39822041201 — Bupropion Hcl 100 Mg Po Tabs
Cite this view
HANK Price Transparency. (n.d.). BUPROPION HCL 100 MG PO TABS (NDC 39822041201) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/39822041201?code_type=NDC
“BUPROPION HCL 100 MG PO TABS (NDC 39822041201) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/39822041201?code_type=NDC. Accessed .
“BUPROPION HCL 100 MG PO TABS (NDC 39822041201) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/39822041201?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
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.