87696 — Antithrombin Iii (human) 500 (+/-) Unit Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION (OTHER 87696) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/87696?code_type=OTHER
MLA (9th ed.)
“ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION (OTHER 87696) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/87696?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“ANTITHROMBIN III (HUMAN) 500 (+/-) UNIT INTRAVENOUS SOLUTION (OTHER 87696) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/87696?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $951–$1,567,915 (25th–75th percentile) across 5 hospitals · 85 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 87696 — 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 |
|---|---|---|---|---|---|---|---|
| FRANCISCAN HEALTH CROWN POINT | Medicare Medicare Part A Only | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement United Healthcare Mc Replacement | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellcare By Allwell | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Aetna Medicare Replacement | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part B | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part A Only | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Ascension Complete Medicare Replacement | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Wellcare Medicare Replacement | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Medicare Part A & B | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Iu Health Plans Mc Replacement | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Plus Hmo | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Medicare Choice Pffs | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Humana Gold Plus Mc Replacement | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Medicare Replacement Ins | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Anthem Bc Medicare Replacement | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A & B | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part A Only | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Medicare Part B | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Aetna Medicare Replacement | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Anthem Bc Medicare Replacement | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Communicare Advantage Plan | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Gold Plus Mc Replacement | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Choice Pffs | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Medicare Plus Hmo | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Humana Oak Street | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Iu Health Plans Mc Replacement | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Medicare Replacement Ins | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Optum Medicare Replacement | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement United Healthcare Mc Replacement | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellcare By Allwell | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Medicare Replacement Wellmed-Uhc Mcr Rplcmnt | — | $317.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Medicare Replacement Optum Medicare Replacement | — | $317.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Wellcare Medicare Replacement | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Cigna Healthspring Mc Replacement | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Bcbs Il Medicare Sel Replacement | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Advocate Humana | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Wellcare By Allwell | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement United Healthcare Mc Replacement | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Medicare Replacement Ins | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Oak Street | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Medicare Plus Hmo | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Medicare Choice Pffs | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Humana Gold Plus Mc Replacement | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Anthem Bc Medicare Replacement | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Replacement Aetna Medicare Replacement | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Medicare Part B | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Medicare Medicare Part A & B | — | $317.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare | — | $578.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Unitedhealthcare Shared Services | — | $578.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Golden Rule Insurance | — | $578.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care All Savers | — | $578.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Managed Care Student Resources | — | $578.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Core | — | $578.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care United Medical Resources | — | $578.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Unitedhealthcare Shared Services | — | $578.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare | — | $578.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Ppo | — | $578.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Medical Resources Umr-Wausau | — | $578.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Medical Resources United Medical Resources | — | $578.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Medical Resources United Medical Resources | — | $578.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Medical Resources Umr-Wausau | — | $578.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Ppo | — | $578.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | United Healthcare United Healthcare Choice | — | $578.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Golden Rule Insurance | — | $578.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Choice | — | $578.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | United Healthcare United Healthcare Navigate | — | $578.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Workers Comp Workers Comp Generic Indiana | — | $634.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Workers Comp Generic Indiana | — | $634.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Amerisure Mutual Ins | — | $634.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Franciscan Alliance Emp | — | $634.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Workers Comp Generic Indiana | — | $634.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Workers Comp Work Comp Wabash National | — | $634.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Franciscan Alliance Emp | — | $634.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Work Comp Corvel | — | $634.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Workers Comp Us Dept Of Labor | — | $634.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Workers Comp Work Comp Franciscan Alliance Emp | — | $634.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Illinois Bcbs Il Blue Choice | — | $951.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Healthsync | — | $951.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Hmo | — | $951.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Ppo | — | $951.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Traditional Indemnity | — | $951.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Out Of State Blue Cross In Out Of State | — | $951.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Anthem Ppo | — | $951.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Out Of State Blue Cross Il Out Of State | — | $951.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Anthem Healthsync | — | $951.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Bcbs Us Steel Claims | — | $951.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Highmark | — | $951.00 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Federal | — | $951.00 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Healthsync | — | $951.00 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Ppo | — | $951.00 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Hmo | — | $951.00 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Out Of State Blue Cross In Out Of State | — | $951.00 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Ppo | — | $951.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Out Of State Blue Cross In Out Of State | — | $951.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Hmo | — | $951.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Healthsync | — | $951.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH LAFAYETTE | Blue Cross Anthem Federal | — | $951.00 | $2,009,677.50 | $520,506.47 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Anthem Federal | — | $951.