5931 — Oxazepam 15 Mg Capsule
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). OXAZEPAM 15 MG CAPSULE (OTHER 5931) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/5931?code_type=OTHER
MLA (9th ed.)
“OXAZEPAM 15 MG CAPSULE (OTHER 5931) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/5931?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“OXAZEPAM 15 MG CAPSULE (OTHER 5931) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/5931?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $13–$7,436 (25th–75th percentile) across 54 hospitals · 144 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 5931 — 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 |
|---|---|---|---|---|---|---|---|
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $0.19 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $0.19 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Tx Childrens | Medicaid | $0.19 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $0.19 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $0.19 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Chc | Medicaid | $0.19 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Medicaid | $0.19 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $0.19 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Uhc | Medicaid | $0.19 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Superior | Medicaid | $0.19 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $0.38 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Cigna | Commercial | $0.38 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $0.49 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Hmo | $0.49 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Marketplace | $0.49 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Hmo | $0.49 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Aetna | Commercial Ppo | $0.49 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| HARRIS HEALTH Both | Molina | Marketplace | $0.49 | $0.75 | $0.75 | 2026-05-22 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $2.25 | $20.18 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Fidelis | Managedmedicaid | $2.25 | $20.18 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $2.35 | $20.18 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $2.35 | $20.18 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $2.35 | $20.18 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Managedmedicaid | $2.35 | $20.18 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Essentialplans1Thru4 | $2.35 | $20.18 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $2.35 | $20.18 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Managedmedicaid | $2.35 | $20.18 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | United | Managedmedicaid | $2.35 | $20.18 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $2.47 | $20.18 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidaliessa | $2.47 | $20.18 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $3.92 | $20.18 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Highmark | — | $3.92 | $20.18 | — | 2026-05-13 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $4.38 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $4.51 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $4.81 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $4.82 | $20.18 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Mvp | Essentialplans1Thru6 | $4.82 | $20.18 | — | 2026-05-23 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $5.03 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $5.29 | $20.18 | — | 2026-05-23 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Empire | Managedmedicaidnonaliessaessentialplans1Thru4 | $5.29 | $20.18 | — | 2026-05-13 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $5.32 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Healthsync | — | $5.32 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Hmo | — | $5.95 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Out Of State Blue Cross In Out Of State | — | $5.95 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Ppo | — | $5.95 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Federal | — | $5.95 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Healthsync | — | $6.05 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Core | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care Unitedhealthcare Shared Services | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Golden Rule Insurance | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Medical Resources United Medical Resources | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Choice | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care All Savers | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Choice | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Medical Resources United Medical Resources | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Navigate | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Core | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Unitedhealthcare Shared Services | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care United Medical Resources | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Hmo | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Medical Resources Umr-Wausau | — | $6.24 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Hmo | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care All Savers | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Navigate | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Medical Resources Umr-Wausau | — | $6.24 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Unitedhealthcare Shared Services | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Golden Rule Insurance | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care All Savers | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Core | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Choice | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Medical Resources Umr-Wausau | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Medical Resources United Medical Resources | — | $6.28 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Illinois St Anthony Healthnetwork Hmo | — | $6.50 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Federal | — | $6.76 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Hmo | — | $6.76 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Ppo | — | $6.76 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Out Of State Blue Cross In Out Of State | — | $6.76 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare | — | $6.92 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Ppo | — | $6.92 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Student Resources | — | $6.92 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Aetna Aetna | — | $7.38 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Qchp State Of Illinois | — | $7.38 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna | — | $7.38 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Oap/Pos State Of Illinois | — | $7.38 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Hmo/Pos | — | $7.38 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Meritain Health | — | $7.38 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Aetna Aetna Qchp State Of Illinois | — | $7.38 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Aetna Aetna Oap/Pos State Of Illinois | — | $7.38 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care Meritain Health | — | $7.38 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Aetna Aetna Choice Ppo | — | $7.38 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Aetna Aetna Hmo/Pos | — | $7.38 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Aetna Aetna Choice Ppo | — | $7.38 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Medical Resources United Medical Resources | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare Core | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare Choice | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Golden Rule Insurance | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Unitedhealthcare Shared Services | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Medical Resources Umr-Wausau | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care United Medical Resources | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care All