4140274 — Librium 25mg Cap
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). LIBRIUM 25MG CAP (CDM 4140274) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4140274?code_type=CDM
MLA (9th ed.)
“LIBRIUM 25MG CAP (CDM 4140274) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4140274?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“LIBRIUM 25MG CAP (CDM 4140274) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4140274?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8–$1,680 (25th–75th percentile) across 4 hospitals · 73 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4140274 — 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 |
|---|---|---|---|---|---|---|---|
| MEDICAL ARTS HOSPITAL Both | STATE FARM AUTO | STATE FARM HEALTH | $1.60 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | GWH CIGNA | GWH CIGNA | $5.28 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HEALTHCARE | $5.28 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | CIGNA HEALTHCARE | CIGNA HEALTHCARE MEMPHIS | $5.28 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | CIGNA | CIGNA | $5.28 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | BCBS HEALTHSELECT | HEALTHSELECT (BCBS) | $5.44 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | BC BS OF TEXAS | BCBS HMO | $5.44 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | AETNA TRS CARE | AETNA TRS CARE | $5.60 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | AETNA TRS CARE | AETNA TRS/RETIREES | $5.60 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | AETNA TRS CARE | AETNA TRS/ACTIVE | $5.60 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | BCBS HEALTHSELECT | HEALTHSELECT(BCBS) | $5.84 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | BC BS OF TEXAS | BCBS PPO | $5.84 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | MEDICAID | MEDICAID OUT OF AREA | $5.84 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | HEALTHSMART PREFERRED | HEALTHSMART PREFERRED | $5.84 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | SUPERIOR HEALTHPLAN CHIP | SUPERIOR CHIP | $5.84 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | MEDICAID | MEDICAID | $5.84 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | CIDC | CSHCN MEDICAID | $5.84 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | HEALTHSELECT PLUS | HEALTHSELECT PLUS | $5.84 | $8.00 | $8.00 | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | FIRSTCARE | FIRSTCARE | $6.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | BAYLOR SCOTT AND WHITE | BAYLOR SCOTT AND WHITE | $6.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | WELLPOINT-AMERIGROUP STAR | WELLPOINT STAR | $7.06 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | SUPERIOR HEALTHPLAN CHIP | SUPERIOR CHIP | $7.47 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | TX HOSP INS EXCHANGE | TX HOSP INS EXCHANGE | $7.47 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | WELLPOINT-AMERIGROUP CHIP | WELLPOINT CHIP | $7.47 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | FIRSTCARE STAR CLAIMS | FIRSTCARE STAR CLAIMS | $7.47 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | MOLINA HEALTHCARE TX CHIP | MOLINA TX CHIP | $7.47 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | FIRSTCARE CHIP | FIRSTCARE CHIP | $7.47 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | SUPERIOR HEALTHPLAN STAR | SUPERIOR STAR | $7.47 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | HMO BLUE MEDICAID | HMO BLUE STAR | $7.47 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UHC STAR | UHC STAR | $7.47 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | AETNA STAR | AETNA STAR | $7.47 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UHC COMMUNITY PLAN | UHC COMMUNITY PLAN | $7.47 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | MOLINA HEALTHCARE TX STAR | MOLINA TX STAR | $7.47 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UNITED AMERICAN INS | UNITED AMERICAN INS | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UNIVERSAL FIDELITY | UNIVERSAL FIDELITY | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | EQUITABLE LIFE & CASUALTY | EQUITABLE LIFE & CASUALTY | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | AAPW | AAPW | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UNICARE | UNICARE | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | CNA | CNA | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | NTCA ASHVILLE SERV CENTER | NTCA ASHVILLE SERV CENTER | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | GROUP & PENSION ADM | GROUP & PENSION ADM | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | GILSBAR | GILSBAR | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | USAA LIFE INS CO | USAA LIFE INS CO | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | IMS