68982085005 — Octagam
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Octagam (NDC 68982085005) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/68982085005?code_type=NDC
MLA (9th ed.)
“Octagam (NDC 68982085005) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/68982085005?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“Octagam (NDC 68982085005) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/68982085005?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $42–$27,972 (25th–75th percentile) across 17 hospitals · 79 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 68982085005 — 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 |
|---|---|---|---|---|---|---|---|
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MA-BEHAVIORAL HEALTH | $6.38 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | PROVIDENCE | MEDICARE ADV. | $6.38 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $6.44 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $7.02 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | HEALTHNET | MEDICARE ADV. | $7.02 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $7.15 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $7.26 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $7.26 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $7.33 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $7.33 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | HUMANA | MEDICARE ADV. | $7.33 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $7.33 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $7.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $7.92 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $7.99 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $7.99 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $8.00 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $8.13 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $8.13 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $8.35 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $8.35 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | REGENCE | MEDICARE ADV. | $8.71 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $8.87 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | DEVOTED HEALTH | DEVOTED HEALTH MCR ADVANTAGE | $9.11 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | SAMARITAN | MEDICARE ADV. | $11.00 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | SAMARITAN | MEDICARE ADV. | $11.00 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $14.74 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | MEDICARE ADV. | $14.74 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PACIFICSOURCE | MEDICARE ADV. | $15.40 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $15.40 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $15.40 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | EPO | $15.40 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | EPO | $15.40 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $17.60 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $17.60 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | SAMARITAN | SAMARITAN CHOICE | $17.60 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $17.60 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $17.60 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | SAMARITAN | SAMARITAN CHOICE | $17.60 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $18.52 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | REGENCE | ALL PRODUCTS | $18.52 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $18.70 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $18.70 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $18.70 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | SAMARITAN | SAMARITAN GROUP | $18.70 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $19.78 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $19.78 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $19.78 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | REGENCE | ALL PRODUCTS | $19.78 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $20.68 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $20.90 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $20.90 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | AETNA | ALL PRODUCTS | $20.90 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | CIGNA | ALL PRODUCTS | $20.90 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $20.90 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $20.90 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $20.90 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $20.90 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | MODA | CONNEXUS-SYNERGY-OHSU PPO | $20.90 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $20.90 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | AETNA | ALL PRODUCTS | $20.90 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN LEBANON COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | HEALTHNET | ALL PRODUCTS | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | HEALTHNET | ALL PRODUCTS | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | EPO - PEBB/OEBB | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | EPO - NON PEBB/OEBB | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL OutpatientFacility | PROVIDENCE | INDIVIDUAL-STANDARD | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | CIGNA | ALL PRODUCTS | $21.34 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| GOOD SAMARITAN REGIONAL MEDICAL CENTER BothFacility | HUMANA | ALL PRODUCTS | $21.45 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN ALBANY GENERAL HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $21.45 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $21.45 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN NORTH LINCOLN HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $21.45 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| SAMARITAN PACIFIC COMMUNITY HOSPITAL BothFacility | HUMANA | ALL PRODUCTS | $21.45 | $22.00 | $17.60 | 2026-01-31 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Trad | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Ppo | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Hmo | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Ppo | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Ppo | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Hmo | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicare | Wvdsnp | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Wv Senior Adv | Isnp | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicare | Securecare | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicare | Wellcare | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicare | Trad | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Medicare | Pos | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Ppo | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Valor Health Plans | Isnp | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare Medicare | Duals | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medical Mutual Medicare | Mcradv | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Medicare | Hmo | $49.00 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Exchange | Hmo | $68.60 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| Siskin Hospital For Physical Rehabilitation BothFacility | Aetna | All products | $83.92 | $93.24 | — | 2026-04-14 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Cross | Medicare Replacement | $123.72 | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Humana