38779088503 — Levorphanol Tartrate (bulk) 100 % Powder
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LEVORPHANOL TARTRATE (BULK) 100 % POWDER (NDC 38779088503) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/38779088503?code_type=NDC
MLA (9th ed.)
“LEVORPHANOL TARTRATE (BULK) 100 % POWDER (NDC 38779088503) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/38779088503?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“LEVORPHANOL TARTRATE (BULK) 100 % POWDER (NDC 38779088503) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/38779088503?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21,984–$46,903 (25th–75th percentile) across 2 hospitals · 24 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 38779088503 — 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 |
|---|---|---|---|---|---|---|---|
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | CHIP | $14,431.56 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | FIRSTCARE | STAR | $14,431.56 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $14,431.56 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | STAR | $14,431.56 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | ALL PRODUCTS | $14,431.56 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w/o UHRIP | CHIP | $14,431.56 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BEACON | HEALTH OPTIONS | $14,431.56 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HEALTH PLAN w/o UHRIP | CHIP | $19,987.71 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HEALTH PLAN w. UHRIP | STAR | $19,987.71 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | CHIP | $19,987.71 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | STAR PLUS | $19,987.71 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | SUPERIOR HEALTH | STAR | $19,987.71 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $19,987.71 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | STAR | $20,113.99 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w/o UHRIP | CHIP | $20,113.99 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $20,113.99 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTH PLAN w. UHRIP | STAR | $20,113.99 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | RIGHTCARE | MDC S&W | $20,113.99 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | STAR | $20,985.89 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | CHIP | $20,985.89 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | WELLPOINT | STAR PLUS | $20,985.89 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | CHIP | $21,124.20 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR KIDS | $21,124.20 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR PLUS | $21,124.20 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR | $21,124.20 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | CHIP | $21,124.20 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | WELLPOINT | STAR PLUS | $21,124.20 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | UNITED COMMUNITY | STAR | $21,124.20 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | CHIP STAR KIDS | $21,587.21 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | BCBS TX STAR | $21,587.21 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER OutpatientFacility | BCBS | CHIP | $21,587.21 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP | $21,725.51 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | CHIP STAR KIDS | $21,725.51 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | BCBS | BCBS TX STAR | $21,725.51 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Aetna | BETTER HEALTH STAR UHRIP | $21,984.08 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Aetna | BETTER HEALTH CHIP | $21,984.08 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Aetna | BETTER HEALTH STAR Kids | $21,984.08 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR KIDS | $22,248.66 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | STAR KIDS | $22,248.66 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | CHIP | $22,248.66 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MOLINA | STAR | $22,248.66 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | CHIP | $22,248.66 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR | $22,248.66 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | UNITED COMMUNITY | STAR PLUS | $22,248.66 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | HEALTH PLAN w. UHRIP | STAR | $22,862.00 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UNITED COMMUNITY | STAR KIDS | $26,397.73 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UNITED COMMUNITY | CHIP | $26,397.73 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UNITED COMMUNITY | STAR | $26,397.73 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UNITED COMMUNITY | STAR PLUS | $26,397.73 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | STAR | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | CHIP | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Optum | ALL PRODUCTS | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | STAR | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Optum | ALL PRODUCTS | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | CHIP | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | CHIP | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | STAR | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | ALL PRODUCTS | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | STAR | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BEACON | HEALTH OPTIONS | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | SUPERIOR HEALTH | STAR PLUS | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | TX CHILDREN HEALTH | STAR KIDS | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | CHIP | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | EL PASO HEALTH FIRST | STAR MEDICAID | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | RIGHTCARE | MDC S&W | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | RIGHTCARE | STAR | $26,457.86 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | TX CHILDREN HEALTH | STAR KIDS | $27,660.49 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | TX CHILDREN HEALTH | STAR | $27,660.49 