64406000801 — Natalizumab 300 Mg/15ml IV Conc
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NATALIZUMAB 300 MG/15ML IV CONC (NDC 64406000801) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64406000801?code_type=NDC
MLA (9th ed.)
“NATALIZUMAB 300 MG/15ML IV CONC (NDC 64406000801) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64406000801?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“NATALIZUMAB 300 MG/15ML IV CONC (NDC 64406000801) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64406000801?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $10,245–$18,687 (25th–75th percentile) across 14 hospitals · 153 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 64406000801 — 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 |
|---|---|---|---|---|---|---|---|
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | UHC | ALL PRODUCTS | $0.38 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $13.38 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $13.38 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $17.80 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $23.88 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $23.88 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $24.00 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Ppo | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicare | Trad | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Duals | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Trad | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Hmo | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care DSNP | Medicare HMO | $24.15 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Mediare Advantage | Medicare Advantage | $24.15 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Pos | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $24.15 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Ppo | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Ppo | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Wv Senior Adv | Isnp | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicare | Securecare | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Ppo | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicare | Wellcare | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medical Mutual Medicare | Mcradv | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Valor Health Plans | Isnp | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Hmo | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Wvdsnp | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Hmo | $24.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Bcbs Blue Mcr | — | $24.23 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Medcost | — | — | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Humana | — | $24.23 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr | — | $24.23 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Uhc | — | $24.23 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Health Team Advantage | — | $24.23 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Ppc | — | — | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $24.51 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $24.51 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | TriWest Healthcare Alliance | Other Government | $24.51 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | Medicare HMO | $24.51 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $24.51 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | TriWest Healthcare Alliance | Other Government | $24.51 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Medicare | Medicare | $24.51 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community Medicare | Medicare | $24.51 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Cigna | — | $24.71 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Wellcare | — | $24.71 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Aetna | — | $24.71 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Devoted Healthcare | — | $25.19 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Liberty | — | $25.68 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Troy | — | $25.68 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Apex | — | $25.68 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Memorial Medicare | HMO-Medicare | $26.57 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $26.57 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | All Products | $29.03 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $29.06 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Central Health Plan | Medicare HMO | $29.34 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthSmart | Workers Compensation | $29.41 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | EPN | $30.19 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | All Products | $30.19 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $30.19 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | SCAN | Medicare | $32.60 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Exchange | Hmo | $33.81 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Cigna | Hmo & Ppo | $34.16 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care Covered CA | HMO | $34.23 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Ncsehp | — | $56.93 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centivo | PPO | $58.82 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Commercial | All Products | $67.65 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | Medicare | $70.34 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthypremier | $3,857.58 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthy | $3,857.58 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Medcost | Ultra | $4,137.51 | $20,687.56 | — | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicaid | Hmo | $4,207.47 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicaid | Trad | $4,207.47 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Medicaid | Hmo | $4,207.47 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Molina Medicaid | Hmo | $4,333.69 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Unison Medicaid | Hmo | $4,333.69 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicaid | Hmo | $4,417.84 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Paramount Medicaid | Hmo | $4,417.84 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicaid | Hmo | $4,417.84 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | WellCare | Medicare Advantage | $4,890.50 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare_770 | IDN Network | $5,000.00 | $126,057.37 | $12,605.74 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare_768 | Create Flex | $5,000.00 | $126,057.37 | $12,605.74 | 2026-02-02 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna Medicare | Medicare | $6,403.29 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $6,403.29 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $6,571.06 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiouniv | $6,750.76 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Gold Coast Health Plan | HMO | $7,171.68 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Gold Coast Health Plan | HMO | $7,171.68 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Workers Comp | Workers Comp | $7,348.42 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $7,507.22 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $7,685.45 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $7,685.45 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $7,685.45 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $7,685.45 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $7,685.45 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | Molina MI Health Link | MEDICARE ADVANTAGE | $7,685.45 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | MOLINA | MARKETPLACE | $7,685.45 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | MOLINA | MARKETPLACE | $7,685.45 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | MOLINA | MARKETPLACE | $7,685.45 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | WellCare | Medicare Advantage | $7,736.68 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| RUSSELL MEDICAL CENTER OutpatientFacility | Aetna | Medicare Advantage | $8,191.09 | $33,297.10 | $11,986.96 | 2026-04-01 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $8,329.40 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $8,401.12 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $8,606.02 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $8,606.02 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $8,964.61 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | Medicare Advantage | $8,964.61 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | CenCal Transplant Medi-Cal HMO | Medi-Cal HMO | $8,964.61 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA - RMG | All Products | $8,964.61 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | CenCal