55513019001 — Pegfilgrastim 6 Mg/0.6ml Sc Sosy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PEGFILGRASTIM 6 MG/0.6ML SC SOSY (NDC 55513019001) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/55513019001?code_type=NDC
MLA (9th ed.)
“PEGFILGRASTIM 6 MG/0.6ML SC SOSY (NDC 55513019001) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/55513019001?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“PEGFILGRASTIM 6 MG/0.6ML SC SOSY (NDC 55513019001) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/55513019001?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $403–$12,904 (25th–75th percentile) across 33 hospitals · 222 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 55513019001 — 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 |
|---|---|---|---|---|---|---|---|
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | UHC | ALL PRODUCTS | $0.38 | $19,258.97 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $19,258.97 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $19,258.97 | — | 2025-06-28 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MEDICARE ADV. | $6.96 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MA-BEHAVIORAL HEALTH | $6.96 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $7.03 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | HEALTHNET | MEDICARE ADV. | $7.66 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $7.66 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $7.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $7.92 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $7.92 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $8.00 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $8.00 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $8.00 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $8.00 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $8.00 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $8.64 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $8.71 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $8.71 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $8.73 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $8.87 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $8.87 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $9.11 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $9.11 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $9.50 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $9.68 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $9.94 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | SAMARITAN | MEDICARE ADV. | $12.00 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $12.00 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $16.08 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $16.08 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | EPO | $16.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $16.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $16.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $16.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $16.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Anthem Workers Comp | WORKERS COMP | $18.98 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Anthem Workers Comp | WORKERS COMP | $18.98 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $19.20 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $19.20 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $19.20 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | SAMARITAN | SAMARITAN CHOICE | $19.20 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $19.20 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $19.20 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $19.98 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Anthem Vivity, Anthem HMO | HMO-City of LA | $19.98 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $19.98 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Anthem Vivity, Anthem HMO | HMO-City of LA | $19.98 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | REGENCE | ALL PRODUCTS | $20.21 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $20.21 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $20.40 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $20.40 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $20.40 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $20.40 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $21.57 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $21.57 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $21.57 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $21.57 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $22.56 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | AETNA | ALL PRODUCTS | $22.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $22.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $22.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $22.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $22.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $22.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $22.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $22.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $22.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $22.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $22.80 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | HEALTHNET | ALL PRODUCTS | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL InpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $23.28 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $23.40 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | HUMANA | ALL PRODUCTS | $23.40 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $23.40 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $23.40 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $23.40 | $24.00 | $19.20 | 2026-01-31 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | LA Care Medicare_DSNP | MEDICARE ADVANTAGE_DSNP | $25.39 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | LA Care Medicare_DSNP | MEDICARE ADVANTAGE_DSNP | $25.39 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Wvdsnp | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Hmo | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Ppo | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Ppo | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medical Mutual Medicare | Mcradv | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Hmo | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Ppo | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Wv Senior Adv | Isnp | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Pos | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Hmo | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicare | Securecare | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicare | Trad | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Valor Health Plans | Isnp | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | UHC Medicare | MEDICARE ADVANTAGE | $31.14 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Trad | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | UHC Medicare | MEDICARE ADVANTAGE | $31.14 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Duals | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Ppo | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicare | Wellcare | $31.14 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | LA Care Commercial | PASC | $36.75 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | LA Care Commercial | PASC | $36.75 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | LA Care Commercial | Covered CA | $38.93 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | LA Care Commercial | Covered CA | $38.93 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Exchange | Hmo | $43.60 | $15,096.00 | $7,548.05 | 2026-07-15 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | LA Care Medi-Cal | MEDI-CAL | $79.41 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | LA Care Medi-Cal | MEDI-CAL | $79.41 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Blue Shield of California | Medicare Advantage | $89.34 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Aetna Medicare Advantage | MEDICARE ADVANTAGE | $89.34 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Anthem Medicare Advantage | MEDICARE ADVANTAGE | $89.34 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Aetna Medicare Advantage | MEDICARE ADVANTAGE | $89.34 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Anthem Medicare Advantage | MEDICARE ADVANTAGE | $89.34 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Blue Shield of California | Medicare Advantage | $89.34 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Health Net Medicare | MEDICARE ADVANTAGE | $122.83 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | TriWest Healthcare Alliance | Other Government | $122.83 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | HealthCare Partners HMO | HMO-Medicare | $122.83 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | UCLA Health Medicare Advantage Plan | Medicare Advantage | $122.83 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | UCLA Health Medicare Advantage Plan | Medicare Advantage | $122.83 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | TriWest Healthcare Alliance | Other Government | $122.83 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | HealthCare Partners HMO | HMO-Medicare | $122.83 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Health Net Medicare | MEDICARE ADVANTAGE | $122.83 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | My Blue - Adult | $124.08 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Blue Select - Adult | $124.08 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | My Blue - Adult | $124.08 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Blue Select - Adult | $124.08 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Whole Health | $142.69 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Whole Health | $142.69 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | UMR Baptist Employee | All Products | $148.90 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | UMR Baptist Employee | All Products | $148.90 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | HMO - Child | $155.10 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | My Blue - Child | $155.10 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | HMO | $155.10 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Blue Select - Child | $155.10 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | HMO - Child | $155.10 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | My Blue - Child | $155.10 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | HMO | $155.10 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Blue Select - Child | $155.10 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Network Blue | $161.30 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Indemnity | $161.30 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | PPO | $161.30 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Indemnity | $161.30 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Network Blue | $161.30 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Medicare Advantage | $179.92 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Medicare Advantage | $179.92 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage | $179.92 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Blue Select - Adult | $183.64 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | My Blue - Adult | $183.64 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | AvMed | Engage & Empower & Entrust | $198.53 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | AvMed | Engage & Empower & Entrust | $198.53 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | AvMed | Engage & Empower & Entrust | $198.53 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Centivo | PPO | $214.42 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| UCLA WEST VALLEY MEDICAL CENTER Both | Centivo | PPO | $214.42 | $35,035.00 | $19,269.25 | 2026-03-29 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Gatekeeper | $223.34 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Gatekeeper | $223.34 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Gatekeeper | $229.55 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | HMO - Child | $229.55 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | My Blue - Child | $229.55 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Blue Select - Child | $229.55 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Whole Health -Child | $229.55 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Whole Health -Child | $229.55 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | HMO | $229.55 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Gatekeeper | $229.55 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Whole Health | $229.55 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | OccuNet | All Products | $248.16 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Borland Groover | All Products | $248.16 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | OccuNet | All Products | $248.16 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Borland Groover | All Products | $248.16 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | OccuNet | All Products | $248.16 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Borland Groover | All Products | $248.16 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | FIRST MCO | WORKERS COMP | $250.00 | $10,211.61 | $3,523.01 | 2025-12-29 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | HMO | $260.57 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Non-Gatekeeper | $260.57 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Northeast Florida State Hospital | All Products | $260.57 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Northeast Florida State Hospital | All Products | $260.57 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | HMO | $260.57 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Northeast Florida State Hospital | All Products | $260.57 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | Gatekeeper New Business | $266.77 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | Gatekeeper New Business | $266.77 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Centivo | Select | $272.98 | $620.40 | $384.65 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Non-Gatekeeper | $272.98 | $620.40 | $384.65 | 2026-02-06 | 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.