50242008527_2 — Alteplase 100 Mg IV Solr (pe)|discarded Drug Not Administered
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALTEPLASE 100 MG IV SOLR (PE)|DISCARDED DRUG NOT ADMINISTERED (NDC 50242008527_2) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/50242008527_2?code_type=NDC
MLA (9th ed.)
“ALTEPLASE 100 MG IV SOLR (PE)|DISCARDED DRUG NOT ADMINISTERED (NDC 50242008527_2) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/50242008527_2?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“ALTEPLASE 100 MG IV SOLR (PE)|DISCARDED DRUG NOT ADMINISTERED (NDC 50242008527_2) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/50242008527_2?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $14,085–$19,207 (25th–75th percentile) across 6 hospitals · 101 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 50242008527_2 — 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 |
|---|---|---|---|---|---|---|---|
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $26,406.08 | — | 2025-06-28 | 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| 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 ↗ |
| 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 | TriWest Healthcare Alliance | Other Government | — | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $6,773.16 | $26,406.08 | — | 2025-06-28 | 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 | 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 ↗ |
| 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 Hospital OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $7,921.82 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB 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 Hospital OutpatientFacility | MOLINA | MARKETPLACE | $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 HEALTH WEST BLOOMFIELD 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 ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $8,604.64 | $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 ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | CenCal Medi-Cal HMO | Medi-Cal HMO | $8,963.17 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA - RMG | All Products | $8,963.17 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $8,963.17 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $8,963.17 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $8,963.17 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | CenCal Transplant Medi-Cal HMO | Medi-Cal HMO | $8,963.17 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA - RMG | All Products | $8,963.17 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $8,963.17 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | Medicare Advantage | $8,963.17 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Providence Healthcare | Medicare | $8,963.17 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $9,383.16 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $9,383.16 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | WellCare | Medicare Advantage | $9,469.22 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL InpatientFacility | Cofinity Group Health | New Business All Products | $9,691.03 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $10,013.14 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $10,243.62 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCI University - RMG | All Products | $10,243.62 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Molina Healthcare HMO | MediCal HMO | $10,243.62 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Children Hospital of Orange County | Medicaid HMO | $10,243.62 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $10,243.62 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Molina Healthcare HMO | MediCal HMO | $10,243.62 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCI University - RMG | All Products | $10,243.62 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Children Hospital of Orange County | Medicaid HMO | $10,243.62 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $10,346.06 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $10,346.06 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | AETNA | New Business Discount | $11,671.49 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | EPN | $11,961.00 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $11,961.00 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UC Ship | PPO | $12,164.30 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | Medicare | $12,932.57 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $12,932.57 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | Medicare | $12,932.57 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $12,932.57 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | VitalCore Physicians Group of MI | All Products | $13,203.04 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | VitalCore Physicians Group of MI | All Products | $13,203.04 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | VitalCore Physicians Group of MI | All Products | $13,203.04 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | Cofinity Group Health | New Business All Products | $13,414.29 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Fully Insured | $13,686.27 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Fully Insured | $13,712.68 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | NFL Health Services - Cigna | ALL PRODUCTS | $13,731.16 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | NFL Health Services - Cigna | ALL PRODUCTS | $13,731.16 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | McLaren Health | Commercial HMO | $13,908.08 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | McLaren Health | Health Advantage PPO | $13,908.08 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $13,982.54 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $13,982.54 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $13,982.54 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | HealthCare Partners HMO | HMO-Medicare | $14,084.98 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care Covered CA | HMO | $14,084.98 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthCare Partners HMO | HMO-Medicare | $14,084.98 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | Medicare | $14,084.98 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care Covered CA | HMO | $14,084.98 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care DSNP | Medicare HMO | $14,084.98 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care DSNP | Medicare HMO | $14,084.98 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Optum | Medicare | $14,084.98 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | Priority Health | HMO/PPO | $14,166.86 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | Priority Health | HMO/PPO | $14,166.86 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL InpatientFacility | AETNA | New Business Discount | $14,232.88 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $14,315.46 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $14,341.07 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $14,341.07 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | Fully Insured | $14,454.69 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | Priority Health | HMO/PPO | $14,504.86 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Kaiser | All Products | $14,597.16 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Redlands Community General Services | HMO | $14,853.25 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community General Services | HMO | $14,853.25 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Cigna | PPO | $14,983.86 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Cigna | HMO | $14,983.86 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Cigna | HMO | $14,983.86 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Cigna | PPO | $14,983.86 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | McLaren Health | Health Advantage PPO | $15,236.31 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | McLaren Health | Commercial HMO | $15,236.31 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Cigna Transplants | ALL PRODUCTS | $15,579.59 