74055402 — Humira(Cf) Pen
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Humira(Cf) Pen (OTHER 74055402) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74055402?code_type=OTHER
MLA (9th ed.)
“Humira(Cf) Pen (OTHER 74055402) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74055402?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Humira(Cf) Pen (OTHER 74055402) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74055402?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $27,084–$33,229 (25th–75th percentile) across 38 hospitals · 169 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 74055402 — 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 |
|---|---|---|---|---|---|---|---|
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $33,228.58 | $33,228.58 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $33,228.58 | $33,228.58 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $33,228.58 | $33,228.58 | 2026-05-22 | MRF ↗ |
| Gateway Rehabilitation Hospital Inpatient | Aetna | Medicare Replacement | $20.88 | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $39.02 | $33,228.58 | $33,228.58 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $42.30 | $33,228.58 | $33,228.58 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage | — | $42.30 | $33,228.58 | $33,228.58 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $42.30 | $33,228.58 | $33,228.58 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $33,228.58 | $33,228.58 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $33,228.58 | $33,228.58 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete|Negotiated_Percentage | — | $47.20 | $33,228.58 | $33,228.58 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete|Negotiated_Percentage | — | $47.20 | $33,228.58 | $33,228.58 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $33,228.58 | $33,228.58 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Choice_Care_Medicaid_Replacement_And_Access_Ability_Solution|Negotiated_Percentage | — | $49.10 | $33,228.58 | $33,228.58 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Choice_Care_Medicaid_Replacement_And_Access_Ability_Solution|Negotiated_Percentage | — | $49.10 | $33,228.58 | $33,228.58 | 2026-05-14 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uhc | Quest | $60.00 | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Standard_Charge |Blue_Shield|65_Plus_Medicare_Advantage|Negotiated_Percentage | — | $77.80 | $33,228.58 | $33,228.58 | 2026-05-08 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Hmo|Medicare_Advantage|Negotiated_Percentage | — | $90.00 | $33,228.58 | $33,228.58 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Ppo|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $33,228.58 | $33,228.58 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $33,228.58 | $33,228.58 | 2026-05-17 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-06 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $8,103.22 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-06 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $8,103.22 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $92.00 | $10,804.29 | $6,050.40 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-06 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $154.00 | $10,804.29 | $6,050.40 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $155.00 | $10,804.29 | $8,103.22 | 2026-05-09 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Anthem All Other | Anthem All Other | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Caresource Marketplace | Exchange | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Humana | Healthy Horizons | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | United Healthcare | United Healthcare | $210.98 | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Medical Mutual | Medical Mutual | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Anthem Rmm 2 | Blue Connection/High Performance | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Caresource Pfk | Caresource Pfk | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Amerihealth Caritas Ohio | Amerihealth Caritas Ohio | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Medical Mutual Exchange | Medical Mutual Exchange | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Aetna | Better Health | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Humana | Humana | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Multiplan/Phcs | Multiplan/Phcs | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | United Healthcare Community Plan | United Healthcare Community Plan | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Cigna | Cigna | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Molina | Molina | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Buckeye | Buckeye | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Ambetter | Buckeye Marketplace | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Caresource | Caresource | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Aetna Health | Aetna Health | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Anthem | Anthem | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Anthem | Medicaid | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | United Healthcare Exchange | United Healthcare Exchange | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Evernorth | Cigna | — | $12,139.59 | $8,497.71 | 2026-05-17 | MRF ↗ |
| KULA HOSPITAL Outpatient | Mdx | All Commercial Plans | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Ohana | Quest | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uhc | Medadvantage | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uha | All Commercial Plans | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmaa | All Commercial Plans | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Medadvantage | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Mdx | Medadvantage | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Alohacare | Medadvantage | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Alohacare | Quest | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | All Commercial Plans | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Devoted | Medadvantage | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | Medadvantage | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | Quest | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Triwest | All Payors | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Ohana | Medadvantage | — | $10,804.29 | $4,214.00 | 2026-05-08 | MRF ↗ |
