94576 — niCARdipine In Saline (iso-os) 40 Mg/200 Ml (0.2 mg/mL) Pgbk 200 Ml Bag
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). niCARdipine in Saline (iso-os) 40 mg/200 mL (0.2 mg/mL) Pgbk 200 mL Bag (CDM 94576) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/94576?code_type=CDM
MLA (9th ed.)
“niCARdipine in Saline (iso-os) 40 mg/200 mL (0.2 mg/mL) Pgbk 200 mL Bag (CDM 94576) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/94576?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“niCARdipine in Saline (iso-os) 40 mg/200 mL (0.2 mg/mL) Pgbk 200 mL Bag (CDM 94576) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/94576?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $118–$2,376 (25th–75th percentile) across 12 hospitals · 70 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 94576 — 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 |
|---|---|---|---|---|---|---|---|
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $8.38 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $10.11 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicaid Managed UHC | All Plans | $10.79 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $25.19 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $26.10 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $27.92 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $30.40 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $31.50 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Aetna | All Plans | $32.42 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | TRPN | All Plans | $33.60 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $33.70 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $34.67 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $34.96 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Aetna | All Plans | $35.94 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $37.72 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $37.75 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $38.96 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $39.12 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $39.15 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $39.52 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $41.85 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $42.19 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $42.29 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | ELAP | COMM | $42.57 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Anthem | All Plans | $44.64 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv UHC | All Plans | $45.00 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $45.53 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $45.56 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $47.03 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $47.22 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $47.25 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $47.70 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv CtCare | All Plans | $48.57 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Medicare Adv Wellcare | All Plans | $48.59 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv UHC | All Plans | $50.16 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Sterling Life Insurance | MCR | $50.25 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Anthem | All Plans | $50.36 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | First Health | All Plans | $50.40 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv Wellcare | All Plans | $50.88 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $51.03 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | IFPLP | $51.26 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Medicare Adv CTCare | All Plans | $54.44 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | PEHP | Exclusive | $55.48 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Bright Health | HIX | $56.28 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | OAPNBN | $57.89 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Champus | All Plans | $59.94 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | University of Utah | HIXIndividual | $63.92 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | Exclusive | $66.53 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Molina | HIX | $67.13 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oscar | All Plans | $71.02 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | PEHP | Summit | $71.36 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Champus | All Plans | $72.34 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | PeakPreference | $72.36 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | University of Utah | HealthyPreferred | $73.57 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | University of Utah | HealthyPremierSSG | $73.57 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Optum | All Plans | $75.69 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | DMBA (Deseret Mutual Benefit Admin) | PPO | $75.80 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Champus | All Plans | $77.16 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | University of Utah | HealthyPremier | $80.20 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna UT Overstock | COMM | $80.40 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Tufts | All Plans | $85.38 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oscar | All Plans | $85.72 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | NBNPPO | $88.44 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Humana ChoiceCare | PPO | $89.91 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Optum | All Plans | $91.35 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oscar | All Plans | $91.43 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oxford | All Plans | $92.59 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magnacare | All Plans | $93.33 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Imagine Health Wise | PPO | $93.40 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | StandardNetwork | $94.47 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Champus | All Plans | $95.82 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Angle Insurance | COMM | $96.48 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | MotivHealth | TPARental | $96.48 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | MotivHealth | COMM | $96.48 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magellan | All Plans | $96.57 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Optum | All Plans | $97.44 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | UHC | All Plans | $98.52 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Create Alliance | All Plans | $99.18 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Anthem | All Plans | $99.18 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | CtCare | All Plans | $101.76 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Tufts | All Plans | $103.05 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Aetna | All Plans | $104.27 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Cigna | All Plans | $106.36 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Tufts | All Plans | $109.92 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oxford | All Plans | $111.75 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Cigna | Non-ExclusivePPO | $111.76 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magnacare | All Plans | $112.64 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Champus | All Plans | $115.65 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Select Health ER | COMM | $116.18 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Harvard Pilgrim | All Plans | $116.52 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magellan | All Plans | $116.55 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | AetnaSignatureAdministrators | $116.58 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Multiplan | All Plans | $116.93 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Harvard Pilgrim | All Plans | $118.05 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | UHC | All Plans | $118.90 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Oxford | All Plans | $119.20 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Create Alliance | All Plans | $119.70 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Anthem | All Plans | $119.70 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magnacare | All Plans | $120.15 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | UtahConnectedNetwork | $120.60 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | CtCare | All Plans | $122.82 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Champus | All Plans | $123.36 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Magellan | All Plans | $124.32 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Oxford | All Plans | $124.79 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Aetna | All Plans | $125.84 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Cigna | All Plans | $126.09 