63739-067-02 — Guaifenesin ER 600 Mg Po Tb12
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). GUAIFENESIN ER 600 MG PO TB12 (NDC 63739-067-02) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/63739-067-02?code_type=NDC
MLA (9th ed.)
“GUAIFENESIN ER 600 MG PO TB12 (NDC 63739-067-02) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/63739-067-02?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“GUAIFENESIN ER 600 MG PO TB12 (NDC 63739-067-02) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/63739-067-02?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,123–$3,980 (25th–75th percentile) across 33 hospitals · 102 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 63739-067-02 — 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 | — | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | None | — | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Aetna | HMO_Medicare | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna_Healthcare_of_Georgia | _Medicare_HMO | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Devoted_Health | HMO_PPO_Medicare | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $187.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Trustmark_Apache_AMPS | Medicare_HMO_PPO | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Trustmark_Apache_Mills_AMPS | HMO_PPO_Medicare | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Humana | Medicare_PFFS | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Amerigroup_Community_Care | HMO_Medicaid | $187.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Aetna_of_GA | Medicare_HMO | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Oscar_Health_Plan_of_Georgia | HMO | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Devoted | Medicare_HMO_PPO | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Oscar | HMO | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Alliant_Health | Solocare_Exchange | — | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Private_Healthcare_Systems | PPO | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Humana_Health_Plan | HMO_Medicare | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Private_Healthcare_Systems | PPO | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Humana_Health_Plan | HMO_Medicare | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $3,532.06 | $1,766.03 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $213.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Caresource_GA | HMO_Medicaid | $213.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan | HMO_Medicaid | $226.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Health_First | HMO_PPO | $366.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Health_First_Health | HMO_PPO | $366.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | United_HealthCare | Exchange | $392.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Health_First_Health | HMO_PPO | $394.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Health_First_Health | HMO_PPO | $394.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | Exchange | $408.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | PPO_Medicare_ | $417.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | EXCHANGE | $419.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AMPS | PPO | $420.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | AMPS | HMO_PPO | $420.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | Exchange | $431.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | United Behavioral Health | All Plans | — | $3.65 | $436.72 | 2024-12-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | HUMANA | All Plans | — | $3.65 | $436.72 | 2024-12-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | ANTHEM | All Plans | — | $3.65 | $436.72 | 2024-12-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | Ohio Health Choice | All Plans | — | $3.65 | $436.72 | 2024-12-01 | MRF ↗ |
| LINDNER CENTER OF HOPE Inpatient | Medical Mutual Ohio | All Plans | — | $3.65 | $436.72 | 2024-12-01 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | PPO_Medicare_ | $449.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | AMPS | PPO | $453.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AMPS | PPO | $453.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Humana | PPO_Medicare_ | $501.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| UM Shore Emergency Center at Queenstown Both | None | — | — | $511.56 | $501.33 | 2025-11-05 | MRF ↗ |
| UNIVERSITY OF MD SHORE MEDICAL CENTER AT EASTON Both | None | — | — | $522.00 | $511.56 | 2025-11-05 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Humana | HMO_Medicare | $559.00 | $4,169.18 | $1,667.67 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | MYBLUE | $589.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $601.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Humana | HMO_Medicare | $618.00 | $4,827.54 | $1,931.02 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $625.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Health_First_Health | HMO_PPO | $627.00 | $3,689.08 | $1,475.63 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $628.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Florida_Health_Care_Plan | Medicare | $642.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $642.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | BLUE_SELECT | $653.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $653.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | United_HealthCare | Exchange | $657.00 | $4,827.54 | $1,931.02 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $661.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Cigna_HealthCare | SureFit_EPO | $670.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | United_HealthCare | Exchange | $671.00 | $4,169.18 | $1,667.67 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | QHP_Exchange | $678.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Aetna | QHP | $681.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Aetna | QHP_Exchange | $681.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $690.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | HEALTH_OPTIONS | $690.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | FHCP | HMO | $690.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $690.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $691.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | Medicare_ | $691.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $705.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $706.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Aetna | QHP_Exchange | $726.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | SureFit_EPO | $727.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | Surefit | $727.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $4,050.22 | $2,025.11 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | WellCare_of_Kentucky | Medicaid | — | $4,050.22 | $2,025.11 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $4,050.22 | $2,025.11 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO_Medicare | — | $4,050.22 | $2,025.11 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | HMO_Medicare | — | $4,050.22 | $2,025.11 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | Medicaid | — | $4,050.22 | $2,025.11 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS_Medicaid | HMO_Medicaid | — | $4,050.22 | $2,025.11 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | United_Community_Plan_of_KY_ | Medicaid | — | $4,050.22 | $2,025.11 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Aetna_Better_Health | HMO_Medicaid | $729.00 | $4,050.22 | $2,025.11 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | United_HealthCare | Exchange | $730.00 | $3,689.08 | $1,475.63 | 2024-12-15 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | None | — | — | $747.51 | $732.56 | 2025-11-05 | MRF ↗ |
