3877917563 — Fentanyl Citrate (bulk) 100 % Powder
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FENTANYL CITRATE (BULK) 100 % POWDER (NDC 3877917563) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/3877917563?code_type=NDC
MLA (9th ed.)
“FENTANYL CITRATE (BULK) 100 % POWDER (NDC 3877917563) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/3877917563?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“FENTANYL CITRATE (BULK) 100 % POWDER (NDC 3877917563) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/3877917563?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,940–$12,364 (25th–75th percentile) across 12 hospitals · 38 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 3877917563 — 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 |
|---|---|---|---|---|---|---|---|
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | HPN | $2,687.81 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | ANTHEM | HPN | $2,883.26 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | ANTHEM | PPO/HMO | $2,947.25 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | ANTHEM | PPO/HMO | $3,161.72 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | ANTHEM | PPO/HMO | $3,203.23 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | ANTHEM | HPN | $3,211.88 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | ANTHEM | PPO/HMO | $3,568.18 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3,597.58 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3,770.55 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3,770.55 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3,770.55 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3,770.55 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3,770.55 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3,770.55 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3,770.55 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $3,770.55 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $3,822.43 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $3,822.43 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $3,822.43 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $3,839.73 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $3,839.73 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $3,839.73 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | MMO | ALL PRODUCTS | $3,839.73 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | UNITED | ALL PRODUCTS | $4,012.69 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | UNITED | ALL PRODUCTS | $4,064.58 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | UNITED | ALL PRODUCTS | $4,064.58 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4,064.58 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | UNITED | ALL PRODUCTS | $4,064.58 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | UNITED | ALL PRODUCTS | $4,064.58 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | AVMED | Select | $4,151.06 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | AVMED | EXCHANGE | $4,151.06 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | CIGNA | Individual Family Plan | $4,185.65 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | CIGNA | Individual Family Plan | $4,618.05 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | OSCAR | ALL PRODUCTS | $4,891.33 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | OSCAR | ALL PRODUCTS | $4,891.33 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | OSCAR | ALL PRODUCTS | $4,891.33 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | CIGNA | SUREFIT | $5,050.46 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | AETNA | QHP | $5,067.75 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | AETNA | QHP | $5,085.05 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $5,188.82 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | UNITED | MEDICARE ADVANTAGE | $5,188.82 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $5,188.82 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | AVMED | Select | $5,188.82 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | HUMANA | Medicare Advantage HMO | $5,188.82 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $5,188.82 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $5,188.82 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | Summacare | MEDICARE ADVANTAGE | $5,188.82 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $5,188.82 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Zing Health | Medicare Advantage | $5,188.82 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | MMO | Medicare Advantage HMO & PPO | $5,188.82 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | AVMED | EXCHANGE | $5,188.82 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL BothFacility | OSCAR | ALL PRODUCTS | $5,211.31 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL BothFacility | OSCAR | ALL PRODUCTS | $5,211.31 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL BothFacility | OSCAR | ALL PRODUCTS | $5,211.31 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB BothFacility | OSCAR | ALL PRODUCTS | $5,211.31 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL BothFacility | OSCAR | ALL PRODUCTS | $5,211.31 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL BothFacility | OSCAR | ALL PRODUCTS | $5,211.31 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL BothFacility | OSCAR | ALL PRODUCTS | $5,211.31 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL BothFacility | Summacare | Preferred | $5,258.01 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | AVMED | BROAD | $5,361.78 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | PHPHI | ALL PRODUCTS | $5,534.75 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | PHP | ALL PRODUCTS | $5,534.75 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | PHP | ALL PRODUCTS | $5,534.75 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | PHP | ALL PRODUCTS | $5,534.75 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | PHPHI | ALL PRODUCTS | $5,534.75 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | AETNA | All Products New Business | $5,655.82 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | The Health Plan | MEDICARE ADVANTAGE | $5,707.71 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| HILLCREST HOSPITAL BothFacility | Summacare | PREMIER | $5,725.00 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL BothFacility | Summacare | Preferred | $5,846.08 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CC EHP | ALL PRODUCTS | $5,846.08 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | CC