32267 — Pegfilgrastim 6mg/0.6 Ml Syringe 1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PEGFILGRASTIM 6MG/0.6 ML SYRINGE 1 (CDM 32267) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/32267?code_type=CDM
MLA (9th ed.)
“PEGFILGRASTIM 6MG/0.6 ML SYRINGE 1 (CDM 32267) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/32267?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“PEGFILGRASTIM 6MG/0.6 ML SYRINGE 1 (CDM 32267) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/32267?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,080–$1,544 (25th–75th percentile) across 10 hospitals · 73 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 32267 — 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 |
|---|---|---|---|---|---|---|---|
| CHILDREN'S NEBRASKA OutpatientFacility | Nebraska Medicaid | Managed Medicaid | $552.73 | $1,783.00 | — | 2026-03-31 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $601.48 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $601.48 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $647.75 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | BCBS | MGMCD | $653.12 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | United | BHMGMCD | $663.07 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | WellCare | MGMCD | $672.67 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | AmeriHealth | MGMCD | $679.07 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Vaya Health | MedicaidDirect | $685.83 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Partners Health Management | MGMCD | $685.83 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Vaya Health | MedicaidTailoredPlan | $685.83 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $705.34 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $705.34 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Apex Health | MCR | $711.07 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $738.92 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $738.92 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $738.92 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $738.92 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $738.92 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $738.92 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Both | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $771.13 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Both | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $771.13 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $771.13 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $771.13 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $772.51 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $772.51 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $772.51 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $772.51 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $772.51 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $772.51 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $772.51 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $772.51 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $772.51 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $772.51 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $772.51 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $772.51 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $801.97 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $801.97 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $806.10 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $806.10 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SEHN C89 | 1128_SEHN 20221001 | $817.39 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $817.39 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $817.39 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SEHN C89 | 1128_SEHN 20221001 | $817.39 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $879.08 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $894.50 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $894.50 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA PPP | 204_WEA PPP 20160101 | $909.93 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ALLIANCE | 885_ALLIANCE MEWI SEWI 20221001 | $909.93 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $909.93 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1161_MOLINA MARKETPLACE ASWI 20241001 | $909.93 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA PPP | 204_WEA PPP 20160101 | $909.93 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Aetna | MCR | $920.84 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $957.24 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $957.24 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 885_ALLIANCE MEWI SEWI 20221001 | $990.83 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 885_ALLIANCE MEWI SEWI 20221001 | $990.83 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $1,033.31 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $1,033.31 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $1,033.31 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | SEHN | 895_SEHN MEWI SEWI 20221001 | $1,033.31 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $1,048.73 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $1,064.15 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $1,064.15 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | TRILOGY | 1271_TRILOGY 20250701 | $1,064.15 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $1,079.58 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $1,079.58 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $1,079.58 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | AETNA | 567_AETNA 20190701 | $1,079.58 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | AETNA | 567_AETNA 20190701 | $1,079.58 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $1,079.58 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $1,079.58 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $1,079.58 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $1,079.58 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $1,079.58 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $1,110.42 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $1,125.18 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 895_SEHN MEWI SEWI 20221001 | $1,125.18 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $1,125.18 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 895_SEHN MEWI SEWI 20221001 | $1,125.18 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $1,141.97 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $1,141.97 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $1,156.69 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1163_WEA TRUST PPO ASWI 20241001 | $1,156.69 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 432_WEA TRUST SELECT POS ASWI 20180201 | $1,156.69 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 908_NETWORK HEALTH PLAN ACA CAWI 20220101 | $1,158.77 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 937_NETWORK HEALTH PLAN CAWI 20230101 | $1,158.77 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 908_NETWORK HEALTH PLAN ACA CAWI 20220101 | $1,158.77 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 937_NETWORK HEALTH PLAN CAWI 20230101 | $1,158.77 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $1,172.11 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $1,172.11 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA | 837_NEHA ASCENSION ONLY CAWI 20220101 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 268_SEHN CAWI 20160101 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 268_SEHN CAWI 20160101 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA | 837_NEHA ASCENSION ONLY CAWI 20220101 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $1,175.56 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $1,187.53 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 960_ANTHEM PATHWAYS CAWI 20230101 | $1,209.15 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $1,209.15 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 960_ANTHEM PATHWAYS CAWI 20230101 | $1,209.15 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $1,209.15 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $1,233.80 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $1,233.80 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice CHI | All Products | $1,248.10 | $1,783.