63833038702 — Prothrombin Complex Conc Human 1000 Units IV Kit|discarded Drug Not Administered
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT|DISCARDED DRUG NOT ADMINISTERED (NDC 63833038702) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/63833038702?code_type=NDC
MLA (9th ed.)
“PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT|DISCARDED DRUG NOT ADMINISTERED (NDC 63833038702) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/63833038702?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“PROTHROMBIN COMPLEX CONC HUMAN 1000 UNITS IV KIT|DISCARDED DRUG NOT ADMINISTERED (NDC 63833038702) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/63833038702?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $11–$5,273 (25th–75th percentile) across 24 hospitals · 230 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 63833038702 — 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 |
|---|---|---|---|---|---|---|---|
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $1.14 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $1.14 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $1.65 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MA-BEHAVIORAL HEALTH | $1.74 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MEDICARE ADV. | $1.74 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $1.76 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $1.91 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | HEALTHNET | MEDICARE ADV. | $1.91 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $1.95 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $1.98 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $1.98 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $2.00 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $2.00 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $2.00 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $2.00 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $2.00 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | TriWest Healthcare Alliance | Other Government | $2.09 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $2.09 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | TriWest Healthcare Alliance | Other Government | $2.09 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community Medicare | Medicare | $2.09 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | Medicare HMO | $2.09 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $2.09 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Medicare | Medicare | $2.09 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $2.09 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $2.14 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $2.16 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $2.18 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $2.18 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $2.18 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $2.21 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $2.21 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $2.22 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $2.22 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Wv Senior Adv | Isnp | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Ppo | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Pos | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicare | Trad | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Valor Health Plans | Isnp | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Mediare Advantage | Medicare Advantage | $2.24 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Hmo | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Ppo | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Ppo | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Hmo | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care DSNP | Medicare HMO | $2.24 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicare | Securecare | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Hmo | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Duals | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $2.24 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Ppo | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Trad | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicare | Wellcare | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medical Mutual Medicare | Mcradv | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Wvdsnp | $2.24 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $2.28 | $14,453.00 | $14,453.00 | 2026-07-15 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $2.28 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $2.28 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | $2.28 | $14,453.00 | $14,453.00 | 2026-07-15 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $2.38 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $2.42 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $2.46 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Memorial Medicare | HMO-Medicare | $2.46 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $2.48 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthSmart | Workers Compensation | $2.51 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Central Health Plan | Medicare HMO | $2.74 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Cross | All | $2.98 | $26.84 | $26.84 | 2026-10-21 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $3.00 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | SAMARITAN | MEDICARE ADV. | $3.00 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | SCAN | Medicare | $3.02 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $3.04 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | All Products | $3.04 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | EPN | $3.04 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | All Products | $3.04 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Rp | $3.04 | $14,453.00 | $14,453.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $3.04 | $14,453.00 | $14,453.00 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield Covered Ca | All | $3.04 | $26.84 | $26.84 | 2026-10-21 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Exchange | Hmo | $3.14 | $7,708.00 | $3,854.12 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care Covered CA | HMO | $3.19 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield | All | $3.58 | $26.84 | $26.84 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Uhc Local | United Select Hmo | $3.60 | $26.84 | $26.84 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Uhc National | United Ppo | $3.60 | $26.84 | $26.84 | 2026-10-21 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Blue Select - Adult | $3.73 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | My Blue - Adult | $3.73 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Blue Select - Adult | $3.73 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | My Blue - Adult | $3.73 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Community Care Health Plan | All | $3.83 | $26.84 | $26.84 | 2026-10-21 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $4.02 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $4.02 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $4.20 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | EPO | $4.20 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $4.20 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $4.20 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $4.20 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Whole Health | $4.29 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Whole Health | $4.29 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | UMR Baptist Employee | All Products | $4.48 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | UMR Baptist Employee | All Products | $4.48 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | HMO | $4.66 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | HMO - Child | $4.66 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Blue Select - Child | $4.66 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | My Blue - Child | $4.66 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | HMO - Child | $4.66 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | HMO | $4.66 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | My Blue - Child | $4.66 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Blue Select - Child | $4.66 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $4.80 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $4.80 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $4.80 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $4.80 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | SAMARITAN | SAMARITAN CHOICE | $4.80 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $4.80 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Indemnity | $4.85 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Network Blue | $4.85 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | PPO | $4.85 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Network Blue | $4.85 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Indemnity | $4.85 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centivo | PPO | $5.02 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $5.05 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | REGENCE | ALL PRODUCTS | $5.05 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $5.10 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $5.10 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $5.10 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $5.10 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $5.39 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $5.39 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $5.39 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $5.39 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Medicare Advantage | $5.41 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Medicare Advantage | $5.41 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage | $5.41 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Blue Select - Adult | $5.52 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | My Blue - Adult | $5.52 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $5.64 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $5.70 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | AETNA | ALL PRODUCTS | $5.70 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $5.70 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $5.70 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $5.70 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $5.70 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $5.70 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $5.70 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $5.70 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $5.70 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $5.70 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Commercial | All Products | $5.77 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | HEALTHNET | ALL PRODUCTS | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $5.82 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $5.85 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | HUMANA | ALL PRODUCTS | $5.85 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $5.85 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $5.85 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $5.85 | $6.00 | $4.80 | 2026-01-31 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | AvMed | Engage & Empower & Entrust | $5.97 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | AvMed | Engage & Empower & Entrust | $5.97 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | AvMed | Engage & Empower & Entrust | $5.97 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | Medicare | $6.00 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Gatekeeper | $6.71 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Gatekeeper | $6.71 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Gatekeeper | $6.90 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Whole Health -Child | $6.90 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Whole Health -Child | $6.90 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Gatekeeper | $6.90 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | HMO - Child | $6.90 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | HMO | $6.90 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Blue Select - Child | $6.90 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Whole Health | $6.90 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | My Blue - Child | $6.90 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $7.44 | $4,860.00 | $2,673.00 | 2026-03-29 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | OccuNet | All Products | $7.46 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Borland Groover | All Products | $7.46 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Borland Groover | All Products | $7.46 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | OccuNet | All Products | $7.46 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | OccuNet | All Products | $7.46 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Borland Groover | All Products | $7.46 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | HMO | $7.83 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | HMO | $7.83 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Northeast Florida State Hospital | All Products | $7.83 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Northeast Florida State Hospital | All Products | $7.83 | $18.65 | $11.56 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Non-Gatekeeper | $7.83 | $18.65 | $11.56 | 2026-02-06 | 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.