51144005001 — Brentuximab Vedotin 50 Mg IV Solr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). BRENTUXIMAB VEDOTIN 50 MG IV SOLR (NDC 51144005001) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/51144005001?code_type=NDC
MLA (9th ed.)
“BRENTUXIMAB VEDOTIN 50 MG IV SOLR (NDC 51144005001) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/51144005001?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“BRENTUXIMAB VEDOTIN 50 MG IV SOLR (NDC 51144005001) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/51144005001?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $621–$26,104 (25th–75th percentile) across 19 hospitals · 224 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 51144005001 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Wellcare | Managed Medicaid | $0.03 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | SELF PAY | SELF PAY | $0.03 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | UHC COMMUNITY | ALL PRODUCTS | $0.03 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AmeriChoice | Managed Medicaid | $0.03 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Health Partners Plan | Jefferson Health Plan | $0.06 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIGROUP | Managed Medicaid | $0.06 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | CIGNA | LOCAL PLUS | $0.09 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | Preferred | $0.09 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | UHC ALL PAYER | ALL PRODUCTS | $0.10 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | GREAT WEST LIFE | ALL PRODUCTS | $0.11 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | QUALCARE COMMERCIAL | ALL PRODUCTS | $0.11 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Devoted Health Plan | Medicare | $0.11 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | CIGNA | ALL PRODUCTS | $0.11 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | EVERNORTH | Behavioral Health | $0.11 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HORIZON | Casualty WC | $0.13 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Aetna | WHOLE HEALTH | $0.13 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | UHC ALL PAYER | ALL PRODUCTS | $0.13 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | AMERIHEALTH | WORKERS COMP | $0.14 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | FIRST MCO | WORKERS COMP | $0.14 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MUTUAL OF OMAHA | ALL PRODUCTS | $0.14 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | ACTIVE CARE PLUS | ALL PRODUCTS | $0.14 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | QUALCARE WC | ALL PRODUCTS | $0.14 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | Aetna | WORKER'S COMP | $0.15 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIHEALTH | LOCAL VALUE | $0.15 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | HORIZON | Casualty NF | $0.15 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | DONIO TRUCKING | ALL PRODUCTS | $0.15 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | CONSUMER HEALTH NETWORK (CHN) | WORKER'S COMP | $0.15 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | CONSUMER HEALTH NETWORK (CHN) | ALL PRODUCTS | $0.15 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | United Healthcare | COMPASS W/OXFORD HEALTH PLANS | $0.16 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | AMERIHEALTH | WORKERS COMP | $0.16 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Aetna | AETNA BLENDED | $0.17 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | DEVON/ ULLICARE | ALL PRODUCTS | $0.17 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | OXFORD | ALL PRODUCTS | $0.17 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | Aetna | SAVINGS PLUS | $0.18 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | HMO/DIRECT PLUS | $0.18 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | PRIVATE HEALTHCARE SYSTEM (PHCS) | ALL PRODUCTS | $0.18 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | HORIZON BCBS | INDEMNITY | $0.18 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | COVENTRY HEALTH CARE | ALL PRODUCTS | $0.18 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS OutpatientFacility | AMERIHEALTH | REGIONAL PREFERRED | $0.18 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | THREE RIVERS PROVIDER NETWORK (TRPN) | ALL PRODUCTS | $0.19 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HEALTH PAYORS ORG | ALL PRODUCTS | $0.19 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HEALTH SOUTH | ALL PRODUCTS | $0.19 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | Prime Health Services | ALL PRODUCTS | $0.19 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | METRAHEALTH OF NJ | ALL PRODUCTS | $0.19 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | PPO | $0.19 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MCS COMMERCIAL | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | PROVIDER SELECT, INC | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MASTER CARE INC | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HEALTH NETWORK INC | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | CONSUMER HEALTH NETWORK (CHN) | NO FAULT | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | Beech Street | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | ATLANTIS HEALTH PLAN | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | CHOICE CARE | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | WORKER'S COMP | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | METRACOMP | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | INTERGROUP PREFERRED PROGRAM | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MAGNACARE | NO FAULT | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | GALAXY HEALTH NETWORK | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | DEPARTMENT OF CORRECTIONS | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | ACTIVE CARE NJ PIP | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MULTIPLAN | ALL PRODUCTS | $0.20 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MCSI/MRSI WORKER'S COMP | ALL PRODUCTS | $0.21 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | MCSI/MRSI NO FAULT | ALL PRODUCTS | $0.21 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | HEALTH NETWORK AMERICA | ALL PRODUCTS | $0.21 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | COMMUNITY CARE NETWORK | ALL PRODUCTS | $0.21 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | ADVANCE HEALTHCARE SYSTEM | ALL PRODUCTS | $0.21 | $0.22 | — | 2026-03-18 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS BothFacility | NATIONAL HEALTH PLAN | ALL PRODUCTS | $0.21 | $0.22 | — | 2026-03-18 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $0.36 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $0.36 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | UHC | ALL PRODUCTS | $0.38 | $35,276.00 | — | 2025-06-28 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $0.40 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $0.40 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $0.41 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | EPO | $0.70 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $0.80 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $0.85 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $0.90 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $0.95 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $0.95 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $0.97 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $0.97 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $0.97 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $0.97 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $0.97 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $0.98 | $1.00 | $0.80 | 2026-01-31 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $35,276.00 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $35,276.00 | — | 2025-06-28 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $146.57 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $146.57 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $176.80 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Medi-Cal | MEDI-CAL | $226.57 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Medi-Cal | MEDI-CAL | $226.57 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $226.57 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield Covered Ca | All | $230.56 | $67,100.00 | $67,100.00 | 2026-10-21 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | $230.61 | $56,948.70 | $56,948.70 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $230.61 | $56,948.70 | $56,948.70 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Cross | All | $230.61 | $67,100.00 | $67,100.00 | 2026-10-21 