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Ambetter | All Products | $1,248.10 | $1,783.00 | — | 2026-03-31 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $1,249.22 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $1,249.22 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $1,249.22 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | PARADIGM NETWORK | 580_PARADIGM NETWORK 20161001 | $1,264.64 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $1,264.64 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | PARADIGM NETWORK | 580_PARADIGM NETWORK 20161001 | $1,264.64 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $1,280.07 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | Select Blue | $1,283.76 | $1,783.00 | — | 2026-03-31 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | NEHA PPO | 989_NEHA PPO BROAD MCWI 20210101 | $1,295.49 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 902_ANTHEM BLUE CONNECTION CAWI 20230101 | $1,309.91 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 902_ANTHEM BLUE CONNECTION CAWI 20230101 | $1,309.91 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 433_WEA PROVIDER AND POS ASWI 20180201 | $1,310.91 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CIGNA | HIX | $1,319.04 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CIGNA | IFP | $1,319.04 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA POS | 539_WEA POS 20090101 | $1,326.34 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA POS | 539_WEA POS 20090101 | $1,326.34 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1278_AETNA ASWI 20250701 | $1,326.34 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1281_FIRST HEALTH 20240101 ASWI | $1,326.34 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $1,341.76 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $1,343.50 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $1,343.50 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $1,343.50 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $1,343.50 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | UHC | TNMC - University Regents | $1,355.08 | $1,783.00 | — | 2026-03-31 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $1,357.18 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $1,357.18 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $1,360.29 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $1,360.29 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $1,372.60 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA | 419_WEA 20090116 | $1,372.60 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $1,372.60 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $1,372.60 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA | 419_WEA 20090116 | $1,372.60 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $1,372.60 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | CIGNA | NewBusiness | $1,386.59 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $1,388.03 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $1,388.03 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $1,393.88 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $1,393.88 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 473_AETNA CAWI 20170701 | $1,393.88 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 473_AETNA CAWI 20170701 | $1,393.88 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | BluePrint | $1,412.14 | $1,783.00 | — | 2026-03-31 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | CIGNA | 1004_CIGNA 20230701 | $1,418.87 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Blue Cross Blue Shield | All Products | $1,426.40 | $1,783.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Midlands Choice Elevate | All Products | $1,426.40 | $1,783.00 | — | 2026-03-31 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 528_CCHP CAWI 20180101 | $1,427.46 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1010_WISCONSIN PHYSICIAN SERVICES CAWI 20230701 | $1,427.46 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 879_HUMANA PPO CAWI 20221001 | $1,427.46 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1010_WISCONSIN PHYSICIAN SERVICES CAWI 20230701 | $1,427.46 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 528_CCHP CAWI 20180101 | $1,427.46 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 879_HUMANA PPO CAWI 20221001 | $1,427.46 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1011_CENTIVO NW3 CAWI 20220101 | $1,444.26 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 877_ARISE PREMIER CAWI 20221001 | $1,444.26 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1011_CENTIVO NW3 CAWI 20220101 | $1,444.26 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 877_ARISE PREMIER CAWI 20221001 | $1,444.26 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $1,449.71 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PPO | 904_ANTHEM PPO CAWI 20230101 | $1,461.05 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 994_ALLIANCE CAWI 20210701 | $1,461.05 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PPO | 904_ANTHEM PPO CAWI 20230101 | $1,461.05 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM HMO POS | 903_ANTHEM HMO POS CAWI 20230101 | $1,461.05 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 994_ALLIANCE CAWI 20210701 | $1,461.05 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM HMO POS | 903_ANTHEM HMO POS CAWI 20230101 | $1,461.05 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $1,465.14 | $1,542.25 | $879.08 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $1,477.85 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $1,477.85 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $1,477.85 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $1,477.85 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $1,494.64 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $1,494.64 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $1,494.64 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $1,494.64 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | UHC | All Products | $1,497.72 | $1,783.00 | — | 2026-03-31 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 880_HUMANA WVN CAWI 20221001 | $1,511.43 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $1,511.43 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE PPO | 123_UNITED HEALTH CARE PPO CAWI 20130101 | $1,511.43 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 880_HUMANA WVN CAWI 20221001 | $1,511.43 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 878_HUMANA HMO POS CAWI 20221001 | $1,511.43 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $1,511.43 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $1,511.43 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE PPO | 123_UNITED HEALTH CARE PPO CAWI 20130101 | $1,511.43 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 878_HUMANA HMO POS CAWI 20221001 | $1,511.43 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $1,511.43 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Centivo | All Products | $1,515.55 | $1,783.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Avera Health Plan | All Products | $1,515.55 | $1,783.00 | — | 2026-03-31 | MRF ↗ |
| CHILDREN'S NEBRASKA BothFacility | Wellmark | All Products | $1,515.55 | $1,783.00 | — | 2026-03-31 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $1,542.25 | $1,542.25 | $879.08 | 2026-01-01 | 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.