74368303 — Lupron Depot
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lupron Depot (NDC 74368303) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74368303?code_type=NDC
MLA (9th ed.)
“Lupron Depot (NDC 74368303) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74368303?code_type=NDC. Accessed .
Chicago (notes-bibliography)
“Lupron Depot (NDC 74368303) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74368303?code_type=NDC.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15,932–$39,247 (25th–75th percentile) across 14 hospitals · 92 payers.
“Negotiated” is the hospital’s negotiated facility rate for this NDC 74368303 — 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 |
|---|---|---|---|---|---|---|---|
| RANDOLPH HOSPITAL Both | Mcr Humana | — | $185.66 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr | — | $185.66 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Health Team Advantage | — | $185.66 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Bcbs Blue Mcr | — | $185.66 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | — | — | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ppc | — | — | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Uhc | — | $185.66 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Aetna | — | $189.38 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Cigna | — | $189.38 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Wellcare | — | $189.38 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Devoted Healthcare | — | $193.09 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Troy | — | $196.80 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Liberty | — | $196.80 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Apex | — | $196.80 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Cigna | Hmo & Ppo | $261.78 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ncsehp | — | $436.31 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon New Jersey Health - DSNP | Managed Medicaid | $2,619.02 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | Ultra | $2,691.38 | $13,456.92 | — | 2026-07-15 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Wellcare_755 | Managed Medicaid | $2,801.75 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna_773 | Managed Medicaid | $3,023.88 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | AmeriChoice_756 | Managed Medicaid | $3,228.10 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | AmeriGroup_754 | Managed Medicaid | $3,518.31 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | AETNA | MEDICARE | $3,706.63 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | Cigna_744 | All Commercial Products | $3,776.27 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna_759 | Managed Medicare | $4,120.22 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare_768 | Create Flex | $5,000.00 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare_770 | IDN Network | $5,000.00 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna_740 | All Commercial Products | $5,374.19 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER BothFacility | Health Care Support_787 | All Commercial Products | $5,374.19 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna_794 | Whole Health | $5,553.33 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Qualcare_752 | All Commercial Products | $7,738.84 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER BothFacility | AmeriHealth_757 | All Commercial Products | $7,989.64 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | CHOICECARE | MEDICARE | $8,721.47 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | HUMANA | MEDICARE | $8,721.47 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare_769 | PPO | $8,956.99 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare_763 | Direct Plus | $8,956.99 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | MagnaCare | Create Worker's Comp | $8,956.99 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | North Dakota | Medicaid | — | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem Exchange | Pathway X Hmo | $10,144.19 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Qualcare_783 | EPO | $10,365.03 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Health Partners | Medicaid Replacement | — | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Self Insured Care System Products | — | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Choice Care Medicaid Replacement And Access Ability Solution | — | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Laborcare Choice Elect Premier Self Funded | — | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Choice Individual Family Business Focus | — | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Senior Care Dual Medicare Advantage Special Needs Complete | — | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Mic Choice Mic Care System Products | — | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Cigna | Commercial | — | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Native American | Health Rights Network | — | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Aetna | Commercial | — | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Minnesota Care | — | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem Exchange | Pathway X Ppo | $10,688.71 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | AL. DEPT OF MENTAL HEALTH | ALL PRODUCTS | $10,901.84 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER BothFacility | HEALTHNET | ALL PRODUCTS | $10,901.84 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER InpatientFacility | HUMANA | ALL PRODUCTS | $10,901.84 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER BothFacility | AETNA | ALL PRODUCTS | $11,446.93 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Access | $11,515.57 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Preferred | $11,515.57 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Anthem | Blue Traditional | $11,777.74 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Anthem | Medicare Advantage | $11,804.75 | $47,219.00 | $33,053.30 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $11,804.75 | $47,219.00 | $33,053.30 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | Humana | Medicare Advantage | $11,804.75 | $47,219.00 | $33,053.30 | 2025-09-16 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $11,992.02 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | Multiplan | PHCS | $12,539.79 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $13,247.95 | $12,982.99 | 2025-08-04 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | VIVA | ALL PRODUCTS | $13,082.21 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Hmo | $13,108.79 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Pos | $13,108.79 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | United Healthcare | Ppo | $13,108.79 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Medben | Direct Agreement | $13,108.79 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Aetna | Ppo | $13,108.79 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | United Healthcare | Pos | $13,108.79 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER BothFacility | Qualcare | Worker's Comp | $14,474.50 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Cigna | Ppo | $14,722.18 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon_Blue Cross Blue Shield_576 | Omnia | $14,965.34 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Association Benefit Solutions | Direct Agreement | $15,125.53 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Ohio Health Choice | Phc-Plus | $15,125.53 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Accel | $15,125.53 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo | Ppo | $15,528.87 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo Marketplace | Hmo | $15,528.87 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Mmo | Hmo | $15,528.87 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Quality Care Partners Marketplace | Antidote Health | $15,730.55 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Quality Care Partners | Ppo | $15,730.55 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Hmo | $16,133.90 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Aso | $16,133.90 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Ppo | $16,133.90 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | The Health Plan | Pos | $16,133.90 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | HomeState | All Products | $17,187.72 | $47,219.00 | $33,053.30 | 2025-09-16 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | United Healthcare_742 | All Commercial Products | $17,197.42 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Oxford_741 | All Commercial Products | $18,100.29 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Pos | $18,150.63 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Epos | $18,150.63 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Traditional | $18,150.63 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Ppo | $18,150.63 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Humana | Hmo | $18,150.63 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | WORKERS COMP | WORKERS COMP | $18,533.13 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Hpo | $19,159.00 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Ohio Health Choice | Ppo | $19,159.00 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| HOLZER MEDICAL CENTER JACKSON Both | Healthsmart | Ppo | $19,159.00 | $20,167.37 | $10,083.68 | 2026-07-15 