24338015020 — Triptorelin Pamoate ER (cpp) 22.5 Mg IM Srer
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). TRIPTORELIN PAMOATE ER (CPP) 22.5 MG IM SRER (NDC 24338015020) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/24338015020?code_type=NDC
MLA (9th ed.)
“TRIPTORELIN PAMOATE ER (CPP) 22.5 MG IM SRER (NDC 24338015020) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/24338015020?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“TRIPTORELIN PAMOATE ER (CPP) 22.5 MG IM SRER (NDC 24338015020) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/24338015020?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $32,100–$44,687 (25th–75th percentile) across 5 hospitals · 96 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 24338015020 — 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 |
|---|---|---|---|---|---|---|---|
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $2,055.68 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $2,055.68 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $2,519.77 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $3,127.22 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Mediare Advantage | Medicare Advantage | $3,418.49 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care DSNP | Medicare HMO | $3,418.49 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $3,418.49 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $3,512.09 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $3,512.09 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Memorial Medicare | HMO-Medicare | $3,760.34 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $3,760.34 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | Medicare HMO | $3,764.98 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Medicare | Medicare | $3,764.98 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | TriWest Healthcare Alliance | Other Government | $3,764.98 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $3,764.98 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $3,764.98 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | TriWest Healthcare Alliance | Other Government | $3,764.98 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community Medicare | Medicare | $3,764.98 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $3,764.98 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | All Products | $3,790.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | EPN | $3,790.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | All Products | $3,790.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $3,790.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $3,817.28 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Central Health Plan | Medicare HMO | $3,872.83 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthSmart | Workers Compensation | $4,517.98 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care Covered CA | HMO | $4,518.30 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | SCAN | Medicare | $4,614.96 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centivo | PPO | $9,035.95 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Commercial | All Products | $10,391.34 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | Medicare | $10,805.49 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | EPN | $11,961.00 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $14,895.57 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna Medicare | Medicare | $14,895.57 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | All Products | $15,948.00 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Gold Coast Health Plan | HMO | $16,683.04 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Gold Coast Health Plan | HMO | $16,683.04 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Workers Comp | Workers Comp | $17,094.16 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $17,463.57 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $19,376.16 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $19,542.99 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $20,019.65 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $20,019.65 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $20,853.80 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | CenCal Medi-Cal HMO | Medi-Cal HMO | $20,853.80 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | CenCal Transplant Medi-Cal HMO | Medi-Cal HMO | $20,853.80 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | Medicare Advantage | $20,853.80 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $20,853.80 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA - RMG | All Products | $20,853.80 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Providence Healthcare | Medicare | $20,853.80 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA - RMG | All Products | $20,853.80 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $21,830.95 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $21,830.95 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $23,296.67 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Children Hospital of Orange County | Medicaid HMO | $23,832.91 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCI University - RMG | All Products | $23,832.91 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Molina Healthcare HMO | MediCal HMO | $23,832.91 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Molina Healthcare HMO | MediCal HMO | $23,832.91 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $23,832.91 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCI University - RMG | All Products | $23,832.91 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Children Hospital of Orange County | Medicaid HMO | $23,832.91 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $24,071.24 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $24,071.24 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UC Ship | PPO | $28,301.58 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | Medicare | $30,089.05 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | Medicare | $30,089.05 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $30,089.05 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $30,089.05 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care DSNP | Medicare HMO | $32,770.25 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Optum | Medicare | $32,770.25 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | HealthCare Partners HMO | HMO-Medicare | $32,770.25 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care Covered CA | HMO | $32,770.25 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthCare Partners HMO | HMO-Medicare | $32,770.25 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $33,306.49 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $33,366.08 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $33,366.08 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Kaiser | All Products | $33,961.90 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Redlands Community General Services | HMO | $34,557.72 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community General Services | HMO | $34,557.72 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Cigna | PPO | $34,861.59 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Cigna | HMO | $34,861.59 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Cigna | PPO | $34,861.59 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Cigna | HMO | $34,861.59 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| STORMONT VAIL HEALTH FLINT HILLS, LLC Both | Aetna | Aetna Commercial | $36,242.19 | $55,757.21 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HEALTH FLINT HILLS, LLC Both | UHC | UHC Commercial | $36,242.19 | $55,757.21 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HEALTH FLINT HILLS, LLC Both | Cigna | Cigna Commercial | $36,242.19 | $55,757.21 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | UHC | UHC Commercial | $36,242.19 | $55,757.21 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | UHC | UHC Commercial | $36,242.19 | $55,757.21 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | Aetna | Aetna Commercial | $36,242.19 | $55,757.21 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | Aetna | Aetna Commercial | $36,242.19 | $55,757.21 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | Cigna | Cigna Commercial | $36,242.19 | $55,757.21 | — | 2025-12-19 | MRF ↗ |
