63323-877-15 — Pentamidine Isethionate 300 Mg In Solr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PENTAMIDINE ISETHIONATE 300 MG IN SOLR (NDC 63323-877-15) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/63323-877-15?code_type=NDC
MLA (9th ed.)
“PENTAMIDINE ISETHIONATE 300 MG IN SOLR (NDC 63323-877-15) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/63323-877-15?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“PENTAMIDINE ISETHIONATE 300 MG IN SOLR (NDC 63323-877-15) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/63323-877-15?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $28,281–$134,564 (25th–75th percentile) across 28 hospitals · 99 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 63323-877-15 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | None | — | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Humana_Health_Plan | HMO_Medicare | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Humana_Health_Plan | HMO_Medicare | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Private_Healthcare_Systems | PPO | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Private_Healthcare_Systems | PPO | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $86,990.24 | $43,495.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Health_First_Health | HMO_PPO | $5,379.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | Exchange | $5,568.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | Medicaid | — | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Aetna_Better_Health | HMO_Medicaid | $5,998.00 | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS_Medicaid | HMO_Medicaid | — | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO_Medicare | — | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | United_Community_Plan_of_KY_ | Medicaid | — | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | HMO_Medicare | — | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | WellCare_of_Kentucky | Medicaid | — | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | PPO_Medicare_ | $6,134.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AMPS | PPO | $6,181.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $8,210.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $8,529.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $9,024.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Health_First | HMO_PPO | $9,211.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Health_First_Health | HMO_PPO | $9,211.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | QHP_Exchange | $9,258.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $9,437.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $9,626.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $9,647.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $10,145.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | PPO_Medicare_ | $10,504.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | EXCHANGE | $10,545.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | AMPS | HMO_PPO | $10,585.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AMPS | PPO | $10,585.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $10,853.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | Exchange | $10,868.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | United_HealthCare | Exchange | $10,978.00 | $48,362.27 | $19,344.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Health_First_Health | HMO_PPO | $11,027.00 | $48,362.27 | $19,344.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | NHP | $11,254.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | HMO_EPO | $11,325.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | HMO_PPO | $11,466.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | Medicare | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Aetna | Better_Health_Medicaid | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_HealthCare | Medicaid | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Amerigroup | Medicare | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_HealthCare | Medicaid | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Wellcare | Medicare | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Cigna_Health_Spring | Medicare | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Amerigroup | Medicare | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Wellcare | Medicare | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Molina | Medicare | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Molina | Medicare | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | Medicare | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Cigna_Health_Spring | Medicare | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $11,852.00 | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | Better_Health_Medicaid | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $11,852.00 | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $11,915.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | HMO_PPO | $12,316.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $12,386.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Humana | HMO_EPO | $12,504.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | AMPS | PPO | $12,671.00 | $48,362.27 | $19,344.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AvMed | HMO | $12,764.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | HMO_PPO | $13,189.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Inpatient | Republic_Health | HMO_PPO | $13,330.00 | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Humana | PPO | $13,448.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Humana | PPO_Medicare_ | $14,025.00 | $48,362.27 | $19,344.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | United_HealthCare | International | $14,746.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Plotkin | International | $14,746.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | MYBLUE | $14,827.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Aetna | ASA_PPO | $14,864.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | International | $14,934.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Private_Healthcare_Systems | PPO_NR | $15,336.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Aetna | International_PPO | $15,336.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | UPMC | HMO_PPO | $15,336.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Aetna_Whole_Health | HMO_PPO | $15,336.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | GMMI | PPO | $15,336.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Inpatient | Humana_Health_Plan | HMO_POS_PPO_EPO | $15,442.00 | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Humana_Health_Plan | HMO_POS_PPO_EPO | $15,442.00 | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $15,821.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Florida_Health_Care_Plan | Medicare | $16,160.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $16,160.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | BLUE_SELECT | $16,439.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $16,439.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | National_Healthcare_Solutions | International_PPO | $16,515.