EHP | ALL PRODUCTS | $5,846.08 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $5,880.67 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB BothFacility | Aultcare | PPO/HMO | $5,880.67 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | UNITED | ALL PRODUCTS | $5,897.96 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL InpatientFacility | CC EHP | ALL PRODUCTS | $5,897.96 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL InpatientFacility | CC EHP | ALL PRODUCTS | $5,897.96 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| HILLCREST HOSPITAL InpatientFacility | Summacare | Preferred | $5,915.26 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL BothFacility | Summacare | Preferred | $5,915.26 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | UNITED | ALL PRODUCTS | $6,036.33 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL BothFacility | Summacare | Preferred | $6,053.63 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL BothFacility | Summacare | Preferred | $6,053.63 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL BothFacility | Summacare | Preferred | $6,088.22 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| EUCLID HOSPITAL BothFacility | Summacare | Preferred | $6,105.52 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $6,242.16 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $6,242.16 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $6,242.16 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| MARYMOUNT HOSPITAL InpatientFacility | Summacare | PREMIER | $6,347.66 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL BothFacility | Summacare | PREMIER | $6,364.96 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL InpatientFacility | Summacare | PREMIER | $6,434.14 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL InpatientFacility | Summacare | PREMIER | $6,451.44 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL BothFacility | Summacare | PREMIER | $6,468.73 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL BothFacility | AETNA | Acop | $6,503.33 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | AVMED | BROAD | $6,572.51 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL BothFacility | Summacare | PREMIER | $6,589.81 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL InpatientFacility | Summacare | PREMIER | $6,589.81 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL BothFacility | Summacare | PREMIER | $6,607.10 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL BothFacility | Summacare | PREMIER | $6,624.40 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| EUCLID HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $6,650.34 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $6,650.34 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB InpatientFacility | OSCAR | ALL PRODUCTS | $6,650.34 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $6,650.34 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $6,650.34 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $6,650.34 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL InpatientFacility | OSCAR | ALL PRODUCTS | $6,650.34 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL InpatientFacility | Summacare | PREMIER | $6,676.29 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL BothFacility | Summacare | PREMIER | $6,693.58 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | CIGNA | SUREFIT | $6,745.47 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL InpatientFacility | CC EHP | ALL PRODUCTS | $6,901.14 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL InpatientFacility | CC EHP | ALL PRODUCTS | $6,901.14 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL InpatientFacility | CC EHP | ALL PRODUCTS | $6,901.14 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL InpatientFacility | CC EHP | ALL PRODUCTS | $6,901.14 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL InpatientFacility | CC EHP | ALL PRODUCTS | $6,901.14 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL OutpatientFacility | The Health Plan | Secure Care | $6,918.43 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL BothFacility | CC EHP | ALL PRODUCTS | $7,004.91 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL BothFacility | CC EHP | ALL PRODUCTS | $7,004.91 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL BothFacility | CC EHP | ALL PRODUCTS | $7,004.91 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL BothFacility | CC EHP | ALL PRODUCTS | $7,004.91 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL BothFacility | CC EHP | ALL PRODUCTS | $7,004.91 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL BothFacility | Aultcare | PPO/HMO | $7,160.58 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL BothFacility | Aultcare | PPO/HMO | $7,212.47 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| HILLCREST HOSPITAL BothFacility | Aultcare | PPO/HMO | $7,264.35 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL BothFacility | Aultcare | PPO/HMO | $7,437.31 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL BothFacility | Aultcare | PPO/HMO | $7,437.31 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL BothFacility | Aultcare | PPO/HMO | $7,437.31 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB BothFacility | CIGNA | ALL PRODUCTS | $7,471.91 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL BothFacility | Aultcare | PPO/HMO | $7,489.20 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | ANTHEM | TRADITIONAL | $7,504.77 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL InpatientFacility | ANTHEM | TRADITIONAL | $7,650.06 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL BothFacility | Summacare | Preferred | $7,662.16 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL InpatientFacility | UNITED | ALL PRODUCTS | $7,662.16 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | UNITED | ALL PRODUCTS | $7,679.46 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| MARYMOUNT HOSPITAL BothFacility | Amish Community Aid Plan | ALL PRODUCTS | $7,783.24 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL BothFacility | Amish Community Aid Plan | ALL PRODUCTS | $7,783.24 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL OutpatientFacility | Amish Community Aid Plan | ALL PRODUCTS | $7,783.24 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | Amish Community Aid Plan | ALL PRODUCTS | $7,783.24 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL OutpatientFacility | Amish Community Aid Plan | ALL PRODUCTS | $7,783.24 