64764030020 — Vedolizumab 300 Mg IV Solr
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). VEDOLIZUMAB 300 MG IV SOLR (NDC 64764030020) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/64764030020?code_type=NDC
MLA (9th ed.)
“VEDOLIZUMAB 300 MG IV SOLR (NDC 64764030020) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/64764030020?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“VEDOLIZUMAB 300 MG IV SOLR (NDC 64764030020) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/64764030020?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,824–$19,500 (25th–75th percentile) across 25 hospitals · 219 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 64764030020 — 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 | $26,004.74 | — | 2025-06-28 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Optumcare W/ Medicare Advantage | Optumcare W/ Medicare Advantage | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Prominence | Prominence | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Silver Summit | Silver Summit | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Healthplan Nevada W/ Medicare Advantage | Healthplan Nevada W/ Medicare Advantage | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Sierra Health and Life W/ Medicare Advantage | Sierra Health and Life W/ Medicare Advantage | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Aetna | Aetna | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Hometown Health | Hometown Health | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Humana W/ Medicare Advantage | Humana W/ Medicare Advantage | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Anthem Blue Cross | Anthem Blue Cross | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| MOUNT GRANT GENERAL HOSPITAL Both | Aetna W/ Medicare Advantage | Aetna W/ Medicare Advantage | $1.00 | — | — | 2025-09-10 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | My Blue - Adult | $1.36 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Blue Select - Adult | $1.36 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | My Blue - Adult | $1.36 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Blue Select - Adult | $1.36 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Whole Health | $1.56 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Whole Health | $1.56 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | UMR Baptist Employee | All Products | $1.63 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | UMR Baptist Employee | All Products | $1.63 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | HMO - Child | $1.70 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | HMO | $1.70 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | My Blue - Child | $1.70 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | HMO - Child | $1.70 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Blue Select - Child | $1.70 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | My Blue - Child | $1.70 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Blue Select - Child | $1.70 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | HMO | $1.70 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Indemnity | $1.77 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Network Blue | $1.77 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | PPO | $1.77 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Network Blue | $1.77 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Indemnity | $1.77 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage | $1.97 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Medicare Advantage | $1.97 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | BCBS | Medicare Advantage | $1.97 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Blue Select - Adult | $2.01 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | My Blue - Adult | $2.01 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $26,004.74 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $26,004.74 | — | 2025-06-28 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | AvMed | Engage & Empower & Entrust | $2.18 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | AvMed | Engage & Empower & Entrust | $2.18 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | AvMed | Engage & Empower & Entrust | $2.18 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Gatekeeper | $2.45 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Gatekeeper | $2.45 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | My Blue - Child | $2.52 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Gatekeeper | $2.52 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Whole Health | $2.52 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | HMO | $2.52 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Gatekeeper | $2.52 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Blue Select - Child | $2.52 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | HMO - Child | $2.52 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Whole Health -Child | $2.52 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Whole Health -Child | $2.52 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Borland Groover | All Products | $2.72 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | OccuNet | All Products | $2.72 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Borland Groover | All Products | $2.72 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Borland Groover | All Products | $2.72 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | OccuNet | All Products | $2.72 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | OccuNet | All Products | $2.72 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Northeast Florida State Hospital | All Products | $2.86 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Northeast Florida State Hospital | All Products | $2.86 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Aetna | Non-Gatekeeper | $2.86 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | HMO | $2.86 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Northeast Florida State Hospital | All Products | $2.86 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | HMO | $2.86 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | Gatekeeper New Business | $2.92 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | Gatekeeper New Business | $2.92 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Centivo | Select | $2.99 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Centivo | Select | $2.99 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Centivo | Select | $2.99 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Aetna | Non-Gatekeeper | $2.99 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Aetna | Non-Gatekeeper | $2.99 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Capital Health Plan | All Products | $3.13 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Capital Health Plan | All Products | $3.13 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | UMR Baptist Employee | All Products | $3.13 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Capital Health Plan | All Products | $3.13 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Innovative Healthware Services | All Products | $3.20 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | Northeast Florida State Hospital | All Products | $3.20 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU InpatientFacility | Northeast Florida State Hospital | All Products | $3.20 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | Northeast Florida State Hospital | All Products | $3.20 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | Cigna | Gatekeeper New Business | $3.31 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | Cigna | Gatekeeper New Business | $3.31 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Indemnity | $3.34 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | Network Blue | $3.34 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | United Healthcare | All Products | $3.34 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | BCBS | PPO | $3.34 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Geo Group | All Products | $3.40 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | OccuNet | All Products | $3.40 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU InpatientFacility | OccuNet | All Products | $3.40 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Geo Group | All Products | $3.40 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES InpatientFacility | OccuNet | All Products | $3.40 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Geo Group | All Products | $3.40 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | AvMed | All Products | $3.47 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Aetna | SRC and NAP | $3.47 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Aetna | SRC and NAP | $3.47 