| UNIVERSITY OF MARYLAND MEDICAL CENTER Both | None | — | — | $747.51 | $732.56 | 2025-11-05 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | NETWORK_BLUE | $740.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $740.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $743.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $743.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Anthem_BCBS_of_GA | _Medicare_HMO | — | $6,930.68 | $3,465.34 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Devoted_Health | Medicare_HMO_PPO | — | $6,930.68 | $3,465.34 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $6,930.68 | $3,465.34 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Cigna | _Medicare_HMO | — | $6,930.68 | $3,465.34 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $752.00 | $6,930.68 | $3,465.34 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Humana | HMO_Medicare | — | $6,930.68 | $3,465.34 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Aetna | QHP_Exchange | $782.00 | $3,689.08 | $1,475.63 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $795.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | EPO | $802.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | NHP | $824.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | HMO_EPO | $829.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | HMO_PPO | $840.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | PPC | $842.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $843.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Aetna | QHP_Exchange | $846.00 | $4,169.18 | $1,667.67 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Inpatient | United_HealthCare_of_Georgia | HMO_PPO | $848.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | United_HealthCare_of_GA | HMO_PPO_UMR | $848.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $854.00 | $6,930.68 | $3,465.34 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Humana | HMO_Medicare | $871.00 | $4,169.18 | $1,667.67 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $872.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $872.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Avmed | State_of_Florida | $874.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | NHP | $876.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Alliant_Health_Plans | PPO | $885.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Alliant_Health | HMO_PPO | $885.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | HMO | $898.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Inpatient | Health_One_Alliance | PPO | $898.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | EPO | $898.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | NHP | $900.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Cigna_HealthCare_of_Georgia | PPO | $902.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | HMO_PPO | $902.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Peach_State_Health_Plan | Medicaid_HMO | $907.00 | $6,930.68 | $3,465.34 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna | HMO_PPO | $907.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Inpatient | Cigna_HealthCare_of_Georgia | PPO | $907.00 | $1,727.65 | $863.82 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $907.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | FHCP | HMO | $908.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $908.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Humana | HMO_EPO | $916.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Cigna_HealthCare | HMO_PPO | $917.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Humana | HMO | $933.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Humana | EPO | $933.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | County_of_Volusia | $935.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | Volusia_County | $935.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AvMed | HMO | $935.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Cigna_HealthCare | SureFit_EPO | $952.00 | $3,689.08 | $1,475.63 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_HealthCare | Medicaid | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | Medicare | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Molina | Medicare | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Wellcare | Medicare | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Molina | Medicare | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Wellcare | Medicare | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $955.00 | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_HealthCare | Medicaid | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $955.00 | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Cigna_Health_Spring | Medicare | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | Better_Health_Medicaid | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Cigna_Health_Spring | Medicare | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Amerigroup | Medicare | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Aetna | Better_Health_Medicaid | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | Medicare | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Amerigroup | Medicare | — | $3,041.24 | $1,520.62 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | HMO_PPO | $957.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | PPO | $962.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | HMO_PPO | $966.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Aetna | QHP_Exchange | $966.00 | $4,827.54 | $1,931.02 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Aetna_of_GA | Medicare_HMO | $970.00 | $6,930.68 | $3,465.34 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AvMed_Health_Plan | HMO | $980.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | HMO_PPO | $983.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Humana | PPO | $985.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | AvMed | HMO | $990.00 | $1,727.65 | $691.06 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | HMO_PPO | $994.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | HMO_PPO | $994.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Polkin_Health | PPO | $1,002.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Plotkin | International | $1,002.00 | $1,603.79 | $641.52 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Humana | PPO | $1,002.00 | $1,727.65 | $691.06 | 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.