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | TX CHILDREN HEALTH | CHIP | $27,660.49 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | EL PASO HEALTH FIRST | STAR MEDICAID | $27,660.49 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | EL PASO HEALTH FIRST | CHIP | $27,660.49 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | EL PASO HEALTH FIRST | STAR | $27,660.49 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BEACON | ALL PRODUCTS | $27,660.49 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BEACON | STAR | $27,660.49 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BEACON | CHIP | $27,660.49 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BEACON | HEALTH OPTIONS | $27,660.49 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRSTCARE | STAR | $27,780.75 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | FIRSTCARE | STAR | $29,043.51 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH CHIP | $29,103.65 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH STAR UHRIP | $29,103.65 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER OutpatientFacility | Aetna | BETTER HEALTH STAR Kids | $29,103.65 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BCBS | HMO | $30,065.75 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $30,065.75 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | BCBS | HMO | $30,065.75 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | Aetna | EMPLOYEE | $30,065.75 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $30,065.75 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | TX CHILDREN HEALTH | CHIP | $32,471.01 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | TX CHILDREN HEALTH | STAR | $32,471.01 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | TX CHILDREN HEALTH | STAR KIDS | $32,471.01 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | EL PASO HEALTH FIRST | STAR | $32,471.01 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BEACON | CHIP | $32,471.01 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BEACON | ALL PRODUCTS | $32,471.01 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BEACON | STAR | $32,471.01 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | HEALTH PLAN w/o UHRIP | STAR KIDS | $32,471.01 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | HEALTH PLAN w/o UHRIP | CHIP | $32,471.01 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | BEACON | HEALTH OPTIONS | $32,471.01 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | EL PASO HEALTH FIRST | STAR MEDICAID | $32,471.01 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | EL PASO HEALTH FIRST | CHIP | $32,471.01 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | FIRSTCARE | STAR | $34,094.56 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER InpatientFacility | Optum | ALL PRODUCTS | $34,876.27 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER InpatientFacility | Optum | ALL PRODUCTS | $34,876.27 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Aetna | EMPLOYEE | $36,078.90 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BCBS | HMO | $46,902.57 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BCBS | HMO | $46,902.57 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | FIRSTCARE | ALL PRODUCTS | $48,105.20 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRSTCARE | ALL PRODUCTS | $48,105.20 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | S&W HEALTH | ALL PRODUCTS | $50,510.46 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BCBS | PPO | $50,510.46 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | S&W HEALTH | ALL PRODUCTS | $50,510.46 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BCBS | PPO | $50,510.46 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | CIGNA | CIGNA-MGD | $51,111.78 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | IMAGINE HEALTH | ALL PRODUCTS | $51,111.78 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HEALTHSCOPE | ALL PRODUCTS | $51,111.78 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | UHC | MGD | $51,111.78 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Aetna | ALL PRODUCTS | $51,111.78 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Aetna | ALL PRODUCTS | $51,111.78 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | UHC | MGD | $51,111.78 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | CIGNA | CIGNA-MGD | $51,111.78 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | IMAGINE HEALTH | ALL PRODUCTS | $51,111.78 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HEALTHSCOPE | ALL PRODUCTS | $51,111.78 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MULTIPLAN | ALL PRODUCTS | $52,314.41 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | MULTIPLAN | ALL PRODUCTS | $52,314.41 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HUMANA | CONCENTRIC PPO | $52,314.41 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | MULTIPLAN | PHCS | $52,314.41 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | MULTIPLAN | PHCS | $52,314.41 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HUMANA | CONCENTRIC PPO | $52,314.41 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | HUMANA | CHOICECARE PPO | $52,915.72 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | HUMANA | CHOICECARE PPO | $52,915.72 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | FIRST HEALTH | PPO | $52,915.72 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | FIRST HEALTH | PPO | $52,915.72 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $54,118.35 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | $54,118.35 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | GALAXY HEALTH | ALL PRODUCTS | $54,118.35 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | Healthsmart | ALL PRODUCTS | $54,118.35 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | GALAXY HEALTH | ALL PRODUCTS | $54,118.35 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | Healthsmart | ALL PRODUCTS | $54,118.35 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER BothFacility | USAMCO | ALL PRODUCTS | $55,320.98 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |
| COOK CHILDRENS MEDICAL CENTER PROSPER BothFacility | USAMCO | ALL PRODUCTS | $55,320.98 | $60,131.50 | $45,098.63 | 2026-01-01 | MRF ↗ |