5913723101 — Gleolan 30 Mg/ml Oral Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GLEOLAN 30 MG/ML ORAL SOLUTION (NDC 5913723101) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5913723101?code_type=NDC
MLA (9th ed.)
“GLEOLAN 30 MG/ML ORAL SOLUTION (NDC 5913723101) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5913723101?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“GLEOLAN 30 MG/ML ORAL SOLUTION (NDC 5913723101) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5913723101?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,229–$8,150 (25th–75th percentile) across 20 hospitals · 171 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 5913723101 — 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 |
|---|---|---|---|---|---|---|---|
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | $2.00 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | OPTUM HEALTH | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UPMC | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | KEYSTONE FIRST | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | OPTUM HEALTH | ALL PRODUCTS | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MARKETPLACE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | IBC | MEDICARE ADVANTAGE | $312.62 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | BEHAVIORAL | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | MAGELLAN HEALTHY CHOICES | CAMBRIA COUNTY | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | BLUE DISTINCTION | TRANSPLANTS | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | MAGELLAN HEALTHY CHOICES | MONTGOMERY COUNTY | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | GEISINGER | ALL PRODUCTS | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | MAGELLAN HEALTHY CHOICES | NORTHAMPTON COUNTY | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | ALL PRODUCTS | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | ALL PRODUCTS | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | EMBLEM | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HUMANA | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | MAGELLAN HEALTHY CHOICES | BUCKS COUNTY | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | MAGELLAN HEALTHY CHOICES | LEHIGH COUNTY | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMBETTER | ALL PRODUCTS | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK BLUE SHIELD | CHIP | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | COMMUNITY CARE BEHAVIORAL HEALTH | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | CHIP | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CIGNA | HEALTHSPRING | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $25,568.00 | $16,619.20 | 2025-01-01 | MRF ↗ |
| HOLY CROSS HOSPITAL OutpatientFacility | AvMed | All Products | $323.00 | $25,568.00 | $16,619.20 | 2025-01-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMBETTER | ALL PRODUCTS | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | EMBLEM | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | CHIP | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | ALL PRODUCTS | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | EMBLEM | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | ALL PRODUCTS | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | POPULYTICS | ALL PRODUCTS | $337.18 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HUMANA | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | CHIP | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MARKETPLACE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CIGNA | HEALTHSPRING | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | POPULYTICS | ALL PRODUCTS | $337.18 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | ALL PRODUCTS | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HUMANA | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK BLUE SHIELD | ALL PRODUCTS | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMBETTER | ALL PRODUCTS | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GEISINGER | MARKETPLACE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | IBC | MEDICARE ADVANTAGE | $345.72 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | CHIP | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | EMBLEM | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | POPULYTICS | ALL PRODUCTS | $354.99 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UNITED HEALTHCARE | ALL PRODUCTS | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | FIRST PRIORITY HEALTH | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HUMANA | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | PPO | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | CHIP | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | HIGHMARK BLUE SHIELD | TRADITIONAL | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AMBETTER | ALL PRODUCTS | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | MEDICARE ADVANTAGE | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | CIGNA | HEALTHSPRING | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | GEISINGER | ALL PRODUCTS | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | UPMC | MANAGED MEDICAID | — | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | POPULYTICS | ALL PRODUCTS | $372.80 | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | POPULYTICS | ALL PRODUCTS | $372.80 | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | POPULYTICS | ALL PRODUCTS | $392.57 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | POPULYTICS | ALL PRODUCTS | $396.77 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | POPULYTICS | ALL PRODUCTS | $428.55 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | POPULYTICS | ALL PRODUCTS | $428.55 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | POPULYTICS | ALL PRODUCTS | $438.78 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | COMMUNITY CARE BEHAVIORAL HEALTH | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UPMC | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | PA HEALTH & WELLNESS (ALLWELL) | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AMBETTER | ALL PRODUCTS | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | PA HEALTH & WELLNESS | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AETNA | MANAGED MEDICAID | $446.92 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK BLUE SHIELD | ACA NARROW NETWORK | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK BLUE SHIELD | ALL PRODUCTS | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK BLUE SHIELD | CHIP | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | JEFFERSON HEALTH PARTNERS | ALL PRODUCTS | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $446.92 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | EMBLEM | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AMERIHEALTH CARITAS | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK BLUE SHIELD | TIERED PRODUCTS (COALITION) | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HUMANA | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UNITED HEALTHCARE | CHIP | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AMERIHEALTH | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | ALL PRODUCTS | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK BLUE SHIELD | MEDICARE ADVANTAGE | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GEISINGER | MANAGED MEDICAID | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CIGNA | HEALTHSPRING | — | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $446.92 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | POPULYTICS | ALL PRODUCTS | $473.82 | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | POPULYTICS | ALL PRODUCTS | $473.82 | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $494.14 | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MANAGED MEDICAID | $494.14 | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AETNA | MANAGED MEDICAID | $494.14 | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | POPULYTICS | ALL PRODUCTS | $504.28 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AETNA | MANAGED MEDICAID | $525.90 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AETNA | MANAGED MEDICAID | $525.90 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | POPULYTICS | ALL PRODUCTS | $557.68 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | POPULYTICS | ALL PRODUCTS | $570.61 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | AETNA | MANAGED MEDICAID | $581.59 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | AETNA | MANAGED MEDICAID | $581.59 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | CHIP | $584.34 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | POPULYTICS | ALL PRODUCTS | $586.38 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - DICKSON CITY Outpatient | POPULYTICS | ALL PRODUCTS | $631.03 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | IBC | HMO | $645.69 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | UNITED HEALTHCARE | CHIP | $646.21 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL - HAZLETON Outpatient | POPULYTICS | ALL PRODUCTS | $648.47 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | IBC | HMO | $658.84 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $662.93 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $662.93 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | IBC | HMO | $714.06 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | IBC | HMO | $728.60 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $732.97 | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | CAPITAL BLUE CROSS | CHIP | $732.97 | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | CHIP | $783.35 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $790.61 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $800.54 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | POPULYTICS | ALL PRODUCTS | $803.46 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $842.62 | $2,921.69 | $1,460.85 | 2025-08-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | AETNA | MEDICARE ADVANTAGE | $844.18 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MEDICARE ADVANTAGE | $844.18 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | AETNA | MEDICARE ADVANTAGE | $844.18 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | CAPITAL BLUE CROSS | CHIP | $866.11 | $2,745.21 | $1,372.61 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UPMC | MEDICARE ADVANTAGE | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | UPMC | SNP | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | GATEWAY | MEDICARE ADVANTAGE | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | DEVOTED HEALTH | MEDICARE ADVANTAGE | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | SNP | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MEDICARE ADVANTAGE | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | SNP | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | UPMC | MEDICARE ADVANTAGE | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GATEWAY | MEDICARE ADVANTAGE | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | GATEWAY | MEDICARE ADVANTAGE | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| CHP-LVHN JV, LLC d/b/a Lehigh Valley Hospital - Gilbertsville Outpatient | HIGHMARK WHOLECARE/GATEWAY | MANAGED MEDICAID | $869.01 | $2,482.89 | $1,241.45 | 2026-07-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $874.32 | $3,231.06 | $1,615.53 | 2025-08-01 | MRF ↗ |
| LEHIGH VALLEY HOSPITAL Outpatient | CAPITAL BLUE CROSS | CHIP | $885.31 | $3,231.06 | $1,615.53 | 2025-08-01 | 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.