25682002801 — Oxycodone 5 Mg Tablet
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OXYCODONE 5 MG TABLET (NDC 25682002801) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/25682002801?code_type=NDC
MLA (9th ed.)
“OXYCODONE 5 MG TABLET (NDC 25682002801) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/25682002801?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“OXYCODONE 5 MG TABLET (NDC 25682002801) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/25682002801?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $52–$36,295 (25th–75th percentile) across 13 hospitals · 69 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 25682002801 — 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 |
|---|---|---|---|---|---|---|---|
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | UHC | ALL PRODUCTS | $0.38 | $71,857.88 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $71,857.88 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $71,857.88 | — | 2025-06-28 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | My Blue - Adult | $20.37 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Blue Select - Adult | $20.37 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Blue Select - Adult | $20.37 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | My Blue - Adult | $20.37 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Whole Health | $23.43 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Whole Health | $23.43 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | UMR Baptist Employee | All Products | $24.44 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | UMR Baptist Employee | All Products | $24.44 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | My Blue - Child | $25.46 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Blue Select - Child | $25.46 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | HMO - Child | $25.46 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Blue Select - Child | $25.46 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | My Blue - Child | $25.46 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | HMO | $25.46 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | HMO | $25.46 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | HMO - Child | $25.46 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Indemnity | $26.48 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Network Blue | $26.48 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Network Blue | $26.48 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Indemnity | $26.48 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | PPO | $26.48 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Medicare Advantage | $29.54 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage | $29.54 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Medicare Advantage | $29.54 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | My Blue - Adult | $30.15 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Blue Select - Adult | $30.15 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | AvMed | Engage & Empower & Entrust | $32.59 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | AvMed | Engage & Empower & Entrust | $32.59 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | AvMed | Engage & Empower & Entrust | $32.59 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Gatekeeper | $36.67 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Gatekeeper | $36.67 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | HMO | $37.68 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Gatekeeper | $37.68 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Whole Health -Child | $37.68 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | My Blue - Child | $37.68 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Whole Health -Child | $37.68 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | HMO - Child | $37.68 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Blue Select - Child | $37.68 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Gatekeeper | $37.68 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Whole Health | $37.68 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Borland Groover | All Products | $40.74 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Borland Groover | All Products | $40.74 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Borland Groover | All Products | $40.74 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | OccuNet | All Products | $40.74 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | OccuNet | All Products | $40.74 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | OccuNet | All Products | $40.74 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Northeast Florida State Hospital | All Products | $42.78 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Non-Gatekeeper | $42.78 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | HMO | $42.78 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Northeast Florida State Hospital | All Products | $42.78 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | HMO | $42.78 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Northeast Florida State Hospital | All Products | $42.78 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | Gatekeeper New Business | $43.80 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | Gatekeeper New Business | $43.80 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Non-Gatekeeper | $44.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Non-Gatekeeper | $44.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Centivo | Select | $44.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Centivo | Select | $44.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Centivo | Select | $44.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Capital Health Plan | All Products | $46.85 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Capital Health Plan | All Products | $46.85 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Capital Health Plan | All Products | $46.85 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | UMR Baptist Employee | All Products | $46.85 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | Northeast Florida State Hospital | All Products | $47.87 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | Northeast Florida State Hospital | All Products | $47.87 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Innovative Healthware Services | All Products | $47.87 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU InpatientFacility | Northeast Florida State Hospital | All Products | $47.87 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | Cigna | Gatekeeper New Business | $49.60 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | Cigna | Gatekeeper New Business | $49.60 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Indemnity | $50.01 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Network Blue | $50.01 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | PPO | $50.01 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | United Healthcare | All Products | $50.01 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | OccuNet | All Products | $50.93 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Geo Group | All Products | $50.93 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Geo Group | All Products | $50.93 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | OccuNet | All Products | $50.93 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Geo Group | All Products | $50.93 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU InpatientFacility | OccuNet | All Products | $50.93 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Aetna | SRC and NAP | $51.94 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | AvMed | All Products | $51.94 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Aetna | SRC and NAP | $51.94 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | AvMed | All Products | $51.94 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Aetna | SRC and NAP | $51.94 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | AvMed | Engage & Empower & Entrust - Child | $52.96 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Watchtower | All Products | $56.02 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Watchtower | All Products | $56.02 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Watchtower | All