59676080030 — Darunavir-cobi-emtri-tenof Ala 800-150-200-10 Mg Tab 30 Each Bottle
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). DARUNAVIR-COBI-EMTRI-TENOF ALA 800-150-200-10 MG TAB 30 EACH BOTTLE (NDC 59676080030) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/59676080030?code_type=NDC
MLA (9th ed.)
“DARUNAVIR-COBI-EMTRI-TENOF ALA 800-150-200-10 MG TAB 30 EACH BOTTLE (NDC 59676080030) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/59676080030?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“DARUNAVIR-COBI-EMTRI-TENOF ALA 800-150-200-10 MG TAB 30 EACH BOTTLE (NDC 59676080030) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/59676080030?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $245–$755 (25th–75th percentile) across 69 hospitals · 181 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 59676080030 — 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 |
|---|---|---|---|---|---|---|---|
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $473.19 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $473.19 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $473.19 | — | 2025-06-28 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Empower | MANAGED MEDICAID | $21.00 | $170.00 | — | 2025-07-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | HealthCare Connections LA | MANAGED MEDICAID | $25.93 | $170.00 | — | 2025-07-01 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $29.55 | $492.56 | $192.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $29.55 | $492.56 | $192.00 | 2026-07-15 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Healthy Blue | MANAGED MEDICAID | $42.50 | $170.00 | — | 2025-07-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $198.68 | $168.88 | 2026-07-15 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $198.68 | $168.88 | 2026-07-17 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $198.68 | $168.88 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $198.68 | $168.88 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uhc | Quest | $60.00 | $492.56 | $192.00 | 2026-07-15 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | Managed Medicaid | $66.88 | $806.00 | — | 2025-12-02 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | UHC | CHIP | $66.88 | $806.00 | — | 2025-12-02 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $275.83 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - DOWNEY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| ORO VALLEY HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-18 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-15 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $275.83 | 2026-07-17 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | WellCare | Medicare Advantage | $90.33 | $473.19 | — | 2025-06-28 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | — | $492.56 | $369.42 | 2026-07-15 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Health Choice - OK | ALL PRODUCTS | $102.00 | $170.00 | — | 2025-07-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL InpatientFacility | Vantage | PPO | $102.00 | $170.00 | — | 2025-07-01 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| ORO VALLEY HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-15 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - DOWNEY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $256.13 | 2026-07-17 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | OHIO HEALTH CHOICE | ALL PLANS | $102.91 | $514.55 | $246.98 | 2026-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $104.97 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR BothFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $104.97 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $104.97 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $104.97 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $104.97 | $699.78 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE | $104.97 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST BothFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $104.97 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | Medicare PPO | $104.97 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | BLUE CROSS | BlueMedicare HMO | $104.97 | $699.78 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South BothFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $104.97 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST BothFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $104.97 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE BothFacility | AMERIHEALTH CARITAS | NEXT EXCHANGE-Ped | $104.97 | $699.78 | — | 2025-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | — | $492.56 | $369.42 | 2026-07-15 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $110.06 | $550.31 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $110.06 | $550.31 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $110.06 | $550.31 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $110.06 | $550.31 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MAP | $110.06 | $550.31 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Small Group | $110.06 | $550.31 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | Medicare Advantage PPO | $110.06 | $550.31 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | MEDICARE ADVANTAGE | $110.06 | $550.31 | — | 2025-09-05 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $110.50 | $170.00 | — | 2025-07-01 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | EXCHANGE | $111.27 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | UNITED | EXCHANGE | $111.27 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | UNITED | EXCHANGE | $111.27 | $699.78 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | UNITED | EXCHANGE | $111.27 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | UNITED | EXCHANGE | $111.27 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | EXCHANGE | $111.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | MOLINA | EXCHANGE | $111.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | MOLINA | EXCHANGE | $111.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | MOLINA | EXCHANGE | $111.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | MOLINA | EXCHANGE | $111.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | MyBlue | $112.73 | $699.78 | — | 2025-07-30 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL BothFacility | Vantage | PPO | $113.90 | $170.00 | — | 2025-07-01 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AVMED | Medicare | $118.26 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AVMED | Medicare | $118.26 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AVMED | Medicare | $118.26 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AVMED | Medicare | $118.26 | $699.78 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AVMED | Medicare | $118.26 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | CIGNA | EXCHANGE | $118.