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | AvMed | All Products | $3.47 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Aetna | SRC and NAP | $3.47 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | AvMed | Engage & Empower & Entrust - Child | $3.54 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Watchtower | All Products | $3.74 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Watchtower | All Products | $3.74 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Watchtower | All Products | $3.74 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | Gatekeeper Non-New Business | $3.82 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | Gatekeeper Non-New Business | $3.82 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Savannah Grand of Amelia Island | All Products | $4.08 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | FSCJ Student Insurance | All Products | $4.08 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | FSCJ Student Insurance | All Products | $4.08 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | FSCJ Student Insurance | All Products | $4.08 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | NFL | $4.15 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | NFL | $4.15 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Cigna | PPO | $4.15 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Cigna | PPO | $4.15 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | Gatekeeper New Business | $4.22 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Suddath Company | All Products | $4.28 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Suddath Company | All Products | $4.28 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Suddath Company | All Products | $4.28 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $4.42 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Georgia Medicaid | OOS Medicaid | $4.42 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Georgia Medicaid | OOS Medicaid | $4.42 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $4.42 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | BCBS | Managed WC | $4.42 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | BCBS | Managed WC | $4.42 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | CareSource of Georgia | Managed Medicaid OOS | $4.42 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | BCBS | Managed WC | $4.42 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Peach State Health Plan | Managed Medicaid OOS | $4.42 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | CareSource of Georgia | Managed Medicaid OOS | $4.42 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Georgia Medicaid | OOS Medicaid | $4.42 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Aetna | ASA | $4.62 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Aetna | ASA | $4.62 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Aetna | ASA | $4.62 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Aetna | Coventry Healthcare HMO of S Georgia | $4.76 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | UF Health Proton Therapy Institute | All Products | $4.76 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Aetna | Coventry Healthcare HMO of S Georgia | $4.76 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Aetna | Coventry Healthcare HMO of S Georgia | $4.76 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE InpatientFacility | PHCS | All Products | $5.10 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | PHCS | All Products | $5.10 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | AvMed | All Products | $5.10 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | PHCS | All Products | $5.10 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | PPO | $5.20 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | HMO | $5.20 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | Gatekeeper Non-New Business | $5.20 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Cigna | NFL | $5.20 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Aetna | First Health | $5.44 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Aetna | First Health | $5.44 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Aetna | First Health | $5.44 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | PHCS | All Products | $5.44 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Centivo | Non-Select | $5.78 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Centivo | Non-Select | $5.78 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Centivo | Non-Select | $5.78 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Evolutions Healthcare | All Products | $6.12 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Evolutions Healthcare | All Products | $6.12 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE BothFacility | Multiplan | All Products | $6.12 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Evolutions Healthcare | All Products | $6.12 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES BothFacility | Multiplan | All Products | $6.12 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU BothFacility | Multiplan | All Products | $6.12 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Corvel | Managed WC | $6.66 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Coventry Workers Comp | Managed WC | $6.66 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE OutpatientFacility | Corvel | Managed WC | $6.66 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER - NASSAU OutpatientFacility | Coventry Workers Comp | Managed WC | $6.66 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Coventry Workers Comp | Managed WC | $6.66 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| BAPTIST MEDICAL CENTER BEACHES OutpatientFacility | Corvel | Managed WC | $6.66 | $6.80 | $4.22 | 2026-02-06 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr | — | $21.85 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Health Team Advantage | — | $21.85 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Humana | — | $21.85 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Uhc | — | $21.85 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Bcbs Blue Mcr | — | $21.85 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $22.06 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Cross | All | $22.06 | $42,119.60 | $42,119.60 | 2026-10-21 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon Nj Health | Medicaid | $22.06 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | $22.06 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Ppo | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicare | Wellcare | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicare | Trad | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Hmo | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Wvdsnp | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Trad | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Pos | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Ppo | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Ppo | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Hmo | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Hmo | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Duals | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Ppo | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medical Mutual Medicare | Mcradv | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Wv Senior Adv | Isnp | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicare | Securecare | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Valor Health Plans | Isnp | $22.26 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Wellcare | — | $22.29 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Cigna | — | $22.29 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Aetna | — | $22.29 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Devoted Healthcare | — | $22.73 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Rp | $23.13 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerihealth | Lvn | $23.13 | $42,032.91 | $42,032.91 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Apex | — | $23.16 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Liberty | — | $23.16 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Mcr Troy | — | $23.16 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield Covered Ca | All | $29.47 | $42,119.60 | $42,119.60 | 2026-10-21 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Ccah | All | $29.93 | $42,119.60 | $42,119.60 | 2026-10-21 | MRF ↗ |
| RANDOLPH HOSPITAL Outpatient | Cigna | Hmo & Ppo | $30.81 | $10,399.90 | $4,367.96 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Exchange | Hmo | $31.16 | $20,358.00 | $10,178.90 | 2026-07-15 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaiser Medi-Cal | All | $33.18 | $42,119.60 | $42,119.60 | 2026-10-21 | 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.