57894006003 — Ustekinumab 45 Mg/0.5ml Sc Sosy
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). USTEKINUMAB 45 MG/0.5ML SC SOSY (NDC 57894006003) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/57894006003?code_type=NDC
MLA (9th ed.)
“USTEKINUMAB 45 MG/0.5ML SC SOSY (NDC 57894006003) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/57894006003?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“USTEKINUMAB 45 MG/0.5ML SC SOSY (NDC 57894006003) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/57894006003?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,704–$27,008 (25th–75th percentile) across 7 hospitals · 138 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 57894006003 — 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 |
|---|---|---|---|---|---|---|---|
| RANDOLPH HOSPITAL Outpatient | Medcost | — | — | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr | — | $152.57 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Bcbs Blue Mcr | — | $152.57 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Ppc | — | — | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Uhc | — | $152.57 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Humana | — | $152.57 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Health Team Advantage | — | $152.57 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Wellcare | — | $155.62 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Cigna | — | $155.62 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Aetna | — | $155.62 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Devoted Healthcare | — | $158.67 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Trad | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Wv Senior Adv | Isnp | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Hmo | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Duals | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medical Mutual Medicare | Mcradv | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Hmo | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Ppo | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicare | Trad | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Ppo | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicare | Wellcare | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Pos | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Ppo | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Hmo | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Ppo | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Wvdsnp | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Valor Health Plans | Isnp | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicare | Securecare | $159.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Liberty | — | $161.72 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Apex | — | $161.72 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Troy | — | $161.72 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Cigna | Hmo & Ppo | $215.12 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Exchange | Hmo | $223.87 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Ncsehp | — | $358.53 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Medcost | Ultra | $3,675.25 | $18,376.29 | — | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthypremier | $4,832.10 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthy | $4,832.10 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicaid | Trad | $6,677.58 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Medicaid | Hmo | $6,677.58 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicaid | Hmo | $6,677.58 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Molina Medicaid | Hmo | $6,877.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Unison Medicaid | Hmo | $6,877.91 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Paramount Medicaid | Hmo | $7,011.46 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicaid | Hmo | $7,011.46 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicaid | Hmo | $7,011.46 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiouniv | $8,456.18 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Central Health Plan | Medicare HMO | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Medicare | Medicare | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community Medicare | Medicare | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $9,645.56 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | Medicare HMO | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Memorial Medicare | HMO-Medicare | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Mediare Advantage | Medicare Advantage | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $9,645.56 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centivo | PPO | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $9,645.56 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | TriWest Healthcare Alliance | Other Government | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Prime Health - Medicare | Medicare | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | CenCal Transplant Medi-Cal HMO | Medi-Cal HMO | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | TriWest Healthcare Alliance | Other Government | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Prime Health - Medicare | Medicare | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna Medicare | Medicare | $9,645.56 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Torrance Memorial Medicare | HMO-Medicare | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Redlands Community Medicare | Medicare | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Medicare | Medicare | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | Other Government | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Centivo | PPO | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $9,645.56 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Plan of Nevada Medicare | Medicare | — | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Gold Coast Health Plan | HMO | $10,803.03 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Gold Coast Health Plan | HMO | $10,803.03 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Workers Comp | Workers Comp | $11,069.25 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $11,308.46 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $11,308.46 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $11,961.00 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | EPN | $11,961.00 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem Exchange | Pathway X Hmo | $12,152.74 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Exchange | Hmo | $12,176.90 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $12,546.95 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $12,654.98 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $12,728.28 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem Exchange | Pathway X Ppo | $12,805.08 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Exchange | Ppo | $12,829.24 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $12,963.64 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $12,963.64 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | CenCal Medi-Cal HMO | Medi-Cal HMO | $13,503.79 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA - RMG | All Products | $13,503.79 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | Medicare Advantage | $13,503.79 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $13,503.79 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | CenCal Transplant Medi-Cal HMO | Medi-Cal HMO | $13,503.79 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Providence Healthcare | Medicare | $13,503.79 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA - RMG | All Products | $13,503.79 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $13,503.79 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $13,503.79 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $13,503.79 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Access | $13,795.66 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Preferred | $13,795.66 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Preferred Ppo | $13,819.82 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Blue Access Ppo | $13,819.82 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Traditional | $14,109.74 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Blue Trad | $14,133.90 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $14,136.54 