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | CIGNA | EXCHANGE | $118.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | EXCHANGE | $118.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | CIGNA | EXCHANGE | $118.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | EXCHANGE | $118.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | BLUE SELECT | $118.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL BothFacility | Tricare East | PPO | $119.00 | $170.00 | — | 2025-07-01 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $121.37 | $473.19 | — | 2025-06-28 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Optum Health | ALL PRODUCTS | $122.40 | $170.00 | — | 2025-07-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE BothFacility | Aetna Better Health | Healthy Kids | $125.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Home State Health | MANAGED MEDICAID | $127.50 | $170.00 | — | 2025-07-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $127.50 | $170.00 | — | 2025-07-01 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | Medicare Advantage PPO | $128.96 | $806.00 | — | 2025-12-02 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | Simply Blue | $131.49 | $699.78 | — | 2025-07-30 | MRF ↗ |
| Wyoming County Community Hospital Inpatient | Molina Healthcare | Medicaid | — | $551.00 | $385.70 | 2026-07-17 | MRF ↗ |
| Wyoming County Community Hospital Inpatient | Amerigroup | Managed Medicaid | — | $551.00 | $385.70 | 2026-07-17 | MRF ↗ |
| Wyoming County Community Hospital Inpatient | Wellcare | Commercial | — | $551.00 | $385.70 | 2026-07-17 | MRF ↗ |
| Wyoming County Community Hospital Inpatient | Excellus Health | Medicaid Managed | — | $551.00 | $385.70 | 2026-07-17 | MRF ↗ |
| Wyoming County Community Hospital Inpatient | Fidelis | Managed Medicaid | — | $551.00 | $385.70 | 2026-07-17 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL BothFacility | Private Health Care Systems | ALL PRODUCTS | $136.00 | $170.00 | — | 2025-07-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | HMO | $136.04 | $699.78 | — | 2025-07-30 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $137.58 | $550.31 | — | 2025-09-05 | MRF ↗ |
| KINGS COUNTY HOSPITAL CENTER OutpatientFacility | Healthfirst | EXCHANGE | $137.58 | $550.31 | — | 2025-09-05 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Medicare PPO | $139.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Solis Health Plan | Medicare | $139.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Solis Health Plan | Medicare | $139.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | Medicare PPO | $139.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Solis Health Plan | Medicare | $139.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | BlueMedicare HMO | $139.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | BLUE CROSS | BlueMedicare HMO | $139.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Solis Health Plan | Medicare | $139.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Solis Health Plan | Medicare | $139.96 | $699.78 | — | 2025-07-30 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $198.68 | $168.88 | 2026-07-15 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | — | $198.68 | $168.88 | 2026-07-17 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $141.96 | $473.19 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $141.96 | $473.19 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MOLINA | MARKETPLACE | $141.96 | $473.19 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $141.96 | $473.19 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $141.96 | $473.19 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $141.96 | $473.19 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $141.96 | $473.19 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | MOLINA | MARKETPLACE | $141.96 | $473.19 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $141.96 | $473.19 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $142.90 | $473.19 | — | 2025-06-28 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | MS Physicians Care Network | ALL PRODUCTS | $144.50 | $170.00 | — | 2025-07-01 | MRF ↗ |
| LAKESIDE MEDICAL CENTER OutpatientFacility | BCBS | Medicare Advantage HMO | $145.08 | $806.00 | — | 2025-12-02 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Aetna Better Health | Healthy Kids | $146.95 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids | $146.95 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR BothFacility | Aetna Better Health | Healthy Kids-Ped | $146.95 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST BothFacility | Aetna Better Health | Healthy Kids-Ped | $146.95 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Aetna Better Health | Healthy Kids | $146.95 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST BothFacility | Aetna Better Health | Healthy Kids-Ped | $146.95 | $699.78 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South BothFacility | Aetna Better Health | Healthy Kids-Ped | $146.95 | $699.78 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Aetna Better Health | Healthy Kids | $146.95 | $699.78 | — | 2025-07-30 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL BothFacility | First Health CCN | ALL PRODUCTS | $153.00 | $170.00 | — | 2025-07-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | CIGNA | PPO | $153.00 | $170.00 | — | 2025-07-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL BothFacility | HEALTHSCOPE BENEFITS INC | ALL PRODUCTS | $153.00 | $170.00 | — | 2025-07-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL BothFacility | Health Link Mississippi | ALL PRODUCTS | $153.00 | $170.00 | — | 2025-07-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL BothFacility | Baptist Health | ALL PRODUCTS | $153.00 | $170.00 | — | 2025-07-01 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL BothFacility | Health Choice | ALL PRODUCTS | $153.00 | $170.00 | — | 2025-07-01 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | BlueMedicare HMO | $160.95 | $699.78 | — | 2025-07-30 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | BLUE CROSS | Medicare PPO | $160.95 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | BLUE CROSS | NetworkBlue/BlueOptions | $165.78 | $699.78 | — | 2025-07-30 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | WellCare | Medicare Advantage | $169.69 | $473.19 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL InpatientFacility | Cofinity Group Health | New Business All Products | $173.66 | $473.19 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | Cofinity Group Health | New Business All Products | $174.13 | $473.19 | — | 2025-06-28 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $174.95 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $174.95 | $699.78 | — | 2025-07-30 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | Aetna Better Health | Healthy Kids-Ped | $174.95 | $699.78 | — | 2025-07-30 | 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.