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_Health_Care_Plan | Self_Funded_HMO | $16,515.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | First_Health_Network | PPO | $16,515.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Beech_Street_Corporation | PPO | $16,515.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | HealthOne_Alliance | HMO | $16,515.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Aetna | QHP | $17,146.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Aetna | QHP_Exchange | $17,146.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | AvMed | HMO | $17,247.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $17,372.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | FHCP | HMO | $17,372.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | HEALTH_OPTIONS | $17,388.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $17,388.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield_of_Kansas | HMO | $17,439.00 | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield_of_Kansas | HMO | $17,439.00 | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | Surefit | $18,302.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | SureFit_EPO | $18,302.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | NETWORK_BLUE | $18,645.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $18,649.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Cigna_HealthCare | SureFit_EPO | $18,765.00 | $48,362.27 | $19,344.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | Medicare_ | $19,345.00 | $48,362.27 | $19,344.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Health_First_Health | HMO_PPO | $19,550.00 | $115,000.30 | $46,000.12 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $19,634.00 | $119,720.81 | $47,888.32 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Inpatient | United_Healthcare_of_KY | Medicare_HMO | $20,194.00 | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | United_Healthcare_of_KY | Medicare_HMO | $20,194.00 | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | EPO | $20,200.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Aetna | POS_EPO_HMO_PPO | $20,296.00 | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | POS_EPO_HMO_PPO | $20,296.00 | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Aetna | QHP_Exchange | $20,331.00 | $48,362.27 | $19,344.91 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Traditional | $20,498.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Multiplan | PPO | $20,526.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | PPO | $20,625.00 | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | PPO | $20,625.00 | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | HMO | $20,768.00 | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | HMO | $20,768.00 | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $20,796.00 | $48,362.27 | $19,344.91 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Cigna | HMO | $21,119.00 | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Cigna | HMO | $21,119.00 | $37,746.78 | $18,873.39 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | PPC | $21,223.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $21,227.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Zelis | PPO | $21,234.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Beech_Street_Corporation_ | Accelerated_PPO | $21,234.00 | $23,593.19 | $9,437.28 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Amerigroup_Community_Care | HMO_Medicaid | $21,409.00 | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Aetna_of_GA | Medicare_HMO | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Trustmark_Apache_AMPS | Medicare_HMO_PPO | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna_Healthcare_of_Georgia | _Medicare_HMO | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $21,409.00 | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Oscar | HMO | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Devoted | Medicare_HMO_PPO | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Humana | Medicare_PFFS | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Devoted_Health | HMO_PPO_Medicare | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Trustmark_Apache_Mills_AMPS | HMO_PPO_Medicare | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Oscar_Health_Plan_of_Georgia | HMO | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Aetna | HMO_Medicare | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Alliant_Health | Solocare_Exchange | — | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Avmed | State_of_Florida | $22,018.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | NHP | $22,059.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | HMO | $22,624.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | EPO | $22,624.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | NHP | $22,665.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | United_HealthCare | Exchange | $22,770.00 | $115,000.30 | $46,000.12 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $22,867.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | FHCP | HMO | $22,867.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH NEW SMYRNA BEACH Inpatient | United_HealthCare | Exchange | $23,411.00 | $58,092.98 | $23,237.19 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Anthem_BCBS_of_GA | _Medicare_HMO | — | $216,733.22 | $108,366.61 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Devoted_Health | Medicare_HMO_PPO | — | $216,733.22 | $108,366.61 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $23,521.00 | $216,733.22 | $108,366.61 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Humana | HMO_Medicare | — | $216,733.22 | $108,366.61 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Cigna | _Medicare_HMO | — | $216,733.22 | $108,366.61 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $216,733.22 | $108,366.61 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | Volusia_County | $23,554.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | County_of_Volusia | $23,554.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | HMO_PPO | $24,119.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | PPO | $24,240.00 | $40,400.78 | $16,160.31 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $24,301.00 | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Caresource_GA | HMO_Medicaid | $24,301.00 | $197,271.80 | $98,635.90 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Humana | HMO_Medicare | $24,340.00 | $181,643.66 | $72,657.46 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Inpatient | Anthem_BCBS | HMO_PPO | $24,360.00 | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO | $24,360.00 | $33,323.90 | $16,661.95 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Aetna | QHP_Exchange | $24,380.00 | $115,000.30 | $46,000.12 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $24,423.00 | $48,362.27 | $19,344.91 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AvMed_Health_Plan | HMO | $24,685.00 | $40,400.78 | $16,160.31 | 2024-12-15 | 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.