210658 — Inebilizumab-cdon 10 Mg/ml Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION (OTHER 210658) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/210658?code_type=OTHER
MLA (9th ed.)
“INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION (OTHER 210658) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/210658?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“INEBILIZUMAB-CDON 10 MG/ML INTRAVENOUS SOLUTION (OTHER 210658) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/210658?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $146,649–$213,175 (25th–75th percentile) across 5 hospitals · 22 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 210658 — 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 |
|---|---|---|---|---|---|---|---|
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $45,190.45 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $45,190.45 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $67,995.34 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $67,995.34 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $69,121.63 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $71,159.08 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kp Select Hmo | $71,159.08 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $77,040.61 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $77,040.61 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $77,040.61 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $77,040.61 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Ppo | $81,319.57 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $81,319.57 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Kaiser Perm Ppo/Pos | Kaiser Ppo/Pos Other | $84,049.58 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $84,049.58 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Self Funded | Kaiser Self Funded | $84,534.75 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $84,534.75 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $84,534.75 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $84,534.75 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $84,534.75 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $84,534.75 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $84,534.75 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Self Funded | Kaiser Self Funded | $84,534.75 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $85,784.39 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $85,784.39 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $88,468.05 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Self Funded | Kaiser Self Funded | $88,468.05 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $88,468.05 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $88,468.05 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Self Funded | Kaiser Self Funded | $88,468.05 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $88,468.05 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Out Of State | $88,468.05 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $88,468.05 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $89,775.84 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $89,775.84 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Snp | Kaiser Snp | $91,885.59 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $91,885.59 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Mrp | Kaiser Mrp Out Of State | $91,885.59 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Allegiance | Cigna Sclhs Employees | $91,885.59 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Mrp | Kaiser Permanente Mcr | $91,885.59 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $91,885.59 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $91,885.59 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Connect Exchange | $93,539.53 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Surefit | $93,539.53 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Connect Exchange | $93,539.53 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Co Public Option | $93,539.53 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Co Public Option | $93,539.53 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Surefit | $93,539.53 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Mrp | Kaiser Permanente Mcr | $96,160.92 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Allegiance | Cigna Sclhs Employees | $96,160.92 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $96,160.92 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $96,160.92 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Snp | Kaiser Snp | $96,160.92 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $96,160.92 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Mrp | Kaiser Mrp Out Of State | $96,160.92 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Co Public Option | $97,891.82 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Co Public Option | $97,891.82 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Surefit | $97,891.82 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Cigna | Cigna Connect Exchange | $97,891.82 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Connect Exchange | $97,891.82 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Cigna | Cigna Surefit | $97,891.82 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Mmia | $102,783.49 | $223,442.36 | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Tire Rama | Tire Rama | $102,783.49 | $223,442.36 | — | 2026-05-09 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Selectcolorado | $107,264.38 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $108,425.00 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $108,425.00 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $113,469.89 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kp Select Hmo | $113,469.89 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $117,083.80 | $223,442.36 | — | 2026-05-22 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $117,083.80 | $223,442.36 | — | 2026-05-15 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | Cigna Scl Employees | Cigna Sclhs Cdhp | $117,083.80 | $223,442.36 | — | 2026-05-15 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $117,083.80 | $223,442.36 | — | 2026-05-22 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | First Choice Health | Healthcomp Tpa New | $127,362.15 | $223,442.36 | — | 2026-05-22 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | First Choice Health | Healthcomp Tpa New | $127,362.15 | $223,442.36 | — | 2026-05-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Cigna | Cigna Ppo | $134,254.74 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Cigna | Cigna Indemnity | $134,254.74 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Cigna | Eighth Dist Elect Ben Pln | $134,254.74 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Cigna | Cigna Hmo | $134,254.74 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Cigna | Health-Partners | $134,254.74 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Cigna | Cigna Other | $134,254.74 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Cigna | Cigna Pos/Qpos | $134,254.74 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Colorado Preferred | $136,725.76 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Colorado Preferred | $136,725.76 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha | $143,083.72 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha Mcr Supplemental | $143,083.72 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Surest | $143,083.72 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Exchange Plan | $143,083.72 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Medica | $143,083.72 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Charter/Navigate | $143,083.72 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | United Healthcare | $143,083.72 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Golden Rule Ins | $143,083.72 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Umr-United Med Resources | $143,083.72 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Healthscope | $143,083.72 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | All Savers Alternative Funding | $143,083.72 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | United Healthcare | Uhc