50458056401 — Paliperidone Palmitate ER 234 Mg/1.5ml IM Susy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY (NDC 50458056401) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/50458056401?code_type=NDC
MLA (9th ed.)
“PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY (NDC 50458056401) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/50458056401?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“PALIPERIDONE PALMITATE ER 234 MG/1.5ML IM SUSY (NDC 50458056401) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/50458056401?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,448–$16,698 (25th–75th percentile) across 15 hospitals · 163 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 50458056401 — 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 |
|---|---|---|---|---|---|---|---|
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $8.25 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $8.25 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $10.88 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Medcost | — | — | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Ppc | — | — | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Health Team Advantage | — | $14.28 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Humana | — | $14.28 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Bcbs Blue Mcr | — | $14.28 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Uhc | — | $14.28 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr | — | $14.28 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | $14.32 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $14.32 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Wellcare | — | $14.56 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Aetna | — | $14.56 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Cigna | — | $14.56 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $14.73 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $14.73 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Mediare Advantage | Medicare Advantage | $14.76 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $14.76 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care DSNP | Medicare HMO | $14.76 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Devoted Healthcare | — | $14.85 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $15.08 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | TriWest Healthcare Alliance | Other Government | $15.11 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $15.11 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $15.11 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | Medicare HMO | $15.11 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $15.11 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community Medicare | Medicare | $15.11 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Medicare | Medicare | $15.11 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | TriWest Healthcare Alliance | Other Government | $15.11 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $15.11 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Liberty | — | $15.14 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Troy | — | $15.14 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Apex | — | $15.14 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Rp | $15.56 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | All Products | $15.56 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | All Products | $15.56 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $15.56 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | EPN | $15.56 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $15.56 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Memorial Medicare | HMO-Medicare | $16.24 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $16.24 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Central Health Plan | Medicare HMO | $17.18 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthSmart | Workers Compensation | $18.13 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $18.80 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | SCAN | Medicare | $19.93 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care Covered CA | HMO | $20.05 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Cigna | Hmo & Ppo | $20.13 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Ncsehp | — | $33.56 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centivo | PPO | $36.26 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Commercial | All Products | $41.70 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | Medicare | $43.37 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| WHITFIELD REGIONAL HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $937.47 | $3,348.12 | $2,008.87 | 2026-04-01 | MRF ↗ |
| WHITFIELD REGIONAL HOSPITAL OutpatientFacility | Cigna | All Products | $1,339.25 | $3,348.12 | $2,008.87 | 2026-04-01 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Medcost | Ultra | $1,608.63 | $8,043.16 | — | 2026-07-15 | MRF ↗ |
| WHITFIELD REGIONAL HOSPITAL OutpatientFacility | Humana | All Products | $1,874.95 | $3,348.12 | $2,008.87 | 2026-04-01 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $2,480.15 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna Medicare | Medicare | $2,480.15 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| WHITFIELD REGIONAL HOSPITAL OutpatientFacility | Aetna | All Products | $2,678.50 | $3,348.12 | $2,008.87 | 2026-04-01 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Medicaid | $2,765.27 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Gold Coast Health Plan | HMO | $2,777.76 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Gold Coast Health Plan | HMO | $2,777.76 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Workers Comp | Workers Comp | $2,846.21 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $2,907.72 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Fidelis Wellcare | Medicaid | $3,202.92 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health Medicaid | $3,202.92 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | $3,203.14 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $3,226.17 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $3,253.95 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet Federal | Ppo Pc3 | $3,304.76 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $3,333.31 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $3,333.31 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA - RMG | All Products | $3,472.20 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | CenCal Medi-Cal HMO | Medi-Cal HMO | $3,472.20 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $3,472.20 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA - RMG | All Products | $3,472.20 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Providence Healthcare | Medicare | $3,472.20 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $3,472.20 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | CenCal Transplant Medi-Cal HMO | Medi-Cal HMO | $3,472.20 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | Medicare Advantage | $3,472.20 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $3,634.90 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $3,634.90 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Pos, Epo, Ppo | $3,644.29 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Hmo | $3,644.29 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $3,878.95 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Molina Healthcare HMO | MediCal HMO | $3,968.23 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $3,968.23 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Molina Healthcare HMO | MediCal HMO | $3,968.23 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Children Hospital of Orange County | Medicaid HMO | $3,968.23 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCI University - RMG | All Products | $3,968.23 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCI University - RMG | All Products | $3,968.23 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Children Hospital of Orange County | Medicaid HMO | $3,968.23 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $4,007.91 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $4,007.91 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | $4,217.92 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Nj | Commercial | $4,386.64 | $16,871.69 | $16,871.69 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Minnesota Care | — | $16,697.76 