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 $1,188–$12,515 (25th–75th percentile) across 23 hospitals · 142 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 794_MHKS SMARTHEALTH INPATIENT 20241001 | $0.39 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | SMARTHEALTH | 655_MHKS SMARTHEALTH OUTPATIENT 20230101 | $0.39 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | AETNA | 780_MHKS AETNA 20240701 | $0.54 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CORE SOURCE | 283_CORE SOURCE 20180101 | $0.55 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | FIRST HEALTH | 115_FIRST HEALTH 20130101 | $0.55 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | COVENTRY | 669_MHKS COVENTRY 20170101 | $0.55 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MEDICA | 799_MEDICA HEALTHIER YOU 20241001 | $0.64 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | PROVIDRS CARE | 867_MHKS PROVIDRS CARE 20250701 | $0.68 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | UHC | 844_MHKS UNITED HEALTH CARE 20250101 | $0.73 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | MULTIPLAN | 106_MULTIPLAN PHCS MHKS 20180601 | $0.80 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CENTURY | 668_CENTURY 20130101 | $0.88 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | CIGNA | 778_MHKS CIGNA 20240701 | $0.89 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CAP | 842_BLUE CROSS BLUE SHIELD CAP MHKS 20250101 | $0.90 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | HUMANA | 870_HUMANA 20250101 | $0.90 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | BCBS CHOICE | 843_BLUE CROSS BLUE SHIELD CHOICE MHKS 20250101 | $0.90 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $1.00 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, INC Outpatient | NON-CONTRACTED | 275_NON-CONTRACTED 20170101 | $1.00 | $1.00 | $0.40 | 2026-01-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Harvard Pilgrim | All Plans | $225.63 | $18,902.91 | $9,640.48 | 2025-01-10 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $254.86 | $6,186.00 | $6,186.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | AmeriHealth Caritas | MCD | $254.86 | $6,186.00 | $6,186.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $263.05 | $8,513.00 | $8,513.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | AmeriHealth Caritas | MCD | $263.05 | $8,513.00 | $8,513.00 | 2026-03-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $300.00 | $2,000.00 | $2,000.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Aetna | MGMCR | $327.00 | $2,180.00 | $2,180.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | NPR | $379.32 | $2,180.00 | $2,180.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $380.00 | $2,000.00 | $2,000.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Lifeworks | MCR | $414.20 | $2,180.00 | $2,180.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $440.00 | $2,000.00 | $2,000.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Universal Healthcare Group | MCR | $479.60 | $2,180.00 | $2,180.00 | 2026-03-07 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $506.01 | $6,186.00 | $6,186.00 | 2026-03-01 | MRF ↗ |
| PORTSMOUTH REGIONAL HOSPITAL Outpatient | Well Sense Health Plan | MCD | $506.01 | $6,186.00 | $6,186.00 | 2026-03-01 | MRF ↗ |
| 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 ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $606.94 | $18,902.91 | $9,640.48 | 2025-01-10 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $637.62 | $8,513.00 | $8,513.00 | 2026-03-01 | MRF ↗ |
| PARKLAND MEDICAL CENTER Outpatient | Well Sense Health Plan | MCD | $637.62 | $8,513.00 | $8,513.00 | 2026-03-01 | 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 ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | BCBS | MGMCD | $653.12 | $3,555.36 | $3,555.36 | 2026-09-01 | MRF ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | United | BHMGMCD | $663.07 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | United | BHMGMCD | $663.07 | $3,555.36 | $3,555.36 | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | WellCare | MGMCD | $672.67 | $3,555.36 | $3,555.36 | 2026-09-01 | 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 ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | AmeriHealth | MGMCD | $679.07 | $3,555.36 | $3,555.36 | 2026-09-01 | 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 ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Vaya Health | MedicaidDirect | $685.83 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Partners Health Management | MGMCD | $685.83 | $3,555.36 | $3,555.36 | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Vaya Health | MedicaidTailoredPlan | $685.83 | $3,555.36 | $3,555.36 | 2026-09-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Vaya Health | MedicaidDirect | $685.83 | $3,555.36 | $3,555.36 | 2026-09-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $700.00 | $2,000.00 | $2,000.00 | 2024-10-01 | 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 ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Apex Health | MCR | $711.07 | $3,555.36 | $3,555.36 | 2026-09-01 | 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 | 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 | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $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 | 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 | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $738.92 | $1,679.37 | $957.24 | 2026-01-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Virginia Health Network | ULTRA | $763.00 | $2,180.00 | $2,180.00 | 2026-03-07 | 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 ST FRANCIS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $771.13 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $771.13 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus 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 ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $771.13 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $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 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 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 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 | 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 | 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 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 | 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 | TRICARE | 619_TRICARE 