21672 — Carmustine In Polifeprosan 7.7 Mg Il Wafr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR (CDM 21672) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/21672?code_type=CDM
MLA (9th ed.)
“CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR (CDM 21672) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/21672?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“CARMUSTINE IN POLIFEPROSAN 7.7 MG IL WAFR (CDM 21672) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/21672?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,133–$8,609 (25th–75th percentile) across 21 hospitals · 89 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 21672 — 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 |
|---|---|---|---|---|---|---|---|
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | MCR | $9.80 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | MCR | $10.50 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Harvard Pilgrim | All Plans | $13.86 | $24,220.17 | $12,352.29 | 2025-01-10 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | MedCare Partners | MGMCR | $14.70 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Imperial Insurance | MCR | $14.70 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | MedCare Partners | MGMCR | $15.75 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | EPO | $17.84 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | PPO | $17.84 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna | HMO | $18.33 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | HMO | $18.59 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | PPO | $18.59 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna | EPO | $18.59 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Bright Health | COMM | $27.01 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Cigna | HMO | $27.09 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Cigna | PPO | $27.09 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Cigna | HMO | $27.83 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Cigna | PPO | $27.83 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Blue Shield | EPN | $28.34 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Bright Health | COMM | $28.94 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | United | OptionsPPO | $29.50 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Blue Shield | EPN | $29.59 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| ASCENSION SAINT THOMAS THREE RIVERS Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $29.75 | $29.75 | $8.93 | 2026-01-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | United | OptionsPPO | $30.28 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| Ascension Borgess Pipp Hospital Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $35.00 | $35.00 | $17.15 | 2026-01-01 | MRF ↗ |
| BORGESS MEDICAL CENTER Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $35.00 | $35.00 | $17.15 | 2026-01-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Health Net | COMM | $39.89 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Blue Shield | COMM | $40.48 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Blue Shield | COMM | $42.27 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Health Net | COMM | $42.73 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | First Health | COMM | $66.64 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Networks by Design | COMM | $66.64 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | ChoiceCare Network | COMMPPO | $68.60 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | First Health | COMM | $71.40 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | ChoiceCare Network | COMMPPO | $73.50 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Multiplan | PRIMARY | $78.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | First Health | WCOMP | $78.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | PPO Next | WC | $78.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | PPO Next | PPO | $78.40 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Multiplan | PRIMARY | $84.00 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | PPO Next | PPO | $84.00 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | PPO Next | WC | $84.00 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | First Health | WCOMP | $84.00 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Ventura County Foundation | COMM | $88.20 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Interplan Corporation | COMM | $88.20 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Interplan Corporation | WC | $88.20 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Multiplan | COMPLEMENTARY | $93.10 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Ventura County Foundation | COMM | $94.50 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Interplan Corporation | COMM | $94.50 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Interplan Corporation | WC | $94.50 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| LOS ROBLES HOSPITAL & MEDICAL CENTER Outpatient | Aetna Senior Health Plan | MCR | $98.00 | $98.00 | $98.00 | 2024-10-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Multiplan | COMPLEMENTARY | $99.75 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| Thousand Oaks Surgical Hospital Outpatient | Aetna Senior Health Plan | MCR | $105.00 | $105.00 | $105.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $426.60 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | NBR | $523.30 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $540.36 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $625.68 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $777.67 | $24,220.17 | $12,352.29 | 2025-01-10 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $995.40 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenbrier Sporting Club | COMM | $1,033.51 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | SharedSavings | $1,080.72 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $1,140.44 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | HMO | $1,279.80 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $1,279.80 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $1,325.30 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $1,422.00 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | Broad | $1,592.64 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $1,706.40 