21672 — Carmustine In Polifeprosan 7.7 Mg Wafer For Implant
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT (OTHER 21672) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/21672?code_type=OTHER
MLA (9th ed.)
“CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT (OTHER 21672) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/21672?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“CARMUSTINE IN POLIFEPROSAN 7.7 MG WAFER FOR IMPLANT (OTHER 21672) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/21672?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $99,239–$150,443 (25th–75th percentile) across 4 hospitals · 94 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| EDWARD W SPARROW HOSPITAL | Priority Health - Medicare Advantage | — | $29.32 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) Medicare Advantage | — | $29.32 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Care Network Medicare Advantage | — | $29.32 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare Plus Blue | — | $29.32 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicaid | — | $1,165.00 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Mclaren Medicaid | — | $1,165.00 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Priority Health | — | $1,500.00 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare | — | $6,232.11 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Blue Cross Blue Shield | — | $8,111.33 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | United Healthcare | — | $12,464.22 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Cofinity | — | $14,381.79 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Aetna | — | $14,381.79 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Cigna | — | $15,187.17 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Health Alliance Plan (Hap) | — | $15,340.58 | $19,175.72 | $4,793.93 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Hmo | — | $28,945.21 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Blue Advantage Hmo | — | $28,945.21 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Hmo Illinois | — | $28,945.21 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Ingalls Provider Group | — | $28,945.21 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Federal | — | $33,368.24 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Blue Cross Blue Shield Il Ppo | — | $33,368.24 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Bcbs Il Federal | — | $33,368.24 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Out Of State Blue Cross Il Out Of State | — | $33,368.24 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Ppo | — | $33,368.24 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $48,680.80 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Localplus | — | $51,601.91 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Illinois Bcbs Il Blue Choice | — | $52,655.02 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $58,973.62 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Healthsync | — | $59,139.22 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Federal | — | $66,072.99 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Hmo | — | $66,072.99 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Ppo | — | $66,072.99 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Out Of State Blue Cross In Out Of State | — | $66,072.99 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Humana Humana Choice Pos | — | $69,203.73 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Medical Resources United Medical Resources | — | $69,770.99 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care All Savers | — | $69,770.99 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Golden Rule Insurance | — | $69,770.99 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Choice | — | $69,770.99 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Medical Resources Umr-Wausau | — | $69,770.99 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Core | — | $69,770.99 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Unitedhealthcare Shared Services | — | $69,770.99 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna Qchp State Of Illinois | — | $70,708.16 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna Hmo/Pos | — | $70,708.16 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna Oap/Pos State Of Illinois | — | $70,708.16 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna | — | $70,708.16 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Meritain Health | — | $70,708.16 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Aetna Aetna Choice Ppo | — | $70,708.16 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Navigate | — | $75,973.66 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Unitedhealthcare Shared Services | — | $75,973.66 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Golden Rule Insurance | — | $75,973.66 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care All Savers | — | $75,973.66 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Core | — | $75,973.66 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Hmo | — | $75,973.66 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare Bind/Surest Insurance | — | $75,973.66 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Choice | — | $75,973.66 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Medical Resources Umr-Wausau | — | $75,973.66 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Medical Resources United Medical Resources | — | $75,973.66 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Ppo | — | $76,849.21 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Student Resources | — | $76,849.21 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare | — | $76,849.21 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Hmo | — | $77,478.09 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care National Assoc Of Letter Carriers | — | $77,478.09 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Ppo | — | $77,478.09 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Cigna Cigna Oa Plus | — | $77,478.09 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare | — | $84,248.02 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | United Healthcare United Healthcare Ppo | — | $84,248.02 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Phcs Generic | — | $97,787.89 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Cigna Cigna Oa Plus | — | $99,239.49 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Cigna Cigna Ppo | — | $99,239.49 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Sagamore Plus | — | $99,239.49 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care National Assoc Of Letter Carriers | — | $99,239.49 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Medicare Part A & B | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Humana Medicare Choice Pffs | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Humana Gold Plus Mc Replacement | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Wellcare Medicare Replacement | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Anthem Bc Medicare Replacement | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Aetna Medicare Replacement | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Medicare Part B | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Medicare Part A Only | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Humana Health Plan Mmai-Il | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Wellcare By Allwell | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement United Healthcare Mc Replacement | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Optum Medicare Replacement | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Medicare Replacement Ins | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Iu Health Plans Mc Replacement | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Humana Medicare Plus Hmo | — | $101,609.21 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Healthsync | — | $112,921.70 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Phcs Generic | — | $117,007.25 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Out Of State Blue Cross In Out Of State | — | $126,164.76 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Highmark | — | $126,164.76 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Federal | — | $126,164.76 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Ppo | — | $126,164.76 