59148001871 — Aripiprazole 300 Mg (abilify Maintena)
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ARIPIPRAZOLE 300 MG (ABILIFY MAINTENA) (NDC 59148001871) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/59148001871?code_type=NDC
MLA (9th ed.)
“ARIPIPRAZOLE 300 MG (ABILIFY MAINTENA) (NDC 59148001871) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/59148001871?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“ARIPIPRAZOLE 300 MG (ABILIFY MAINTENA) (NDC 59148001871) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/59148001871?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,278–$4,134 (25th–75th percentile) across 5 hospitals · 46 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 59148001871 — 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 |
|---|---|---|---|---|---|---|---|
| HOLZER MEDICAL CENTER Both | The Health Plan Medicare | Securecare | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicare | Wellcare | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicare | Trad | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Duals | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Ppo | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Hmo | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medical Mutual Medicare | Mcradv | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Ppo | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Wvdsnp | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Ppo | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Valor Health Plans | Isnp | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Wv Senior Adv | Isnp | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Hmo | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Hmo | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Ppo | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Pos | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Trad | $7.07 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Exchange | Hmo | $9.90 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | FIRST MCO | WORKERS COMP | $250.00 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | MAGNACARE | ALL PRODUCTS | $1,001.70 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthypremier | $1,005.37 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthy | $1,005.37 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | OHIO HEALTH CHOICE | ALL PLANS | $1,425.68 | $7,128.40 | $3,421.63 | 2026-01-01 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiouniv | $1,759.39 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $1,904.89 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $1,947.75 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE ADVANTAGE | $1,947.75 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | WORKERS COMP | $2,148.09 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | PERSONAL INJURY | $2,192.61 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | BEHAVIORAL HEALTH MEDICAID | $2,232.68 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | BEHAVIORAL HEALTH | $2,247.15 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID_YOUTH-YOUNG ADULT | $2,277.76 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICAID ADV_YOUTH-YOUNG ADULT | $2,277.76 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | WELLCARE | MEDICAID_YOUTH-YOUNG ADULT | $2,277.76 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID_YOUTH-YOUNG ADULT | $2,277.76 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID | $2,277.76 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID | $2,277.76 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | WELLCARE | MEDICAID | $2,277.76 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICAID | $2,277.76 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | FRESENIUS | MEDICARE ADVANTAGE | $2,504.25 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Medicaid | Hmo | $2,516.95 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicaid | Trad | $2,516.95 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicaid | Hmo | $2,516.95 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Exchange | Hmo | $2,533.52 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Molina Medicaid | Hmo | $2,592.46 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Unison Medicaid | Hmo | $2,592.46 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem Exchange | Pathway X Hmo | $2,603.18 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Paramount Medicaid | Hmo | $2,642.80 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicaid | Hmo | $2,642.80 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicaid | Hmo | $2,642.80 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Exchange | Ppo | $2,669.25 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem Exchange | Pathway X Ppo | $2,742.91 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | ALL PRODUCTS | $2,782.51 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $2,782.51 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Preferred Ppo | $2,875.35 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Blue Access Ppo | $2,875.35 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Blue Trad | $2,940.69 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Access | $2,955.10 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Preferred | $2,955.10 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Traditional | $3,022.38 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | VitalCore Physicians Group of MI | All Products | $3,174.82 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | McLaren Health | Commercial HMO | $3,188.79 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare | Ppo | $3,267.44 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Hmo | $3,267.44 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare | Pos | $3,267.44 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Ppo | $3,267.44 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Pos | $3,267.44 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medbenemp | Ppo | $3,267.44 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | Jackson County Offiice of the Sheriff | Jackson County Jail | $3,301.81 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Ppo | $3,363.95 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Hmo | $3,363.95 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Pos | $3,363.95 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | United Healthcare | Ppo | $3,363.95 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Medben | Direct Agreement | $3,363.95 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | United Healthcare | Pos | $3,363.95 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Cigna Comm | Ppo | $3,669.58 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Health Choice | Phcplus | $3,770.12 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Healthsmart Comm | Accel | $3,770.12 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Assc Benefits Solution | Direct Agreement | $3,770.12 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Cigna | Ppo | $3,777.97 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Immergrun Inc | ALL PRODUCTS | $3,809.78 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Mmo Comm | Ppo | $3,870.66 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Mmo Comm | Hmo | $3,870.66 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Mmo Marketplace | Hmo | $3,870.66 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Accel | $3,881.47 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Association Benefit Solutions | Direct Agreement | $3,881.47 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Ohio Health Choice | Phc-Plus | $3,881.47 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | MANAGED CARE | $3,895.51 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Quality Care Partners | Ppo | $3,920.93 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | HAP | HMO/AHL | $3,936.78 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo | Ppo | $3,984.98 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo | Hmo | $3,984.98 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo Marketplace | Hmo | $3,984.98 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Ppo | $4,021.46 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Hmo | $4,021.46 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Pos | $4,021.46 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Aso | $4,021.46 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Quality Care Partners | Ppo | $4,036.73 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Quality Care Partners Marketplace | Antidote Health | $4,036.73 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | INDEMNITY/PPO | $4,118.11 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | AETNA | ALL PRODUCTS | $4,127.27 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Aso | $4,140.24 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Ppo | $4,140.24 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Pos | $4,140.24 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Hmo | $4,140.24 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER BothFacility | LOCAL 734 | ALL PRODUCTS | $4,173.76 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | University of Michigan | ALL PRODUCTS | $4,444.75 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER BothFacility | CIGNA | BEHAVIORAL HEALTH | $4,452.01 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Traditional | $4,524.14 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Hmo | $4,524.14 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Pos | $4,524.14 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Ppo | $4,524.14 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Epos | $4,524.14 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Ppo | $4,657.77 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Epos | $4,657.77 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Pos | $4,657.77 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Hmo | $4,657.77 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Traditional | $4,657.77 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | United HealthCare Insurance Company | ALL PRODUCTS | $4,698.73 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | UHC | ALL PRODUCTS | $4,698.73 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER BothFacility | INTERGROUP | ALL PRODUCTS | $4,730.26 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Multiplan Comm | Ppo | $4,775.49 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Health Choice | Ppo | $4,775.49 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Healthsmart Comm | Ppo | $4,775.49 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Healthsmart Comm | Hpo | $4,775.49 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Phcs | Ppo | $4,825.75 | $5,027.00 | $2,513.41 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Ppo | $4,916.53 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Ohio Health Choice | Ppo | $4,916.53 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Hpo | $4,916.53 | $5,175.30 | $2,587.65 | 2026-07-15 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | HMO | $5,565.01 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | QUALCARE | PPO | $5,565.01 | $5,565.01 | $1,919.93 | 2025-12-29 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | Priority Cigna | ALL PRODUCTS | $5,665.15 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | Cofinity Group Health | ALL PRODUCTS | $5,714.68 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | MULTIPLAN, INC. | ALL PRODUCTS | $5,714.68 | $6,349.64 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | FrontPath | ALL PRODUCTS | $5,714.68 | $6,349.64 | — | 2025-06-28 | MRF ↗ |