4301943 — Furosemide 10 Mg/ml Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FUROSEMIDE 10 MG/ML SOLUTION (CDM 4301943) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/4301943?code_type=CDM
MLA (9th ed.)
“FUROSEMIDE 10 MG/ML SOLUTION (CDM 4301943) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/4301943?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“FUROSEMIDE 10 MG/ML SOLUTION (CDM 4301943) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/4301943?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6–$25 (25th–75th percentile) across 4 hospitals · 51 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 4301943 — 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 |
|---|---|---|---|---|---|---|---|
| WOOSTER COMMUNITY HOSPITAL Outpatient | BUCKEYE MCAID-ALL OTHER PLANS | BUCKEYE MCAID-ALL OTHER PLANS | $2.23 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | CARESOURCE MCAID | CARESOURCE MCAID | $2.23 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | BUCKEYE MCAID-ALL OTHER PLANS | BUCKEYE MCAID-ALL OTHER PLANS | $2.23 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | CARESOURCE MCAID | CARESOURCE MCAID | $2.23 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | UHC MCAID | UHC MCAID | $2.23 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | UHC MCAID | UHC MCAID | $2.23 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | MOLINA MCAID | MOLINA MCAID | $2.27 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | MOLINA MCAID | MOLINA MCAID | $2.27 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | ANTHEM MCAID | ANTHEM MCAID | $2.29 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | ANTHEM MCAID | ANTHEM MCAID | $2.29 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AETNA MCAID | AETNA MCAID | $2.34 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AMERIHEALTH MCAID-ALL PLANS | AMERIHEALTH MCAID-ALL PLANS | $2.34 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AMERIHEALTH MCAID-ALL PLANS | AMERIHEALTH MCAID-ALL PLANS | $2.34 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AETNA MCAID | AETNA MCAID | $2.34 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $2.94 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AETNA MCR ADV | AETNA MCR ADV | $2.94 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AULTCARE/PRIMECARE MCR ADV | AULTCARE/PRIMECARE MCR ADV | $3.52 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AULTCARE/PRIMECARE MCR ADV | AULTCARE/PRIMECARE MCR ADV | $3.52 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | CLARITY HEALTH - ALL PLANS | CLARITY HEALTH - ALL PLANS | $3.59 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | CLARITY HEALTH - ALL PLANS | CLARITY HEALTH - ALL PLANS | $3.59 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | CERCO-ALL PLANS | CERCO-ALL PLANS | $5.03 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | CERCO-ALL PLANS | CERCO-ALL PLANS | $5.03 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AULTCARE WAYNE COUNTY | AULTCARE WAYNE COUNTY | $5.39 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | RAYCO-ALL PLANS | RAYCO-ALL PLANS | $5.39 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AULTCARE/PRIMETIME EXCH | AULTCARE/PRIMETIME EXCH | $5.39 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AULTCARE WAYNE COUNTY | AULTCARE WAYNE COUNTY | $5.39 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AULTCARE/PRIMETIME EXCH | AULTCARE/PRIMETIME EXCH | $5.39 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | RAYCO-ALL PLANS | RAYCO-ALL PLANS | $5.39 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AETNA EMPLOYEE | AETNA EMPLOYEE | $5.46 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AETNA EMPLOYEE | AETNA EMPLOYEE | $5.46 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | CHRISTIAN HEALTH MINISTRIES-ALL PLANS | CHRISTIAN HEALTH MINISTRIES-ALL PLANS | $5.74 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | WAYNE COUNTY-ALL PLANS | WAYNE COUNTY-ALL PLANS | $5.74 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $5.74 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTH OHIO NETWORK EMPLOYER | HEALTH OHIO NETWORK EMPLOYER | $5.74 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | CHRISTIAN HEALTH MINISTRIES-ALL PLANS | CHRISTIAN HEALTH MINISTRIES-ALL PLANS | $5.74 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | WAYNE COUNTY-ALL PLANS | WAYNE COUNTY-ALL PLANS | $5.74 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | CIGNA-ALL OTHER PLANS | CIGNA-ALL OTHER PLANS | $5.74 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTH OHIO NETWORK EMPLOYER | HEALTH OHIO NETWORK EMPLOYER | $5.74 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | SUMMACARE PREFERRED CHOICE | SUMMACARE PREFERRED CHOICE | $5.96 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | SUMMACARE PREFERRED CHOICE | SUMMACARE PREFERRED CHOICE | $5.96 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTHSMART ACCEL | HEALTHSMART ACCEL | $5.96 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTHSMART ACCEL | HEALTHSMART ACCEL | $5.96 