Products | $56.02 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | Gatekeeper Non-New Business | $57.24 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | Gatekeeper Non-New Business | $57.24 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | FSCJ Student Insurance | All Products | $61.11 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | FSCJ Student Insurance | All Products | $61.11 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Savannah Grand of Amelia Island | All Products | $61.11 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | FSCJ Student Insurance | All Products | $61.11 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | NFL | $62.13 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | NFL | $62.13 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | PPO | $62.13 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | PPO | $62.13 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | Gatekeeper New Business | $63.15 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Suddath Company | All Products | $64.17 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Suddath Company | All Products | $64.17 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Suddath Company | All Products | $64.17 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | BCBS | Managed WC | $66.20 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $66.20 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Georgia Medicaid | OOS Medicaid | $66.20 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Georgia Medicaid | OOS Medicaid | $66.20 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | CareSource of Georgia | Managed Medicaid OOS | $66.20 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $66.20 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $66.20 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Georgia Medicaid | OOS Medicaid | $66.20 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | CareSource of Georgia | Managed Medicaid OOS | $66.20 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | BCBS | Managed WC | $66.20 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | BCBS | Managed WC | $66.20 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Aetna | ASA | $69.26 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Aetna | ASA | $69.26 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Aetna | ASA | $69.26 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Aetna | Coventry Healthcare HMO of S Georgia | $71.30 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Aetna | Coventry Healthcare HMO of S Georgia | $71.30 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Aetna | Coventry Healthcare HMO of S Georgia | $71.30 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | UF Health Proton Therapy Institute | All Products | $71.30 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | PHCS | All Products | $76.39 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | PHCS | All Products | $76.39 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | AvMed | All Products | $76.39 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | PHCS | All Products | $76.39 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MA-BEHAVIORAL HEALTH | $77.14 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MEDICARE ADV. | $77.14 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | HMO | $77.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | PPO | $77.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | NFL | $77.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | Gatekeeper Non-New Business | $77.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $77.91 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Aetna | First Health | $81.48 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Aetna | First Health | $81.48 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Aetna | First Health | $81.48 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | PHCS | All Products | $81.48 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | HEALTHNET | MEDICARE ADV. | $84.85 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $84.85 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $86.40 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Centivo | Non-Select | $86.57 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Centivo | Non-Select | $86.57 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Centivo | Non-Select | $86.57 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $87.78 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $87.78 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $88.66 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $88.66 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $88.66 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $88.66 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $88.71 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Evolutions Healthcare | All Products | $91.67 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Multiplan | All Products | $91.67 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Evolutions Healthcare | All Products | $91.67 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Evolutions Healthcare | All Products | $91.67 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Multiplan | All Products | $91.67 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Multiplan | All Products | $91.67 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $96.56 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $96.56 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $98.31 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $98.31 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Corvel | Managed WC | $99.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Coventry Workers Comp | Managed WC | $99.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Corvel | Managed WC | $99.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Coventry Workers Comp | Managed WC | $99.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Corvel | Managed WC | $99.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Coventry Workers Comp | Managed WC | $99.81 | $101.85 | $63.15 | 2026-02-06 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $100.95 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $100.95 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | SAMARITAN | MEDICARE ADV. | $133.00 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $133.00 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $178.22 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $178.22 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $186.20 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $186.20 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $186.20 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $186.20 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $212.80 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $212.80 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | SAMARITAN | SAMARITAN CHOICE | $212.80 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $212.80 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $212.80 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $223.97 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | REGENCE | ALL PRODUCTS | $223.97 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $226.10 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $226.10 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $226.10 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $239.11 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $239.11 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $239.11 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $250.04 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $252.70 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | AETNA | ALL PRODUCTS | $252.70 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $252.70 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $252.70 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $252.70 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $252.70 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $252.70 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $252.70 | $266.00 | $212.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $252.70 | $266.00 | $212.80 | 2026-01-31 | 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.