Choice Care | Medicare Ppo Hmo Pos Pffs | $123.72 | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Medicaid | Trad | $2,516.95 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Caresource Medicaid | Hmo | $2,516.95 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan Medicaid | Hmo | $2,516.95 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Molina Medicaid | Hmo | $2,592.46 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Unison Medicaid | Hmo | $2,592.46 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Paramount Medicaid | Hmo | $2,642.80 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Medicaid | Hmo | $2,642.80 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Buckeye Medicaid | Hmo | $2,642.80 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthy | $2,742.87 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiohealthypremier | $2,742.87 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $4,742.02 | $4,647.18 | 2025-03-17 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohiohealth | Ohiouniv | $4,800.02 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $5,699.33 | $5,585.34 | 2025-08-04 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem Exchange | Pathway X Hmo | $6,898.32 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Exchange | Hmo | $6,912.03 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem Exchange | Pathway X Ppo | $7,268.61 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Exchange | Ppo | $7,282.32 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Minnesota Care | — | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Aetna | Commercial | — | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Mic Choice Mic Care System Products | — | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Senior Care Dual Medicare Advantage Special Needs Complete | — | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Choice Individual Family Business Focus | — | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Laborcare Choice Elect Premier Self Funded | — | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Self Insured Care System Products | — | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Health Partners | Medicaid Replacement | — | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Cigna | Commercial | — | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Choice Care Medicaid Replacement And Access Ability Solution | — | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Native American | Health Rights Network | — | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Preferred | $7,830.89 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Access | $7,830.89 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Preferred Ppo | $7,844.61 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Blue Access Ppo | $7,844.61 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Traditional | $8,009.18 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Anthem Comm | Blue Trad | $8,022.89 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Ppo | $8,914.33 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Pos | $8,914.33 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | United Healthcare | Pos | $8,914.33 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Hmo | $8,914.33 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Ppo | $8,914.33 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Aetna Comm | Pos | $8,914.33 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Medbenemp | Ppo | $8,914.33 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Hmo | $8,914.33 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Medben | Direct Agreement | $8,914.33 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | United Healthcare | Ppo | $8,914.33 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare | Pos | $8,914.33 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | United Healthcare | Ppo | $8,914.33 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | North Dakota | Medicaid | — | $27,972.00 | — | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Cigna Comm | Ppo | $10,011.48 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Cigna | Ppo | $10,011.48 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Healthsmart Comm | Accel | $10,285.76 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Assc Benefits Solution | Direct Agreement | $10,285.76 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Accel | $10,285.76 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Association Benefit Solutions | Direct Agreement | $10,285.76 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Ohio Health Choice | Phc-Plus | $10,285.76 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Health Choice | Phcplus | $10,285.76 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo | Hmo | $10,560.05 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo Marketplace | Hmo | $10,560.05 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Mmo Comm | Hmo | $10,560.05 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Mmo Comm | Ppo | $10,560.05 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Mmo Marketplace | Hmo | $10,560.05 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo | Ppo | $10,560.05 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Quality Care Partners | Ppo | $10,697.19 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Quality Care Partners | Ppo | $10,697.19 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Quality Care Partners Marketplace | Antidote Health | $10,697.19 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Ppo | $10,971.48 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Aso | $10,971.48 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Pos | $10,971.48 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Ppo | $10,971.48 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Pos | $10,971.48 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Aso | $10,971.48 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | The Health Plan | Hmo | $10,971.48 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Hmo | $10,971.48 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Hmo | $12,342.92 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Traditional | $12,342.92 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Ppo | $12,342.92 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Hmo | $12,342.92 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Pos | $12,342.92 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Humana Comm | Epos | $12,342.92 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Traditional | $12,342.92 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Ppo | $12,342.92 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Pos | $12,342.92 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Epos | $12,342.92 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Ppo | $13,028.63 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Hpo | $13,028.63 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Healthsmart Comm | Ppo | $13,028.63 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Healthsmart Comm | Hpo | $13,028.63 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Ohio Health Choice | Ppo | $13,028.63 | $13,714.35 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Multiplan Comm | Ppo | $13,028.63 | $13,714.00 | $6,857.18 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER Both | Ohio Health Choice | Ppo | $13,028.63 | $13,714.00 | $6,857.18 | 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.