74377903 — Lupron Depot-ped
Cite this view
HANK Price Transparency. (n.d.). Lupron Depot-Ped (OTHER 74377903) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/74377903?code_type=OTHER
“Lupron Depot-Ped (OTHER 74377903) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/74377903?code_type=OTHER. Accessed .
“Lupron Depot-Ped (OTHER 74377903) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/74377903?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $1,737–$4,434 (25th–75th percentile) across 27 hospitals · 65 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 74377903 — 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 |
|---|---|---|---|---|---|---|---|
| KULA HOSPITAL Outpatient | Uhc | Quest | $60.00 | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Nbd | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Managed Care Systems (Drmg) | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Adventist | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Bakersfield Family Medical Center | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Community Health Networks | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Incentive Health | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaweah Delta Healthcare | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Ccah | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Aetna | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Cross | All | $1,564.60 | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Net | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Healthsmart | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaiser Medi-Cal | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Cross Medi-Cal | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Net Medi-Cal | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Dignity Health | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaiser | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Cencal | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kern Health | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | First Health (Coventry) | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Multiplan (Phcs) | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Stanislaus Partners In Health | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Sutter Hospitals (Epo) | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Plan Of San Joaquin | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Manage Care Systems (Gemcare) | All | — | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Alohacare | Medadvantage | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Devoted | Medadvantage | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Triwest | All Payors | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Ohana | Quest | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Ohana | Medadvantage | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | Medadvantage | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | Quest | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | All Commercial Plans | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uhc | Medadvantage | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Hmsa | Quest | $1,617.65 | — | — | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Mdx | All Commercial Plans | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Medadvantage | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmaa | All Commercial Plans | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Quest | $1,617.65 | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Alohacare | Quest | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Mdx | Medadvantage | — | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Cigna | Cigna | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Caresource Marketplace | Exchange | $1,730.32 | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Anthem | Anthem | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Anthem | Medicaid | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Aetna Health | Aetna Health | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | United Healthcare Community Plan | United Healthcare Community Plan | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Amerihealth Caritas Ohio | Amerihealth Caritas Ohio | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Aetna | Better Health | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Anthem All Other | Anthem All Other | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Anthem Rmm 2 | Blue Connection/High Performance | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Caresource Pfk | Caresource Pfk | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | United Healthcare Exchange | United Healthcare Exchange | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Buckeye | Buckeye | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Molina | Molina | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Evernorth | Cigna | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Multiplan/Phcs | Multiplan/Phcs | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Humana | Healthy Horizons | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Humana | Humana | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Caresource | Caresource | — | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,736.00 | $33,992.11 | $25,494.09 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,736.00 | $33,992.11 | $25,494.09 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $1,737.00 | $33,992.11 | $19,035.58 | 2026-05-06 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield Covered Ca | All | $1,749.65 | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Ambetter | Buckeye Marketplace | $1,763.87 | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| DAYTON CHILDRENS HOSPITAL Outpatient | Aetna Medicare Advantage | Aetna Medicare Advantage | $1,763.87 | $43,393.96 | $30,375.77 | 2026-05-17 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Uha | All Commercial Plans | $1,869.66 | — | — | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield | All | $2,058.41 | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Community Care Health Plan | All | $2,202.50 | $32,783.40 | $32,783.40 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Hmo | $2,263.98 | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Ppo | $2,263.98 | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Hmsa | Ppo | $2,263.98 | — | — | 2026-05-08 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Hmsa | Hmo | $2,264.00 | — | — | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uha | All Commercial Plans | $2,544.82 | $32,373.67 | $12,626.00 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,918.00 | $33,992.11 | $19,035.58 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $2,927.00 | $33,992.11 | $25,494.09 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Health Partners Pho | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | White River Health System | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Ambetter, Qualchoice And Novasys Health | All Plan | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Ppo Plus (Stratose) | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | American Ppo Inc. | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | First Health | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | United Healthcare | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Cigna | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Multiplan | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Vantos Health System | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Blue Cross | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Phcs | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Three Rivers Provider Network | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Aetna | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Zelis | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Healthscope Benefits | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | American Lifecare | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | First Community Bank Corp Benefit | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Cigna Accn Network | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Usa Managed Care | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Municipal Health Benefit Fund | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Vantage Health | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Mercy Managed Care | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| ARKANSAS CHILDREN'S NORTHWEST, INC Inpatient | Sharp | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-09 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Usa Managed Care | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Municipal Health Benefit Fund | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Vantage Health | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Sharp | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Ambetter, Qualchoice Novasys | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | American Lifecare | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | American Ppo Inc. | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Cigna Accn Network | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | First Community Bank Corp Benefit | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Health Partners Pho | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Mercy Managed Care | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Ppo Plus (Stratose) | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Vantos Health System | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | White River Health System | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-23 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Three Rivers Provider Network | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Cigna | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | United Healthcare | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Sharp | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | Ambetter, Qualchoice Novasys | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-13 | MRF ↗ |
| Arkansas Children's Hospital Inpatient | American Lifecare | All Plans | — | $43,169.08 | $38,852.17 | 2026-05-13 | 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.