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC INDIAN RIVER HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $7,783.24 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL BothFacility | Amish Community Aid Plan | ALL PRODUCTS | $7,783.24 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB BothFacility | Amish Community Aid Plan | ALL PRODUCTS | $7,783.24 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL BothFacility | Amish Community Aid Plan | ALL PRODUCTS | $7,783.24 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL BothFacility | Amish Community Aid Plan | ALL PRODUCTS | $7,783.24 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL BothFacility | AETNA | Asa_Whirlpool_Peia | $7,852.42 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $8,042.68 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $8,163.75 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $8,267.53 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL BothFacility | Summacare | PREMIER | $8,336.71 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| MARYMOUNT HOSPITAL BothFacility | OHCP | ALL PRODUCTS | $8,405.89 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL BothFacility | OHCP | ALL PRODUCTS | $8,405.89 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL BothFacility | OHCP | ALL PRODUCTS | $8,405.89 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL BothFacility | OHCP | ALL PRODUCTS | $8,405.89 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL BothFacility | OHCP | ALL PRODUCTS | $8,405.89 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL BothFacility | OHCP | ALL PRODUCTS | $8,405.89 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| EUCLID HOSPITAL BothFacility | OHCP | ALL PRODUCTS | $8,405.89 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL BothFacility | OHCP | ALL PRODUCTS | $8,405.89 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB BothFacility | OHCP | ALL PRODUCTS | $8,405.89 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL BothFacility | OHCP | ALL PRODUCTS | $8,405.89 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL BothFacility | AETNA | Acop | $8,509.67 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB InpatientFacility | Summacare | PREMIER | $8,578.86 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB BothFacility | Summacare | Preferred | $8,578.86 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL BothFacility | OMAS | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL InpatientFacility | Amish Community Aid Plan | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| UNION HOSPITAL InpatientFacility | Amish Community Aid Plan | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| UNION HOSPITAL BothFacility | OMAS | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| HILLCREST HOSPITAL BothFacility | OMAS | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL BothFacility | OMAS | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| EUCLID HOSPITAL InpatientFacility | Amish Community Aid Plan | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL InpatientFacility | Amish Community Aid Plan | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| HILLCREST HOSPITAL InpatientFacility | Amish Community Aid Plan | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL BothFacility | OMAS | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL BothFacility | OMAS | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB InpatientFacility | Amish Community Aid Plan | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL InpatientFacility | Amish Community Aid Plan | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL BothFacility | OMAS | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL InpatientFacility | Amish Community Aid Plan | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| LODI COMMUNITY HOSPITAL BothFacility | Aultcare | PPO/HMO | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL BothFacility | OMAS | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL BothFacility | OMAS | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| MEDINA HOSPITAL InpatientFacility | Amish Community Aid Plan | ALL PRODUCTS | $8,648.04 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHAB BothFacility | Summacare | PREMIER | $8,682.63 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC MARTIN NORTH HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $8,699.93 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL BothFacility | Aultcare | PPO/HMO | $8,821.00 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL BothFacility | MMO | NASCO | $8,993.96 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $9,011.26 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $9,011.26 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $9,011.26 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| FAIRVIEW HOSPITAL BothFacility | MMO | TRADITIONAL | $9,011.26 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| FAIRVIEW HOSPITAL BothFacility | MMO | NASCO | $9,011.26 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | CIGNA | ALL PRODUCTS | $9,011.26 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| CLEVELAND CLINIC AVON HOSPITAL BothFacility | MMO | TRADITIONAL | $9,045.85 | $17,296.08 | $11,242.45 | 2026-06-15 | MRF ↗ |
| MARYMOUNT HOSPITAL OutpatientFacility | AETNA | Acop | $9,132.33 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| HILLCREST HOSPITAL OutpatientFacility | AETNA | Acop | $9,132.33 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| EUCLID HOSPITAL OutpatientFacility | AETNA | Acop | $9,132.33 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| SOUTH POINTE HOSPITAL OutpatientFacility | AETNA | Acop | $9,132.33 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL OutpatientFacility | AETNA | Acop | $9,132.33 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL InpatientFacility | Summacare | Preferred | $9,184.22 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL InpatientFacility | Summacare | PREMIER | $9,184.22 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL BothFacility | MMO | TRADITIONAL | $9,253.40 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MEDINA HOSPITAL BothFacility | Ohio Healthy | TRANSPLANT | $9,339.88 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| MARYMOUNT HOSPITAL BothFacility | Ohio Healthy | TRANSPLANT | $9,339.88 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
| LODI COMMUNITY HOSPITAL BothFacility | Ohio Healthy | TRANSPLANT | $9,339.88 | $17,296.08 | $11,242.45 | 2025-06-28 | MRF ↗ |
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