Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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39822041201 — Bupropion Hcl 100 Mg Po Tabs

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $151

Usually $9–$384 (25th–75th percentile) across 34 hospitals · 226 payers.

“Negotiated” is the hospital’s negotiated facility rate for this NDC 39822041201 — 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
SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility PROVIDENCE MEDICARE ADV. $0.36 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility SAMARITAN MEDICARE ADV. $0.36 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility PACIFICSOURCE MEDICARE ADV. $0.40 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility REGENCE MEDICARE ADV. $0.40 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility DEVOTED HEALTH DEVOTED HEALTH MCR ADVANTAGE $0.41 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL BothFacility SAMARITAN EPO $0.70 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL BothFacility SAMARITAN SAMARITAN CHOICE $0.80 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL BothFacility SAMARITAN SAMARITAN GROUP $0.85 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL BothFacility REGENCE ALL PRODUCTS $0.90 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL BothFacility AETNA ALL PRODUCTS $0.95 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL BothFacility MODA CONNEXUS-SYNERGY-OHSU PPO $0.95 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility PROVIDENCE INDIVIDUAL-STANDARD $0.97 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility PROVIDENCE EPO - NON PEBB/OEBB $0.97 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL BothFacility CIGNA ALL PRODUCTS $0.97 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL BothFacility HEALTHNET ALL PRODUCTS $0.97 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility PROVIDENCE EPO - PEBB/OEBB $0.97 $1.00 $0.80 2026-01-31 MRF ↗
SAMARITAN NORTH LINCOLN HOSPITAL BothFacility HUMANA ALL PRODUCTS $0.98 $1.00 $0.80 2026-01-31 MRF ↗
MOUNT GRANT GENERAL HOSPITAL Both Prominence Prominence $1.00 — — 2025-09-10 MRF ↗
MOUNT GRANT GENERAL HOSPITAL Both Sierra Health and Life W/ Medicare Advantage Sierra Health and Life W/ Medicare Advantage $1.00 — — 2025-09-10 MRF ↗
MOUNT GRANT GENERAL HOSPITAL Both Optumcare W/ Medicare Advantage Optumcare W/ Medicare Advantage $1.00 — — 2025-09-10 MRF ↗
MOUNT GRANT GENERAL HOSPITAL Both Humana W/ Medicare Advantage Humana W/ Medicare Advantage $1.00 — — 2025-09-10 MRF ↗
MOUNT GRANT GENERAL HOSPITAL Both Anthem Blue Cross Anthem Blue Cross $1.00 — — 2025-09-10 MRF ↗
MOUNT GRANT GENERAL HOSPITAL Both Aetna Aetna $1.00 — — 2025-09-10 MRF ↗
MOUNT GRANT GENERAL HOSPITAL Both Hometown Health Hometown Health $1.00 — — 2025-09-10 MRF ↗
MOUNT GRANT GENERAL HOSPITAL Both Aetna W/ Medicare Advantage Aetna W/ Medicare Advantage $1.00 — — 2025-09-10 MRF ↗
MOUNT GRANT GENERAL HOSPITAL Both Healthplan Nevada W/ Medicare Advantage Healthplan Nevada W/ Medicare Advantage $1.00 — — 2025-09-10 MRF ↗
MOUNT GRANT GENERAL HOSPITAL Both Silver Summit Silver Summit $1.00 — — 2025-09-10 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS Medicare Advantage-PPO $1.53 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS Medicare Advantage-PPO $1.53 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS Medicare Advantage-HMO $1.78 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS Medicare Advantage-HMO $1.78 $9.90 $5.45 2026-03-31 MRF ↗
FLAGLER HOSPITAL OutpatientFacility Aetna Medicare Advantage $1.78 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility BCBS Medicare Advantage-PPO $2.03 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility BCBS Medicare Advantage-HMO $2.03 $9.90 $5.45 2026-03-31 MRF ↗
HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility HAP Self Insured $2.10 $245.00 — 2025-06-28 MRF ↗
WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility HAP Self Insured $2.10 $245.00 — 2025-06-28 MRF ↗
FLAGLER HOSPITAL OutpatientFacility Aetna All Products $2.14 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Aetna Health Medicare Advantage $2.38 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Aetna Health Medicare Advantage $2.38 $9.90 $5.45 2026-03-31 MRF ↗
COOPER UNIVERSITY HOSPITAL Outpatient Horizon Nj Health Medicaid $2.46 $388.00 $388.00 2026-07-15 MRF ↗
COOPER UNIVERSITY HOSPITAL Outpatient Amerihealth Rp $2.88 $388.00 $388.00 2026-07-15 MRF ↗
COOPER UNIVERSITY HOSPITAL Outpatient Amerihealth Lvn $2.88 $388.00 $388.00 2026-07-15 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS Gatorcare $2.92 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS Gatorcare $2.92 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility WellCare of Florida Medicare Advantage/HMO/POS/SNP $2.97 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility WellCare of Florida Medicare Advantage/HMO/POS/SNP $2.97 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS Blue Select PPO $3.03 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS Blue Select PPO $3.03 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS SimplyBlue Commercial $3.13 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS MyBlue HMO $3.13 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS MyBlue HMO $3.13 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS SimplyBlue Commercial $3.13 $9.90 $5.45 2026-03-31 MRF ↗
FLAGLER HOSPITAL OutpatientFacility BCBS My Blue $3.59 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Florida Health Care Plan MEDICARE HMO $3.76 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Florida Health Care Plan MEDICARE HMO $3.76 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL BothFacility UAA Student Athletes $3.77 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS Commercial-HMO $3.78 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS Commercial-HMO $3.78 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility BCBS CUF $3.89 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility BCBS JUF $3.89 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility BCBS PPO $3.89 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility BCBS JUF $3.89 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility BCBS PPO $3.89 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility BCBS NWB $3.89 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility BCBS CUF $3.89 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility BCBS NWB $3.89 $9.90 $5.45 2026-03-31 MRF ↗