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Value Options | COMM | $1,706.40 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NETWORK HEALTH | 1289_NETWORK HEALTH PLAN 20250701 | $1,719.87 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Independence Blue Cross | Medicare Advantage | $1,843.11 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Independence Blue Cross | Medicare Advantage | $1,843.11 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Independence Blue Cross | Medicare Advantage | $1,843.11 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Independence Blue Cross | Medicare Advantage | $1,843.11 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Independence Blue Cross | Medicare Advantage | $1,843.11 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | Independence Blue Cross | Medicare Advantage | $1,843.11 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $1,869.42 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $1,981.59 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $1,981.59 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Nursing Center | COMM | $1,990.80 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Graham-White Manufacturing | COMM | $1,990.80 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | WC | $2,047.68 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | COMM | $2,047.68 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CorVel | WorkersComp | $2,047.68 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Richfield Retirement Community | COMM | $2,133.00 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Community Care Network | COMM | $2,133.00 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | GM Southwest | COMM | $2,133.00 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $2,205.92 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | PPO | $2,275.20 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | CSX Hotels | Product | $2,275.20 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | OccuNet Workers Comp | WorkersComp | $2,275.20 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | John W Hancock | COMM | $2,275.20 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | One Health Plan | POS | $2,275.20 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $2,337.26 | $24,220.17 | $12,352.29 | 2025-01-10 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $2,355.47 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $2,422.02 | $24,220.17 | $12,352.29 | 2025-01-10 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Patients Choice | COMM | $2,502.72 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | 4Most | COMM | $2,559.60 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Star Transportation | COMM | $2,559.60 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | C&O Employees Hospital Assn | COMM | $2,559.60 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | American Postal Workers Union | COMM | $2,559.60 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Alleghany Highland Community | COMM | $2,559.60 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | PHCS | COMM | $2,559.60 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | TRILOGY | 1271_TRILOGY 20250701 | $2,579.80 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $2,590.98 | $24,220.17 | $14,289.90 | 2025-01-10 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $2,617.19 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $2,617.19 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $2,804.13 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United Behavioral Health | VACCN | $2,844.00 | $2,844.00 | $2,844.00 | 2024-10-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $2,878.91 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $3,065.85 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1292_FIRST HEALTH 20240101 SFWI | $3,065.85 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Aetna | Medicare | $3,110.25 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Aetna | Medicare | $3,110.25 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Aetna | Medicare | $3,110.25 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Aetna | Medicare | $3,110.25 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Aetna | Medicare | $3,110.25 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Aetna | Medicare | $3,110.25 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Aetna | Medicare | $3,110.25 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Aetna | Medicare | $3,110.25 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Aetna | Medicare | $3,110.25 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $3,217.62 | $24,220.17 | $12,352.29 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $3,243.76 | $24,220.17 | $12,352.29 | 2025-01-10 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $3,252.79 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $3,263.84 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $3,263.84 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $3,263.84 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Highmark Wholecare | Medicaid | $3,263.84 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $3,263.84 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Highmark Wholecare | Medicaid | $3,263.84 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $3,263.84 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $3,263.84 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Highmark Wholecare | Medicaid | $3,263.84 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Highmark Wholecare | Medicaid | $3,263.84 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $3,327.57 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $3,327.57 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $3,500.76 | $24,220.17 | $12,352.29 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $3,502.84 | $24,220.17 | $12,352.29 | 2025-01-10 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $3,514.51 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $3,615.83 | $24,220.17 | $14,289.90 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $3,630.41 | $24,220.17 | $14,289.90 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $3,633.03 | $24,220.17 | $12,352.29 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $3,667.52 | $24,220.17 | $14,289.90 | 2025-01-10 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $3,738.84 | $3,738.84 | $1,981.58 | 2026-01-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $3,924.05 | $24,220.17 | $14,289.90 | 2025-01-10 | MRF ↗ |
