58914-501-56 — Mesalamine 1000 Mg Re Supp
Cite this view
HANK Price Transparency. (n.d.). MESALAMINE 1000 MG RE SUPP (NDC 58914-501-56) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/58914-501-56?code_type=NDC
“MESALAMINE 1000 MG RE SUPP (NDC 58914-501-56) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/58914-501-56?code_type=NDC. Accessed .
“MESALAMINE 1000 MG RE SUPP (NDC 58914-501-56) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/58914-501-56?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $17,893–$136,023 (25th–75th percentile) across 42 hospitals · 114 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 58914-501-56 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $45,225.82 | $22,612.91 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $45,225.82 | $22,612.91 | 2024-12-15 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - Medicare | $0.58 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | County Medical Services | County of San Diego | $1.10 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Exchange | $1.10 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | United Healthcare | United Healthcare - PPO | $1.30 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Cigna | Cigna - HMO | $12.24 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Shield | Blue Shield - Promise | $12.24 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Health Net | Health Net - Medicare | $12.24 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net - HMO/POS/EPO | $12.24 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Kaiser | Kaiser - HMO | $27.11 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | United Healthcare | United Healthcare - HMO | $27.11 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Molina | Molina - Cal Medi-Connect | $27.11 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net - PPO | $27.11 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net Individual - EPO | $27.11 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Multiplan | Multiplan | $29.04 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Blue Cross | Blue Cross - Standard | $29.04 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Cross | Blue Cross - Standard | $29.04 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | $53.08 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - PPO | $53.08 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Community Health Group | Community Health Group - Medi-Cal | $54.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Cross | Blue Cross - MCS | $57.51 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Kaiser | Kaiser - HMO | $57.51 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | United Healthcare | United Healthcare - PPO | $57.51 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net Individual - HMO | $57.51 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Aetna | First Health Medicare | $57.51 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Molina | Molina Medi-Cal | $57.51 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Blue Cross | Blue Cross - Prudent Buyer | $57.51 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | San Diego Pace | San Diego Pace | $57.51 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Molina | Molina Medi-Cal | $57.51 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Aetna | First Health - Direct | $57.51 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Managed Health Network | MHN - Medicare | $57.51 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Molina | Molina - Cal Medi-Connect | $58.09 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | First Health Medicare | $58.09 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net - Medicare | $59.06 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net - Medi-Cal | $59.06 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net - Medi-Cal | $59.06 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Health Net | Health Net Individual - EPO | $65.83 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Aetna | Aetna - PPO | $65.83 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | California Health and Wellness | California Health and Wellness | $65.83 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | United Healthcare | United Healthcare - PPO | $65.83 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Aetna | First Health - Direct | $65.83 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Aetna | Aetna Whole Health | $65.83 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net Individual - EPO | $76.04 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Aetna | Aetna - PPO | $76.50 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net Individual - EPO | $76.50 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net Cal MediConnect | $77.45 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | Health Net | Health Net Cal MediConnect | $77.45 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | Aetna - PPO | $77.45 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Molina | Molina - Exchange | $77.45 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net Individual - HMO | $77.45 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Shield | Blue Shield - HMO | $77.45 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Health Net | Health Net - PPO | $77.45 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | Aetna Whole Health | $77.45 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | $81.32 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | San Diego Pace | San Diego Pace | $81.32 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | San Diego Pace | San Diego Pace | $81.32 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Aetna | First Health Medicare | $81.32 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Aetna | First Health Medicare | $81.32 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Health Net | Health Net - Medicare | $92.94 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Health Net | Health Net Individual - EPO | $96.82 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Aetna | Aetna - PPO | $96.82 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Community Health Group | Community Health Group - Medi-Cal | $96.82 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Cross | Blue Cross - Prudent Buyer | $96.82 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Cross | Blue Cross - Prudent Buyer | $96.82 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Molina | Molina - Cal Medi-Connect | $96.82 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | San Diego Pace | San Diego Pace | $96.82 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Medicare | Medicare | $96.82 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Community Health Group | Community Health Group - Cal Mediconnect | $96.82 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | $97.78 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | Optum Health | Optum Health - Commercial | $106.50 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Commercial | $106.50 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | County Medical Services | County of San Diego | $106.50 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | First Health - Direct | $107.85 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Community Health Group | Community Health Group - Cal Mediconnect | $107.85 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Medi-Cal | Medi-Cal | $107.85 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Interplan | Interplan | $109.40 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Blue Cross | Blue Cross - Standard | $109.40 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Health Net | Health Net - HMO/POS/EPO | $109.40 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Health Net | Health Net Individual - HMO | $109.40 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | County Medical Services | County of San Diego | $109.40 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Molina | Molina - Exchange | $109.40 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Molina | Molina Medi-Cal | $109.40 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GREATER BALTIMORE MEDICAL CENTER BothFacility | ALL PAYERS | ALL PLANS | $112.92 | $112.92 | $110.66 | 2026-01-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Health Net | Health Net Individual - HMO | $116.18 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Cigna | Cigna - PPO | $118.11 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - PPO | $118.11 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Blue Cross | Blue Cross - HMO | $118.11 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | California Health and Wellness | California Health and Wellness | $118.11 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | United Healthcare | United Healthcare - HMO | $121.02 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Epic Americas | AXA Assistance | $121.02 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Blue Cross | Blue Cross - Prudent Buyer | $121.99 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Cigna | Cigna - PPO | $122.96 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medi-Cal | Medi-Cal | $122.96 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Health Net | Health Net - Medicare | $122.96 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Community Health Group | Community Health Group - Medi-Cal | $122.96 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | United Healthcare | United Healthcare - Medicare | $122.96 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Aetna | First Health - Leased/CCN | $123.