FLAGLER HOSPITAL OutpatientFacility BCBS Simply Blue $3.92 $9.90 $5.45 2026-03-31 MRF ↗
FLAGLER HOSPITAL OutpatientFacility BCBS PPO $3.92 $9.90 $5.45 2026-03-31 MRF ↗
FLAGLER HOSPITAL OutpatientFacility BCBS PHS $3.92 $9.90 $5.45 2026-03-31 MRF ↗
FLAGLER HOSPITAL OutpatientFacility BCBS Network Blue $3.92 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Aetna Better Health Healthy Kids $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility AMBETTER ALL PRODUCTS $3.96 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility Ambetter All Products $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility Simply Healthcare Fl Healthy Kids $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility Simply Healthcare MCD HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility MOLINA MEDICAID HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility Humana MANAGED MEDICAID $3.96 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility Devoted Health Plan Medicare HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility Simply Healthcare MCD HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL BothFacility Simply Healthcare MCD HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility Aetna Better Health Healthy Kids $3.96 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility Devoted Health Plan Medicare PPO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility Simply Healthcare Fl Healthy Kids $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Aetna Better Health MEDICAID HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility Sunshine State Health Plan Medicaid HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility MOLINA MEDICAID HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Devoted Health Plan Medicare PPO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility Molina Medicaid HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Devoted Health Plan MEDICARE HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Devoted Health Plan Medicare PPO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Devoted Health Plan MEDICARE HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
FLAGLER HOSPITAL OutpatientFacility Aetna Managed Medicaid $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Aetna Better Health Healthy Kids $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Aetna Better Health MEDICAID HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility Aetna Better Health Medicaid HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility AMBETTER ALL PRODUCTS $3.96 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility AmeriHealth Caritas Florida Medicaid HMO $3.96 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility UHC HMO/PPO/POS/INDEMNITY $4.14 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility UHC HMO/PPO/POS/INDEMNITY $4.14 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility Volusia Health Network PPO/EPO $4.16 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility Volusia Health Network PPO/EPO $4.16 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL BothFacility BCBS Gatorcare $4.24 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS PHS $4.28 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS PPS $4.28 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS PPS $4.28 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility BCBS PHS $4.28 $9.90 $5.45 2026-03-31 MRF ↗
FLAGLER HOSPITAL BothFacility AVMED All Products $4.33 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility Northeast Florida State Hospital NEFSH Self Insured $4.36 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility Northeast Florida State Hospital NEFSH Self Insured $4.36 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL BothFacility Northeast FL Hospital Self Insured $4.36 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility AmeriHealth Caritas Florida MEDICAID HMO $4.46 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Positive Healthcare Partners Ryan White Members $4.46 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Positive Healthcare Partners MEDICARE HMO $4.46 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility AHF MCO OF FL Medicare HMO (SPN) $4.46 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility Careplus Health Plan MEDICARE ADVANTAGE $4.46 $9.90 $5.45 2026-03-31 MRF ↗
VILLAGES REGIONAL HOSPITAL, THE BothFacility Humana ALL PRODUCTS $4.46 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Beacon Health Strategies Medicare $4.46 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility AmeriHealth Caritas Florida MEDICAID HMO $4.46 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility Careplus MEDICARE ADV.-HMO $4.46 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Beacon Health Strategies Medicare $4.46 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL BothFacility Positive Healthcare Partners Ryan White Members $4.46 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility Careplus Health Plan MEDICARE ADVANTAGE $4.46 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Positive Healthcare Partners MEDICARE HMO $4.46 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Positive Healthcare Partners Ryan White Members $4.46 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH LEESBURG HOSPITAL BothFacility Humana ALL PRODUCTS $4.46 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility CARELON HEALTH MEDICARE ADVANTAGE $4.59 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility North Florida Evaluation & Treatment Center NFETC Self Insured $4.65 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility HUMANA HMO $4.65 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility HUMANA HMO $4.65 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility North Florida Evaluation & Treatment Center NFETC Self Insured $4.65 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL BothFacility BCBS Blue Select PPO $4.74 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Aetna Health HMO $4.89 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Aetna Health HMO $4.89 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility Community