Other/Supplemental | $143,083.72 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Colorado Preferred | $143,087.45 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Colorado Preferred | $143,087.45 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit New Ppo | $145,237.53 | $223,442.36 | — | 2026-05-15 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | First Choice Health | First Choice Other New Ppo | $145,237.53 | $223,442.36 | — | 2026-05-15 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | First Choice Health | Boon-Chapman New Ppo | $145,237.53 | $223,442.36 | — | 2026-05-15 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit New Ppo | $145,237.53 | $223,442.36 | — | 2026-05-22 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | First Choice Health | First Choice Other New Ppo | $145,237.53 | $223,442.36 | — | 2026-05-22 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | First Choice Health | Boon-Chapman New Ppo | $145,237.53 | $223,442.36 | — | 2026-05-22 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | First Choice Health | First Choice Health New Ppo | $145,237.53 | $223,442.36 | — | 2026-05-22 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | First Choice Health | First Choice Health New Ppo | $145,237.53 | $223,442.36 | — | 2026-05-15 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $146,245.11 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $146,245.11 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Bcbs/Anthem | Bcbs Co Federal | $146,245.11 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $146,245.11 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $146,245.11 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $146,245.11 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $146,245.11 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $146,245.11 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha-Asa | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Pos/Qpos | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Preferred One | Preferred One | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Preferred One | Preferred One | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Src | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Christian Brothers Emp Ben Trst | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Other | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Indemnity | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Ppo | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Ppo | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha-Asa | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Src | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Epo | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Other | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Indemnity | $146,649.41 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Inpatient | Bcbs/Anthem | Bcbs Co Indemnity | $150,731.63 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $153,049.72 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Federal | $153,049.72 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $153,049.72 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Ppo | $153,049.72 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $153,049.72 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Bcbs/Anthem | Bcbs Co Hmo | $153,049.72 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Bcbs/Anthem | Bcbs Co Federal | $153,049.72 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Bcbs/Anthem | Bcbs Co Exchange Plan | $153,049.72 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Indemnity | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Ppo | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Geha | Geha-Asa | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Other | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Geha | Geha-Asa | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Preferred One | Preferred One | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Aetna | Aetna Src | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Indemnity | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Src | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Other | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Christian Brothers Emp Ben Trst | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Hmo/Epo | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Pos/Qpos | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Aetna | Aetna Ppo | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Preferred One | Preferred One | $153,472.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Geha | Geha-Asa | $154,313.56 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Pos/Qpos | $154,313.56 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Hmo/Epo | $154,313.56 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Indemnity | $154,313.56 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Christian Brothers Emp Ben Trst | $154,313.56 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Src | $154,313.56 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Ppo | $154,313.56 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Nap | $154,313.56 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient | Aetna | Aetna Other | $154,313.56 | $193,618.02 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Ppo | $154,367.80 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $154,367.80 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Choicecare Humana | Choicecare Humana Ppo | $154,367.80 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $154,367.80 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kaiser Out Of State | $154,845.60 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Self Funded | Kaiser Self Funded | $154,845.60 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $154,845.60 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $154,845.60 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $154,845.60 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Self Funded | Kaiser Self Funded | $154,845.60 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $154,845.60 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kaiser Out Of State | $154,845.60 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | Pacificsource | Pacificsource Smart Health/Nav Network | $156,409.65 | $223,442.36 | — | 2026-05-15 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | Pacificsource | Pacificsource Smart Health/Nav Network | $156,409.65 | $223,442.36 | — | 2026-05-22 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $159,550.14 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $159,550.14 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | $159,880.93 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | United Healthcare | Selectcolorado | $159,880.93 | $367,542.37 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Ppo | $161,550.35 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $161,550.35 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Choicecare Humana | Choicecare Humana Ppo | $161,550.35 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Outpatient | Choicecare Humana | Choicecare Humana Hmo Epo | $161,550.35 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $162,050.39 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $162,050.39 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Self Funded | Kaiser Self Funded | $162,050.39 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Hmo | Kaiser Out Of State | $162,050.39 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Self Funded | Kaiser Self Funded | $162,050.39 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kaiser Hmo Exchange Plan | $162,050.39 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kaiser Out Of State | $162,050.39 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Hmo | Kaiser Permanente Hmo | $162,050.39 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $166,973.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| LUTHERAN MEDICAL CENTER Inpatient | Kaiser Perm Ppo/Pos | Kaiser Perm Ppo/Pos | $166,973.83 | $384,643.69 | — | 2026-05-14 | MRF ↗ |
| SAINT JOSEPH HOSPITAL Outpatient | United Healthcare | Selectcolorado | $167,320.01 | $384,643.69 | — | 2026-05-14 | 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.