50242008527 — Alteplase 100 Mg IV Solr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALTEPLASE 100 MG IV SOLR (NDC 50242008527) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/50242008527?code_type=NDC
MLA (9th ed.)
“ALTEPLASE 100 MG IV SOLR (NDC 50242008527) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/50242008527?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“ALTEPLASE 100 MG IV SOLR (NDC 50242008527) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/50242008527?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $5,348–$18,167 (25th–75th percentile) across 18 hospitals · 194 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 50242008527 — 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 |
|---|---|---|---|---|---|---|---|
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | UHC COMMUNITY | ALL PRODUCTS | $0.59 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AmeriChoice | Managed Medicaid | $0.59 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Wellcare | Managed Medicaid | $0.63 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | HORIZON | BLUE ADVANTAGE | $0.64 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | HORIZON | BCBS Medicare | $0.64 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | SELF PAY | SELF PAY | $0.69 | $4.58 | — | 2026-03-18 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Anthem Blue Cross | Anthem Blue Cross | $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 | Silver Summit | Silver Summit | $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 | Hometown Health | Hometown Health | $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 | Prominence | Prominence | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Aetna | Aetna | $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 | Aetna W/ Medicare Advantage | Aetna W/ Medicare Advantage | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Health Partners Plan | Jefferson Health Plan | $1.15 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIGROUP | Managed Medicaid | $1.19 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | Preferred | $1.83 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | CIGNA | LOCAL PLUS | $1.92 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | UHC ALL PAYER | ALL PRODUCTS | $2.06 | $4.58 | — | 2026-03-18 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | QUALCARE COMMERCIAL | ALL PRODUCTS | $2.29 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Devoted Health Plan | Medicare | $2.29 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | EVERNORTH | Behavioral Health | $2.29 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | GREAT WEST LIFE | ALL PRODUCTS | $2.31 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | CIGNA | ALL PRODUCTS | $2.31 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Aetna | WHOLE HEALTH | $2.63 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | UHC ALL PAYER | ALL PRODUCTS | $2.66 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HORIZON | Casualty WC | $2.75 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | AMERIHEALTH | WORKERS COMP | $2.94 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | QUALCARE WC | ALL PRODUCTS | $2.98 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | ACTIVE CARE PLUS | ALL PRODUCTS | $2.98 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MUTUAL OF OMAHA | ALL PRODUCTS | $2.98 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | FIRST MCO | WORKERS COMP | $2.98 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIHEALTH | LOCAL VALUE | $3.11 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | CONSUMER HEALTH NETWORK (CHN) | ALL PRODUCTS | $3.21 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | HORIZON | Casualty NF | $3.21 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | DONIO TRUCKING | ALL PRODUCTS | $3.21 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | CONSUMER HEALTH NETWORK (CHN) | WORKER'S COMP | $3.21 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | Aetna | WORKER'S COMP | $3.21 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | United Healthcare | COMPASS W/OXFORD HEALTH PLANS | $3.25 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | AMERIHEALTH | WORKERS COMP | $3.43 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | OXFORD | ALL PRODUCTS | $3.44 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | DEVON/ ULLICARE | ALL PRODUCTS | $3.44 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Aetna | AETNA BLENDED | $3.57 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | PRIVATE HEALTHCARE SYSTEM (PHCS) | ALL PRODUCTS | $3.66 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | COVENTRY HEALTH CARE | ALL PRODUCTS | $3.66 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | HMO/DIRECT PLUS | $3.66 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | HORIZON BCBS | INDEMNITY | $3.77 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Aetna | SAVINGS PLUS | $3.78 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIHEALTH | REGIONAL PREFERRED | $3.85 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | THREE RIVERS PROVIDER NETWORK (TRPN) | ALL PRODUCTS | $3.89 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | PPO | $3.89 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | METRAHEALTH OF NJ | ALL PRODUCTS | $3.89 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HEALTH PAYORS ORG | ALL PRODUCTS | $3.89 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | Prime Health Services | ALL PRODUCTS | $3.89 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HEALTH SOUTH | ALL PRODUCTS | $3.89 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | NO FAULT | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | METRACOMP | ALL PRODUCTS | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | WORKER'S COMP | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | GALAXY HEALTH NETWORK | ALL PRODUCTS | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | PROVIDER SELECT, INC | ALL PRODUCTS | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | CHOICE CARE | ALL PRODUCTS | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | Beech Street | ALL PRODUCTS | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HEALTH NETWORK INC | ALL PRODUCTS | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | INTERGROUP PREFERRED PROGRAM | ALL PRODUCTS | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MCS COMMERCIAL | ALL PRODUCTS | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | DEPARTMENT OF CORRECTIONS | ALL PRODUCTS | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | CONSUMER HEALTH NETWORK (CHN) | NO FAULT | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MULTIPLAN | ALL PRODUCTS | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | ACTIVE CARE NJ PIP | ALL PRODUCTS | $4.12 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MASTER CARE INC | ALL PRODUCTS | $4.24 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | ATLANTIS HEALTH PLAN | ALL PRODUCTS | $4.24 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | NATIONAL HEALTH PLAN | ALL PRODUCTS | $4.35 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MCSI/MRSI WORKER'S COMP | ALL PRODUCTS | $4.35 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HEALTH NETWORK AMERICA | ALL PRODUCTS | $4.35 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | COMMUNITY CARE NETWORK | ALL PRODUCTS | $4.35 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | ADVANCE HEALTHCARE SYSTEM | ALL PRODUCTS | $4.35 | $4.58 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MCSI/MRSI NO FAULT | ALL PRODUCTS | $4.35 | $4.58 | — | 2026-03-18 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON NJ HEALTH | HORIZON NJ HEALTH | $56.07 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE PRIME | $60.43 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AETNA | GOLDEN MEDICARE | $73.54 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMBETTER | AMBETTER | $83.19 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | LOCAL VALUE | $86.82 | $332.77 | — | 2025-11-10 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | — | — | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Bcbs | — | — | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Uhc | — | — | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Bcbs Blue Mcr | — | $88.82 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr | — | $88.82 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcd Healthy Blue | — | — | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Health Team Advantage | — | $88.82 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ppc | — | — | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Humana | — | $88.82 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Uhc | — | $88.82 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Aetna | — | $90.60 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Cigna | — | $90.60 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Wellcare | — | $90.60 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Devoted Healthcare | — | $92.37 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Apex | — | $94.15 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Troy | — | $94.15 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Liberty | — | $94.15 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Cigna | Hmo & Ppo | $125.24 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| HOLY NAME MEDICAL CENTER InpatientFacility | CIGNA | HMO/POS | $133.11 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | QUALCARE | PPO | $139.76 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | QUALCARE | OSCAR | $139.76 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | PRAXIS | MEDICAL & WORKERS COMPENSATION | $139.76 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | QUALCARE | HMO/POS | $139.76 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER InpatientFacility | FIRST MCO | ACTIVE CARE | $166.39 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | BERGEN | BERGEN RISK | $166.39 | $332.77 | — | 2025-11-10 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ncsehp | — | $208.73 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| HOLY NAME MEDICAL CENTER InpatientFacility | MULTIPLAN | MULTIPLAN | $209.65 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | DEVON HEALTH | DEVON HEALTH | $249.58 | $332.77 | — | 2025-11-10 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | FIRST MCO | WORKERS COMP | $250.00 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| HOLY NAME MEDICAL CENTER InpatientFacility | MULTIPLAN | WORKER'S COMP | $282.85 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIRST MCO | FIRST MCO | $282.85 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER BothFacility | FIRST MCO | ACTIVE CARE | $282.85 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIRST MCO | ACTIVE CARE PLUS | $282.85 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | FIRST HEALTH | FIRST HEALTH | $293.50 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER InpatientFacility | MULTIPLAN | AUTO ACCIDENT MEDICAL | $299.49 | $332.77 | — | 2025-11-10 | MRF ↗ |
| GRIFFIN HOSPITAL InpatientFacility | United Healthcare | All Products | $301.28 | $608.65 | — | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL InpatientFacility | Oxford | All Products | $301.28 | $608.65 | — | 2025-11-26 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON BCBS | INDEMNITY | $308.54 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON BCBS | PPO | $308.54 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | HORIZON BCBS | MANAGED | $308.54 | $332.77 | — | 2025-11-10 | MRF ↗ |
| HOLY NAME MEDICAL CENTER OutpatientFacility | AMERIHEALTH | REGIONAL PREFERRED | $315.83 | $332.77 | — | 2025-11-10 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | ANTHEM | Pathway Individual | $355.45 | $608.65 | — | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | Connecticare (CCI) | All Products | $412.85 | $608.65 | — | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | Connecticare (CBI) | Exchange | $412.85 | $608.65 | — | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | ANTHEM | Tiered | $471.89 | $608.65 | — | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | ANTHEM | All Products | $474.63 | $608.65 | — | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | ANTHEM | Pathway Small Group | $474.63 | $608.65 | — | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL InpatientFacility | Cigna | All Products | $496.84 | $608.65 | — | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL OutpatientFacility | CENTIVO | ALL PRODUCTS | $517.35 | $608.65 | — | 2025-11-26 | MRF ↗ |