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Multiplan | Primary | $126.63 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | UHC | All Plans | $126.83 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Anthem | All Plans | $127.68 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Create Alliance | All Plans | $127.68 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Cigna | All Plans | $128.37 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | CtCare | All Plans | $131.01 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | UHC | All Plans | $131.09 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Aetna | All Plans | $134.23 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | AMPS | All Plans | $136.50 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Claimdoc | All Plans | $136.50 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Cigna | All Plans | $136.93 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Multiplan | All Plans | $141.12 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Harvard Pilgrim | All Plans | $142.47 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Multiplan | All Plans | $143.55 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Create | All Plans | $143.55 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Aetna | FirstHealth | $146.73 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | MagnaCare | All Plans | $149.24 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Harvard Pilgrim | All Plans | $150.01 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Great West | All Plans | $150.34 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Multiplan | All Plans | $150.53 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Oxford | All Plans | $150.61 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Harvard Pilgrim | All Plans | $151.97 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Cigna | All Plans | $152.17 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | First Choice | All Plans | $153.99 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | Injury Care of Utah | WCOMP | $156.78 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | UHC | All Plans | $158.21 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Oxford | All Plans | $160.65 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| LONE PEAK HOSPITAL Outpatient | TriWest Healthcare Alliance | Veterans | $160.80 | $201.00 | $201.00 | 2024-10-01 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Cigna | All Plans | $162.32 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | AMPS | All Plans | $164.75 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Claimdoc | All Plans | $164.75 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | UHC | All Plans | $168.76 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Multiplan | All Plans | $173.25 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Create | All Plans | $173.25 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | AMPS | All Plans | $174.87 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | ClaimDoc | All Plans | $174.87 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Claimdoc | All Plans | $175.73 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | AMPS | All Plans | $175.73 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | MagnaCare | All Plans | $180.12 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Great West | All Plans | $181.44 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Multiplan | All Plans | $184.80 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Create | All Plans | $184.80 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | First Choice | All Plans | $185.85 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | HIP | All Plans | $190.53 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | MagnaCare | All Plans | $192.13 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Great West | All Plans | $193.14 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Great West | All Plans | $193.54 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | First Choice | All Plans | $198.24 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Optum | All Plans | $205.67 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Magellan | All Plans | $210.89 | $261.00 | $133.11 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | ClaimDoc | All Plans | $211.05 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | AMPS | All Plans | $211.05 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | First Health | All Plans | $221.85 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | ClaimDoc | All Plans | $225.12 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | AMPS | All Plans | $225.12 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | HIP | All Plans | $229.95 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Great West | All Plans | $233.10 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | TRPN | All Plans | $234.90 | $261.00 | $153.99 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | HIP | All Plans | $245.28 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Optum | All Plans | $248.22 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | Great West | All Plans | $248.64 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Magellan | All Plans | $254.52 | $315.00 | $160.65 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Optum | All Plans | $264.77 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | First Health | All Plans | $267.75 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| BRIDGEPORT HOSPITAL Both | Magellan | All Plans | $271.49 | $336.00 | $171.36 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | TRPN | All Plans | $283.50 | $315.00 | $185.85 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | First Health | All Plans | $285.60 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| YALE-NEW HAVEN HOSPITAL Both | TRPN | All Plans | $302.40 | $336.00 | $198.24 | 2025-01-10 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Aetna | Gatekeeper | — | $5,099.60 | $3,569.72 | 2026-09-29 | MRF ↗ |
| ASCENSION SE WISCONSIN HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $628.33 | $628.33 | $333.01 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $628.33 | $628.33 | $333.01 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $628.33 | $628.33 | $333.01 | 2026-01-01 | MRF ↗ |
| Ascension NE Wisconsin - Mercy Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $703.76 | $703.76 | $401.14 | 2026-01-01 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | AvMed | Medicare | $754.74 | $5,099.60 | $3,569.72 | 2026-09-29 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | AvMed | Medicare | $754.74 | $5,099.60 | $3,569.72 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | AvMed | Medicare | $754.74 | $5,099.60 | $3,569.72 | 2026-09-29 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | AvMed | Medicare | $754.74 | $5,099.60 | $3,569.72 | 2026-09-29 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | Amerihealth Caritas | QHP | $815.94 | $5,099.60 | $3,569.72 | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South OutpatientFacility | Amerihealth Caritas | QHP | $815.94 | $5,099.60 | $3,569.72 | 2026-09-29 | MRF ↗ |
| MEMORIAL HOSPITAL WEST OutpatientFacility | United Healthcare | IEX | $815.94 | $5,099.60 | $3,569.72 | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | Amerihealth Caritas | QHP | $815.94 | $5,099.60 | $3,569.72 | 2026-09-29 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | United Healthcare | IEX | $815.94 | $5,099.60 | $3,569.72 | 2026-09-29 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE OutpatientFacility | United Healthcare | IEX | $815.94 | $5,099.60 | $3,569.72 | 2026-09-29 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR OutpatientFacility | Amerihealth Caritas | QHP | $815.94 | $5,099.60 | $3,569.72 | 2026-09-29 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | AETNA | AETNA Medicare Advantage | $854.00 | $854.00 | $854.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Healthy Blue | Healthy Blue | $854.00 | $854.00 | $854.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Humana | Humana Medicaid | $854.00 | $854.00 | $854.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | AETNA | AETNA Better Health | $854.00 | $854.00 | $854.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Humana | Humana | $854.00 | $854.00 | $854.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Oshners Health Plan | Oshners Health Plan | $854.00 | $854.00 | $854.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Allwel | Allwell | $854.00 | $854.00 | $854.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Louisiana Healthcare Connection | Louisiana Healthcare Connections | $854.00 | $854.00 | $854.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | WellCare | WellCare | $854.00 | $854.00 | $854.00 | 2026-06-04 | MRF ↗ |
| Louisiana Extended Care Hospital Of Lafayette Inpatient | Christus Health Plan | Christus Health Plan Military | $854.00 | $854.00 | $854.00 | 2026-06-04 | 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.