42367-0540-32 — Dantrolene 250 Mg Susr 1 Each Vial
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APA (7th ed.)
HANK Price Transparency. (n.d.). dantrolene 250 MG Susr 1 Each Vial (NDC 42367-0540-32) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/42367-0540-32?code_type=NDC
MLA (9th ed.)
“dantrolene 250 MG Susr 1 Each Vial (NDC 42367-0540-32) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/42367-0540-32?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“dantrolene 250 MG Susr 1 Each Vial (NDC 42367-0540-32) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/42367-0540-32?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,827–$10,693 (25th–75th percentile) across 8 hospitals · 65 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 42367-0540-32 — 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 |
|---|---|---|---|---|---|---|---|
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Medicaid | Medicaid | $1.00 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $1.07 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $1.10 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC For You | UPMC For You - Managed Medicaid | $1.18 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $1.20 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - Managed Medicaid | $1.47 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | United Healthcare | United Healthcare - CHIP - Managed Medicare | $2.50 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Inpatient | Anthem-Bcbs | Commercial | — | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Bcbs | Managed Medicaid | $1,025.07 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Health Partners | Managed Medicaid | $2,037.39 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Medica | Managed Medicaid | $2,116.18 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Managed Health Network (Mental Health) | Senior | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Oscar Hp/Providence Health Network | Commercial | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Kaiser Foundation Hospitals | Commercial | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Wellcare | Medicare Advantage | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Healthsmart | Commercial | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Medi | Cal High Desert | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Heritage Provider Network - Sierra Medi | Cal | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Multiplan (Mpi/Phcs/Beech Street) | Commercial | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | United Healthcare | Hmo | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | United Healthcare | Ppo | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Humana | Medicare Advantage | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Three Rivers Provider Network | Commercial | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | First Health/Coventry | Commercial | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Aetna | Medicare Advantage | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Brand New Day | Medicare | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Choice Care Network | Commercial | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Management Network | Commercial | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Blue Shield | Hmo & Ppo | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Mutual Of Omaha | Commercial | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Integrated Health Plan | Commercial | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | For Your Benefit | Medicare Advantage | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Alignment Healthcare | Medicare Advantage | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Central Health Plan Of California | Medicare Adv | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Net Of California | Enhanced/Ambetter Ppo | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Net Of California | Medicare Advantage | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Affiliated Health Funds | Commercial | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Champion Health Plan | Medicare Advantage | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Clever Care Health Plan | Medicare Advantage | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | L.A. Care Health Plan | Dnsp | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | L.A. Care Health Plan | Covered California | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Aids Foundation | Medicare Advantage | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Align Senior Care Ca | Medicare Advantage | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Ca State Prison | Government | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Citizens Choice Healthplan | Medicare Advantage | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| ANTELOPE VALLEY HOSPITAL Inpatient | Health Net Of California - Medi | Cal | — | $19,899.35 | $19,899.35 | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Umr | Commercial | $2,243.76 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Uhc | Commercial | $2,243.76 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Humana | Commercial | $2,251.26 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | Ohana | McdHMO | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | UHC | McrAdv | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | UHC | McdHMO | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | Kaiser | McdHMO | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | Kaiser | PPO | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | Kaiser | McrAdv | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | AlohaCare | McdHMO | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | AlohaCare | McrAdv | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | HMA | PPO | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | HMAA | PPO | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | HMSA | McrAdv | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | MDX | PPO | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | Ohana | McrAdv | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | UHA | PPO | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | Devoted | McrAdv | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| KAUAI VETERANS MEMORIAL HOSPITAL Outpatient | Humana | McrAdv | — | $5,152.51 | $3,349.13 | 2025-08-07 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Bcbs | Commercial | $2,646.36 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Health Partners | Commercial | $2,652.73 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Medica | Commercial | $2,776.55 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Aetna | Commercial | $2,814.08 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | America'S Ppo | Commercial | $3,001.68 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Multiplan | Commercial | $3,189.28 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Inpatient | Geha | Commercial | $3,189.28 | $3,752.10 | $2,251.26 | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Blue Cross Blue Shield | Capital - Special Network Rates | $4,092.57 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Aetna | Aetna | $5,183.66 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Cigna | Cigna | $5,226.08 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Uhc Shared Services | 29042477 | $5,727.21 | $7,159.01 | $3,579.51 | 2026-07-15 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl United Healthcare | 29045755 | $5,727.21 | $7,159.01 | $3,579.51 | 2026-07-15 | MRF ↗ |