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Hmo | — | $126,164.76 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $126,334.11 | $338,697.35 | $120,914.95 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Allied Benefit Systems | — | $130,008.06 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Iu Health Encore | — | $130,008.06 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Encore Ppo | — | $130,008.06 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Encore Health Network | — | $130,008.06 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Multiplan | — | $135,398.61 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Franciscan Alliance Emp | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Workers Comp Generic Indiana | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Administrative Concepts Inc | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Allied Benefit Systems,Inc | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Anthem Pathways Essentials | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Commercial Generic | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Generic Commercial Low Coverage | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Gpa (Group And Pension Administrators) | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Indiana Criminal Justice | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Iu Health Plans | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Medi-Share | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Mva Liability Insurance | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Third Party Liability | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellcare Medicare Replacement | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Quality Correctional Care | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Reserve National Life Ins Co | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Ascension Complete Medicare Replacement | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Php | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care In Packers High Ded | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Amerisure Mutual Ins | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Wabash National | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Health Services Managed Health Services | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Health Services Mhs Care Connect | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Health Services Managed Hlth Serv Hip | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Commercial Hospice Other | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Anthem Care Connect | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Anthem Healthy Indiana Plan | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Anthem Medicaid | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Caresource Hhw | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Caresource Hip | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Mdwise Excel Hhw | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Mdwise Excel Hip | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Medicaid Hosp Presumptive Elig | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Medicaid In Traditional | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid Medicaid Package E Only | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicaid United Healthcare Care Connect | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Aetna Aetna Choice Ppo | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Aetna Aetna Hmo/Pos | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Aetna Aetna | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Ambetter | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Caresource Marketplace | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Meritain Health | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Siho | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Unified Group Services | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part A & B | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part A Only | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part B | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Aetna Medicare Replacement | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Anthem Bc Medicare Replacement | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Gold Plus Mc Replacement | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Choice Pffs | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Plus Hmo | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Iu Health Plans Mc Replacement | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Medicare Replacement Ins | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Optum Medicare Replacement | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement United Healthcare Mc Replacement | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellcare By Allwell | — | $144,453.40 | $144,453.40 | $37,413.43 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Occupational Health | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Health Services Managed Hlth Serv Hip | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Anthem Healthy Indiana Plan | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Mdwise Excel Hip | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Allied Benefit Systems | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Ambetter | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Medicare Part A & B | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Medicare Part A Only | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Medicare Part B | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Aetna Medicare Replacement | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Anthem Bc Medicare Replacement | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Gold Plus Mc Replacement | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Medicare Choice Pffs | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Medicare Plus Hmo | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Oak Street | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Medicare Replacement Ins | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement United Healthcare Mc Replacement | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Us Dept Of Labor | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Work Comp Franciscan Alliance Emp | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Workers Comp Generic Indiana | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Commercial Allied Benefit Systems,Inc | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Commercial Commercial Generic | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Commercial Generic Commercial Low Coverage | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Commercial Mva Liability Insurance | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Commercial Third Party Liability | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Advocate Humana | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Cigna Healthspring Mc Replacement | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Wellcare Medicare Replacement | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Managed Care Priority Health | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Commercial Hospice Other | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Illinois Aetna Better Health | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Illinois Blue Cross Community Family Hlth Plan | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Illinois Countycare | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Illinois Medicaid Illinois | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicaid Illinois Meridian Medicaid Plan | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Ascension Complete Medicare Replacement | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Humana Health Plan Mmai-Il | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Workers Comp Workers Comp Generic Illinois | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Aetna Better Health Premier Plan Mmai | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Blue Cross Community Mmai | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS | Medicare Replacement Blue Cross Medicare Adv Il Out Of State | — | $150,442.90 | $150,442.90 | $46,170.93 | 2026-08-01 | 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.