74368303 — Lupron Depot
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). Lupron Depot (OTHER 74368303) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74368303?code_type=OTHER
MLA (9th ed.)
“Lupron Depot (OTHER 74368303) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74368303?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“Lupron Depot (OTHER 74368303) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74368303?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,357–$39,247 (25th–75th percentile) across 43 hospitals · 210 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $12.79 | $39,246.62 | $39,246.62 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $13.14 | $39,246.62 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $39,246.62 | $39,246.62 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |North_Dakota|Medicaid|Negotiated_Percentage | — | $17.36 | $39,246.62 | $39,246.62 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $39.02 | $39,246.62 | $39,246.62 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $42.30 | $39,246.62 | $39,246.62 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge|South_Dakota| Medicaid| Negotiated_Percentage | — | $42.30 | $39,246.62 | $39,246.62 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Denver Inpatient | Standard_Charge |South_Dakota|Medicaid|Negotiated_Percentage | — | $42.30 | $39,246.62 | $39,246.62 | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $39,246.62 | $39,246.62 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica|Medicaid_Replacement|Negotiated_Percentage | — | $45.30 | $39,246.62 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $39,246.62 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Senior_Care|Medicare_Advantage|Negotiated_Percentage | — | $45.30 | $39,246.62 | $39,246.62 | 2026-05-08 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $39,246.62 | — | 2026-05-09 | MRF ↗ |
| Vibra Hospital Of Fargo Inpatient | Standard_Charge |Medica_Access_Ability_Minnesota_Care|Medicaid_Replacement|Negotiated_Percentage | — | $47.20 | $39,246.62 | $39,246.62 | 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 | $39,246.62 | $39,246.62 | 2026-05-22 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Senior_Care_Dual_Medicare_Advantage_Special_Needs_Complete|Negotiated_Percentage | — | $47.20 | $39,246.62 | $39,246.62 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Choice_Care_Medicaid_Replacement_And_Access_Ability_Solution|Negotiated_Percentage | — | $49.10 | $39,246.62 | $39,246.62 | 2026-05-14 | MRF ↗ |
| Vibra Hospital Of Central Dakotas Llc Inpatient | Standard_Charge |Medica|Choice_Care_Medicaid_Replacement_And_Access_Ability_Solution|Negotiated_Percentage | — | $49.10 | $39,246.62 | $39,246.62 | 2026-05-22 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uhc | Quest | $60.00 | $25,555.31 | $9,967.00 | 2026-05-08 | MRF ↗ |
| Ballard Rehabilitation Hospital Inpatient | Standard_Charge |Blue_Shield|65_Plus_Medicare_Advantage|Negotiated_Percentage | — | $77.80 | $39,246.62 | $39,246.62 | 2026-05-08 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Hmo|Medicare_Advantage|Negotiated_Percentage | — | $90.00 | $39,246.62 | $39,246.62 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $39,246.62 | $39,246.62 | 2026-05-17 | MRF ↗ |
| Vibra Specialty Hospital Inpatient | Standard_Charge |Humana_Ppo|Medicare_Advantage |Negotiated_Percentage | — | $90.00 | $39,246.62 | $39,246.62 | 2026-05-17 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $18,577.79 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $18,577.79 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $155.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Aetna | Commercial | — | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Blue Cross Blue Shield | Commercial | — | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | First Health | Commercial | — | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | United Healthcare | All Payer | — | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Humana | Commercial | — | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | United Healthcare | Va Ccn | $155.42 | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Orsheln Management | Commercial | — | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Humana | Medicare Advantage | $155.42 | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Medica | Individual/Family | — | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $155.42 | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $155.42 | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Multiplan/Phcs | Commercial | — | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Hmsa | Quest | $176.51 | — | — | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Quest | $176.51 | $25,555.31 | $9,967.00 | 2026-05-08 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Cigna Healthcare | Commercial | $181.30 | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $183.83 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Humana | — | $185.66 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Uhc | — | $185.66 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr | — | $185.66 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | — | — | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ppc | — | — | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Medcost | Ultra | — | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Bcbs Blue Mcr | — | $185.66 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Health Team Advantage | — | $185.66 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | Ambetter | Medicare Advantage | $186.50 | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Cigna | — | $189.38 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Aetna | — | $189.38 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Wellcare | — | $189.38 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Devoted Healthcare | — | $193.09 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $195.56 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Troy | — | $196.80 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Liberty | — | $196.80 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Mcr Apex | — | $196.80 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $201.43 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $201.43 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $205.34 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Hmsa | Hmo | $222.00 | — | — | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $222.09 | $25,555.31 | $9,967.