69468-151-04 — Uridine Triacetate 10 G Po Pack
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APA (7th ed.)
HANK Price Transparency. (n.d.). URIDINE TRIACETATE 10 G PO PACK (NDC 69468-151-04) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/69468-151-04?code_type=NDC
MLA (9th ed.)
“URIDINE TRIACETATE 10 G PO PACK (NDC 69468-151-04) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/69468-151-04?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“URIDINE TRIACETATE 10 G PO PACK (NDC 69468-151-04) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/69468-151-04?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,505–$55,439 (25th–75th percentile) across 28 hospitals · 86 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 69468-151-04 — 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 |
|---|---|---|---|---|---|---|---|
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Inpatient | — | — | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Inpatient | — | — | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Humana_Health_Plan | HMO_Medicare | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Private_Healthcare_Systems | PPO | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | United_HealthCare_of_Texas | Medicare_HMO_PPO | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Star_Plus | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Humana_Health_Plan | HMO_Medicare | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Private_Healthcare_Systems | PPO | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Amerigroup_Texas_MGD | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Blue_Cross_Blue_Shield_of_TX | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Blue_Cross_Blue_Shield_of_TX_Star_Plus | Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Superior_HealthPlan_CHIP_BEH | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | Ambetter_Exchange | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Centene_Venture_Comp | HMO_Medicare | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Scott_and_White_Health_Plan | HMO_PPO | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Star_BEH | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_CHIP | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ROLLINS BROOK Outpatient | Amerigroup_Texas | HMO_Medicaid | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH CENTRAL TEXAS Outpatient | Superior_HealthPlan_Wellcare | HMO_PPO_Medicare | — | $48,800.60 | $24,400.30 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Amerigroup_Community_Care | HMO_Medicaid | $2,589.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Aetna_of_GA | Medicare_HMO | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Devoted | Medicare_HMO_PPO | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Humana | Medicare_PFFS | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Oscar_Health_Plan_of_Georgia | HMO | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Devoted_Health | HMO_PPO_Medicare | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Oscar | HMO | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna_Healthcare_of_Georgia | _Medicare_HMO | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Peach_State_Health_Plan_Ambetter_Exchange | HMO | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Trustmark_Apache_Mills_AMPS | HMO_PPO_Medicare | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Trustmark_Apache_AMPS | Medicare_HMO_PPO | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $2,589.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Alliant_Health | Solocare_Exchange | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Aetna | HMO_Medicare | — | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $2,938.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Caresource_GA | HMO_Medicaid | $2,938.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Peach_State_Health_Plan | HMO_Medicaid | $3,122.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Health_First | HMO_PPO | $5,045.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Health_First_Health | HMO_PPO | $5,045.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | United_HealthCare | Exchange | $5,415.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Health_First_Health | HMO_PPO | $5,439.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Health_First_Health | HMO_PPO | $5,439.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | Exchange | $5,629.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | PPO_Medicare_ | $5,753.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | EXCHANGE | $5,775.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | AMPS | HMO_PPO | $5,797.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AMPS | PPO | $5,797.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | Exchange | $5,952.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | PPO_Medicare_ | $6,202.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | AMPS | PPO | $6,250.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AMPS | PPO | $6,250.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Humana | PPO_Medicare_ | $6,918.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Humana | HMO_Medicare | $7,719.00 | $57,607.94 | $23,043.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | MYBLUE | $8,121.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $8,301.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Humana | HMO_Medicare | $8,539.00 | $66,710.18 | $26,684.07 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $8,623.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida_ | My_Blue | $8,665.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Health_First_Health | HMO_PPO | $8,668.00 | $50,990.40 | $20,396.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Florida_Health_Care_Plan | Medicare | $8,851.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $8,851.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | BLUE_SELECT | $9,004.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Blue_Select | $9,004.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | United_HealthCare | Exchange | $9,073.00 | $66,710.18 | $26,684.07 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $9,124.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Cigna_HealthCare | SureFit_EPO | $9,255.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | United_HealthCare | Exchange | $9,275.00 | $57,607.94 | $23,043.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | QHP_Exchange | $9,360.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Aetna | QHP_Exchange | $9,391.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Aetna | QHP | $9,391.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | FHCP | HMO | $9,515.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $9,515.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | HEALTH_OPTIONS | $9,523.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Health_Options | $9,523.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_HealthCare_Plan | Medicare_HMO | $9,541.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | Medicare_ | $9,541.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $9,732.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $9,754.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | Surefit | $10,024.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | SureFit_EPO | $10,024.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Aetna | QHP_Exchange | $10,028.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $55,964.40 | $27,982.20 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | United_Community_Plan_of_KY_ | Medicaid | — | $55,964.40 | $27,982.20 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | WellCare_of_Kentucky | Medicaid | — | $55,964.40 | $27,982.20 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS_Medicaid | HMO_Medicaid | — | $55,964.40 | $27,982.20 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Aetna_Better_Health | HMO_Medicaid | $10,074.00 | $55,964.40 | $27,982.20 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Humana_Health_Plan | HMO_PPO_Medicare | — | $55,964.40 | $27,982.20 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | HMO_Medicare | — | $55,964.40 | $27,982.20 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Molina_Healthcare_of_KY | Medicaid | — | $55,964.40 | $27,982.20 | 2024-12-15 | MRF ↗ |