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Aetna | Commercial | — | $16,697.76 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Health Partners | Medicaid Replacement | — | $16,697.76 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Native American | Health Rights Network | — | $16,697.76 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Cigna | Commercial | — | $16,697.76 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Mic Choice Mic Care System Products | — | $16,697.76 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Choice Care Medicaid Replacement And Access Ability Solution | — | $16,697.76 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Choice Individual Family Business Focus | — | $16,697.76 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Laborcare Choice Elect Premier Self Funded | — | $16,697.76 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Senior Care Dual Medicare Advantage Special Needs Complete | — | $16,697.76 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Self Insured Care System Products | — | $16,697.76 | — | 2026-07-15 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UC Ship | PPO | $4,712.28 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $5,009.89 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | Medicare | $5,009.89 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | Medicare | $5,009.89 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $5,009.89 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care DSNP | Medicare HMO | $5,456.32 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | HealthCare Partners HMO | HMO-Medicare | $5,456.32 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care Covered CA | HMO | $5,456.32 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthCare Partners HMO | HMO-Medicare | $5,456.32 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Optum | Medicare | $5,456.32 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $5,545.60 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $5,555.52 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $5,555.52 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Kaiser | All Products | $5,654.73 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community General Services | HMO | $5,753.94 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Redlands Community General Services | HMO | $5,753.94 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Cigna | HMO | $5,804.53 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Cigna | PPO | $5,804.53 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Cigna | HMO | $5,804.53 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Cigna | PPO | $5,804.53 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | EPN | $5,952.35 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Mclaren Health Plan Inc | Commercial Plans | $6,036.48 | $9,558.96 | $9,558.96 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Amish Church Of Michigan | — | $6,308.91 | $9,558.96 | $9,558.96 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Plan of Nevada Commercial | All Products | $6,349.17 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Hospital - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Western Neurological Network - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Valley Care - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Monarch | Medicare | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Seoul Medical Group - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Seaview IPA - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Commercial | HMO | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Access Medical Group - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Santa Barbara Select IPA - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Seaview IPA - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Access Medical Group - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Valley Care - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Seoul Medical Group - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | MemorialCare Medical Foundation - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Santa Barbara Select IPA - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Torrance Hospital - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Commercial | HMO | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | MemorialCare Medical Foundation - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Western Neurological Network - RMG | All Products | $6,448.38 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Cofinity Medicare Advantage | $6,643.48 | $9,558.96 | $9,558.96 | 2026-07-15 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | All Other Commercial Plans | $6,643.48 | $9,558.96 | $9,558.96 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna | All Products | $6,726.15 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna | All Products | $6,726.15 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna | All Products | $6,726.15 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| Mary Free Bed Rehabilitation Hospital Inpatient | Aetna | Dow Chemical Employee Plans | $6,729.51 | $9,558.96 | $9,558.96 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC Select/SelectPlus | Select-Select Plus | $6,793.61 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Select/SelectPlus | Select-Select Plus | $6,793.61 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | First Health | Workers Compensation | $6,805.52 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC Select/SelectPlus | Select-Select Plus | $6,883.89 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Select/SelectPlus | Select-Select Plus | $6,883.89 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $6,884.88 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Net B&G | HMO | $6,884.88 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Yucaipa Medical Group - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Prudent Medical Group - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Mary IPA - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Health Alliance - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Tri Valley - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Vincent IPA - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Joseph Heritage - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Sharp Rees-Stealy - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Sansum Clinic - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | San Bernardino - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Saint Johns - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Riverside Medical Clinic - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Riverside Medical Clinic - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Transplant | HMO | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Medicare | Medicare | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Commercial | HMO | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Premier Physician - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Pinnacle Medical Group - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | PIH Health Physicians - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Physicians Choice Medical Group San Luis Obispo - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch Healthcare - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Memorial Health Care - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Lakewood IPA - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Korean American Medical Group - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | First Health | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | United Family Care - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Choice Medical Group - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Care Specialists - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Facey Medical Group - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Dignity Health Medical Network Central California | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | County of Ventura | HMO | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centinela Valley IPA - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Brookshire IPA - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Axminister Medical Group - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Apple Care Medical Group St. Francis - RMG | All Products | $6,944.41 | $9,920.58 | $5,456.32 | 2026-03-29 | MRF ↗ |
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