71894013206 — Fosfomycin Tromethamine 3 G Po Pack
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FOSFOMYCIN TROMETHAMINE 3 G PO PACK (NDC 71894013206) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/71894013206?code_type=NDC
MLA (9th ed.)
“FOSFOMYCIN TROMETHAMINE 3 G PO PACK (NDC 71894013206) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/71894013206?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“FOSFOMYCIN TROMETHAMINE 3 G PO PACK (NDC 71894013206) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/71894013206?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $183–$4,322,250 (25th–75th percentile) across 8 hospitals · 133 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 71894013206 — 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 |
|---|---|---|---|---|---|---|---|
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Net Non B&G | HMO | $5,386,875.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC HMO | HMO | $5,036,887.50 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Prime Health- PPO | PPO | $5,100,000.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Affiliated Health Fund - RMG | All Products | $5,418,750.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | California Foundation for Medical Care | PPO | $5,418,750.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centivo | PPO | $6,213,554.93 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Teachers Health Trust | All Products | $5,100,000.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | HealthSmart | PPO | $5,418,750.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Affiliate Health Fund | PPO | $5,418,750.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Multiplan | PPO | $5,737,500.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Prime Health- PPO | PPO | $5,100,000.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC PPO | PPO | $5,027,325.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC HMO | HMO | $5,036,887.50 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Affiliated Health Fund - RMG | All Products | $5,418,750.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Imdemity | Indemity | $5,027,325.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | GemCare PPO | Medicare | $5,100,000.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | HealthSmart | Workers Compensation | $5,418,750.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $5,100,000.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Commercial | All Products | $7,145,588.17 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Affiliate Health Fund | PPO | $5,418,750.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | TakeCare HMO | All Products | $5,100,000.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kern Family | MediCal HMO | $5,100,000.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Teachers Health Trust | All Products | $5,100,000.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net Non B&G | HMO | $5,386,875.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | TakeCare HMO | All Products | $5,100,000.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC PPO | PPO | $5,027,325.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC Imdemity | Indemity | $5,027,325.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Monarch | Medicare | $5,100,000.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kern Family | MediCal HMO | $5,100,000.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | GemCare PPO | Medicare | $5,100,000.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | California Foundation for Medical Care | PPO | $5,418,750.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthSmart | PPO | $5,418,750.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | First Health | Workers Compensation | $5,310,375.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Multiplan | PPO | $5,737,500.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | First Health | All Products | $5,418,750.00 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | Medicare | $7,430,376.10 | $6,375,000.00 | $3,506,250.00 | 2026-03-29 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-PPO | $56.82 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-PPO | $56.82 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-HMO | $65.98 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Medicare Advantage-HMO | $65.98 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Aetna | Medicare Advantage | $65.98 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | BCBS | Medicare Advantage-HMO | $75.14 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | BCBS | Medicare Advantage-PPO | $75.14 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Aetna | All Products | $79.17 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | Medicare Advantage | $87.97 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | Medicare Advantage | $87.97 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Gatorcare | $108.13 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Gatorcare | $108.13 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | WellCare of Florida | Medicare Advantage/HMO/POS/SNP | $109.97 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | WellCare of Florida | Medicare Advantage/HMO/POS/SNP | $109.97 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Blue Select PPO | $112.31 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Blue Select PPO | $112.31 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | MyBlue HMO | $115.98 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | MyBlue HMO | $115.98 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | SimplyBlue Commercial | $115.98 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | SimplyBlue Commercial | $115.98 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | My Blue | $133.06 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Health Care Plan | MEDICARE HMO | $139.29 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Health Care Plan | MEDICARE HMO | $139.29 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | UAA | Student Athletes | $139.66 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Commercial-HMO | $140.02 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | Commercial-HMO | $140.02 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | JUF | $144.05 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | NWB | $144.05 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | CUF | $144.05 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | PPO | $144.05 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | CUF | $144.05 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | JUF | $144.05 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | NWB | $144.05 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | BCBS | PPO | $144.05 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | Network Blue | $145.15 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | PPO | $145.15 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | Simply Blue | $145.15 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | BCBS | PHS | $145.15 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AMBETTER | ALL PRODUCTS | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Aetna Better Health | Healthy Kids | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Simply Healthcare | Fl Healthy Kids | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL OutpatientFacility | Aetna | Managed Medicaid | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | AmeriHealth Caritas Florida | Medicaid HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Ambetter | All Products | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Devoted Health Plan | MEDICARE HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Devoted Health Plan | Medicare HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Aetna Better Health | Medicaid HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Devoted Health Plan | Medicare PPO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | MOLINA | MEDICAID HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Molina | Medicaid HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Simply Healthcare | MCD HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | MEDICAID HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Humana | MANAGED MEDICAID | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Simply Healthcare | MCD HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Sunshine State Health Plan | Medicaid HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Simply Healthcare | MCD HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AMBETTER | ALL PRODUCTS | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Devoted Health Plan | Medicare PPO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | MEDICAID HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Devoted Health Plan | MEDICARE HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Simply Healthcare | Fl Healthy Kids | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | Healthy Kids | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | MOLINA | MEDICAID HMO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Devoted Health Plan | Medicare PPO | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Better Health | Healthy Kids | $146.62 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | UHC | HMO/PPO/POS/INDEMNITY | $153.22 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | UHC | HMO/PPO/POS/INDEMNITY | $153.22 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Volusia Health Network | PPO/EPO | $153.