MGMNT SERV | IMS (MAH) | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | IMS MGMNT SERV | IMS | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | WAUSAU INS CO | WAUSAU INS CO | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | FARM BUREAU INSURANCE | FARM BUREAU INSURANCE | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | AMERICAN FIDELITY | AMERICAN FIDELITY | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | RSKCO | RSKCO | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | SOUTHPLAINS RURAL HEALTH | SOUTHPLAINS RURAL HEALTH | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | COMMERCIAL | MISC COMMERICAL | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | COMMERCIAL | MISC COMMERCIAL | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | TEXAS MUTUAL | TEXAS MUTUAL | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | S O R M | S O R M | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | SUPERIOR HEALTHPLAN CHIP | SUPERIOR CHIP | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | INTERIM HEALTHCARE HOSPIC | INTERIM HEALTHCARE HOSPIC | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | CAPROCK | CAPROCK HEALTH PLANS | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | HEALTHSMART ACCEL | HEALTHSMART/ACCEL | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UHSS | UHSS | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | OFFICE OF COMMUNITY CARE | OFFICE OF COMMUNITY CARE | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | US HEALTH | US HEALTH | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | AMBETTER - SUPERIOR | AMBETTER - SUPERIOR | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UNINSURED PATIENT | UNINSURED PATIENT | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | MEDTOX (TDCJ) | MEDTOX (TDCJ) | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | HUMANA | HUMANA SUPPLEMENT | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | HUMANA | HUMANA | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | TRICARE EAST | TRICARE EAST | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | MUTUAL OF OMAHA | MUTUAL OF OMAHA | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | 90 DEGREE BENEFITS | 90 DEGREE BENEFITS | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | FIRST HEALTH | FIRST HEALTH | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | AARP | AARP | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | TRAVELERS | TRAVELERS | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | WORKERS COMP | WORKERS COMP | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | WORKERS COMP | MISC WORKERS COMP | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | AETNA TRS CARE | AETNA SUPPLEMENT ONLY | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | FIRSTCARE | SOUTHWEST LIFE & HEALTH | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | STATE FARM AUTO | STATE FARM HEALTH | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | STATE FARM AUTO | STATE FARM AUTO | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | AMERICAN LIFE & ACCIDENT | AMERICAN LIFE & ACCIDENT | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | COOPERATIVE BENEFIT ADMIN | COOPERATIVE BENEFIT ADMIN | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | BANKERS LIFE & CASUALTY | BANKERS LIFE & CASUALTY | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | BENEFIT PLANNERS INC | BENEFIT PLANNERS INC | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | FOUNDATION FEDERAL HLTH | FOUNDATION FEDERAL HEALTH | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | CHRISTIAN FIDELITY | CHRISTIAN FIDELITY | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | FARMERS INS (AUTO) | FARMERS INS (AUTO) | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | FEDERATED MUTUAL | FEDERATED MUTUAL | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | HEALTHCARE BENEFITS | HEALTHCARE BENEFITS | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UNITED MEDICAL RESOURCES | UNITED MEDICAL RESOURCES | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | PROVIDENT AMERICAN INS | PROVIDENT AMERICAN INS | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | ALLSTATE | ALLSTATE | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | THE PRUDENTIAL | THE PRUDENTIAL | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | R H ADMINISTRATORS | R H ADMINISTRATORS | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | STATES GENERAL | STATES GENERAL | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | SOUTHWEST SERVICE LIFE | SOUTHWEST SERVICE LIFE | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | TX HOSP INS EXCHANGE | TX HOSP INS EXCHANGE | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | TEXAS REHAB COMMISSION | TEXAS REHAB COMMISSION | $8.00 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | WELLPOINT-AMERIGROUP STAR | WELLPOINT STAR+ | $14.51 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | FIRSTCARE STAR CLAIMS | FIRSTCARE STAR+ | $14.51 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | HMO BLUE MEDICAID | HMO BLUE STAR+ | $15.35 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | SUPERIOR HEALTHPLAN STAR | SUPERIOR STAR+ | $15.35 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | AETNA STAR | AETNA STAR+ | $15.35 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | UHC STAR | UHC STAR+ | $15.35 | $8.00 | — | 2025-06-09 | MRF ↗ |
