90380 — Nirsevimab-alip 50 Mg/0.5 Ml Intramuscular Syringe
Cite this view
HANK Price Transparency. (n.d.). NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE (CPT 90380) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90380?code_type=CPT
“NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE (CPT 90380) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90380?code_type=CPT. Accessed .
“NIRSEVIMAB-ALIP 50 MG/0.5 ML INTRAMUSCULAR SYRINGE (CPT 90380) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90380?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $612–$1,592 (25th–75th percentile) across 1,982 hospitals · 4,999 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CPT/HCPCS 90380 — 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 |
|---|---|---|---|---|---|---|---|
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Denver Health Medical Plan | HighPoint | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Fidelis Medicare Advantage MCR Adv | Default | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | CMS | Medicare | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Capital District Physicians Health Plan MCR Adv | Medicare Advantage | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $1,434.20 | $788.81 | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Kaiser Public Option | Commercial | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Select Health | Individual Colorado Option | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | United Healthcare | Select Colorado | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem City of Colorado Springs Employer Group | Commercial | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Tricare For Life | Default | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Capital District Physicians Health Plan CDPHP | Medicaid Replacement | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Medicare A NY JK | Default | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Tricare North | Default | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Kaiser | Medicare Advantage | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Select Health | Medicare Advantage | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ST PETER'S HOSPITAL OutpatientFacility | VNA Homecare Options | Medicaid | — | $1,434.20 | $1,219.07 | 2025-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Employee | HMO/PPO | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Aetna Core/Meritain | Commercial | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA [16025] | MEDICA RIDGEVIEW DISTINCT [1602507] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Select Health | Individual ACA | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | United Healthcare | Navigate/Charter/Core | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Cigna | Colorado Rockies | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA ACCESSABILITY [1602301] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Simplified Benefits Administration | Tiered Benefits | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE Outpatient | Healthfirst | Medicaid/Harp | — | $0.01 | $0.01 | 2026-08-01 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Fidelis Medicaid Managed Care MCD Rep | Default | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Tricare West | Default | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Blue Cross Blue Shield of NY Utica Watertown | Default | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Capital District Physicians Health Plan CDPHP | Default | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Medicaid New York | Default | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Aetna | Medicare Advantage | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Colorado Access | Behavioral Health RAE | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Humana | Medicare Advantage | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Rocky Mountain Health Plans | Medicaid RAE | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Anthem | Medicare Advantage | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| MEDICAL CENTER OF THE ROCKIES OutpatientFacility | Colorado Community Health Alliance (CCHA) | Behavioral Health RAE | — | $0.05 | $0.04 | 2025-11-01 | MRF ↗ |
| ST FRANCIS HOSPITAL & MEDICAL CENTER OutpatientFacility | CTCare | Medicare Advantage | — | $1,434.20 | $788.81 | 2025-01-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Simplified Benefits Administration | Narrow Network Exclusive Plan (EPO) | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICAID [16023] | MEDICA CHOICE CARE [1602302] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Employee High Deductible Health Plan | PPO | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Pathway | Commercial | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Pathway | Colorado Option | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem | HMO/PPO | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA MEDICARE [16024] | MEDICA DUAL SOLUTION [1602402] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Aetna ASA | Commercial | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Kaiser | HMO | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Cigna | Local Plus/SureFit/Connect | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Kaiser | PPO | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | PHCS | Commercial | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Anthem Pathway Individual/Small Group | Commercial | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Both | MEDICA [16025] | MEDICA RIDGEVIEW COMM NETWORK [1602505] | — | $0.01 | — | 2026-01-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | United Healthcare | Broad Networks | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY InpatientFacility | Cigna | Broad Networks | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Heritage Select Adv Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Aetna Medicare Advantage | Medicare Advantage | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Wellcare Health Plan Inc MCR Adv | Default | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Tricare East Region DOS GT 01012025 | Default | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Blue Cross Blue Shield of NY Utica Watertown | Medicaid Replacement | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| ADIRONDACK MEDICAL CENTER - SARANAC LAKE Both | Blue Cross Blue Shield of NY Utica Watertown | Medicare Advantage | — | $0.01 | $0.01 | 2026-03-16 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Emp Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Caresource | Medicaid | — | $2,390.34 | $1,983.98 | 2025-01-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Medicare | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHC Community Plan/DSNP | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | UHC | United Healthcare Options PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna TN Preferred Adult | — | — | — | 2025-10-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | UHC | Medicaid | — | $2,390.34 | $1,983.98 | 2025-01-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Managed Health Services | Medicaid | — | $2,390.34 | $1,983.98 | 2025-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Better Health | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Commercial Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna Commercial Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare PPO Adult | — | — | — | 2025-10-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Mdwise | Medicaid | — | $2,390.34 | $1,983.98 | 2025-01-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | UHCCP Kentucky Medicaid Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna VHAN Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Both | Aetna | Aetna VHAN Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | Aetna | Aetna Whole Health Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Emp Adult | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Nexus ACO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Both | UHC | United Healthcare Options PPO Pediatric | — | — | — | 2025-10-01 | MRF ↗ |
| SAINT JOSEPH REGIONAL MEDICAL CENTER OutpatientFacility | Anthem | Medicaid | — | $2,390.34 | $1,983.98 | 2025-01-01 | MRF ↗ |
| LONGS PEAK HOSPITAL InpatientFacility | Anthem City of Colorado Springs Employer Group | Commercial | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL InpatientFacility | Anthem Pathway | Commercial | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL InpatientFacility | CMS | Medicare | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL InpatientFacility | United Healthcare | Broad Networks | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL InpatientFacility | Anthem Employee | HMO/PPO | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Anthem Pathway Standard | Commercial | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Anthem Pathway Individual/Small Group | Commercial | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Kaiser KP Select | Commercial | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | PHCS | Commercial | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Aetna | Medicare Advantage | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Select Health | Individual ACA | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Select Health | Individual Colorado Option | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Kaiser | HMO | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Aetna Core/Meritain | Commercial | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Cigna | Local Plus/SureFit/Connect | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| MEMORIAL HOSPITAL, THE OutpatientFacility | Anthem | HMO/POS/PPO Pathway Enhanced | — | $0.05 | $0.05 | 2025-09-09 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Cigna | Broad Networks | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Cigna | Medicare Advantage | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Cigna | Connect Colorado Option | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | United Healthcare | Select Colorado | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | CMS | Medicare | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | United Healthcare | Medicare Advantage | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| MEMORIAL HOSPITAL, THE OutpatientFacility | Anthem | HMO/POS/PPO Pathway Enhanced | — | $0.05 | $0.05 | 2025-09-09 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Anthem City of Colorado Springs Employer Group | Commercial | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | United Healthcare | Broad Networks | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Anthem Pathway | Commercial | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL InpatientFacility | Rocky Mountain Health Plans | Medicaid RAE | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Anthem Employee | HMO/PPO | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL InpatientFacility | Colorado Community Health Alliance (CCHA) | Behavioral Health RAE | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Anthem Employee High Deductible Health Plan | PPO | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Cigna | Colorado Rockies | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Devoted Health | Medicare Advantage | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL InpatientFacility | Anthem Pathway Standard | Commercial | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL InpatientFacility | Anthem Pathway Individual/Small Group | Commercial | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Anthem | HMO/PPO | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL InpatientFacility | Colorado Access | Behavioral Health RAE | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Kaiser Public Option | Commercial | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL InpatientFacility | Devoted Health | Medicare Advantage | — | $0.05 | $0.02 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Anthem | Medicare Advantage | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| UCH-MEMORIAL HEALTH SYSTEM InpatientFacility | Humana | Medicare Advantage | — | $0.05 | $0.03 | 2025-11-01 | MRF ↗ |
| LONGS PEAK HOSPITAL InpatientFacility | Aetna | Commercial | — | $0.05 | $0.02 | 2025-11-01 | 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.