| GRIFFIN HOSPITAL InpatientFacility | ANTHEM | Medicare Supplement | $587.35 | $608.65 | — | 2025-11-26 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health - DSNP | Managed Medicaid | $1,883.05 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Wellcare_755 | Managed Medicaid | $2,014.42 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | Ultra | $2,112.08 | $10,560.43 | — | 2026-07-15 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna_773 | Managed Medicaid | $2,174.13 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | AmeriChoice_756 | Managed Medicaid | $2,320.97 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | MAGNACARE | ALL PRODUCTS | $2,410.29 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | AmeriGroup_754 | Managed Medicaid | $2,529.62 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | Cigna_744 | All Commercial Products | $2,715.09 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna_759 | Managed Medicare | $2,962.39 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE | $2,992.12 | $17,600.72 | $8,800.36 | 2026-03-26 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna_740 | All Commercial Products | $3,863.98 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER BothFacility | Health Care Support_787 | All Commercial Products | $3,863.98 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna_794 | Whole Health | $3,992.78 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $4,686.68 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $4,686.68 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare_770 | IDN Network | $5,000.00 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare_768 | Create Flex | $5,000.00 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | WORKERS COMP | $5,168.73 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | PERSONAL INJURY | $5,275.86 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | BEHAVIORAL HEALTH MEDICAID | $5,372.27 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | BEHAVIORAL HEALTH | $5,407.08 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | WELLCARE | MEDICAID_YOUTH-YOUNG ADULT | $5,480.73 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICAID ADV_YOUTH-YOUNG ADULT | $5,480.73 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | WELLCARE | MEDICAID | $5,480.73 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICAID | $5,480.73 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID | $5,480.73 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID_YOUTH-YOUNG ADULT | $5,480.73 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID | $5,480.73 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID_YOUTH-YOUNG ADULT | $5,480.73 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Qualcare_752 | All Commercial Products | $5,564.13 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER BothFacility | AmeriHealth_757 | All Commercial Products | $5,744.45 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | FRESENIUS | MEDICARE ADVANTAGE | $6,025.73 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna Medicare | Medicare | $6,402.26 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $6,402.26 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $6,402.26 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $6,402.26 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | TriWest Healthcare Alliance | Other Government | — | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $6,402.26 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare | Create Worker's Comp | $6,439.97 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare_769 | PPO | $6,439.97 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare_763 | Direct Plus | $6,439.97 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $6,695.25 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $6,695.25 | $13,390.50 | $4,619.72 | 2025-12-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $6,773.16 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | HUMANA | MEDICARE | $7,040.29 | $17,600.72 | $8,800.36 | 2026-03-26 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | CHOICECARE | MEDICARE | $7,040.29 | $17,600.72 | $8,800.36 | 2026-03-26 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Gold Coast Health Plan | HMO | $7,170.53 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Gold Coast Health Plan | HMO | $7,170.53 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Workers Comp | Workers Comp | $7,347.24 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Qualcare_783 | EPO | $7,452.33 | $25,759.88 | $2,575.99 | 2026-02-02 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $7,506.01 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $7,506.01 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $7,921.82 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $7,921.82 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $7,921.82 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $7,921.82 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | MOLINA | MARKETPLACE | $7,921.82 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $7,921.82 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $7,921.82 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $7,974.64 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $8,328.06 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $8,399.77 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $8,448.43 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $8,604.64 | $25,609.05 | $14,084.98 | 2026-03-29 | 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.