Savers | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Medical Resources Umr-Darden | — | $7.79 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Cigna Cigna Oa Plus | — | $7.85 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care National Assoc Of Letter Carriers | — | $7.85 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare | — | $7.88 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Ppo | — | $7.88 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Medical Resources Umr-Wausau | — | $7.88 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Navigate | — | $7.88 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Choice | — | $7.88 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Golden Rule Insurance | — | $7.88 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Medical Resources United Medical Resources | — | $7.88 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care United Medical Resources | — | $7.88 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Unitedhealthcare Shared Services | — | $7.88 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Cigna Cigna Ppo | — | $8.23 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care National Assoc Of Letter Carriers | — | $8.28 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Cigna Cigna Ppo | — | $8.28 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Cigna Cigna Oa Plus | — | $8.28 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Managed Care Phcs Generic | — | $8.41 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care Phcs Generic | — | $8.41 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Humana Humana Choice Pos | — | $8.58 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Humana Humana Choice Care | — | $8.58 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Humana Humana Choice Pos | — | $8.58 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare Ppo | — | $8.66 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | United Healthcare United Healthcare | — | $8.66 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Cigna Cigna Oa Plus | — | $8.93 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Sagamore Plus | — | $8.93 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Cigna Cigna Ppo | — | $8.93 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care National Assoc Of Letter Carriers | — | $8.93 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Meritain Health | — | $8.96 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Oap/Pos State Of Illinois | — | $8.96 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Hmo/Pos | — | $8.96 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Choice Ppo | — | $8.96 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna | — | $8.96 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Ppo | — | $9.06 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Choice Care | — | $9.06 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Humana Humana Choice Pos | — | $9.06 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Aetna Aetna | — | $9.18 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Aetna Aetna Hmo/Pos | — | $9.18 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Aetna Aetna Choice Ppo | — | $9.18 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Meritain Health | — | $9.18 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Aetna Aetna Oap/Pos State Of Illinois | — | $9.18 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Traditional Indemnity | — | $9.43 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare Ppo | — | $9.75 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare Ppo | — | $9.75 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Hammond Clinic Attn Hmo | — | $9.75 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Illinois Hmo Illinois | — | $9.75 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Illinois Blue Advantage Hmo | — | $9.75 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Hmo Illinois | — | $9.75 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Blue Advantage Hmo | — | $9.75 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH DYER | United Healthcare United Healthcare | — | $9.75 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | United Healthcare United Healthcare | — | $9.75 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Lutheran Preferred | — | $10.14 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH DYER | Blue Cross Illinois Blue Cross Blue Shield Il Ppo | — | $10.27 | $13.00 | $3.69 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Phcs Generic | — | $10.53 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Sagamore Plus | — | $10.73 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| FRANCISCAN HEALTH MICHIGAN CITY | Managed Care Phcs Generic | — | $11.00 | $13.00 | $3.39 | 2026-08-01 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $11.10 | $20.18 | — | 2026-05-13 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR Both | Cdphp | Commercial | $11.10 | $20.18 | — | 2026-05-23 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Iu Health Encore | — | $11.70 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Allied Benefit Systems | — | $11.70 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Encore Health Network | — | $11.70 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Encore Ppo | — | $11.70 | $13.00 | $3.37 | 2026-07-31 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL | Medicare | — | $12.15 | $37.38 | $9.35 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Medicare Part B | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Aetna Medicare Replacement | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Medicare Part A Only | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Anthem Bc Medicare Replacement | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care Caresource Marketplace | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care National Assoc Of Letter Carriers | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Mdwise Excel Hip | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Medicare Part A & B | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Cigna Cigna Oa Plus | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Cigna Cigna Ppo | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Mdwise Excel Hhw | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Blue Cross Out Of State Blue Cross In Out Of State | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care Allied Benefit Systems | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Medicaid Hosp Presumptive Elig | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicaid Medicaid In Traditional | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Managed Care Ambetter | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Humana Gold Plus Mc Replacement | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellcare By Allwell | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicaid Mdwise Excel Hip | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Franciscan Alliance Emp | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Medicaid Package E Only | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid United Healthcare Care Connect | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Gold Plus Mc Replacement | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Workers Comp Generic Indiana | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicaid Medicaid Hosp Presumptive Elig | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH MUNSTER | Medicare Replacement Humana Medicare Choice Pffs | — | $13.00 | $13.00 | $3.51 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Medicare Replacement Ins | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Iu Health Plans Mc Replacement | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Optum Medicare Replacement | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Caresource Hip | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Anthem Medicaid | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Medicaid In Traditional | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Anthem Healthy Indiana Plan | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicaid Caresource Hhw | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Aetna Medicare Replacement | — | $13.00 | $13.00 | $3.56 | 2026-07-30 | 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.