61958210101 — Emtricitab-rilpivir-tenofov Af 200-25-25 Mg Po Tabs
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). EMTRICITAB-RILPIVIR-TENOFOV AF 200-25-25 MG PO TABS (NDC 61958210101) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/61958210101?code_type=NDC
MLA (9th ed.)
“EMTRICITAB-RILPIVIR-TENOFOV AF 200-25-25 MG PO TABS (NDC 61958210101) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/61958210101?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“EMTRICITAB-RILPIVIR-TENOFOV AF 200-25-25 MG PO TABS (NDC 61958210101) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/61958210101?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $109–$580 (25th–75th percentile) across 72 hospitals · 253 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 61958210101 — 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 MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $363.82 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $363.82 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $363.82 | — | 2025-06-28 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-PPO | $6.30 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-PPO | $6.30 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-HMO | $7.31 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $7.31 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-HMO | $7.31 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | BCBS | Medicare Advantage-HMO | $8.33 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | BCBS | Medicare Advantage-PPO | $8.33 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Aetna | All Products | $8.78 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | Medicare Advantage | $9.75 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | Medicare Advantage | $9.75 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Gatorcare | $11.99 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Gatorcare | $11.99 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | WellCare of Florida | Medicare Advantage/HMO/POS/SNP | $12.19 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | WellCare of Florida | Medicare Advantage/HMO/POS/SNP | $12.19 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Blue Select PPO | $12.45 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Blue Select PPO | $12.45 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | SimplyBlue Commercial | $12.86 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | MyBlue HMO | $12.86 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | MyBlue HMO | $12.86 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | SimplyBlue Commercial | $12.86 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | My Blue | $14.75 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Health Care Plan | MEDICARE HMO | $15.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Health Care Plan | MEDICARE HMO | $15.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | UAA | Student Athletes | $15.48 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Commercial-HMO | $15.52 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Commercial-HMO | $15.52 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | CUF | $15.97 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | JUF | $15.97 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | PPO | $15.97 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | CUF | $15.97 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | PPO | $15.97 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | NWB | $15.97 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | JUF | $15.97 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | NWB | $15.97 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | PPO | $16.09 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | PHS | $16.09 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | Network Blue | $16.09 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | Simply Blue | $16.09 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Aetna Better Health | Medicaid HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | AmeriHealth Caritas Florida | Medicaid HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Simply Healthcare | Fl Healthy Kids | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Molina | Medicaid HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Devoted Health Plan | MEDICARE HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Devoted Health Plan | Medicare PPO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Simply Healthcare | MCD HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | Healthy Kids | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Simply Healthcare | MCD HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Humana | MANAGED MEDICAID | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | Healthy Kids | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | MEDICAID HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Sunshine State Health Plan | Medicaid HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Simply Healthcare | MCD HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AMBETTER | ALL PRODUCTS | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Devoted Health Plan | Medicare HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | MOLINA | MEDICAID HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Devoted Health Plan | MEDICARE HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | MEDICAID HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Aetna Better Health | Healthy Kids | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AMBETTER | ALL PRODUCTS | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Ambetter | All Products | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | MOLINA | MEDICAID HMO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Devoted Health Plan | Medicare PPO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Devoted Health Plan | Medicare PPO | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Simply Healthcare | Fl Healthy Kids | $16.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | UHC | HMO/PPO/POS/INDEMNITY | $16.98 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | UHC | HMO/PPO/POS/INDEMNITY | $16.98 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Volusia Health Network | PPO/EPO | $17.06 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Volusia Health Network | PPO/EPO | $17.06 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | Gatorcare | $17.41 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | PHS | $17.56 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | PPS | $17.56 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | PPS | $17.56 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | PHS | $17.56 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL BothFacility | AVMED | All Products | $17.76 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Northeast Florida State Hospital | NEFSH Self Insured | $17.88 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Northeast FL Hospital | Self Insured | $17.88 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Northeast Florida State Hospital | NEFSH Self Insured | $17.88 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Beacon Health Strategies | Medicare | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Positive Healthcare Partners | MEDICARE HMO | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AmeriHealth Caritas Florida | MEDICAID HMO | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Careplus Health Plan | MEDICARE ADVANTAGE | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL BothFacility | Humana | ALL PRODUCTS | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Beacon Health Strategies | Medicare | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Positive Healthcare Partners | Ryan White Members | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AmeriHealth Caritas Florida | MEDICAID HMO | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Positive Healthcare Partners | MEDICARE HMO | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Positive Healthcare Partners | Ryan White Members | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | AHF MCO OF FL | Medicare HMO (SPN) | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Careplus | MEDICARE ADV.