Medi-Cal HMO | Medi-Cal HMO | $8,964.61 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Providence Healthcare | Medicare | $8,964.61 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA - RMG | All Products | $8,964.61 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $8,964.61 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | WellCare | Medicare Advantage | $9,186.67 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health - DSNP | Managed Medicaid | $9,214.79 | $126,057.37 | $12,605.74 | 2026-02-02 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $9,384.66 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $9,384.66 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL InpatientFacility | Cofinity Group Health | New Business All Products | $9,401.86 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | Cofinity Group Health | New Business All Products | $9,427.48 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Exchange | Hmo | $9,721.09 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Wellcare_755 | Managed Medicaid | $9,857.69 | $126,057.37 | $12,605.74 | 2026-02-02 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $10,014.75 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem Exchange | Pathway X Hmo | $10,088.30 | $20,056.26 | $10,028.13 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Exchange | Ppo | $10,241.86 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Children Hospital of Orange County | Medicaid HMO | $10,245.26 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCI University - RMG | All Products | $10,245.26 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Molina Healthcare HMO | MediCal HMO | $10,245.26 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCI University - RMG | All Products | $10,245.26 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Children Hospital of Orange County | Medicaid HMO | $10,245.26 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $10,245.26 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Molina Healthcare HMO | MediCal HMO | $10,245.26 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $10,347.72 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $10,347.72 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem Exchange | Pathway X Ppo | $10,629.82 | $20,056.26 | $10,028.13 | 2026-07-15 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna_773 | Managed Medicaid | $10,639.24 | $126,057.37 | $12,605.74 | 2026-02-02 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER BothFacility | McLaren Health | Commercial HMO | $10,864.66 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER BothFacility | McLaren Health | Health Advantage PPO | $10,864.66 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Blue Access Ppo | $11,032.67 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Preferred Ppo | $11,032.67 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER BothFacility | Cofinity Group Health | New Business All Products | $11,041.42 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER BothFacility | AETNA | New Business Discount | $11,195.13 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Blue Trad | $11,283.41 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | AETNA | New Business Discount | $11,323.22 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | AmeriChoice_756 | Managed Medicaid | $11,357.77 | $126,057.37 | $12,605.74 | 2026-02-02 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Fully Insured | $11,451.31 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Access | $11,452.12 | $20,056.26 | $10,028.13 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Preferred | $11,452.12 | $20,056.26 | $10,028.13 | 2026-07-15 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER InpatientFacility | AETNA | New Business Discount | $11,630.64 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Traditional | $11,712.86 | $20,056.26 | $10,028.13 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | EPN | $11,961.00 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UC Ship | PPO | $12,166.25 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | AmeriGroup_754 | Managed Medicaid | $12,378.83 | $126,057.37 | $12,605.74 | 2026-02-02 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Hmo | $12,537.12 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medbenemp | Ppo | $12,537.12 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare | Ppo | $12,537.12 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare | Pos | $12,537.12 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Pos | $12,537.12 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Ppo | $12,537.12 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | VitalCore Physicians Group of MI | All Products | $12,809.08 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | VitalCore Physicians Group of MI | All Products | $12,809.08 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | VitalCore Physicians Group of MI | All Products | $12,809.08 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | VitalCore Physicians Group of MI | All Products | $12,809.08 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH OutpatientFacility | VitalCore Physicians Group of MI | All Products | $12,809.08 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | McLaren Health | Commercial HMO | $12,865.43 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $12,934.65 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | Medicare | $12,934.65 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | Medicare | $12,934.65 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $12,934.65 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | Cofinity Group Health | New Business All Products | $13,014.02 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | United Healthcare | Ppo | $13,036.57 | $20,056.26 | $10,028.13 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Pos | $13,036.57 | $20,056.26 | $10,028.13 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Ppo | $13,036.57 | $20,056.26 | $10,028.13 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Medben | Direct Agreement | $13,036.57 | $20,056.26 | $10,028.13 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | United Healthcare | Pos | $13,036.57 | $20,056.26 | $10,028.13 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Hmo | $13,036.57 | $20,056.26 | $10,028.13 | 2026-07-15 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Fully Insured | $13,277.89 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | Cigna_744 | All Commercial Products | $13,286.45 | $126,057.37 | $12,605.74 | 2026-02-02 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Fully Insured | $13,303.51 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | NFL Health Services - Cigna | ALL PRODUCTS | $13,321.44 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | NFL Health Services - Cigna | ALL PRODUCTS | $13,321.44 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD ALLEGIANCE HEALTH BothFacility | Jackson County Offiice of the Sheriff | Jackson County Jail | $13,321.44 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | McLaren Health | Health Advantage PPO | $13,493.08 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | McLaren Health | Commercial HMO | $13,493.08 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER BothFacility | Priority Health | HMO/PPO | $13,744.14 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital BothFacility | Priority Health | HMO/PPO | $13,744.14 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL BothFacility | Priority Health | HMO/PPO | $13,744.14 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL InpatientFacility | AETNA | New Business Discount | $13,808.18 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| Henry Ford Hospital OutpatientFacility | HAP | Fully Insured | $14,023.38 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL BothFacility | Priority Health | HMO/PPO | $14,072.05 | $25,618.15 | — | 2025-06-28 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Cigna Comm | Ppo | $14,080.15 | $19,288.00 | $9,643.94 | 2026-07-15 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care DSNP | Medicare HMO | $14,087.24 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care Covered CA | HMO | $14,087.24 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | HealthCare Partners HMO | HMO-Medicare | $14,087.24 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Optum | Medicare | $14,087.24 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthCare Partners HMO | HMO-Medicare | $14,087.24 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $14,317.76 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $14,343.37 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $14,343.37 | $25,613.16 | $14,087.24 | 2026-03-29 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Health Choice | Phcplus | $14,465.91 | $19,288.00 | $9,643.94 | 2026-07-15 | 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.