Care Plan Florida Healthy Kids- Medicaid HMO $4.95 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL BothFacility WellPath Inmate Services $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Capital Health Plan HMO $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Florida Health Care Plan HMO $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Community Care Plan MEDICAID HMO $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Community Care Plan Florida Healthy Kids $4.95 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL BothFacility Capital Health Plan Commercial $4.95 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL BothFacility Freedom Health- Inc./Optimum HealthCare- Inc. Medicare Advantage $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility WellPath Inmate Services $4.95 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility Florida Health Care Plan HMO $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Florida Complete Care MEDICARE HMO $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Florida Health Care Plan HMO $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility WellPath Inmate Services $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Florida Complete Care MEDICARE HMO $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Community Care Plan Florida Healthy Kids $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Capital Health Plan HMO $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Community Care Plan MEDICAID HMO $4.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE InpatientFacility BCBS PPO $5.02 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE InpatientFacility BCBS CUF $5.02 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE InpatientFacility BCBS JUF $5.02 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE InpatientFacility BCBS JUF $5.02 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE InpatientFacility BCBS PPO $5.02 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE InpatientFacility BCBS CUF $5.02 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE InpatientFacility BCBS NWB $5.02 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE InpatientFacility BCBS NWB $5.02 $9.90 $5.45 2026-03-31 MRF ↗
FLAGLER HOSPITAL InpatientFacility AVMED All Products $5.15 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility HUMANA EPO $5.15 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility HUMANA EPO $5.15 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL BothFacility BCBS Commercial-HMO $5.21 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL BothFacility BCBS NWB- PPO- CUF- JUF $5.31 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility CENTIVO PPO $5.45 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility CENTIVO PPO $5.45 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH LEESBURG HOSPITAL OutpatientFacility BCBS Gatorcare $5.53 $9.90 $5.45 2026-03-31 MRF ↗
VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility BCBS Gatorcare $5.53 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility HUMANA PPO $5.54 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility HUMANA PPO $5.54 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility AVMED Select and Entrust Network $5.56 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility AVMED POS $5.56 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility AVMED HMO $5.56 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility AVMED EPN $5.56 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility AVMED Select and Entrust Networks $5.56 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility AVMED POS $5.56 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility AVMED HMO $5.56 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility AVMED EPN $5.56 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility AVMED Select and Entrust Networks $5.56 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH LEESBURG HOSPITAL OutpatientFacility BCBS NWB- PPO- CUF- JUF $5.74 $9.90 $5.45 2026-03-31 MRF ↗
VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility BCBS MyBlue HMO- SimplyBlue Commercial $5.77 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH LEESBURG HOSPITAL OutpatientFacility BCBS MyBlue HMO- SimplyBlue Commercial $5.77 $9.90 $5.45 2026-03-31 MRF ↗
VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility BCBS Blue Select PPO $5.84 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH LEESBURG HOSPITAL OutpatientFacility BCBS Blue Select PPO $5.84 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility Disney Cruise Line PPO $5.94 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE BothFacility Disney Cruise Line PPO $5.94 $9.90 $5.45 2026-03-31 MRF ↗
VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility BCBS NWB- PPO- CUF- JUF $5.95 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility CIGNA HMO $6.13 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility CIGNA HMO $6.13 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility CIGNA PPO $6.13 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility CIGNA PPO $6.13 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL BothFacility BCBS PHS-PPS $6.19 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH SHANDS HOSPITAL OutpatientFacility AVMED All Products $6.28 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE InpatientFacility Health First Health Plan Medicare Adv HMO $6.44 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Mental Health Associates Behavioral Health $6.44 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE InpatientFacility Health First Health Plan Medicare Adv HMO $6.44 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH LEESBURG HOSPITAL BothFacility Aetna Health ALL PRODUCTS $6.44 $9.90 $5.45 2026-03-31 MRF ↗
SHANDS JACKSONVILLE OutpatientFacility Mental Health Associates Behavioral Health $6.44 $9.90 $5.45 2026-03-31 MRF ↗
ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility Horizon New Jersey Health - DSNP Managed Medicaid $6.50 $88.87 $8.89 2026-02-02 MRF ↗
VILLAGES REGIONAL HOSPITAL, THE BothFacility Aetna Health ALL PRODUCTS $6.63 $9.90 $5.45 2026-03-31 MRF ↗
UF HEALTH LEESBURG HOSPITAL BothFacility Aetna Health ALL PRODUCTS $6.63 $9.90 $5.45 2026-03-31 MRF ↗

Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.