| Vibra Hospital of Southeastern Michigan - DMC Campus Inpatient | Aetna | Commercial | — | $33,228.58 | — | 2026-05-14 | MRF ↗ |
| Vibra Hospital of Southeastern Michigan - DMC Campus Inpatient | Aetna | Commercial | — | $33,228.58 | — | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Moda | Medicaid Replacement | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Estimated_Amount |North_Dakota|Medicaid | — | $4,249.94 | $33,228.58 | $33,228.58 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Inpatient | Manage Care Systems (Gemcare) | All | — | $9,994.53 | $9,994.53 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Inpatient | Healthsmart | All | — | $9,994.53 | $9,994.53 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Estimated_Amount |North_Dakota|Medicaid | — | $5,768.48 | $33,228.58 | $33,228.58 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Estimated_Amount |North_Dakota|Medicaid | — | $5,768.48 | $33,228.58 | $33,228.58 | 2026-05-22 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Uhc National | United Ppo | $6,054.00 | $9,994.53 | $9,994.53 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Uhc Local | United Select Hmo | $6,054.00 | $9,994.53 | $9,994.53 | 2026-05-08 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Kaiser | Medicaid | — | $33,228.58 | — | 2026-05-14 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Shield | Commercial | — | $33,228.58 | — | 2026-05-14 | MRF ↗ |
| Gateway Rehabilitation Hospital Inpatient | Estimated_Amount |Caresource_Ohio|Medicaid_Replacement | — | $8,307.15 | $33,228.58 | $33,228.58 | 2026-05-08 | MRF ↗ |
| Gateway Rehabilitation Hospital Inpatient | Wellcare | Medicaid | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Cross | Hmo Ppo | — | $33,228.58 | — | 2026-05-14 | MRF ↗ |
| Gateway Rehabilitation Hospital Inpatient | United Healthcare Ohio | Medicaid Replacement | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Laborcare Choice Elect Premier Self Funded | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | North Dakota | Medicaid | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Senior Care Dual Medicare Advantage Special Needs Complete | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Choice Care Medicaid Replacement And Access Ability Solution | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Cigna | Commercial | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Mic Choice Mic Care System Products | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Aetna | Commercial | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Choice Individual Family Business Focus | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Self Insured Care System Products | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Gateway Rehabilitation Hospital Inpatient | Aetna | Commercial | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Epic Health Plan Ipa | Medicare Replacement | — | $33,228.58 | — | 2026-05-14 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Kaiser | Medicare Risk | — | $33,228.58 | — | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Molina | Medicare Replacement | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Blue Cross Idaho | Commercial | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | North Dakota | Medicaid | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| San Joaquin Valley Rehabilitation Hosp Inpatient | Blue Shield Of California | Commercial | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Gateway Rehabilitation Hospital Inpatient | Anthem | Blue Cross Ppo Blue Access | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Kaiser | Commercial | — | $33,228.58 | — | 2026-05-14 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Beaver Medical Group | Commercial | — | $33,228.58 | — | 2026-05-14 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Epic Health Plan Ipa | Medicaid Replacement | — | $33,228.58 | — | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Southeastern Massachusetts Inpatient | Tufts Medicare Risk | Medicare Replacement | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | United Health Care | Commercial | — | $33,228.58 | — | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Anthem Bcbs | Commercial | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Boise Inpatient | Regence Blue Shield Of Idaho | Traditional And Ppo | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Denver Health Elevate Exchange | Commercial | $13,291.43 | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Denver Health | Commercial | $13,291.43 | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Blue Shield | Commercial | — | $33,228.58 | — | 2026-05-18 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Estimated_Amount |South_Dakota|Medicaid | — | $14,055.69 | $33,228.58 | $33,228.58 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Estimated_Amount |Medica_Senior_Care|Medicare_Advantage | — | $15,052.55 | $33,228.58 | $33,228.58 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Estimated_Amount |Medica|Medicaid_Replacement | — | $15,052.55 | $33,228.58 | $33,228.58 | 2026-05-08 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Blue Shield | 65 Plus Medicare Advantage | — | $33,228.58 | — | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Sacramento Inpatient | Health Plan Of San Joaquin | Medicaid Advantage | — | $33,228.58 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Estimated_Amount |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement | — | $15,683.89 | $33,228.58 | $33,228.58 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Estimated_Amount |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete | — | $15,683.89 | $33,228.58 | $33,228.58 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Estimated_Amount |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete | — | $15,683.89 | $33,228.58 | $33,228.58 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Estimated_Amount |Medica| Choice_Care_Medicaid_Replacement_And_Access_Ability_Solution | — | $16,315.23 | $33,228.58 | $33,228.58 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Estimated_Amount |Medica| Choice_Care_Medicaid_Replacement_And_Access_Ability_Solution | — | $16,315.23 | $33,228.58 | $33,228.58 | 2026-05-22 | 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.