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $222.09 | $25,555.31 | $9,967.00 | 2026-05-08 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Hmsa | Ppo | $222.09 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-24 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $261.00 | $24,770.38 | $13,871.41 | 2026-05-09 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Cigna | Hmo & Ppo | $261.78 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $262.00 | $24,770.38 | $18,577.79 | 2026-05-09 | MRF ↗ |
| GOLDEN VALLEY MEMORIAL HOSPITAL Outpatient | United Healthcare | Exchange Commercial | $264.21 | $3,191.00 | $1,914.60 | 2026-05-17 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $332.45 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $332.45 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $355.72 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $392.73 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Uha | All Commercial Plans | $405.02 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $431.57 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| RANDOLPH HOSPITAL Both | Ncsehp | — | $436.31 | $13,456.92 | — | 2026-05-06 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uha | All Commercial Plans | $551.27 | $25,555.31 | $9,967.00 | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $611.08 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $745.15 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $776.51 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $805.64 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $826.07 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $850.85 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $850.85 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $867.38 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $953.67 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,020.43 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| KAHI MOHALA Inpatient | Multiplan | Commercial | — | $23,609.30 | $16,526.51 | 2026-05-09 | MRF ↗ |
| KAHI MOHALA Inpatient | Alohacare | Medicare | — | $23,609.30 | $16,526.51 | 2026-05-09 | MRF ↗ |
| KAHI MOHALA Inpatient | University Health Alliance | Commercial | — | $23,609.30 | $16,526.51 | 2026-05-09 | MRF ↗ |
| KAHI MOHALA Inpatient | Mdx Hawaii | Commercial | — | $23,609.30 | $16,526.51 | 2026-05-09 | MRF ↗ |
| KAHI MOHALA Inpatient | Ohana Care | Medicare | — | $23,609.30 | $16,526.51 | 2026-05-09 | MRF ↗ |
| KAHI MOHALA Inpatient | First Health | Commercial | — | $23,609.30 | $16,526.51 | 2026-05-09 | MRF ↗ |
| KAHI MOHALA Inpatient | United Healthcare | Medicare | — | $23,609.30 | $16,526.51 | 2026-05-09 | MRF ↗ |
| KAHI MOHALA Inpatient | Hmsa | Medicare | — | $23,609.30 | $16,526.51 | 2026-05-09 | MRF ↗ |
| KAHI MOHALA Inpatient | Humana | Commercial | — | $23,609.30 | $16,526.51 | 2026-05-09 | MRF ↗ |
| KAHI MOHALA Inpatient | United Behavioral Health | Medicare | — | $23,609.30 | $16,526.51 | 2026-05-09 | MRF ↗ |
| KAHI MOHALA Inpatient | Seven Corners | Commercial | — | $23,609.30 | $16,526.51 | 2026-05-09 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $2,669.99 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $2,754.75 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| Vibra Hospital of Southeastern Michigan - DMC Campus Inpatient | Aetna | Commercial | — | $39,246.62 | — | 2026-05-14 | MRF ↗ |
| Vibra Hospital of Southeastern Michigan - DMC Campus Inpatient | Aetna | Commercial | — | $39,246.62 | — | 2026-05-22 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $3,169.19 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $3,169.19 | $10,595.20 | $6,886.88 | 2026-05-28 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Mercy Managed Care | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | First Community Bank Corp Benefit | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Cigna Accn Network | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | American Ppo Inc. | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | American Lifecare | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Sharp | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Vantage Health | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Municipal Health Benefit Fund | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Usa Managed Care | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Healthscope Benefits | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Zelis | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Aetna | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Three Rivers Provider Network | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Phcs | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Multiplan | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Cigna | All Plans | — | $9,669.48 | $8,702.53 | 2026-05-09 | 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.