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | United Healthcare | United Healthcare - HMO | $123.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Aetna | Aetna Whole Health | $123.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Medicare | Medicare | $123.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Aetna | Aetna - HMO/POS | $123.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Humana | Choice Care Network | $127.02 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Health Net | Health Net - Medi-Cal | $129.73 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Optum Health | Optum Health - Medicare | $129.73 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Humana | Choice Care Network | $129.73 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Multiplan | Multiplan | $130.70 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Cigna | Cigna - PPO | $130.70 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Molina | Molina - Cal Medi-Connect | $130.70 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Kaiser | Kaiser - Rehab | $130.70 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Indian Health Council | Indian Health Council | $130.70 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Blue Cross | Blue Cross - Standard | $130.70 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | Kaiser | Kaiser - Rehab | $130.70 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | Molina | Molina - Cal Medi-Connect | $130.70 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Cigna | Cigna - PPO | $130.70 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Indian Health Council | Indian Health Council | $131.67 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Kaiser | Kaiser - Rehab | $131.67 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Managed Health Network | MHN - Medicare | $131.67 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Blue Cross | Blue Cross - MCS | $131.67 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Indian Health Council | Indian Health Council | $131.67 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Medicare | Medicare | $131.67 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Cigna | Cigna - PPO | $133.60 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | United Healthcare | United Healthcare - PPO | $133.60 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Managed Health Network | MHN - Medicare | $133.60 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Allianz Global Assistance | AZGA Services Canada | $135.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Health Net | Health Net - PPO | $135.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Cross | Blue Cross - PPO | $135.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Inpatient | Health Net | Health Net Cal MediConnect | $135.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | San Diego Pace | San Diego Pace | $135.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Aetna | First Health - Direct | $135.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | United Healthcare | United Healthcare - Medicare | $135.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Aetna | First Health - Leased/CCN | $135.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Managed Health Network | MHN - Medicare | $135.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Allianz Global Assistance | AZGA Services Canada | $135.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Molina | Molina - Exchange | $135.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | San Diego Pace | San Diego Pace | $135.54 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Community Health Group | Community Health Group - Medi-Cal | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | County Medical Services | County of San Diego | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Interplan | Interplan | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Aetna | First Health - Leased/CCN | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Aetna | Aetna - HMO/POS | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Cigna | Cigna - PPO | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Blue Shield | Blue Shield - Promise | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Aetna | Aetna Whole Health | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Molina | Molina - Exchange | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Humana | Choice Care Network | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | Interplan | Interplan | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | Humana | Choice Care Network | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Humana | Choice Care Network | $145.22 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Cigna | Cigna - PPO | $149.10 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Cross | Blue Cross - Prudent Buyer | $149.10 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Kaiser | Kaiser - HMO | $149.10 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Inpatient | Cigna | Cigna - HMO | $149.10 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Inpatient | Aetna | First Health - Leased/CCN | $149.10 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Health Net | Health Net - Medi-Cal | $154.90 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Outpatient | Medicare | Medicare | $154.90 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Blue Cross | Blue Cross - PPO | $154.90 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Blue Cross | Blue Cross - PPO | $154.90 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CHULA VISTA MEDICAL CENTER Outpatient | Molina | Molina - Exchange | $154.90 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Blue Shield | Blue Shield - Promise | $154.90 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Outpatient | Health Net | Health Net - Medi-Cal | $154.90 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| Sharp Memorial Hospital-transplant Inpatient | Health Net | Health Net Individual - HMO | $158.78 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Community Health Group | Community Health Group - Cal Mediconnect | $158.78 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP MESA VISTA HOSPITAL Inpatient | Health Net | Health Net Individual - HMO | $158.78 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Blue Shield | Blue Shield - Promise | $174.27 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | California Health and Wellness | California Health and Wellness | $174.27 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| GROSSMONT HOSPITAL Outpatient | Medicare | Medicare | $174.27 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| SHARP CORONADO HOSPITAL AND HLTHCR CTR Outpatient | Epic Americas | AXA Assistance | $174.27 | $193.63 | $145.22 | 2026-04-01 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Private_Healthcare_Systems | PPO | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Humana_Health_Plan | HMO_Medicare | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Private_Healthcare_Systems | PPO | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Humana_Health_Plan | HMO_Medicare | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $104,227.09 | $52,113.54 | 2024-12-15 | 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.