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH CROWN POINT | Blue Cross Out Of State Blue Cross In Out Of State | — | $951.00 | $2,009,677.50 | $600,893.57 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Blue Cross Anthem Federal | — | $951.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Medicare Part B | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Aetna Medicare Replacement | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Anthem Bc Medicare Replacement | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Blue Cross Medicare Adv In Out Of State | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Humana Gold Plus Mc Replacement | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Humana Medicare Choice Pffs | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Humana Medicare Plus Hmo | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Medicare Replacement Ins | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Optum Medicare Replacement | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement United Healthcare Mc Replacement | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Wellcare By Allwell | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Wellcare Medicare Replacement | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Humana Health Plan Mmai-Il | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Replacement Iu Health Plans Mc Replacement | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Medicare Part A & B | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicare Medicare Part A Only | — | $1,008.29 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $1,224.02 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Blue Cross Anthem Franciscan Alliance Employee Ins | — | $1,253.63 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $1,312.99 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Shop On Exch | $1,340.72 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Indiv Qhp - Exchange | $1,340.72 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Aetna | Aetna Medicare Advantage | $1,340.72 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Medicare Advantage | $1,340.72 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Medicare Advantage | $1,340.72 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Medicare Advantage | $1,340.72 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Wellcare Health Plans | Wellcare - Medicare Advantage | $1,340.72 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Ambetter Health | Ambetter Commercial - Exchange | $1,340.72 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Martin'S Point Generations Advantage | Martin'S Point - Medicare Advantage | $1,340.72 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $1,537.87 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $1,552.80 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $1,561.02 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Exchange | $1,625.01 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna | — | $1,684.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Managed Care Meritain Health | — | $1,684.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Choice Ppo | — | $1,684.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Hmo/Pos | — | $1,684.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| FRANCISCAN HEALTH INDIANAPOLIS | Aetna Aetna Oap/Pos State Of Illinois | — | $1,684.00 | $2,250,165.65 | $616,545.39 | 2026-07-30 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $1,706.37 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $1,889.20 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Elevatehealth Qhp - Exchange | $1,941.00 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Workers Comp Workers Comp Generic Illinois | — | $2,016.57 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Workers Comp Workers Comp Generic Indiana | — | $2,016.57 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Workers Comp Work Comp Corvel | — | $2,016.57 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Workers Comp Work Comp Franciscan Alliance Emp | — | $2,016.57 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | United Medical Resources Umr-Darden | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | United Healthcare United Healthcare | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | United Healthcare United Healthcare Navigate | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | United Healthcare United Healthcare Choice | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care Unitedhealthcare Shared Services | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care United Medical Resources | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | United Healthcare United Healthcare Core | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | United Medical Resources United Medical Resources | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | United Medical Resources Umr-Wausau | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | United Healthcare United Healthcare Ppo | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care All Savers | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | United Healthcare United Healthcare Hmo | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care Golden Rule Insurance | — | $2,060.26 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Cigna | Cigna Hmo-Pos-Ppo | $2,062.88 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Martin'S Point Health Care | Martin'S Point - Us Family Health Plan | $2,093.66 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem Hmo/Pos; Individual Non Qhp On Or Off Exch; Shop Off Exch | $2,099.14 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $2,105.54 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $2,106.45 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Harvard Pilgrim Health Care Of Ne | Hphc Fully Insured - Hmo/Pos/Ppo | $2,173.18 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Tufts Health Plan | Tufts - Hmo/Pos/Ppo | $2,193.30 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Freedom Plan | $2,193.90 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $2,309.08 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Unitedhealthcare | Uhc - Hmo/Pos/Ppo | $2,382.82 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Outpatient | Anthem Health Plans Of Nh | Anthem - Indemnity And Federal Employee Program | $2,413.30 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Aetna | Aetna Hmo/Pos/Ppo | $2,632.69 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Commercial First Health | — | $2,688.76 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Coventry | Coventry - Workers Comp | $2,879.50 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| NEW LONDON HOSPITAL Inpatient | Multiplan | Multiplan Ppo | $2,894.74 | $3,047.09 | $1,392.52 | 2026-05-23 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care Allied Benefit Systems | — | $3,092.07 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care Encore Health Network | — | $3,092.07 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care Group Administrators | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care Health Partners | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care Prairie State Enterprise | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Commercial Hospice Other | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Commercial State Farm Auto | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Commercial Quality Correctional Care | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Commercial Snf Other | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Commercial Webtpa | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Commercial Zurich Insurance | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Health Services Managed Health Services | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care Phcs Generic | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care Meritain Health | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care Caresource Marketplace | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Managed Care Ambetter | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Aetna Aetna | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Aetna Aetna Oap/Pos State Of Illinois | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Aetna Aetna Hmo/Pos | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Aetna Aetna Choice Ppo | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid United Healthcare Care Connect | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Medicaid Package E Only | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Medicaid In Traditional | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | MRF ↗ |
| FRANCISCAN HEALTH RENSSELAER, INC | Medicaid Medicaid Hosp Presumptive Elig | — | $3,360.95 | $3,360.95 | $1,199.86 | 2026-07-31 | 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.