76843 — Aprepitant 40 Mg Capsule
Cite this view
HANK Price Transparency. (n.d.). APREPITANT 40 MG CAPSULE (CDM 76843) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/76843?code_type=CDM
“APREPITANT 40 MG CAPSULE (CDM 76843) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/76843?code_type=CDM. Accessed .
“APREPITANT 40 MG CAPSULE (CDM 76843) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/76843?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $116–$2,411 (25th–75th percentile) across 22 hospitals · 137 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 76843 — 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 |
|---|---|---|---|---|---|---|---|
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $1.00 | $0.98 | 2025-03-17 | MRF ↗ |
| FREDERICK HEALTH HOSPITAL Both | All Payers | All Plans | — | $1.00 | $0.98 | 2025-08-04 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Harvard Pilgrim | All Plans | $2.13 | $341.90 | $174.37 | 2025-01-10 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $5.08 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $5.38 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $5.38 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $5.40 | $10.18 | $5.40 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | SEHN | 1171_SEHN 20241001 | $5.92 | $11.83 | $6.27 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $5.99 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $6.01 | $10.18 | $5.40 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $6.27 | $11.83 | $6.27 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | TRILOGY | 1271_TRILOGY 20250701 | $7.01 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $7.11 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $7.11 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $7.13 | $10.18 | $5.40 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $7.62 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $7.82 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | TRILOGY | 1271_TRILOGY 20250701 | $8.16 | $11.83 | $6.27 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $8.28 | $11.83 | $6.27 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $8.33 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $8.35 | $10.18 | $5.40 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $8.84 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $8.87 | $11.83 | $6.27 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $9.04 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $9.04 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | AETNA | 1279_AETNA MIL 20250701 | $9.11 | $11.83 | $6.27 | 2026-01-01 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $9.55 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $9.57 | $10.18 | $5.40 | 2026-01-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $9.64 | $300.10 | $153.05 | 2025-01-10 | MRF ↗ |
| MIDWEST ORTHOPEDIC SPECIALTY HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $10.16 | $10.16 | $5.38 | 2026-01-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $10.27 | $319.92 | $163.16 | 2025-01-10 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $10.29 | $11.83 | $6.27 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $10.53 | $11.83 | $6.27 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $10.53 | $11.83 | $6.27 | 2026-01-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $10.64 | $331.50 | $169.07 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $10.98 | $341.90 | $174.37 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $11.30 | $351.79 | $179.41 | 2025-01-10 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $11.83 | $11.83 | $6.27 | 2026-01-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $28.96 | $300.10 | $153.05 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $30.01 | $300.10 | $153.05 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $30.87 | $319.92 | $163.16 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $31.99 | $319.92 | $163.16 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $31.99 | $331.50 | $169.07 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $32.10 | $300.10 | $177.06 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $32.99 | $341.90 | $174.37 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $33.15 | $331.50 | $169.07 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $33.95 | $351.79 | $179.41 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $34.19 | $341.90 | $174.37 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $34.22 | $319.92 | $188.75 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $35.18 | $351.79 | $179.41 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $35.46 | $331.50 | $195.59 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $36.58 | $341.90 | $201.72 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $37.63 | $351.79 | $207.56 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $39.87 | $300.10 | $153.05 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $40.19 | $300.10 | $153.05 | 2025-01-10 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PACE | Senior Care Partners | $41.27 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PACE | Senior Care Partners | $41.27 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Harvard Pilgrim | All Plans | $41.56 | $300.10 | $153.05 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $42.50 | $319.92 | $163.16 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $42.85 | $319.92 | $163.16 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $43.38 | $300.10 | $153.05 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $43.40 | $300.10 | $153.05 | 2025-01-10 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Dual Complete DSNP | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Railroad Medicare | Medicare | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Health Alliance Plan | Medicare Advantage | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Dual Complete DSNP | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PHP | Medicare Advantage | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PACE | SWMI | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Health Alliance Plan | Medicare Advantage | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Exchange | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | VA | VA | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCN | Medicare Advantage | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PACE | SWMI | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCN | Medicare Advantage | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCBS | MAPPO | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PHP | Medicare Advantage | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCBS | MAPPO | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Exchange | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | VA | VA | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Railroad Medicare | Medicare | $43.44 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Priority Health | Medicare | $43.87 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Priority Health | Medicare | $43.87 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $44.04 | $331.50 | $169.07 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $44.40 | $331.50 | $169.07 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $44.80 | $300.10 | $177.06 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $44.98 | $300.10 | $177.06 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $45.02 | $300.10 | $153.05 | 2025-01-10 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Aetna | Medicare | $45.18 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Aetna | Medicare | $45.18 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $45.42 | $341.90 | $174.37 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $45.44 | $300.10 | $177.06 | 2025-01-10 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Meridian | Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage | $45.61 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Meridian | Complete - MI Health Link - DSNP/Wellcare - Medicare Advantage | $45.61 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $45.79 | $341.90 | $174.37 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $46.24 | $319.92 | $163.16 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $46.27 | $319.92 | $163.16 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $46.73 | $351.79 | $179.41 