| NORTHEASTERN HEALTH SYSTEM Both | Tahl Miscellaneous United Healthcare | 28186640 | $5,727.21 | $7,159.01 | $3,579.51 | 2026-07-15 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Blue Cross Blue Shield | Highmark - Special Care | $5,764.83 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Blue Cross Blue Shield | Capital - Special Network Rates | $5,789.77 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Blue Cross Blue Shield | Capital - Enhanced Network Rates | $5,846.53 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Aetna | First Health Network | $6,045.39 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | UPMC Health Plan | UPMC Health Plan - Commercial | $6,270.77 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Outpatient | Blue Cross Blue Shield | Capital - Basic Network Rates | $6,599.55 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Inpatient | Peach State Health Plan | Ambetter-Hix | $6,605.30 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $6,628.72 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Inpatient | Caresource | Commercial-Hix | $7,469.07 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Inpatient | Alliant | Hix | $7,621.50 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Inpatient | Amerigroup | Medicaid | $7,646.00 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Inpatient | Peach State Health Plan | Medicaid | $7,646.00 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Inpatient | Caresource | Medicaid | $7,646.00 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Blue Cross Blue Shield | Highmark | $8,233.95 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Blue Cross Blue Shield | Capital - Enhanced Network Rates | $8,269.58 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Capital - Special Network Rates | $8,828.96 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Aetna | Hix | $9,005.03 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $9,005.03 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Aetna | Hix | $9,005.04 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | $9,005.04 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Uhc | Commercial | $9,342.72 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Uhc | Commercial | $9,342.73 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Caresource | Medicaid | $9,513.82 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Peach State Health Plan | Medicaid | $9,513.82 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Caresource | Medicaid | $9,513.82 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Peach State Health Plan | Medicaid | $9,513.82 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $9,513.82 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Amerigroup | Medicaid | $9,513.82 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $9,567.85 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Cigna | Commercial | $9,567.86 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Anthem-Bcbs | Commercial | $9,680.41 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Anthem-Bcbs | Commercial | $9,680.42 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Novanet | Commercial | $10,130.67 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Novanet | Commercial | $10,130.67 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Christian Health Aid | Christian Health Aid | $10,605.95 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Three Rivers Provider Network Inc. | Three Rivers Provider Network Inc. | $10,605.95 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Caresource | Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Devoted | Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Wellcare | Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Caresource | Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Clover | Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Eon Health | Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Caresource | Commercial-Hix | $10,693.48 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Clover | Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Eon Health | Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Alliant | Hix | $10,693.48 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Peach State Health Plan | Wellcare Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Peach State Health Plan | Ambetter-Hix | $10,693.48 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $10,693.48 | $11,256.30 | $11,256.30 | 2026-09-21 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Peach State Health Plan | Ambetter-Hix | $11,256.30 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Alliant | Hix | $11,256.30 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Caresource | Commercial-Hix | $11,256.30 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| CLINCH MEMORIAL HOSPITAL Outpatient | Peach State Health Plan | Wellcare Medicare Advantage | $11,256.30 | $11,256.30 | $11,256.30 | 2026-07-18 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Multiplan | Multiplan/Private Health Care System | $11,268.82 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | HealthSmart Payors Organization | HealthSmart Payors Organization | $11,931.70 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | UPMC Health Plan | UPMC Health Plan - Commercial | $12,413.27 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Capital - Enhanced Network Rates | $12,612.80 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | North Central Secure Treatment Unit | North Central Secure Treatment Unit | $12,826.57 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Blue Cross Blue Shield | Capital - Basic Network Rates | $15,017.78 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Cigna | Cigna | $15,427.52 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Cigna | Cigna | $15,997.59 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Cigna | Cigna | $16,140.11 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Cigna | Cigna | $16,340.00 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Aetna | Aetna | $16,560.53 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Aetna | Aetna | $16,589.04 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Blue Cross Blue Shield | Highmark BC/BS - Special Care | $17,050.42 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Shepard International Health Care | Shepard International Health Care - Allegheny International | $17,814.69 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $17,814.69 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Cigna | Cigna | $17,814.69 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Christian Healthcare Ministries | Christian Healthcare Ministries | $17,814.69 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - Commercial | $18,028.46 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Integrated Health Plan | Integrated Health Plan | $21,377.62 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Aetna | First Health Network | $23,729.16 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Aetna | First Health Network | $23,800.42 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Blue Cross Blue Shield | Highmark BC/BS | $24,357.74 | $13,257.44 | $6,628.72 | 2026-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Wyoming Seminary | Wyoming Seminary | $24,940.56 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Outpatient | Wyoming Seminary | Wyoming Seminary | $24,940.56 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Intergroup Services | Intergroup Services | $30,284.97 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Intergroup Services | Intergroup Services | $30,284.97 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Beech Street | $30,284.97 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Multiplan | Multiplan/Private Health Care System | $30,284.97 | $35,629.37 | $22,090.21 | 2026-04-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Congregation of the Sister Servants | Congregation of the Sister Servants | $30,284.97 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Multiplan | Beech Street | $30,284.97 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Outpatient | Multiplan | Multiplan/Private Health Care System | $30,284.97 | $35,629.37 | $22,090.21 | 2025-07-01 | MRF ↗ |