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | Ontario Ministry of Health and Long-Term Care | ALL PRODUCTS | $15,843.65 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | EPN | $15,948.00 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | All Products | $15,948.00 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | All Products | $15,948.00 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital BothFacility | McLaren Health | Commercial HMO | $16,044.33 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | McLaren Health | Health Advantage PPO | $16,044.33 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Plan of Nevada Commercial | All Products | $16,389.79 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Commercial | All Products | $16,389.79 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $16,503.80 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | AETNA | ALL PRODUCTS | $16,583.02 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Hospital - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Seaview IPA - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Torrance Hospital - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Access Medical Group - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Santa Barbara Select IPA - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Commercial | HMO | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Valley Care - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Western Neurological Network - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Monarch | Medicare | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Access Medical Group - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Valley Care - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Western Neurological Network - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Commercial | HMO | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Santa Barbara Select IPA - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Seaview IPA - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Seoul Medical Group - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | MemorialCare Medical Foundation - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Seoul Medical Group - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | MemorialCare Medical Foundation - RMG | All Products | $16,645.88 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | AETNA | ALL PRODUCTS | $16,741.45 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | All Products | $16,897.00 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Humana Transplants | MEDICARE ADVANTAGE | $17,163.95 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Humana Transplants | ALL PRODUCTS | $17,163.95 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna | All Products | $17,362.94 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna | All Products | $17,362.94 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna | All Products | $17,362.94 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | MULTIPLAN, INC. | Complementary Network | $17,428.01 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Select/SelectPlus | Select-Select Plus | $17,537.08 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC Select/SelectPlus | Select-Select Plus | $17,537.08 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | First Health | Workers Compensation | $17,567.81 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital BothFacility | MULTIPLAN, INC. | Complementary Network | $17,692.07 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | MULTIPLAN, INC. | Complementary Network | $17,692.07 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC Select/SelectPlus | Select-Select Plus | $17,770.12 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Select/SelectPlus | Select-Select Plus | $17,770.12 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Net B&G | HMO | $17,772.68 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $17,772.68 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital BothFacility | Priority Cigna | ALL PRODUCTS | $17,800.34 | $26,406.08 | — | 2025-06-28 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | San Bernardino - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | First Health | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Apple Care Medical Group St. Francis - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Tri Valley - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Vincent IPA - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Mary IPA - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Joseph Heritage - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Sharp Rees-Stealy - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Sansum Clinic - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | San Bernardino - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Saint Johns - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Riverside Medical Clinic - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Yucaipa Medical Group - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Prudent Medical Group - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Transplant | HMO | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Medicare | Medicare | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Commercial | HMO | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Premier Physician - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Pinnacle Medical Group - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | PIH Health Physicians - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Physicians Choice Medical Group San Luis Obispo - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch Healthcare - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Memorial Health Care - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Lakewood IPA - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Korean American Medical Group - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Health Alliance - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Choice Medical Group - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Care Specialists - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Facey Medical Group - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Dignity Health Medical Network Central California | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | County of Ventura | HMO | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centinela Valley IPA - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Brookshire IPA - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Axminister Medical Group - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | United Family Care - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | United Family Care - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Apple Care Medical Group St. Francis - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Axminister Medical Group - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Brookshire IPA - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Alamitos IPA LOA - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Centinela Valley IPA - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | AKM Medical Group - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | County of Ventura | HMO | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Dignity Health Medical Network Central California | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Facey Medical Group - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Family Care Specialists - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Family Choice Medical Group - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Family Health Alliance - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Korean American Medical Group - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Lakewood IPA - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Memorial Health Care - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Monarch Healthcare - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Physicians Choice Medical Group San Luis Obispo - RMG | All Products | $17,926.34 | $25,609.05 | $14,084.98 | 2026-03-29 | MRF ↗ |
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