| MEDICAL ARTS HOSPITAL Both | MOLINA HEALTHCARE TX STAR | MOLINA TX STAR+ | $15.35 | $8.00 | — | 2025-06-09 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | United Healthcare | Options PPO | $1,655.47 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | United Healthcare | Options PPO | $1,655.47 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | United Healthcare | Options PPO | $1,655.47 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | United Healthcare | Options PPO | $1,688.54 | $2,706.00 | $1,082.40 | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Aetna | Signature | $1,857.10 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | Aetna | Signature | $1,857.10 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Aetna | Signature | $1,857.10 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Inpatient | Aetna | Signature | $1,894.20 | $2,706.00 | $1,082.40 | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | Avmed | Commercial | $1,936.69 | $2,653.00 | $1,061.20 | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | Avmed | Commercial | $1,936.69 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Avmed | Commercial | $1,936.69 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Avmed | Commercial | $1,936.69 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Outpatient | Cigna | PPO | $1,948.32 | $2,706.00 | $1,082.40 | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | United Healthcare | Indemnity | $1,992.40 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | United Healthcare | Indemnity | $1,992.40 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | United Healthcare | Indemnity | $1,992.40 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Inpatient | United Healthcare | Indemnity | $2,032.21 | $2,706.00 | $1,082.40 | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Aetna | Non-Gatekeeper | $2,048.12 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | Aetna | Non-Gatekeeper | $2,048.12 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Aetna | Non-Gatekeeper | $2,048.12 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Inpatient | Aetna | Non-Gatekeeper | $2,048.44 | $2,706.00 | $1,082.40 | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Aetna | International | $2,122.40 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | Aetna | International | $2,122.40 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | USA Managed Care | PPO | $2,122.40 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | USA Managed Care | PPO | $2,122.40 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | Aetna | International | $2,122.40 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | USA Managed Care | PPO | $2,122.40 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | USA Managed Care | PPO | $2,122.40 | $2,653.00 | $1,061.20 | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Inpatient | Aetna | International | $2,164.80 | $2,706.00 | $1,082.40 | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | First Health | PPO | $2,201.99 | $2,653.00 | $1,061.20 | 2026-06-30 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | First Health | PPO | $2,201.99 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL - VENICE Both | First Health | PPO | $2,201.99 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| SARASOTA MEMORIAL HOSPITAL Both | First Health | PPO | $2,201.99 | $2,653.00 | $1,061.20 | 2025-08-01 | MRF ↗ |
| BROWN COUNTY HOSPITAL Both | Aetna | Commercial | $6,509.00 | $8,679.00 | $6,509.00 | 2025-08-08 | MRF ↗ |
| BROWN COUNTY HOSPITAL Both | Ambetter | Commercial | $8,245.00 | $8,679.00 | $6,509.00 | 2025-08-08 | MRF ↗ |
| BROWN COUNTY HOSPITAL Both | Medica | Commercial | $8,245.00 | $8,679.00 | $6,509.00 | 2025-08-08 | MRF ↗ |
| BROWN COUNTY HOSPITAL Both | Blue Cross Blue Shield of Nebraska | Commercial | $8,245.00 | $8,679.00 | $6,509.00 | 2025-08-08 | MRF ↗ |
| BROWN COUNTY HOSPITAL Both | Midlands Choice | Commercial | $8,679.00 | $8,679.00 | $6,509.00 | 2025-08-08 | MRF ↗ |
| BROWN COUNTY HOSPITAL Both | Oscar Health | Commercial | $17,358.00 | $8,679.00 | $6,509.00 | 2025-08-08 | MRF ↗ |