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | OHIO HEALTH GROUP HLTHY - ALL OTHER PLANS | OHIO HEALTH GROUP HLTHY - ALL OTHER PLANS | $6.10 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | OHIO HEALTH GROUP HLTHY - ALL OTHER PLANS | OHIO HEALTH GROUP HLTHY - ALL OTHER PLANS | $6.10 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | OHIO HEALTH CHOICE SUPP | OHIO HEALTH CHOICE SUPP | $6.10 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | OHIO HEALTH CHOICE SUPP | OHIO HEALTH CHOICE SUPP | $6.10 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTH OHIO NETWORK PPO-ALL OTHER PLANS | HEALTH OHIO NETWORK PPO-ALL OTHER PLANS | $6.10 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTHSMART COMPLETE PPO-ALL OTHER PLANS | HEALTHSMART COMPLETE PPO-ALL OTHER PLANS | $6.10 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | ANTHEM PPO/HMO/HIX | ANTHEM PPO/HMO/HIX | $6.10 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTHSMART COMPLETE PPO-ALL OTHER PLANS | HEALTHSMART COMPLETE PPO-ALL OTHER PLANS | $6.10 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTH OHIO NETWORK PPO-ALL OTHER PLANS | HEALTH OHIO NETWORK PPO-ALL OTHER PLANS | $6.10 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | ANTHEM PPO/HMO/HIX | ANTHEM PPO/HMO/HIX | $6.10 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | MED MUTUAL OF OH SUPERMED | MED MUTUAL OF OH SUPERMED | $6.17 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | MED MUTUAL OF OH EXCHANGE | MED MUTUAL OF OH EXCHANGE | $6.17 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | MED MUTUAL OF OH TRAD-ALL OTHER PLANS | MED MUTUAL OF OH TRAD-ALL OTHER PLANS | $6.17 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | MED MUTUAL OF OH SUPERMED | MED MUTUAL OF OH SUPERMED | $6.17 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | MED MUTUAL OF OH EXCHANGE | MED MUTUAL OF OH EXCHANGE | $6.17 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | MED MUTUAL OF OH TRAD-ALL OTHER PLANS | MED MUTUAL OF OH TRAD-ALL OTHER PLANS | $6.17 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTH PLAN OF UPPER OHIO-ALL PLANS | HEALTH PLAN OF UPPER OHIO-ALL PLANS | $6.33 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTH PLAN OF UPPER OHIO-ALL PLANS | HEALTH PLAN OF UPPER OHIO-ALL PLANS | $6.33 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | THE HEALTH PLAN COMM - ALL OTHER PLANS | THE HEALTH PLAN COMM - ALL OTHER PLANS | $6.33 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | THE HEALTH PLAN COMM - ALL OTHER PLANS | THE HEALTH PLAN COMM - ALL OTHER PLANS | $6.33 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AETNA COVENTRY-ALL OTHER PLANS | AETNA COVENTRY-ALL OTHER PLANS | $6.39 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AETNA COVENTRY-ALL OTHER PLANS | AETNA COVENTRY-ALL OTHER PLANS | $6.39 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | OHIO HEALTH GROUP PREF | OHIO HEALTH GROUP PREF | $6.39 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | OHIO HEALTH GROUP PREF | OHIO HEALTH GROUP PREF | $6.39 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AULTCARE/PRIMETIME-ALL OTHER PLANS | AULTCARE/PRIMETIME-ALL OTHER PLANS | $6.46 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | AULTCARE/PRIMETIME-ALL OTHER PLANS | AULTCARE/PRIMETIME-ALL OTHER PLANS | $6.46 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTHSMART PPO | HEALTHSMART PPO | $6.53 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTHSMART PPO | HEALTHSMART PPO | $6.53 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | ANTHEM TRAD-ALL OTHER PLANS | ANTHEM TRAD-ALL OTHER PLANS | $6.61 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | ANTHEM TRAD-ALL OTHER PLANS | ANTHEM TRAD-ALL OTHER PLANS | $6.61 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | SUMMACARE-ALL OTHER PLANS | SUMMACARE-ALL OTHER PLANS | $6.68 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | SUMMACARE-ALL OTHER PLANS | SUMMACARE-ALL OTHER PLANS | $6.68 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $6.75 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | OHIO HEALTH CHOICE-ALL OTHER PLANS | OHIO HEALTH CHOICE-ALL OTHER PLANS | $6.75 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HUMANA-ALL OTHER PLANS | HUMANA-ALL OTHER PLANS | $6.75 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | OHIO HEALTH CHOICE-ALL OTHER PLANS | OHIO HEALTH CHOICE-ALL OTHER PLANS | $6.75 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTHSMART HPO | HEALTHSMART HPO | $6.82 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | HEALTHSMART HPO | HEALTHSMART HPO | $6.82 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $6.82 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | OSU-ALL PLANS | OSU-ALL PLANS | $6.82 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | UHC COMM-ALL OTHER PLANS | UHC COMM-ALL OTHER PLANS | $6.82 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | OSU-ALL PLANS | OSU-ALL PLANS | $6.82 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $6.89 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | CENTRAL BENEFITS-ALL PLANS | CENTRAL BENEFITS-ALL PLANS | $6.89 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | FIRST HEALTH-ALL PLANS | FIRST HEALTH-ALL PLANS | $6.89 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | FLORA-ALL PLANS | FLORA-ALL PLANS | $6.89 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | FLORA-ALL PLANS | FLORA-ALL PLANS | $6.89 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | CENTRAL BENEFITS-ALL PLANS | CENTRAL BENEFITS-ALL PLANS | $6.89 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $6.96 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | PHCS-ALL PLANS | PHCS-ALL PLANS | $6.96 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | BEECH STREET-ALL PLANS | BEECH STREET-ALL PLANS | $6.96 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | PHCS-ALL PLANS | PHCS-ALL PLANS | $6.96 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | OPTUM VA CCN OP ONLY | OPTUM VA CCN OP ONLY | $7.18 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| WOOSTER COMMUNITY HOSPITAL Outpatient | OPTUM VA CCN OP ONLY | OPTUM VA CCN OP ONLY | $7.18 | $7.18 | $7.18 | 2026-01-21 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | MAGELLAN BEHAVIORAL | 1784_SJMA SJMC MAGELLAN BEHAVIORAL 20200101 | $20.70 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PRIORITY PPO | 2009_PRIORITY PPO 20210801 | $26.91 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP HMO | 2174_SJMA HEALTH ALLIANCE HMO 20241001 | $27.60 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP HMO | 2166_HEALTH ALLIANCE HMO 20241001 | $27.60 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | AHLIC | 2163_AHLIC 20241001 | $27.60 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | CIGNA | 2014_SJRD,SJMC CIGNA 20210701 | $28.29 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PRIORITY HMO | 2010_PRIORITY HMO 20210701 | $28.29 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HOSPICE | 447_SJMA, SJMC HOSPICE 20160101 | $34.50 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HAP PREFERRED | 2171_HAP PREFERRED (PHP) 20241001 | $44.16 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | HEALTHPLUS PPO | 990_HEALTHPLUS PPO 20200101 | $44.85 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | AETNA PPO | 2136_AETNA 20241001 | $47.61 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS POS | 1311_PHCS POS 20201001 | $48.30 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS PPO | 1457_PHCS PPO 20201001 | $51.75 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PHCS PPO GREAT WEST & MAILHANDLERS | 1458_PHCS PPO GR WEST & MAILHANDLERS 20201001 | $51.75 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | PPOM | 934_PPOM 20191001 | $61.11 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $69.00 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| Ascension Macomb-Oakland Hospital Madison Heights Campus Outpatient | BCCCP | 1782_BCCCP 20210201 | $69.00 | $69.00 | $38.64 | 2026-01-01 | MRF ↗ |
| GOTHENBURG HEALTH Outpatient | United Healthcare | Veterans Affair Community Care | $1,843.00 | $3,003.00 | $2,703.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Outpatient | Blue Cross Blue Shield | Medicare Advantage | $1,862.00 | $3,003.00 | $2,703.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Outpatient | Aetna | Medicare Advantage | $1,892.00 | $3,003.00 | $2,703.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Outpatient | Nebraska Total Care | Commercial | $2,793.00 | $3,003.00 | $2,703.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Outpatient | Blue Cross Blue Shield | Commercial | $2,853.00 | $3,003.00 | $2,703.00 | 2025-06-11 | MRF ↗ |
| GOTHENBURG HEALTH Outpatient | Aetna | Commercial | $2,883.00 | $3,003.00 | $2,703.00 | 2025-06-11 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield | Medicare Advantage | $3,456.00 | $5,009.00 | $4,007.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Both | Aetna | Medicare Advantage | $3,456.00 | $5,009.00 | $4,007.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Both | Medica Choice | Medicare Advantage | $3,456.00 | $5,009.00 | $4,007.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Both | United Healthcare | Medicare Advantage | $3,456.00 | $5,009.00 | $4,007.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Both | Medica Choice | Commercial | $4,558.00 | $5,009.00 | $4,007.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Both | Ambetter | Commercial | $4,658.00 | $5,009.00 | $4,007.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Both | Aetna | Commercial | $4,708.00 | $5,009.00 | $4,007.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Both | United Healthcare | Commercial | $4,759.00 | $5,009.00 | $4,007.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Both | Blue Cross Blue Shield | Commercial | $4,759.00 | $5,009.00 | $4,007.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Both | Medica IFB | Commercial | $4,809.00 | $5,009.00 | $4,007.00 | 2026-05-22 | MRF ↗ |
| PAWNEE COUNTY MEMORIAL HOSPITAL Both | Midlands Choice | Commercial | $4,809.00 | $5,009.00 | $4,007.00 | 2026-05-22 | MRF ↗ |