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $14,136.54 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLPOINT (AMERIGROUP) | MANAGED MEDICAID | $14,992.32 | $26,772.00 | — | 2025-06-04 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $15,085.66 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | WELLMARK BLUE CROSS | MEDICARE ADV | $15,260.04 | $26,772.00 | — | 2025-06-04 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Molina Healthcare HMO | MediCal HMO | $15,432.90 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Molina Healthcare HMO | MediCal HMO | $15,432.90 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Children Hospital of Orange County | Medicaid HMO | $15,432.90 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCI University - RMG | All Products | $15,432.90 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $15,432.90 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $15,432.90 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Children Hospital of Orange County | Medicaid HMO | $15,432.90 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCI University - RMG | All Products | $15,432.90 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $15,587.23 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $15,587.23 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | United Healthcare | Ppo | $15,704.34 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | United Healthcare | Pos | $15,704.34 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medbenemp | Ppo | $15,704.34 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Ppo | $15,704.34 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Medben | Direct Agreement | $15,704.34 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Ppo | $15,704.34 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Pos | $15,704.34 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Hmo | $15,704.34 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare | Ppo | $15,704.34 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare | Pos | $15,704.34 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Hmo | $15,704.34 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Pos | $15,704.34 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | EPN | $15,948.00 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | All Products | $15,948.00 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | All Products | $15,948.00 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | MOLINA | ALL PRODUCTS | $16,063.20 | $26,772.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | MOLINA | MEDICARE ADV | $16,063.20 | $26,772.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | IMMUGRUN | ALL PRODUCTS | $16,866.36 | $26,772.00 | — | 2025-06-04 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | All Products | $16,897.00 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | PLAIN CHURCH | ALL PRODUCTS | $17,401.80 | $26,772.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | BRIGHTON AMISH CHURCH | ALL PRODUCTS | $17,401.80 | $26,772.00 | — | 2025-06-04 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Cigna | Ppo | $17,637.18 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Cigna Comm | Ppo | $17,637.18 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Accel | $18,120.39 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Association Benefit Solutions | Direct Agreement | $18,120.39 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Healthsmart Comm | Accel | $18,120.39 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Ohio Health Choice | Phc-Plus | $18,120.39 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Assc Benefits Solution | Direct Agreement | $18,120.39 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Health Choice | Phcplus | $18,120.39 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UC Ship | PPO | $18,326.57 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo | Hmo | $18,603.60 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Mmo Comm | Ppo | $18,603.60 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo Marketplace | Hmo | $18,603.60 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo | Ppo | $18,603.60 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Mmo Comm | Hmo | $18,603.60 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Mmo Marketplace | Hmo | $18,603.60 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | ABSOLUTE SOLUTIONS | ALL PRODUCTS | $18,740.40 | $26,772.00 | — | 2025-06-04 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Quality Care Partners | Ppo | $18,845.21 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Quality Care Partners Marketplace | Antidote Health | $18,845.21 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Quality Care Partners | Ppo | $18,845.21 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Hmo | $19,328.42 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Ppo | $19,328.42 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Aso | $19,328.42 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Pos | $19,328.42 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Hmo | $19,328.42 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Aso | $19,328.42 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Ppo | $19,328.42 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Pos | $19,328.42 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $19,484.04 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | Medicare | $19,484.04 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $19,484.04 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | Medicare | $19,484.04 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER OutpatientFacility | EBS NETWORK | ALL PRODUCTS | $20,079.00 | $26,772.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | MIDLANDS CHOICE | PREMIER | $20,480.58 | $26,772.00 | — | 2025-06-04 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | MIDLANDS CHOICE | MEDICARE ADV | $20,480.58 | $26,772.00 | — | 2025-06-04 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $21,065.91 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $21,065.91 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $21,065.91 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care DSNP | Medicare HMO | $21,220.24 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care DSNP | Medicare HMO | $21,220.24 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | HealthCare Partners HMO | HMO-Medicare | $21,220.24 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care Covered CA | HMO | $21,220.24 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Optum | Medicare | $21,220.24 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care Covered CA | HMO | $21,220.24 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthCare Partners HMO | HMO-Medicare | $21,220.24 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | Medicare | $21,220.24 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | 6 DEGREE | ALL PRODUCTS | $21,417.60 | $26,772.00 | — | 2025-06-04 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $21,567.48 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $21,606.06 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $21,606.06 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Hmo | $21,744.47 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Epos | $21,744.47 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Ppo | $21,744.47 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Epos | $21,744.47 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Traditional | $21,744.47 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Ppo | $21,744.47 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Pos | $21,744.47 | $24,160.52 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Pos | $21,744.47 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Traditional | $21,744.47 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Hmo | $21,744.47 | $24,161.00 | $12,080.26 | 2026-07-15 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Kaiser | All Products | $21,991.88 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Redlands Community General Services | HMO | $22,377.71 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community General Services | HMO | $22,377.71 | $38,582.25 | $21,220.24 | 2026-03-29 | MRF ↗ |
| SOUTHEAST IOWA REGIONAL MEDICAL CENTER BothFacility | MIDLANDS CHOICE | ALL PRODUCTS | $22,756.20 | $26,772.00 | — | 2025-06-04 | 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.