70114034001 — Hycodan 5-1.5 Mg/5ml Po Soln
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). HYCODAN 5-1.5 MG/5ML PO SOLN (NDC 70114034001) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/70114034001?code_type=NDC
MLA (9th ed.)
“HYCODAN 5-1.5 MG/5ML PO SOLN (NDC 70114034001) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/70114034001?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“HYCODAN 5-1.5 MG/5ML PO SOLN (NDC 70114034001) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/70114034001?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $35–$19,047 (25th–75th percentile) across 13 hospitals · 146 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 70114034001 — 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 | $27,259.61 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD HEALTH WEST BLOOMFIELD HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $27,259.61 | — | 2025-06-28 | MRF ↗ |
| WYANDOTTE HOSPITAL AND MEDICAL CENTER OutpatientFacility | HAP | Self Insured | $2.10 | $27,259.61 | — | 2025-06-28 | MRF ↗ |
| HENRY FORD MACOMB HOSPITAL OutpatientFacility | HAP | Self Insured | $2.10 | $27,259.61 | — | 2025-06-28 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-PPO | $9.79 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-PPO | $9.79 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $11.37 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-HMO | $11.37 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-HMO | $11.37 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | BCBS | Medicare Advantage-PPO | $12.95 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | BCBS | Medicare Advantage-HMO | $12.95 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Aetna | All Products | $13.65 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | Medicare Advantage | $15.16 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | Medicare Advantage | $15.16 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Gatorcare | $18.64 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Gatorcare | $18.64 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | WellCare of Florida | Medicare Advantage/HMO/POS/SNP | $18.95 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | WellCare of Florida | Medicare Advantage/HMO/POS/SNP | $18.95 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Blue Select PPO | $19.36 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Blue Select PPO | $19.36 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | MyBlue HMO | $19.99 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | MyBlue HMO | $19.99 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | SimplyBlue Commercial | $19.99 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | SimplyBlue Commercial | $19.99 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $21.95 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $21.95 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | My Blue | $22.93 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Health Care Plan | MEDICARE HMO | $24.01 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Health Care Plan | MEDICARE HMO | $24.01 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | UAA | Student Athletes | $24.07 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Commercial-HMO | $24.13 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Commercial-HMO | $24.13 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | CUF | $24.83 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | PPO | $24.83 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | JUF | $24.83 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | NWB | $24.83 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | CUF | $24.83 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | JUF | $24.83 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | NWB | $24.83 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | PPO | $24.83 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | PPO | $25.02 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | PHS | $25.02 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | Simply Blue | $25.02 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | Network Blue | $25.02 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Devoted Health Plan | Medicare PPO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | AmeriHealth Caritas Florida | Medicaid HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Simply Healthcare | MCD HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AMBETTER | ALL PRODUCTS | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Humana | MANAGED MEDICAID | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Molina | Medicaid HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Sunshine State Health Plan | Medicaid HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Devoted Health Plan | MEDICARE HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Simply Healthcare | MCD HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Simply Healthcare | MCD HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | Healthy Kids | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Devoted Health Plan | Medicare PPO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Devoted Health Plan | Medicare HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | MOLINA | MEDICAID HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Aetna Better Health | Healthy Kids | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | MOLINA | MEDICAID HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Devoted Health Plan | MEDICARE HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | MEDICAID HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | MEDICAID HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Simply Healthcare | Fl Healthy Kids | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | Healthy Kids | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Ambetter | All Products | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Simply Healthcare | Fl Healthy Kids | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Aetna Better Health | Medicaid HMO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Devoted Health Plan | Medicare PPO | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AMBETTER | ALL PRODUCTS | $25.27 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | UHC | HMO/PPO/POS/INDEMNITY | $26.41 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | UHC | HMO/PPO/POS/INDEMNITY | $26.41 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Volusia Health Network | PPO/EPO | $26.54 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Volusia Health Network | PPO/EPO | $26.54 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | Gatorcare | $27.07 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | PPS | $27.31 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | PHS | $27.31 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | PPS | $27.31 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | PHS | $27.31 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL BothFacility | AVMED | All Products | $27.61 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Northeast Florida State Hospital | NEFSH Self Insured | $27.80 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Northeast Florida State Hospital | NEFSH Self Insured | $27.80 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Northeast FL Hospital | Self Insured | $27.80 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Positive Healthcare Partners | Ryan White Members | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL BothFacility | Humana | ALL PRODUCTS | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Positive Healthcare Partners | MEDICARE HMO | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE BothFacility | Humana | ALL PRODUCTS | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Careplus | MEDICARE ADV.