64764-0300-20 — Entyvio
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ENTYVIO (NDC 64764-0300-20) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64764-0300-20?code_type=NDC
MLA (9th ed.)
“ENTYVIO (NDC 64764-0300-20) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64764-0300-20?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“ENTYVIO (NDC 64764-0300-20) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64764-0300-20?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,474–$29,740 (25th–75th percentile) across 4 hospitals · 37 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 64764-0300-20 — 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 |
|---|---|---|---|---|---|---|---|
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Braven Health | $19.67 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Braven Health | $19.67 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Braven Health | $19.67 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Braven Health | $19.67 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Braven Health | $19.67 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | New Hampshire Healthy Families | Medicaid | $22.34 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | New Hampshire Healthy Families | Medicaid | $22.34 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $23.75 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $23.75 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $23.75 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $23.75 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Medicare Advantage | $23.75 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | $23.82 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | $23.82 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | $23.82 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | $23.82 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | $23.82 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | $32.23 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | $32.23 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | $32.23 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | $32.23 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | $32.23 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Ppo | $32.38 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Indemnity | $32.38 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Hmo Pos | $32.38 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Fep | $32.38 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicare | $32.89 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicare | $32.89 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicare | $32.89 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicare | $32.89 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicare | $32.89 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | $49.54 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | $49.54 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | $49.54 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | $49.54 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | $49.54 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Ambetter | Exchange | $3,606.03 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $3,862.91 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $3,862.91 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Medicaid | $6,499.29 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Medicaid | $6,499.29 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Medicaid | $6,499.29 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Medicaid | $6,499.29 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Medicaid | $6,889.19 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Ambetter | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Superior Health Plan | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | EPO/HMO/POS/PPO | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Dual Managed Care | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Cigna | Commercial | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Amerigroup | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | GEHA | HMO/PPO | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Health Select | PPO | $6,921.05 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | First Care Health Plan | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Ambetter | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Community Health Choice | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BCBS STAR/CHIP/STAR Kids | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Medicare Advantage | $6,921.05 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | HMO | $6,921.05 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $6,921.05 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Superior Health Plan | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | EPO/HMO/POS/PPO | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Medicare Advantage | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | United Healthcare | Dual Managed Care | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Cigna | Commercial | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Humana | Medicare Advantage | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Amerigroup | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | GEHA | HMO/PPO | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Health Select | PPO | $6,921.05 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | HMO | $6,921.05 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | First Care Health Plan | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | Medicare Advantage | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Community Health Choice | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BCBS STAR/CHIP/STAR Kids | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Managed Medicaid | — | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Indemnity/PPO/POS | $6,921.05 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | BlueCross BlueShield | Medicare Advantage | $6,921.05 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health Medicaid | $7,527.92 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health Medicaid | $7,527.92 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Fidelis Wellcare | Medicaid | $7,527.92 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health Medicaid | $7,527.92 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Fidelis Wellcare | Medicaid | $7,527.92 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Fidelis Wellcare | Medicaid | $7,527.92 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Fidelis Wellcare | Medicaid | $7,527.92 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health Medicaid | $7,527.92 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Medicare Advantage | $7,648.29 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Medicare Advantage | $7,648.29 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | 90 Degree Benefits | Commercial | $7,725.82 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | 90 Degree Benefits | Commercial | $7,725.82 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet Federal | Ppo Pc3 | $7,767.28 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet Federal | Ppo Pc3 | $7,767.28 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet Federal | Ppo Pc3 | $7,767.28 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet Federal | Ppo Pc3 | $7,767.28 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Cigna | Commercial | $7,951.16 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL OutpatientFacility | Cigna | Commercial | $7,951.16 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Fidelis Wellcare | Medicaid | $7,979.53 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health Medicaid | $7,979.53 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet Federal | Ppo Pc3 | $8,233.25 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Pos, Epo, Ppo | $8,565.26 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Hmo | $8,565.26 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Hmo | $8,565.26 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Hmo | $8,565.26 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Hmo | $8,565.26 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Pos, Epo, Ppo | $8,565.26 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Pos, Epo, Ppo | $8,565.26 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Pos, Epo, Ppo | $8,565.26 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Pos, Epo, Ppo | $9,079.11 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Hmo | $9,079.11 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Humana | Humana | $9,569.81 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | United Healthcare Va Ccn | United Healthcare Va Ccn | $9,569.81 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Wellcare Medicare | Wellcare Medicare | $9,569.81 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Amerihealth | Amerihealth | $9,569.81 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Boston Medical Center Health Plan Dba Well Sense | Boston Medical Center Health Plan Dba Well Sense | $9,569.81 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Amerihealth | Amerihealth | $9,569.81 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | HMO/POS/PPO | $10,188.43 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| MEDICAL CENTER HOSPITAL InpatientFacility | Aetna | HMO/POS/PPO | $10,188.43 | $16,095.46 | $4,506.73 | 2025-02-14 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Nj | Commercial | $10,310.04 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Nj | Commercial | $10,310.04 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Nj | Commercial | $10,310.04 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Nj | Commercial | $10,310.04 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Cigna Health And Life | Cigna Health And Life | $10,760.07 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Nj | Commercial | $10,928.56 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Harvard Pilgrim Health Care | Marketplace | $11,456.53 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Harvard Pilgrim Health Care | Marketplace | $11,456.53 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim Health Care | Marketplace | $13,365.95 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Harvard Pilgrim | Littleton Options | $14,354.60 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Harvard Pilgrim | Littleton Options | $14,354.60 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim | Littleton Options | $14,458.57 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | United Healthcare Freedom Plan | Epo Ppo | $15,911.84 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | United Healthcare Freedom Plan | Epo Ppo | $15,911.84 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | United Healthcare Freedom Plan | Epo Ppo | $15,911.85 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Hmo Pos | $16,575.90 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Harvard Pilgrim Health Care | Elevate Health | $17,184.79 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Harvard Pilgrim Health Care | Elevate Health | $17,184.79 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim Health Care | Elevate Health | $17,184.80 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Blue Cross Blue Shield | Tvhp | $17,290.87 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Blue Cross Blue Shield | Tvhp | $17,290.87 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Ppo | $17,331.18 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Blue Cross Blue Shield Vt | Managed | $17,503.03 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Blue Cross Blue Shield Vt | Managed | $17,503.03 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Blue Cross Blue Shield | Tvhp | $17,503.04 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $17,625.76 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $17,625.76 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $17,625.76 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $17,625.76 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Blue Cross Blue Shield Vt | Managed | $17,715.19 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Ppo | $17,717.31 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Hmo Pos | $17,717.31 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Blue Cross Blue Shield Vt | Non Managed | $17,927.34 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Blue Cross Blue Shield Vt | Non Managed | $17,927.34 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Blue Cross Blue Shield Vt | Non Managed | $18,139.51 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Fep | $18,171.32 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Anthem Blue Cross Blue Shield | Indemnity | $18,553.21 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Fep | $18,576.55 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $18,683.16 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Harvard Pilgrim Health Care | All Other | $18,903.27 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Harvard Pilgrim Health Care | All Other | $18,903.27 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Harvard Pilgrim Health Care | All Other | $18,903.28 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Anthem Blue Cross Blue Shield | Indemnity | $18,964.80 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Aetna | Aetna | $19,306.37 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Aetna | Aetna | $19,306.37 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Aetna | Aetna | $19,306.38 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Multiplan | Multiplan | $20,155.00 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Multiplan | Multiplan | $20,155.00 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Multiplan | Multiplan | $20,155.01 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | United Healthcare | All Payer | $20,473.24 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | United Healthcare | All Payer | $20,473.24 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | United Healthcare | All Payer | $20,473.25 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Coventry First Health | Coventry First Health | $20,791.47 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Outpatient | Coventry First Health | Coventry First Health | $20,791.47 | $21,215.79 | $12,305.16 | 2026-07-15 | MRF ↗ |
| LITTLETON REGIONAL HEALTHCARE Inpatient | Coventry First Health | Coventry First Health | $20,791.48 | $21,215.80 | $12,305.16 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Brighton | Commercial | $21,809.70 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Brighton | Commercial | $21,809.70 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Brighton | Commercial | $21,809.70 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Brighton | Commercial | $21,809.70 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Brighton | Commercial | $23,118.10 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $23,792.40 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $23,792.40 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $23,792.40 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $23,792.40 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Liberty Mutual | Commercial | $24,077.91 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Liberty Mutual | Commercial | $24,077.91 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Liberty Mutual | Commercial | $24,077.91 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Liberty Mutual | Commercial | $24,077.91 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | $24,200.84 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | $24,200.84 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | $24,200.84 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | $24,200.84 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $25,219.75 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Liberty Mutual | Commercial | $25,522.38 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | $25,652.68 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | State Health Benefit Plan | $26,112.12 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | State Health Benefit Plan | $26,112.12 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | State Health Benefit Plan | $26,112.12 | $39,654.00 | $39,654.00 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | State Health Benefit Plan | $26,112.12 | $39,654.00 | $39,654.00 | 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.