| AdventHealthManchester Outpatient | Anthem_BCBS | HMO_PPO_Medicare | — | $55,964.40 | $27,982.20 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | United_HealthCare | Exchange | $10,096.00 | $50,990.40 | $20,396.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | NETWORK_BLUE | $10,212.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | Network_Blue | $10,214.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $10,257.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $10,257.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Cigna | _Medicare_HMO | — | $95,786.80 | $47,893.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Amerigroup_Community_Care | Medicaid_HMO | $10,395.00 | $95,786.80 | $47,893.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Alliant_Health_Plans | Solocare_Exchange | — | $95,786.80 | $47,893.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Anthem_BCBS_of_GA | _Medicare_HMO | — | $95,786.80 | $47,893.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Devoted_Health | Medicare_HMO_PPO | — | $95,786.80 | $47,893.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Humana | HMO_Medicare | — | $95,786.80 | $47,893.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Aetna | QHP_Exchange | $10,810.00 | $50,990.40 | $20,396.16 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $10,973.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Humana | EPO | $11,064.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | NHP | $11,378.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Humana | HMO_EPO | $11,450.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Aetna | HMO_PPO | $11,593.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | BCBS | PPC | $11,623.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Blue_Cross_&_Blue_Shield_of_Florida | PPC | $11,626.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Outpatient | Aetna | QHP_Exchange | $11,694.00 | $57,607.94 | $23,043.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Inpatient | United_HealthCare_of_Georgia | HMO_PPO | $11,712.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | United_HealthCare_of_GA | HMO_PPO_UMR | $11,712.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Caresource_GA_Medicaid | Medicaid_HMO | $11,799.00 | $95,786.80 | $47,893.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH TAMPA Inpatient | Humana | HMO_Medicare | $12,040.00 | $57,607.94 | $23,043.18 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $12,046.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $12,046.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Avmed | State_of_Florida | $12,059.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | NHP | $12,081.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Alliant_Health_Plans | PPO | $12,213.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Alliant_Health | HMO_PPO | $12,213.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | EPO | $12,391.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | HMO | $12,391.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Inpatient | Health_One_Alliance | PPO | $12,404.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | NHP | $12,413.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Outpatient | Cigna_HealthCare_of_Georgia | PPO | $12,452.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | United_HealthCare | HMO_PPO | $12,452.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH GORDON Outpatient | Cigna | HMO_PPO | $12,523.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH MURRAY Inpatient | Cigna_HealthCare_of_Georgia | PPO | $12,523.00 | $23,853.72 | $11,926.86 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | SureFit_EPO | $12,523.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | FHCP | HMO | $12,524.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Florida_Health_Care_Plan | HMO_Triple_Option | $12,524.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Peach_State_Health_Plan | Medicaid_HMO | $12,538.00 | $95,786.80 | $47,893.40 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Humana | HMO_EPO | $12,642.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Cigna_HealthCare | HMO_PPO | $12,666.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Humana | HMO | $12,881.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Humana | EPO | $12,881.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | County_of_Volusia | $12,900.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | Volusia_County | $12,900.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | AvMed | HMO | $12,905.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH ORLANDO Outpatient | Cigna_HealthCare | SureFit_EPO | $13,156.00 | $50,990.40 | $20,396.16 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_HealthCare | Medicaid | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Aetna | Better_Health_Medicaid | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Amerigroup | Medicare | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Molina | Medicare | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Amerigroup | Medicare | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_Healthcare | Medicare | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Wellcare | Medicare | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Wellcare | Medicare | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Molina | Medicare | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Cigna_Health_Spring | Medicare | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | United_HealthCare | Medicaid | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Aetna | Better_Health_Medicaid | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $13,193.00 | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Blue_Cross_Blue_Shield | Medicare | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Cigna_Health_Spring | Medicare | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | United_Healthcare | Medicare | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HUGULEY HOSPITAL FORT WORTH SOUTH Outpatient | Blue_Cross_Blue_Shield_of_Kansas | BAV | $13,193.00 | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| TEXAS HEALTH HOSPITAL MANSFIELD Outpatient | Sunshine_State_Health_Plan | Medicaid | — | $42,015.96 | $21,007.98 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | UHC | HMO_PPO | $13,210.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Humana | PPO | $13,276.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Outpatient | Cigna_HealthCare | HMO_PPO | $13,334.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| AdventHealth Carrollwood Outpatient | Aetna | QHP_Exchange | $13,342.00 | $66,710.18 | $26,684.07 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH REDMOND Outpatient | Aetna_of_GA | Medicare_HMO | $13,410.00 | $95,786.80 | $47,893.40 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | AvMed_Health_Plan | HMO | $13,520.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | United_HealthCare | HMO_PPO | $13,564.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH DAYTONA BEACH Inpatient | Humana | PPO | $13,597.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | AvMed | HMO | $13,668.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Cigna | HMO_PPO | $13,719.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Cigna_HealthCare | HMO_PPO | $13,719.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Polkin_Health | PPO | $13,829.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Plotkin | International | $13,829.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Inpatient | Humana | PPO | $13,835.00 | $23,853.72 | $9,541.49 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | Aetna | ASA | $13,940.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Inpatient | UHC | International | $13,940.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | Aetna | ASA_PPO | $13,940.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Inpatient | United_HealthCare | International | $13,940.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| Adventhealth Zephyrhills Outpatient | United_HealthCare | Exchange | $14,037.00 | $85,588.82 | $34,235.53 | 2024-12-15 | MRF ↗ |
| AdventHealth Palm Coast Outpatient | Aetna | HMO_PPO | $14,228.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH PALM COAST PARKWAY Outpatient | Aetna | HMO_PPO | $14,228.00 | $22,127.09 | $8,850.84 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH WATERMAN Outpatient | Aetna | QHP_Exchange | $14,232.00 | $47,283.56 | $18,913.42 | 2024-12-15 | MRF ↗ |
| ADVENTHEALTH FISH MEMORIAL Outpatient | Aetna | HMO_PPO | $14,265.00 | $23,853.72 | $9,541.49 | 2024-12-15 | 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.