-HMO | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE BothFacility | Humana | ALL PRODUCTS | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Careplus Health Plan | MEDICARE ADVANTAGE | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Positive Healthcare Partners | Ryan White Members | $18.28 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | CARELON HEALTH | MEDICARE ADVANTAGE | $18.83 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | North Florida Evaluation & Treatment Center | NFETC Self Insured | $19.10 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | North Florida Evaluation & Treatment Center | NFETC Self Insured | $19.10 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | HMO | $19.10 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | HMO | $19.10 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | Blue Select PPO | $19.45 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | HMO | $20.09 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | HMO | $20.09 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Health Care Plan | HMO | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Capital Health Plan | HMO | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Florida Health Care Plan | HMO | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Community Care Plan | Florida Healthy Kids- Medicaid HMO | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Community Care Plan | Florida Healthy Kids | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Community Care Plan | MEDICAID HMO | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Complete Care | MEDICARE HMO | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | WellPath | Inmate Services | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Complete Care | MEDICARE HMO | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | WellPath | Inmate Services | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Community Care Plan | MEDICAID HMO | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Freedom Health- Inc./Optimum HealthCare- Inc. | Medicare Advantage | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Capital Health Plan | HMO | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | WellPath | Inmate Services | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Community Care Plan | Florida Healthy Kids | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Health Care Plan | HMO | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Capital Health Plan | Commercial | $20.32 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | PPO | $20.60 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | CUF | $20.60 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | JUF | $20.60 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | JUF | $20.60 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | NWB | $20.60 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | PPO | $20.60 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | NWB | $20.60 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | CUF | $20.60 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | Empower | MANAGED MEDICAID | $21.00 | $141.00 | — | 2025-07-01 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | EPO | $21.13 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL InpatientFacility | AVMED | All Products | $21.13 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | EPO | $21.13 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | Commercial-HMO | $21.38 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| ST JUDE CHILDRENS RESEARCH HOSPITAL OutpatientFacility | HealthCare Connections LA | MANAGED MEDICAID | $21.50 | $141.00 | — | 2025-07-01 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | NWB- PPO- CUF- JUF | $21.78 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | CENTIVO | PPO | $22.35 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | CENTIVO | PPO | $22.35 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | BCBS | Gatorcare | $22.68 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | BCBS | Gatorcare | $22.68 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $22.73 | $378.81 | $148.00 | 2026-07-15 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $22.73 | $378.81 | $148.00 | 2026-07-15 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | PPO | $22.75 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | PPO | $22.75 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | POS | $22.82 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | POS | $22.82 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | Select and Entrust Networks | $22.82 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | Select and Entrust Networks | $22.82 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | HMO | $22.82 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | EPN | $22.82 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | HMO | $22.82 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | AVMED | Select and Entrust Network | $22.82 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | EPN | $22.82 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | BCBS | NWB- PPO- CUF- JUF | $23.54 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | BCBS | MyBlue HMO- SimplyBlue Commercial | $23.67 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | BCBS | MyBlue HMO- SimplyBlue Commercial | $23.67 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | BCBS | Blue Select PPO | $23.98 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | BCBS | Blue Select PPO | $23.98 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Disney Cruise Line | PPO | $24.38 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Disney Cruise Line | PPO | $24.38 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | BCBS | NWB- PPO- CUF- JUF | $24.41 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | CIGNA | HMO | $25.17 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | CIGNA | PPO | $25.17 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | CIGNA | PPO | $25.17 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | CIGNA | HMO | $25.17 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | PHS-PPS | $25.41 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | AVMED | All Products | $25.78 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | Health First Health Plan | Medicare Adv HMO | $26.41 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL BothFacility | Aetna Health | ALL PRODUCTS | $26.41 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Mental Health Associates | Behavioral Health | $26.41 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | Health First Health Plan | Medicare Adv HMO | $26.41 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Mental Health Associates | Behavioral Health | $26.41 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL BothFacility | Aetna Health | ALL PRODUCTS | $27.20 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE BothFacility | Aetna Health | ALL PRODUCTS | $27.20 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE BothFacility | Cigna | ALL PRODUCTS | $28.16 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL BothFacility | Cigna | ALL PRODUCTS | $28.16 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Prime Health Services | Inmate Services | $28.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Health First Health Plan | ALL PRODUCTS | $28.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Health First | Medicare Advantage | $28.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Health First Health Plan | Medicare Adv HMO | $28.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Health First | All Products | $28.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | MOLINA | Exchange | $28.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | MOLINA | Exchange | $28.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Health First Health Plan | Medicare Adv HMO | $28.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Prime Health Services | Correctional Facility Clinic | $28.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Prime Health Services | Correctional Facility Clinic | $28.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Health First Health Plan | ALL PRODUCTS | $28.44 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Florida Health Alliance | PPO | $29.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Florida Health Alliance | PPO | $29.25 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Cigna | ALL PRODUCTS | $30.29 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Rockport Provider | WORKERS COMP | $30.47 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Archbold Medical Center | PPO | $30.47 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | GENEX | WORKERS COMP | $30.47 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Prime Health Services | WORKERS COMP | $30.47 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Rockport Provider | WORKERS COMP | $30.47 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | GENEX | Workers Comp | $30.47 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Prime Health Services | WORKERS COMP | $30.47 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Archbold Medical Center | PPO | $30.47 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | GENEX | WORKERS COMP | $30.47 | $40.63 | $22.35 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Archbold Medical Center | PPO | $30.47 | $40.63 | $22.35 | 2026-03-31 | 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.