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Workers Comp | WORKERS COMP | $236.48 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Workers Comp | WORKERS COMP | $236.48 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Valor Health Plans | Isnp | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicare | Securecare | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Trad | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicare | Wellcare | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicare | Trad | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Hmo | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Hmo | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Wvdsnp | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $239.86 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Hmo | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Ppo | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medical Mutual Medicare | Mcradv | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Ppo | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Mediare Advantage | Medicare Advantage | $239.86 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC Medicare | MEDICARE ADVANTAGE | $239.86 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Ppo | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Pos | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Wv Senior Adv | Isnp | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Ppo | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UHC Medicare | MEDICARE ADVANTAGE | $239.86 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care DSNP | Medicare HMO | $239.86 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Duals | $239.86 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $240.97 | $56,948.70 | $56,948.70 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Rp | $240.97 | $56,948.70 | $56,948.70 | 2026-07-15 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | All Products | $248.88 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $248.93 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $248.93 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $248.93 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $248.93 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $248.93 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $248.93 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $258.52 | $56,948.70 | $56,948.70 | 2026-07-15 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | All Products | $258.59 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | IFP-EPN | $258.59 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | IFP-EPN | $258.59 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | All Products | $258.59 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $258.59 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | EPN | $258.59 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | All Products | $258.59 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Aetna Medicare Advantage | MEDICARE ADVANTAGE | $258.64 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $258.64 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Aetna Medicare Advantage | MEDICARE ADVANTAGE | $258.64 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | Medicare Advantage | $258.64 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Medicare Advantage | MEDICARE ADVANTAGE | $258.64 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Anthem Medicare Advantage | MEDICARE ADVANTAGE | $258.64 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Blue Shield of California | Medicare Advantage | $258.64 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Memorial Medicare | HMO-Medicare | $263.85 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $263.85 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $268.45 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | HealthCare Partners HMO | HMO-Medicare | $268.45 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Medicare | Medicare | $268.45 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | TriWest Healthcare Alliance | Other Government | $268.45 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | Medicare HMO | $268.45 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | HealthCare Partners HMO | HMO-Medicare | $268.45 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Health Net Medicare | MEDICARE ADVANTAGE | $268.45 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $268.45 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | TriWest Healthcare Alliance | Other Government | $268.45 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | TriWest Healthcare Alliance | Other Government | $268.45 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $268.45 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $268.45 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Health Net Medicare | MEDICARE ADVANTAGE | $268.45 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community Medicare | Medicare | $268.45 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $268.45 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | TriWest Healthcare Alliance | Other Government | $268.45 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield | All | $271.25 | $67,100.00 | $67,100.00 | 2026-10-21 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Central Health Plan | Medicare HMO | $276.73 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Commercial | PASC | $283.03 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Commercial | PASC | $283.03 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Community Care Health Plan | All | $290.24 | $67,100.00 | $67,100.00 | 2026-10-21 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Commercial | Covered CA | $299.83 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Commercial | Covered CA | $299.83 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Ccah | All | $313.42 | $67,100.00 | $67,100.00 | 2026-10-21 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Medicare_DSNP | MEDICARE ADVANTAGE_DSNP | $316.29 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | LA Care Medicare_DSNP | MEDICARE ADVANTAGE_DSNP | $316.29 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthSmart | Workers Compensation | $322.14 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care Covered CA | HMO | $322.85 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | SCAN | Medicare | $323.81 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Exchange | Hmo | $335.80 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaiser Medi-Cal | All | $347.42 | $67,100.00 | $67,100.00 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Adventist | All | $402.53 | $67,100.00 | $67,100.00 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Net Medi-Cal | All | $417.96 | $67,100.00 | $67,100.00 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Cross Medi-Cal | All | $418.32 | $67,100.00 | $67,100.00 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Cencal | All | $456.99 | $67,100.00 | $67,100.00 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kern Health | All | $458.21 | $67,100.00 | $67,100.00 | 2026-10-21 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Centivo | PPO | $620.74 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Inpatient | Centivo | PPO | $620.74 | $44,822.00 | $24,652.10 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centivo | PPO | $644.28 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Commercial | All Products | $740.92 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | Medicare | $770.45 | $35,226.00 | $19,374.30 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthypremier | $4,555.20 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthy | $4,555.20 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare_770 | IDN Network | $5,000.00 | $107,850.10 | $10,785.01 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare_768 | Create Flex | $5,000.00 | $107,850.10 | $10,785.01 | 2026-02-02 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicaid | Hmo | $6,677.58 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicaid | Trad | $6,677.58 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Medicaid | Hmo | $6,677.58 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | WellCare | Medicare Advantage | $6,734.19 | $35,276.00 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Molina Medicaid | Hmo | $6,877.91 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Unison Medicaid | Hmo | $6,877.91 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Paramount Medicaid | Hmo | $7,011.46 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicaid | Hmo | $7,011.46 | $22,776.00 | $11,388.00 | 2026-07-15 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.