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 ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $795.70 | $2,180.00 | $2,180.00 | 2026-03-07 | 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 ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | OptionsPPO | $802.00 | $2,000.00 | $2,000.00 | 2024-10-01 | 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 MARYS HOSPITAL MILWAUKEE Outpatient | SEHN C89 | 1128_SEHN 20221001 | $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. Mary's Hospital Ozaukee Outpatient | SEHN C89 | 1128_SEHN 20221001 | $817.39 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS 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 SE Wisconsin Hospital - Elmbrook Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $817.39 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus 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 SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $817.39 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $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 ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | HMO | $874.18 | $2,180.00 | $2,180.00 | 2026-03-07 | 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 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 | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $894.50 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $900.00 | $2,000.00 | $2,000.00 | 2024-10-01 | 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 ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1161_MOLINA MARKETPLACE ASWI 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 SE Wisconsin Hospital - Elmbrook Campus 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 | 1162_MOLINA MARKETPLACE MIL 20241001 | $909.93 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $909.93 | $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 ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $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 ↗ |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Outpatient | Aetna | MCR | $920.84 | $3,555.36 | $3,555.36 | 2026-03-01 | MRF ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | Aetna | MCR | $920.84 | $3,555.36 | $3,555.36 | 2026-09-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $932.00 | $2,000.00 | $2,000.00 | 2024-10-01 | 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 ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Cigna | PPO | $959.20 | $2,180.00 | $2,180.00 | 2026-03-07 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | United | GlobalBenefitPlan | $981.00 | $2,180.00 | $2,180.00 | 2026-03-07 | 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 ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $1,000.00 | $2,000.00 | $2,000.00 | 2024-10-01 | 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 Columbia St. Mary's Hospital Ozaukee Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $1,033.31 | $1,542.25 | $817.39 | 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 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 ST FRANCIS HOSPITAL Outpatient | TRILOGY | 1271_TRILOGY 20250701 | $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 SE Wisconsin Hospital - Elmbrook Campus Outpatient | TRILOGY | 1271_TRILOGY 20250701 | $1,064.15 | $1,542.25 | $817.39 | 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 ALL SAINTS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $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 ALL SAINTS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $1,079.58 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $1,079.58 | $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 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 SE Wisconsin Hospital - Elmbrook Campus Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $1,079.58 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus 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 ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $1,079.58 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| ASCENSION ST FRANCIS 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 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 | 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 | AETNA | 567_AETNA 20190701 | $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 ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Naphcare | Federal | $1,090.00 | $2,180.00 | $2,180.00 | 2026-03-07 | 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 ST FRANCIS 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 SE Wisconsin Hospital - Elmbrook Campus 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 SELECT POS | 432_WEA TRUST SELECT POS ASWI 20180201 | $1,156.69 | $1,542.25 | $817.39 | 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 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 | 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 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 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 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 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 | 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 WVN | 962_HUMANA WVN 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 | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $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 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 | 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 PPO | 961_HUMANA PPO 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 | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $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 ST FRANCIS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $1,187.53 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Elmbrook Campus Outpatient | AETNA | 1279_AETNA MIL 20250701 | $1,187.53 | $1,542.25 | $817.39 | 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 ALL SAINTS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $1,187.53 | $1,542.25 | $817.39 | 2026-01-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Greenvbrier Sporting Club | COMM | $1,200.00 | $2,000.00 | $2,000.00 | 2024-10-01 | MRF ↗ |
| LEWISGALE MEDICAL CENTER Outpatient | Value Options | COMM | $1,200.00 | $2,000.00 | $2,000.00 | 2024-10-01 | 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 | 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 ↗ |
| BLUE RIDGE REGIONAL HOSPITAL Outpatient | CIGNA | HIX | $1,223.04 | $3,555.36 | $3,555.36 | 2026-09-01 | 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.