-HMO | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Careplus Health Plan | MEDICARE ADVANTAGE | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Beacon Health Strategies | Medicare | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Beacon Health Strategies | Medicare | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AmeriHealth Caritas Florida | MEDICAID HMO | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | AHF MCO OF FL | Medicare HMO (SPN) | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Positive Healthcare Partners | MEDICARE HMO | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Positive Healthcare Partners | Ryan White Members | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Positive Healthcare Partners | Ryan White Members | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AmeriHealth Caritas Florida | MEDICAID HMO | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Careplus Health Plan | MEDICARE ADVANTAGE | $28.43 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $28.65 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | CARELON HEALTH | MEDICARE ADVANTAGE | $29.28 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | HMO | $29.69 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | North Florida Evaluation & Treatment Center | NFETC Self Insured | $29.69 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | HMO | $29.69 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | North Florida Evaluation & Treatment Center | NFETC Self Insured | $29.69 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | Blue Select PPO | $30.25 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | HMO | $31.24 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | HMO | $31.24 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Capital Health Plan | HMO | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Community Care Plan | Florida Healthy Kids | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Complete Care | MEDICARE HMO | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Complete Care | MEDICARE HMO | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Freedom Health- Inc./Optimum HealthCare- Inc. | Medicare Advantage | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | WellPath | Inmate Services | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | WellPath | Inmate Services | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Capital Health Plan | Commercial | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Community Care Plan | MEDICAID HMO | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Capital Health Plan | HMO | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Community Care Plan | MEDICAID HMO | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Health Care Plan | HMO | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Community Care Plan | Florida Healthy Kids | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Community Care Plan | Florida Healthy Kids- Medicaid HMO | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Health Care Plan | HMO | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Florida Health Care Plan | HMO | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | WellPath | Inmate Services | $31.59 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | CUF | $32.03 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | PPO | $32.03 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | JUF | $32.03 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | NWB | $32.03 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | JUF | $32.03 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | CUF | $32.03 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | NWB | $32.03 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | PPO | $32.03 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | EPO | $32.85 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL InpatientFacility | AVMED | All Products | $32.85 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | EPO | $32.85 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | Commercial-HMO | $33.24 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | NWB- PPO- CUF- JUF | $33.86 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | CENTIVO | PPO | $34.75 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | CENTIVO | PPO | $34.75 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | BCBS | Gatorcare | $35.26 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | BCBS | Gatorcare | $35.26 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | PPO | $35.38 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | PPO | $35.38 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | HMO | $35.48 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | EPN | $35.48 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | POS | $35.48 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | HMO | $35.48 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | Select and Entrust Networks | $35.48 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | EPN | $35.48 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | Select and Entrust Networks | $35.48 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | POS | $35.48 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | AVMED | Select and Entrust Network | $35.48 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | BCBS | NWB- PPO- CUF- JUF | $36.61 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | BCBS | MyBlue HMO- SimplyBlue Commercial | $36.80 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | BCBS | MyBlue HMO- SimplyBlue Commercial | $36.80 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | BCBS | Blue Select PPO | $37.28 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | BCBS | Blue Select PPO | $37.28 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Disney Cruise Line | PPO | $37.91 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Disney Cruise Line | PPO | $37.91 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | BCBS | NWB- PPO- CUF- JUF | $37.96 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care DSNP | Medicare HMO | $38.87 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $38.87 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Mediare Advantage | Medicare Advantage | $38.87 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | CIGNA | PPO | $39.14 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | CIGNA | HMO | $39.14 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | CIGNA | PPO | $39.14 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | CIGNA | HMO | $39.14 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $39.32 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $39.32 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $39.41 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | All Products | $39.50 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | PHS-PPS | $39.51 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | AVMED | All Products | $40.08 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $40.21 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Medicare | Medicare | $40.21 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | Medicare HMO | $40.21 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community Medicare | Medicare | $40.21 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | TriWest Healthcare Alliance | Other Government | $40.21 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | TriWest Healthcare Alliance | Other Government | $40.21 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $40.21 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $40.21 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | All Products | $40.47 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $40.47 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | EPN | $40.47 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Mental Health Associates | Behavioral Health | $41.07 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL BothFacility | Aetna Health | ALL PRODUCTS | $41.07 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | Health First Health Plan | Medicare Adv HMO | $41.07 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Mental Health Associates | Behavioral Health | $41.07 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | Health First Health Plan | Medicare Adv HMO | $41.07 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE BothFacility | Aetna Health | ALL PRODUCTS | $42.30 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL BothFacility | Aetna Health | ALL PRODUCTS | $42.30 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $42.76 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Memorial Medicare | HMO-Medicare | $42.76 | $27,209.61 | $14,965.29 | 2026-03-29 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL BothFacility | Cigna | ALL PRODUCTS | $43.78 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE BothFacility | Cigna | ALL PRODUCTS | $43.78 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | MOLINA | Exchange | $44.23 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | MOLINA | Exchange | $44.23 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Prime Health Services | Correctional Facility Clinic | $44.23 | $63.18 | $34.75 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Prime Health Services | Correctional Facility Clinic | $44.23 | $63.18 | $34.75 | 2026-03-31 | 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.