5063312011 — Digoxin Immune Fab 40 Mg Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION (NDC 5063312011) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5063312011?code_type=NDC
MLA (9th ed.)
“DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION (NDC 5063312011) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5063312011?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION (NDC 5063312011) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5063312011?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,999–$6,523 (25th–75th percentile) across 10 hospitals · 44 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 5063312011 — 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 |
|---|---|---|---|---|---|---|---|
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | MY CHOICE WISCONSIN | MEDICARE ADVANTAGE | $11.09 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | DEAN HEALTH PLAN | MEDICARE ADVANTAGE | $11.09 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | QUARTZ | MEDICARE ADVANTAGE | $11.09 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | ICARE | MEDICARE ADVANTAGE | $11.09 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $11.09 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | SECURITY HEALTH PLAN | MEDICARE ADVANTAGE | $11.09 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $22.86 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | QUARTZ | ALL PRODUCTS | $25.12 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | ALLIANCE | ALL PRODUCTS | $27.76 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL BothFacility | SECURITY HEALTH PLAN | ALL PRODUCTS | $28.53 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | MY CHOICE WISCONSIN | MEDICAID | $28.67 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | HEALTH PAYMENT SYSTEMS | ALL PRODUCTS | $28.67 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | MY CHOICE WISCONSIN | BADGERCARE PLUS | $28.67 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL BothFacility | ANTHEM | ALL PRODUCTS | $29.44 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL BothFacility | TRILOGY | ALL PRODUCTS | $31.35 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL BothFacility | UNITED HEALTHCARE | ALL PRODUCTS | $31.73 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL BothFacility | WPS | ALL PRODUCTS | $32.19 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL OutpatientFacility | DEAN HEALTH PLAN | ALL PRODUCTS | $33.22 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL BothFacility | HEALTHEOS | PRIMARY | $33.26 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL BothFacility | FIRST HEALTH | ALL PRODUCTS | $33.64 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $34.41 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| COLUMBUS COMMUNITY HOSPITAL BothFacility | HEALTHEOS | ALL PRODUCTS | $35.55 | $38.23 | $21.03 | 2026-04-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | POPULYTICS | ALL PRODUCTS | $607.36 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | POPULYTICS | ALL PRODUCTS | $678.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | EMBLEM | ALL PRODUCTS | $699.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | EMBLEM | ALL PRODUCTS | $699.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | EMBLEM | ALL PRODUCTS | $699.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | POPULYTICS | ALL PRODUCTS | $777.05 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | POPULYTICS | ALL PRODUCTS | $777.05 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | EMBLEM | ALL PRODUCTS | $801.09 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | EMBLEM | ALL PRODUCTS | $801.09 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | EMBLEM | ALL PRODUCTS | $801.09 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | POPULYTICS | ALL PRODUCTS | $862.80 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | POPULYTICS | ALL PRODUCTS | $976.27 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | POPULYTICS | ALL PRODUCTS | $987.63 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | POPULYTICS | ALL PRODUCTS | $987.63 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | POPULYTICS | ALL PRODUCTS | $1,003.27 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AETNA | MANAGED MEDICAID | $1,029.97 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | POPULYTICS | ALL PRODUCTS | $1,851.66 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | ALL PRODUCTS | $2,849.58 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $3,827.01 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $3,827.01 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $3,850.32 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $3,853.62 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | CHIP | $3,923.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | Blue Precision | $3,929.00 | $62,290.37 | $14,326.79 | 2026-03-31 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $4,056.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LOYOLA UNIVERSITY MEDICAL CENTER BothFacility | BCBS IL | HMO | $4,082.00 | $62,290.37 | $14,326.79 | 2026-03-31 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $4,471.72 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $4,471.72 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $4,471.72 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | CLEAR SPRING | MEDICARE ADVANTAGE | $4,508.03 | $24,870.00 | $11,191.50 | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | MOLINA | MEDICARE ADVANTAGE | $4,508.03 | $24,870.00 | $11,191.50 | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | AETNA | MEDICARE ADVANTAGE | $4,744.10 | $24,870.00 | $11,191.50 | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | ANTHEM | MEDICARE ADVANTAGE | $4,744.10 | $24,870.00 | $11,191.50 | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | CIGNA | MEDICARE ADVANTAGE | $4,791.54 | $24,870.00 | $11,191.50 | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | SENTARA | MEDICARE ADVANTAGE | $4,801.03 | $24,870.00 | $11,191.50 | 2026-01-02 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | UNITED | MEDICARE ADVANTAGE DSNP | $4,933.86 | $24,870.00 | $11,191.50 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Veterans Administration | Veterans Administration | $4,968.58 | $57,707.10 | $28,853.55 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Johns Hopkins Health Plan | Tricare | — | $57,707.10 | $28,853.55 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Molina | Medicare Advantage | $4,968.58 | $57,707.10 | $28,853.55 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | Managed Medicaid | — | $57,707.10 | $28,853.55 | 2026-01-02 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | ALL PRODUCTS | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GEISINGER | MANAGED MEDICAID | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | KEYSTONE FIRST | MANAGED MEDICAID | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | CHIP | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MANAGED MEDICAID | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | OPTUM HEALTH | MEDICARE ADVANTAGE | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | IBC | MEDICARE ADVANTAGE | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AETNA | MANAGED MEDICAID | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | ALL PRODUCTS | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | MANAGED MEDICAID | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | ALL PRODUCTS | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AETNA | MANAGED MEDICAID | $4,968.58 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| MEDICAL COLLEGE OF VIRGINIA HOSPITALS Outpatient | HUMANA | MEDICARE ADVANTAGE | $4,981.30 | $24,870.00 | $11,191.50 | 2026-01-02 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | CHIP | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GATEWAY | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK BLUE SHIELD | FIRST PRIORITY HEALTH | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK BLUE SHIELD | ALL PRODUCTS | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK BLUE SHIELD | CHIP | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GEISINGER | ALL PRODUCTS | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AMBETTER | ALL PRODUCTS | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UPMC | MANAGED MEDICAID | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | CIGNA | HEALTHSPRING | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | HUMANA | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | CHIP | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GATEWAY | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HUMANA | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CIGNA | HEALTHSPRING | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AETNA | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UPMC | MANAGED MEDICAID | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMBETTER | ALL PRODUCTS | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | PPO | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HUMANA | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | IBC | PPO | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | ALL PRODUCTS | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | FIRST PRIORITY HEALTH | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | TRADITIONAL | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | CIGNA | HEALTHSPRING | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | ALL PRODUCTS | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GATEWAY | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | CHIP | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MARKETPLACE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | CHIP | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | ALL PRODUCTS | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UPMC | MANAGED MEDICAID | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMBETTER | ALL PRODUCTS | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | IBC | HMO | $4,998.84 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | United Healthcare | Medicare Advantage | $5,067.95 | $57,707.10 | $28,853.55 | 2026-01-02 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $5,117.64 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $5,117.64 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $5,117.64 | $57,707.10 | $28,853.55 | 2026-01-02 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $5,117.64 | $57,707.10 | $28,853.55 | 2026-01-02 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $5,117.64 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Anthem | Medicare Advantage | $5,117.64 | $57,707.10 | $28,853.55 | 2026-01-02 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | MANAGED MEDICAID | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | $5,166.99 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $5,167.32 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $5,167.32 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | MEDICARE ADVANTAGE | $5,167.32 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Humana Military | Tricare | $5,168.23 | $57,707.10 | $28,853.55 | 2026-01-02 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | $5,217.01 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | GEISINGER | MEDICARE ADVANTAGE | $5,217.01 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AETNA | MEDICARE ADVANTAGE | $5,217.01 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | $5,217.01 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | $5,217.01 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| RIVERSIDE REGIONAL MEDICAL CENTER Outpatient | Sentara Health Plans | Medicare Advantage | $5,217.01 | $57,707.10 | $28,853.55 | 2026-01-02 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | AETNA | MEDICARE ADVANTAGE | $5,217.01 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HUMANA | MEDICARE ADVANTAGE | $5,218.66 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HUMANA | MEDICARE ADVANTAGE | $5,218.66 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UPMC | MEDICARE ADVANTAGE | $5,266.69 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,266.69 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UPMC | MEDICARE ADVANTAGE | $5,266.69 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | UPMC | MEDICARE ADVANTAGE | $5,266.69 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,266.69 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,266.69 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | $5,270.33 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | MEDICARE ADVANTAGE | $5,270.33 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | $5,270.33 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | $5,270.33 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | $5,322.00 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MEDICARE ADVANTAGE | $5,322.00 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CIGNA | HEALTHSPRING | $5,322.00 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MEDICARE ADVANTAGE | $5,322.00 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | $5,322.00 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | EMBLEM | MEDICARE ADVANTAGE | $5,366.07 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | EMBLEM | MEDICARE ADVANTAGE | $5,366.07 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | EMBLEM | MEDICARE ADVANTAGE | $5,366.07 | $4,998.84 | $2,499.42 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $5,373.67 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $5,373.67 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $5,373.67 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | $5,425.34 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MEDICARE ADVANTAGE | $5,425.34 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $5,425.34 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | $5,425.34 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | DEVOTED HEALTH | MEDICARE ADVANTAGE | $5,425.34 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | $5,425.34 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AETNA | MEDICARE ADVANTAGE | $5,425.34 | $5,722.05 | $2,861.03 | 2026-07-01 | MRF ↗ |
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