| STORMONT VAIL HOSPITAL Both | Cigna | Cigna Commercial | $36,242.19 | $55,757.21 | — | 2025-12-19 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Plan of Nevada Commercial | All Products | $38,132.66 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Western Neurological Network - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Santa Barbara Select IPA - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | MemorialCare Medical Foundation - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Valley Care - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Commercial | HMO | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Western Neurological Network - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Hospital - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Seaview IPA - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Access Medical Group - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Seoul Medical Group - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Seoul Medical Group - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Commercial | HMO | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | MemorialCare Medical Foundation - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Torrance Hospital - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Valley Care - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Santa Barbara Select IPA - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Access Medical Group - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Monarch | Medicare | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Seaview IPA - RMG | All Products | $38,728.48 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna | All Products | $40,396.79 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna | All Products | $40,396.79 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna | All Products | $40,396.79 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC Select/SelectPlus | Select-Select Plus | $40,801.95 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Select/SelectPlus | Select-Select Plus | $40,801.95 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | First Health | Workers Compensation | $40,873.44 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC Select/SelectPlus | Select-Select Plus | $41,344.14 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Select/SelectPlus | Select-Select Plus | $41,344.14 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $41,350.10 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Net B&G | HMO | $41,350.10 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Riverside Medical Clinic - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Pinnacle Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Premier Physician - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Commercial | HMO | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Medicare | Medicare | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Transplant | HMO | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Alliance Physicians of the High Desert Inc LOA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Prudent Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Alamitos IPA LOA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | AKM Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Yucaipa Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Riverside Medical Clinic - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Saint Johns - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | San Bernardino - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Sansum Clinic - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Care Specialists - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Choice Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Health Alliance - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Facey Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Dignity Health Medical Network Central California | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | County of Ventura | HMO | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centinela Valley IPA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Korean American Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Brookshire IPA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Axminister Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Lakewood IPA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Memorial Health Care - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Apple Care Medical Group St. Francis - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch Healthcare - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Physicians Choice Medical Group San Luis Obispo - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | PIH Health Physicians - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Sharp Rees-Stealy - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Joseph Heritage - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Mary IPA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Vincent IPA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Tri Valley - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | United Family Care - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | First Health | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | AKM Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Alamitos IPA LOA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Alliance Physicians of the High Desert Inc LOA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Apple Care Medical Group St. Francis - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Axminister Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Brookshire IPA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Centinela Valley IPA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | County of Ventura | HMO | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Dignity Health Medical Network Central California | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Facey Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Family Care Specialists - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Family Choice Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Family Health Alliance - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Korean American Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Lakewood IPA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Memorial Health Care - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Monarch Healthcare - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Physicians Choice Medical Group San Luis Obispo - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | PIH Health Physicians - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Pinnacle Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Premier Physician - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Commercial | HMO | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Medicare | Medicare | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Transplant | HMO | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Prudent Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Redlands Yucaipa Medical Group - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Saint Johns - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | San Bernardino - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Sansum Clinic - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Sharp Rees-Stealy - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | St Joseph Heritage - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | St Mary IPA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | St Vincent IPA - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | St. Jude | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Tri Valley - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | United Family Care - RMG | All Products | $41,707.60 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Optum | All Products | $43,209.07 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | All Products | $43,209.07 | $59,582.28 | $32,770.25 | 2026-03-29 | MRF ↗ |
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