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $47.11 | $351.79 | $179.41 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $47.76 | $319.92 | $188.75 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $47.91 | $331.50 | $169.07 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $47.94 | $331.50 | $169.07 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $47.95 | $319.92 | $188.75 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $47.99 | $319.92 | $163.16 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $48.44 | $319.92 | $188.75 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $48.62 | $300.10 | $177.06 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $49.42 | $341.90 | $174.37 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $49.45 | $341.90 | $174.37 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $49.49 | $331.50 | $195.59 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $49.69 | $331.50 | $195.59 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $49.73 | $331.50 | $169.07 | 2025-01-10 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | MI Amish Medical Board | Commercial | $49.96 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | MI Amish Medical Board | Commercial | $49.96 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| EASTERN IDAHO REGIONAL MEDICAL CENTER Outpatient | Regence Blue Shield | MGMCR | $50.00 | $2,837.00 | $2,837.00 | 2026-03-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $50.20 | $331.50 | $195.59 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $50.85 | $351.79 | $179.41 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $50.88 | $351.79 | $179.41 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $51.04 | $341.90 | $201.72 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $51.25 | $341.90 | $201.72 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $51.29 | $341.90 | $174.37 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $51.77 | $341.90 | $201.72 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $51.83 | $319.92 | $188.75 | 2025-01-10 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | CIGNA | IFP | $52.17 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | CIGNA | IFP | $52.17 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | CIGNA | IFP | $52.17 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | IFP | $52.17 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna | Qualified Health Plan | — | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Medicare | $52.17 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $52.17 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $52.17 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AvMed | Medicare | $52.17 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna | Gatekeeper | — | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $52.18 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AvMed | Medicare | $52.18 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | CIGNA | IFP | $52.18 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Medicare | $52.18 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | CIGNA | IFP | $52.18 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | CIGNA | IFP | $52.18 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $52.18 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | CIGNA | IFP | $52.18 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $52.52 | $351.79 | $207.56 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $52.73 | $351.79 | $207.56 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $52.77 | $351.79 | $179.41 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $53.27 | $351.79 | $207.56 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $53.71 | $331.50 | $195.59 | 2025-01-10 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Amish Plain Church Group | Commercial | $54.30 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Amish Plain Church Group | Commercial | $54.30 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Allen County Amish Medical Aid | Commercial | $54.30 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Allen County Amish Medical Aid | Commercial | $54.30 | $173.76 | $139.01 | 2026-02-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $55.39 | $341.90 | $201.72 | 2025-01-10 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | United Healthcare | IEX | $56.40 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | United Healthcare | IEX | $56.40 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | United Healthcare | IEX | $56.40 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | United Healthcare | IEX | $56.40 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | United Healthcare | IEX | $56.42 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | United Healthcare | IEX | $56.42 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | United Healthcare | IEX | $56.42 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | United Healthcare | IEX | $56.42 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $57.00 | $351.79 | $207.56 | 2025-01-10 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE InpatientFacility | Aetna Better Health | Healthy Kids | $59.92 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Community Care Plan | Commercial | $59.92 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Community Care Plan | Commercial | $59.92 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Community Care Plan | Commercial | $59.92 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | Commercial | $59.92 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE InpatientFacility | Aetna Better Health | Healthy Kids | $59.94 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Community Care Plan | Commercial | $59.94 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Community Care Plan | Commercial | $59.94 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Community Care Plan | Commercial | $59.94 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Community Care Plan | Commercial | $59.94 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PACE | Senior Care Partners | $60.65 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PACE | Senior Care Partners | $60.65 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Molina | Exchange | $63.44 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Molina | Exchange | $63.44 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Molina | Exchange | $63.44 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Molina | Exchange | $63.44 | $352.47 | $246.73 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Molina | Exchange | $63.47 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Molina | Exchange | $63.47 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Molina | Exchange | $63.47 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Molina | Exchange | $63.47 | $352.60 | $246.82 | 2026-05-27 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Railroad Medicare | Medicare | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCBS | MAPPO | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PHP | Medicare Advantage | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Exchange | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Health Alliance Plan | Medicare Advantage | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Dual Complete DSNP | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PACE | SWMI | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | VA | VA | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCN | Medicare Advantage | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Dual Complete DSNP | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Exchange | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Railroad Medicare | Medicare | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | Health Alliance Plan | Medicare Advantage | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCBS | MAPPO | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PACE | SWMI | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | PHP | Medicare Advantage | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | UHC | Medicare Advantage | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | VA | VA | $63.84 | $255.38 | $204.30 | 2026-02-01 | MRF ↗ |
| BRONSON LAKEVIEW HOSPITAL OutpatientFacility | BCN | Medicare Advantage | $63.84 | $255.38 | $204.30 | 2026-02-01 | 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.