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Volusia Health Network | PPO/EPO | $153.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | Gatorcare | $157.07 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | PPS | $158.46 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | PPS | $158.46 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | PHS | $158.46 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | BCBS | PHS | $158.46 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL BothFacility | AVMED | All Products | $160.18 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Northeast FL Hospital | Self Insured | $161.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Northeast Florida State Hospital | NEFSH Self Insured | $161.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Northeast Florida State Hospital | NEFSH Self Insured | $161.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE BothFacility | Humana | ALL PRODUCTS | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Careplus Health Plan | MEDICARE ADVANTAGE | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Positive Healthcare Partners | Ryan White Members | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | AHF MCO OF FL | Medicare HMO (SPN) | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AmeriHealth Caritas Florida | MEDICAID HMO | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Positive Healthcare Partners | MEDICARE HMO | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Beacon Health Strategies | Medicare | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Positive Healthcare Partners | Ryan White Members | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Careplus Health Plan | MEDICARE ADVANTAGE | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Positive Healthcare Partners | Ryan White Members | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AmeriHealth Caritas Florida | MEDICAID HMO | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Beacon Health Strategies | Medicare | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL BothFacility | Humana | ALL PRODUCTS | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Positive Healthcare Partners | MEDICARE HMO | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Careplus | MEDICARE ADV.-HMO | $164.95 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | CARELON HEALTH | MEDICARE ADVANTAGE | $169.90 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | North Florida Evaluation & Treatment Center | NFETC Self Insured | $172.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | HMO | $172.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | North Florida Evaluation & Treatment Center | NFETC Self Insured | $172.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | HMO | $172.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | Blue Select PPO | $175.50 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | HMO | $181.22 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Aetna Health | HMO | $181.22 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Health Care Plan | HMO | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | WellPath | Inmate Services | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Complete Care | MEDICARE HMO | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Community Care Plan | MEDICAID HMO | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Health Care Plan | HMO | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Capital Health Plan | HMO | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | WellPath | Inmate Services | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Community Care Plan | Florida Healthy Kids | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Florida Health Care Plan | HMO | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | WellPath | Inmate Services | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Capital Health Plan | Commercial | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | Freedom Health- Inc./Optimum HealthCare- Inc. | Medicare Advantage | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Florida Complete Care | MEDICARE HMO | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Community Care Plan | MEDICAID HMO | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | Community Care Plan | Florida Healthy Kids- Medicaid HMO | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Community Care Plan | Florida Healthy Kids | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Capital Health Plan | HMO | $183.28 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | PPO | $185.80 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | CUF | $185.80 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | NWB | $185.80 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | JUF | $185.80 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | CUF | $185.80 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | PPO | $185.80 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | JUF | $185.80 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | BCBS | NWB | $185.80 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| FLAGLER HOSPITAL InpatientFacility | AVMED | All Products | $190.61 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | EPO | $190.61 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | EPO | $190.61 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | Commercial-HMO | $192.84 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | NWB- PPO- CUF- JUF | $196.47 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | CENTIVO | PPO | $201.60 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | CENTIVO | PPO | $201.60 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | BCBS | Gatorcare | $204.57 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | BCBS | Gatorcare | $204.57 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | PPO | $205.27 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | HUMANA | PPO | $205.27 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | POS | $205.85 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | HMO | $205.85 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | EPN | $205.85 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | Select and Entrust Networks | $205.85 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | AVMED | Select and Entrust Network | $205.85 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | POS | $205.85 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | EPN | $205.85 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | Select and Entrust Networks | $205.85 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | AVMED | HMO | $205.85 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | BCBS | NWB- PPO- CUF- JUF | $212.38 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | BCBS | MyBlue HMO- SimplyBlue Commercial | $213.52 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | BCBS | MyBlue HMO- SimplyBlue Commercial | $213.52 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | BCBS | Blue Select PPO | $216.30 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL OutpatientFacility | BCBS | Blue Select PPO | $216.30 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Disney Cruise Line | PPO | $219.93 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE BothFacility | Disney Cruise Line | PPO | $219.93 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| VILLAGES REGIONAL HOSPITAL, THE OutpatientFacility | BCBS | NWB- PPO- CUF- JUF | $220.22 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | CIGNA | PPO | $227.08 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | CIGNA | PPO | $227.08 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | CIGNA | HMO | $227.08 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | CIGNA | HMO | $227.08 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL BothFacility | BCBS | PHS-PPS | $229.20 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH SHANDS HOSPITAL OutpatientFacility | AVMED | All Products | $232.54 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| UF HEALTH LEESBURG HOSPITAL BothFacility | Aetna Health | ALL PRODUCTS | $238.26 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | Health First Health Plan | Medicare Adv HMO | $238.26 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE OutpatientFacility | Mental Health Associates | Behavioral Health | $238.26 | $366.55 | $201.60 | 2026-03-31 | MRF ↗ |
| SHANDS JACKSONVILLE InpatientFacility | Health First Health Plan | Medicare Adv HMO | $238.26 | $366.55 | $201.60 | 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.