advantage | MCRSNP | $79.28 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | American Health Advantage | MCRPOS | $79.28 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | American Health Advantage | MCRHMO | $79.28 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | American Health Advantage | MCRPPO | $79.28 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| Tristar Ashland City Medical Center Outpatient | American Health Advantage | MCRPFFS | $79.28 | $75.50 | $75.50 | 2024-10-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $337.03 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Medicaid|All Plans | $337.03 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $370.74 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicare|All Plans | $370.74 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | ELAP | COMM | $372.98 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $389.27 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicare|All Plans | $389.27 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $404.44 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | BCBS - MN | Medicare|All Plans | $404.44 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $404.44 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Humana | Medicare|All Plans | $404.44 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $415.67 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $415.67 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Health Partners | Medicaid|All Plans | $415.67 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Medica | Medicaid|All Plans | $415.67 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $424.66 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicare|All Plans | $424.66 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Cigna | IFPLP | $449.06 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $457.24 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Outpatient | Ucare | Medicaid|All Plans | $457.24 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | PEHP | Exclusive | $486.04 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Bright Health | HIX | $493.08 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Cigna | OAPNBN | $507.17 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Aetna | Gatekeeper | — | $48,851.60 | $34,196.12 | 2026-09-29 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | University of Utah | HIXIndividual | $560.00 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Aetna | PeakPreference | $581.13 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Cigna | Exclusive | $582.89 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Molina | HIX | $588.17 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | PEHP | Summit | $625.15 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $629.13 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|Federal Plans | $629.13 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $640.36 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | BCBS - MN | Commercial|All Other Plans | $640.36 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | University of Utah | HealthyPreferred | $644.53 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | University of Utah | HealthyPremierSSG | $644.53 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $664.07 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Health Partners | Commercial|All Plans | $674.06 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Health Partners | Commercial|All Plans | $674.06 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | University of Utah | HealthyPremier | $702.64 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Universal Healthcare | MCR | $704.40 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Cigna UT Overstock | COMM | $704.40 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Aetna | StandardNetwork | $757.23 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Cigna | NBNPPO | $774.84 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Humana ChoiceCare | PPO | $787.70 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Imagine Health Wise | PPO | $818.34 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|New Business | $820.11 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|New Business | $820.11 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | MotivHealth | TPARental | $845.28 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | MotivHealth | COMM | $845.28 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Angle Insurance | COMM | $845.28 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Northern Utah Rehabilitation | COMM | $880.50 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Magellan Behavioral Health | TRICARE | $880.50 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|All Other Plans | $898.75 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | United | Commercial|All Other Plans | $898.75 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $912.22 | $28,410.80 | $14,489.51 | 2025-01-10 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Aetna | AetnaSignatureAdministrators | $933.33 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Aetna | UtahConnectedNetwork | $968.55 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Cigna | Non-ExclusivePPO | $979.12 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $988.62 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Ucare | Commercial|All Plans | $988.62 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Select Health ER | COMM | $1,017.86 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $1,067.26 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Sanford Health Plan | Commercial|All Plans | $1,067.26 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | Sanford Health Plan | Commercial|All Plans | $1,067.26 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| ST GABRIELS HOSPITAL Inpatient | MultiPlan | Commercial|All Plans | $1,067.26 | $1,123.43 | $651.59 | 2026-02-28 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Multiplan | Primary | $1,109.43 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Union Pacific Railroad | COMM | $1,144.65 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | EverNorth | COMMBH | $1,232.70 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Aetna | FirstHealth | $1,285.53 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Injury Care of Utah | WCOMP | $1,373.58 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Magellan BH | COMMBH | $1,408.80 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCD | $1,444.38 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIPBH | $1,444.38 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | CHIP | $1,444.38 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Amerigroup | MCDBH | $1,444.38 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | USA Managed Care | PPO | $1,496.85 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| OGDEN