72874000101 — Fluoroestradiol F 18 4-100 Mci/ml IV Soln
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). FLUOROESTRADIOL F 18 4-100 MCI/ML IV SOLN (NDC 72874000101) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/72874000101?code_type=NDC
MLA (9th ed.)
“FLUOROESTRADIOL F 18 4-100 MCI/ML IV SOLN (NDC 72874000101) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/72874000101?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“FLUOROESTRADIOL F 18 4-100 MCI/ML IV SOLN (NDC 72874000101) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/72874000101?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,136–$11,124 (25th–75th percentile) across 4 hospitals · 117 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 72874000101 — 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 |
|---|---|---|---|---|---|---|---|
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Blue Shield | Medicare Advantage | $251.39 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna Medicare | Medicare | $251.39 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | SCAN | Medicare | $367.57 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $460.42 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | TriWest Healthcare Alliance | Other Government | $460.42 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | TriWest Healthcare Alliance | Other Government | $460.42 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community Medicare | Medicare | $460.42 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $460.42 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna Medicare | Medicare | $460.42 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | Medicare HMO | $460.42 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Medicare | Medicare | $460.42 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | Medicare Advantage | $498.67 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care DSNP | Medicare HMO | $498.67 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity-Anthem HMO | All Products-HMO | $498.67 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $498.67 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Mediare Advantage | Medicare Advantage | $498.67 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $498.67 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Memorial Medicare | HMO-Medicare | $548.54 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Providence Healthcare | Medicare | $548.54 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthSmart | Workers Compensation | $552.50 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | SCAN | Medicare | $673.20 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centivo | PPO | $1,105.01 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Plan of Nevada Commercial | All Products | $1,270.76 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | Medicare | $1,321.41 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCLA Health Medicare Advantage Plan | Medicare Advantage | $3,476.27 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna Medicare | Medicare | $3,476.27 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Gold Coast Health Plan | HMO | $3,893.43 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Gold Coast Health Plan | HMO | $3,893.43 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Workers Comp | Workers Comp | $3,989.37 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $4,075.58 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-City of LA | $4,521.94 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $4,560.87 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $4,672.11 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $4,672.11 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $4,866.78 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA - RMG | All Products | $4,866.78 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | Medicare Advantage | $4,866.78 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Care LA - RMG | All Products | $4,866.78 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Care LA MediCal - RMG | Medicaid Advantage | $4,866.78 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | CenCal Medi-Cal HMO | Medi-Cal HMO | $4,866.78 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | CenCal Transplant Medi-Cal HMO | Medi-Cal HMO | $4,866.78 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Providence Healthcare | Medicare | $4,866.78 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $5,094.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Anthem Vivity, Anthem HMO | HMO-NonCity of LA | $5,094.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Care - PPO | PPO | $5,436.89 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Children Hospital of Orange County | Medicaid HMO | $5,562.04 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $5,562.04 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Molina Healthcare HMO | MediCal HMO | $5,562.04 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UCI University - RMG | All Products | $5,562.04 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UCI University - RMG | All Products | $5,562.04 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA care Medi-Cal HMO | Medi-Cal HMO | $5,562.04 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Molina Healthcare HMO | MediCal HMO | $5,562.04 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Children Hospital of Orange County | Medicaid HMO | $5,562.04 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UC Ship | PPO | $5,617.66 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UC Ship | PPO | $5,617.66 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | UC Ship | PPO | $6,604.92 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $7,022.07 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | Medicare | $7,022.07 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | Medicare | $7,022.07 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $7,022.07 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HealthCare Partners HMO | HMO-Medicare | $7,647.80 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Optum | Medicare | $7,647.80 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care DSNP | Medicare HMO | $7,647.80 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | LA Care Covered CA | HMO | $7,647.80 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | LA Care Covered CA | HMO | $7,647.80 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | HealthCare Partners HMO | HMO-Medicare | $7,647.80 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $7,772.95 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Kaiser | All Products | $7,786.85 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Kaiser | All Products | $7,786.85 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Kaiser | All Products | $7,925.90 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Redlands Community General Services | HMO | $8,064.95 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Community General Services | HMO | $8,064.95 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Cigna | PPO | $8,135.87 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Cigna | PPO | $8,135.87 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Cigna | HMO | $8,135.87 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Cigna | HMO | $8,135.87 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Blue Shield | EPN | $8,343.05 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Blue Shield | EPN | $8,343.05 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Plan of Nevada Commercial | All Products | $8,899.26 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Seaview IPA - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Santa Barbara Select IPA - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Access Medical Group - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Seoul Medical Group - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Valley Care - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Western Neurological Network - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch | Medicare | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Commercial | HMO | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Monarch | Medicare | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Access Medical Group - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Seoul Medical Group - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | MemorialCare Medical Foundation - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Santa Barbara Select IPA - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Commercial | HMO | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Torrance Hospital - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Torrance Hospital - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | MemorialCare Medical Foundation - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Valley Care - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Western Neurological Network - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Seaview IPA - RMG | All Products | $9,038.31 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Aetna | All Products | $9,427.65 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Aetna | All Products | $9,427.65 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RESNICK NEUROPSYCHIATRIC HOSPITAL AT UCLA Outpatient | Aetna | All Products | $9,427.65 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Select/SelectPlus | Select-Select Plus | $9,522.21 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC Select/SelectPlus | Select-Select Plus | $9,522.21 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | First Health | Workers Compensation | $9,538.89 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | UHC Select/SelectPlus | Select-Select Plus | $9,648.74 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | UHC Select/SelectPlus | Select-Select Plus | $9,648.74 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Health Net B&G | HMO | $9,650.13 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Health Net B&G | HMO | $9,650.13 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Alamitos IPA LOA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | St Joseph Heritage - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | St Mary IPA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | St Vincent IPA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | St. Jude | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Tri Valley - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Lakewood IPA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Memorial Health Care - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Monarch Healthcare - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Physicians Choice Medical Group San Luis Obispo - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | PIH Health Physicians - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Pinnacle Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Premier Physician - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Commercial | HMO | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Medicare | Medicare | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Primecare Transplant | HMO | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Brookshire IPA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Prudent Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Axminister Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Redlands Yucaipa Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Riverside Medical Clinic - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Saint Johns - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | San Bernardino - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Sansum Clinic - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Sharp Rees-Stealy - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Joseph Heritage - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Mary IPA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St Vincent IPA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Apple Care Medical Group St. Francis - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | St. Jude | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Centinela Valley IPA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Alliance Physicians of the High Desert Inc LOA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Tri Valley - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Alamitos IPA LOA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | AKM Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Choice Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Care Specialists - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Facey Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | United Family Care - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | First Health | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | County of Ventura | HMO | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Korean American Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Alliance Physicians of the High Desert Inc LOA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Apple Care Medical Group St. Francis - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Axminister Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Brookshire IPA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Centinela Valley IPA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | United Family Care - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | County of Ventura | HMO | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Dignity Health Medical Network Central California | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Facey Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Family Care Specialists - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Family Choice Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Family Health Alliance - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Dignity Health Medical Network Central California | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Korean American Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Lakewood IPA - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Memorial Health Care - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Monarch Healthcare - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Physicians Choice Medical Group San Luis Obispo - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | PIH Health Physicians - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Pinnacle Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Premier Physician - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Family Health Alliance - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Commercial | HMO | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Medicare | Medicare | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Primecare Transplant | HMO | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Prudent Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Redlands Yucaipa Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Riverside Medical Clinic - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Saint Johns - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | San Bernardino - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Sansum Clinic - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Sharp Rees-Stealy - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | AKM Medical Group - RMG | All Products | $9,733.56 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Optum | All Products | $10,083.97 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Optum | All Products | $10,083.97 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | HEREIU Tertiary | PPO | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Prime Health- Workers Comp | Workers Comp | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Physicians Choice Medical Group Santa Maria - RMG | All Products | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Pomona Valley - RMG | All Products | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Upland Medical Group - RMG | All Products | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Cedars Sinai - RMG | All Products | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Mercy Healthcare Bakersfield_RRUCLA - RMG | All Products | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Delano Medical Center | HMO | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL Outpatient | Private Healthcare System PHC- PPO | PPO | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Physicians Choice Medical Group Santa Maria - RMG | All Products | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Private Healthcare System PHC- PPO | PPO | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Pomona Valley - RMG | All Products | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | GemCare PPO | Medicare | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
| RONALD REAGAN UCLA MEDICAL CENTER Outpatient | Multiplan | PPO | $10,428.82 | $13,905.09 | $7,647.80 | 2026-03-29 | MRF ↗ |
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