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | HIP Health Plan | Managed Medicaid | $19,705.38 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon_Blue Cross Blue Shield_748 | Indemnity | $20,773.05 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon_Blue Cross Blue Shield_747 | PPO | $20,773.05 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon_Blue Cross Blue Shield_745 | HMO | $20,773.05 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER BothFacility | Horizon | Casualty PIP | $20,959.36 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | Horizon | Casualty PIP | $21,138.50 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | HIP Health Plan | Managed Medicare | $21,496.78 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER InpatientFacility | Bergen | Worker's Comp | $21,496.78 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | ALL PRODUCTS | $21,803.68 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | VIVA | MEDICARE | $21,803.68 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| NORTHPORT VA MEDICAL CENTER OutpatientFacility | HEALTHSPRING | MEDICARE | $21,803.68 | $21,803.68 | $10,901.84 | 2026-03-26 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Horizon | Casualty Worker's Comp | $22,356.65 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Emblem_734 | HIP | $25,079.57 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER BothFacility | Coventry | All Commercial Products | $26,870.97 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | Heathnet Federal Services | Tricare | $26,870.97 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL BothFacility | Aetna | All Products | $33,053.30 | $47,219.00 | $33,053.30 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL BothFacility | Cigna | All Products | $35,414.25 | $47,219.00 | $33,053.30 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | HealthLink | All Products | $35,414.25 | $47,219.00 | $33,053.30 | 2025-09-16 | MRF ↗ |
| SCOTLAND COUNTY HOSPITAL OutpatientFacility | UHC | All Products | $35,414.25 | $47,219.00 | $33,053.30 | 2025-09-16 | MRF ↗ |
| ENGLEWOOD HOSPITAL AND MEDICAL CENTER OutpatientFacility | United Healthcare_775 | Managed Medicare | $35,827.96 | $35,827.96 | $3,582.80 | 2026-02-02 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Triwest Healthcare Alliance | Commercial | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Networks By Design | Workers Compensation | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Networks By Design | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Integrated Health Plan | Commercial | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Integrated Health Plan | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Easy Choice | Commercial | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Easy Choice | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Americas Choice Provider Network | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | One Health Great West | Commercial | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | One Health Great West | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Medincrease | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Inter Valley Health Plan | Medicare Replacement | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Inter Valley Health Plan | Medicare Replacement | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Tricare West Healthnet | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Coventry Health Care National Network | Auto | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Coventry Health Care National Network | Workers Compensation | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Coventry Health Care National Network | Workers Compensation | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Coventry Health Care National Network | Auto | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Adva-Net Work Comp | Paradigm Specialty Network | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | California Correctional Health | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Department Of Corrections | Network Provider | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Epic Health Plan Ipa | Medicare Replacement | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Epic Health Plan Ipa | Medicaid Replacement | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Epic Health Plan Ipa | Medicare Replacement | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Epic Health Plan Ipa | Medicaid Replacement | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | First Health Broadshire Ccn Concentra Coventry | Commercial | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | First Health Broadshire Ccn Concentra Coventry | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Health Smart Interplan | Commercial | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Health Smart Interplan | Hpo Auto | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Health Smart Interplan | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Health Smart Interplan | Hpo Auto | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Native American | Health Rights Network | $39,246.62 | $39,246.62 | — | 2026-08-31 | MRF ↗ |
| Gateway Rehabilitation Hospital Inpatient | — | — | — | $39,246.62 | $39,246.62 | 2025-07-01 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Multiplan Complimentary | Multiplan Value Point | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Provider Network Of Amercia | Tpa | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Sanford Health Plan | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Multiplan | Complimentary Value Point | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Three Rivers | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Three Rivers | Auto | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Health Partners | Medicaid Replacement | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Health Partners | Cigna | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Health Partners | Medicare Advantage | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Self Insured Care System Products | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Mic Choice Mic Care System Products | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Senior Care Dual Medicare Advantage Special Needs Complete | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Laborcare Choice Elect Premier Self Funded | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Choice Individual Family Business Focus | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Choice Care Medicaid Replacement And Access Ability Solution | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medica | Minnesota Care | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Provider Network Of America | Wrap Tpa | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Aetna | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Aetna | Medicare Replacement | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Tricare West | Healthnet | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Aetna Medical Rental | First Health | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Americas Choice Provider Network | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Multiplan Primary | Phcs Network Savility Healtheos Network | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Medincrease | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | North Dakota | Medicaid | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | South Dakota | Medicaid | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Native American | Health Rights Network | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Preferredone Adm Services | Hmo | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Preferredone Adm Services | Ppo | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Blue Shield | Commercial | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | United Healthcare | Medicare Replacement | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | United Healthcare | Commercial | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | United Healthcare | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Cigna | Commercial | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Cigna | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Three Rivers Provider Network | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Provider Network Of America | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Va Administration | Veterans Affairs | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Va Administration | Veterans Affairs | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Integrated Health Plan | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Medincrease | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Multiplan Phcs Network Phcs Savility Healtheos Network | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Adva Net Wc Paradigm Specialty Network | Workers Comp | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Dept Of Corrections Network Prov Llc | Commercial | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Dept Of Corrections Network Prov Llc | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Multiplan Complimentary Multiplan Value Point | Commercial | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Three Rivers Provider Network Auto | Auto | $39,246.62 | $39,246.62 | $39,246.62 | 2026-07-15 | MRF ↗ |
| Vibra Hospital Of Northern California Inpatient | Tricare Healthnet | Commercial | $39,246.62 | $39,246.62 | — | 2026-07-15 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.