REGIONAL MEDICAL CENTER Outpatient | Trinity Health | COMM | $1,584.90 | $1,761.00 | $1,761.00 | 2024-10-01 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna | Gatekeeper | — | $48,851.60 | $34,196.12 | 2026-09-29 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC OutpatientFacility | Tricare | Commercial | $2,150.00 | $13,117.00 | $13,117.00 | 2026-11-06 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna | Gatekeeper | — | $48,851.60 | $34,196.12 | 2026-09-29 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Molina | QHP | $2,579.25 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | United | OptionsPPO | $2,661.79 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $2,741.65 | $28,410.80 | $14,489.51 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $2,841.08 | $28,410.80 | $14,489.51 | 2025-01-10 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $2,997.22 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $2,997.22 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $2,997.22 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $2,997.22 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $3,039.27 | $28,410.80 | $16,762.37 | 2025-01-10 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $3,177.06 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $3,177.06 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $3,177.06 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $3,177.06 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Cigna Lifesource | COMM | $3,198.27 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | BCBS | TRAD | $3,291.12 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1161_MOLINA MARKETPLACE ASWI 20241001 | $3,536.73 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $3,536.73 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $3,536.73 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1161_MOLINA MARKETPLACE ASWI 20241001 | $3,536.73 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior | AmbetterValueHMO | $3,610.95 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $3,774.34 | $28,410.80 | $14,489.51 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $3,805.00 | $28,410.80 | $14,489.51 | 2025-01-10 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior | AmbetterHMO | $3,920.46 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Superior | AmbetterEPO | $3,920.46 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $4,106.46 | $28,410.80 | $14,489.51 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $4,108.91 | $28,410.80 | $14,489.51 | 2025-01-10 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | TRILOGY | 1271_TRILOGY 20250701 | $4,136.17 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | TRILOGY | 1271_TRILOGY 20250701 | $4,136.17 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $4,196.11 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $4,196.11 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $4,196.11 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $4,196.11 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $4,241.45 | $28,410.80 | $16,762.37 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $4,258.55 | $28,410.80 | $16,762.37 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $4,261.62 | $28,410.80 | $14,489.51 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $4,302.08 | $28,410.80 | $16,762.37 | 2025-01-10 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1163_WEA TRUST PPO ASWI 20241001 | $4,495.84 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1163_WEA TRUST PPO ASWI 20241001 | $4,495.84 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $4,495.84 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 432_WEA TRUST SELECT POS ASWI 20180201 | $4,495.84 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 432_WEA TRUST SELECT POS ASWI 20180201 | $4,495.84 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $4,495.84 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $4,602.99 | $28,410.80 | $16,762.37 | 2025-01-10 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $4,615.73 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $4,615.73 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $4,915.45 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $4,915.45 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Emerging Therapy Solutions | MCR | $4,952.16 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 433_WEA PROVIDER AND POS ASWI 20180201 | $5,095.28 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 433_WEA PROVIDER AND POS ASWI 20180201 | $5,095.28 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1281_FIRST HEALTH 20240101 ASWI | $5,155.23 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1278_AETNA ASWI 20250701 | $5,155.23 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1278_AETNA ASWI 20250701 | $5,155.23 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1281_FIRST HEALTH 20240101 ASWI | $5,155.23 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | National ChoiceCare | WORKERSCOMP | $5,158.50 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $5,215.17 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $5,215.17 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Aetna | ASA | $5,282.30 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $5,335.06 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $5,335.06 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $5,335.06 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $5,335.06 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC OutpatientFacility | Healthy Blue Kansas | Medicare Advantage | $5,509.00 | $13,117.00 | $13,117.00 | 2026-11-06 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $5,634.78 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $5,634.78 | $5,994.45 | $3,177.06 | 2026-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Independent Medical Systems | PPO | $5,674.35 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | HealthSmart Preferred Care | Accel | $5,674.35 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | Physician Cooperative of Texas | WORKERSCOMP | $5,674.35 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | HAA Preferred Partners | LOGOV | $6,190.20 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Champus | All Plans | $6,524.68 | $28,410.80 | $16,762.37 | 2025-01-10 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | National Healthcare Solutions | PPO | $6,706.05 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | PHCS | PrimaryPPO | $6,912.39 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| METHODIST HOSPITAL Outpatient | TML Intergovernmental EBP | PPO | $7,221.90 | $10,317.00 | $10,317.00 | 2025-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | IFP | $7,230.04 | $48,851.60 | $34,196.12 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AvMed | Medicare | $7,230.04 | $48,851.60 | $34,196.12 | 2026-05-27 | 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.