| ST LUKE'S WARREN HOSPITAL OutpatientFacility | Independence Blue Cross | Medicare Advantage | $4,842.96 | $50,447.45 | $45,402.70 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS InpatientFacility | Oscar | Commercial | $4,982.16 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| St. Luke's Allentown Hospital InpatientFacility | Oscar | Commercial | $4,982.16 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital InpatientFacility | Oscar | Commercial | $4,982.16 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM InpatientFacility | Oscar | Commercial | $4,982.16 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS InpatientFacility | Oscar | Commercial | $4,982.16 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS InpatientFacility | Oscar | Commercial | $4,982.16 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS InpatientFacility | Oscar | Commercial | $4,982.16 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS InpatientFacility | Oscar | Commercial | $4,982.16 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL InpatientFacility | Oscar | Commercial | $4,982.16 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS InpatientFacility | Oscar | Commercial | $4,982.16 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL InpatientFacility | United Healthcare | Commercial | $5,183.75 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | United Healthcare | Commercial | $5,241.35 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS InpatientFacility | UPMC Health Plan | Commercial | $5,249.03 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS InpatientFacility | UPMC Health Plan | Commercial | $5,249.03 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS InpatientFacility | UPMC Health Plan | Commercial | $5,249.03 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL InpatientFacility | UPMC Health Plan | Commercial | $5,249.03 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL InpatientFacility | UPMC Health Plan | Commercial | $5,249.03 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS InpatientFacility | UPMC Health Plan | Commercial | $5,249.03 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| St. Luke's Allentown Hospital InpatientFacility | UPMC Health Plan | Commercial | $5,249.03 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS InpatientFacility | UPMC Health Plan | Commercial | $5,249.03 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| St. Luke's Sacred Heart Hospital InpatientFacility | UPMC Health Plan | Commercial | $5,249.03 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS InpatientFacility | UPMC Health Plan | Commercial | $5,249.03 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM InpatientFacility | UPMC Health Plan | Commercial | $5,249.03 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | Cigna | Commercial | $5,254.79 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Cigna | Commercial | $5,254.79 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Cigna | Commercial | $5,254.79 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | Cigna | Commercial | $5,254.79 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Cigna | Commercial | $5,254.79 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Cigna | Commercial | $5,254.79 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Cigna | Commercial | $5,254.79 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Cigna | Commercial | $5,254.79 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Cigna | Commercial | $5,254.79 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Cigna | Commercial | $5,254.79 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | UPMC Health Plan | Commercial | $5,262.47 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | UPMC Health Plan | Commercial | $5,262.47 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | UPMC Health Plan | Commercial | $5,262.47 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | UPMC Health Plan | Commercial | $5,262.47 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | UPMC Health Plan | Commercial | $5,262.47 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | UPMC Health Plan | Commercial | $5,262.47 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | UPMC Health Plan | Commercial | $5,262.47 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | UPMC Health Plan | Commercial | $5,262.47 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | UPMC Health Plan | Commercial | $5,262.47 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| St. Luke's Allentown Hospital OutpatientFacility | UPMC Health Plan | Commercial | $5,262.47 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKES HOSPITAL BETHLEHEM OutpatientFacility | UPMC Health Plan | Commercial | $5,262.47 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL OutpatientFacility | UPMC Health Plan | Commercial | $5,281.66 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| GEISINGER ST. LUKE'S HOSPITAL InpatientFacility | UPMC Health Plan | Commercial | $5,285.50 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S MINERS MEMORIAL HOSPITAL OutpatientFacility | Geisinger | Commercial | $5,396.86 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Geisinger | Commercial | $5,396.86 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| St. Luke's Sacred Heart Hospital OutpatientFacility | Geisinger | Commercial | $5,396.86 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - ANDERSON CAMPUS OutpatientFacility | Geisinger | Commercial | $5,396.86 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS OutpatientFacility | Geisinger | Commercial | $5,396.86 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - CARBON CAMPUS OutpatientFacility | Geisinger | Commercial | $5,396.86 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Geisinger | Commercial | $5,396.86 | $19,199.07 | $15,935.23 | 2026-02-26 | MRF ↗ |
| ST LUKE'S HOSPITAL - MONROE CAMPUS OutpatientFacility | Geisinger | Commercial | $5,396.86 | $19,199.07 | $15,935.23 | 2026-02-27 | MRF ↗ |
| ST LUKE'S HOSPITAL - EASTON CAMPUS OutpatientFacility | Geisinger | Commercial | $5,396.86 | $19,199.07 | $15,935.23 | 2026-02-27 | 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.