97853 — Certolizumab Pegol Syringe Kit 1
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). CERTOLIZUMAB PEGOL SYRINGE KIT 1 (CDM 97853) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/97853?code_type=CDM
MLA (9th ed.)
“CERTOLIZUMAB PEGOL SYRINGE KIT 1 (CDM 97853) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/97853?code_type=CDM. Accessed .
Chicago (notes-bibliography)
“CERTOLIZUMAB PEGOL SYRINGE KIT 1 (CDM 97853) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/97853?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $21–$36 (25th–75th percentile) across 7 hospitals · 66 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 97853 — 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 |
|---|---|---|---|---|---|---|---|
| ASCENSION ALL SAINTS HOSPITAL Outpatient | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $11.94 | $23.88 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | UNITED HEALTH CARE | 1282_UNITED HEALTH CARE 20250701 | $11.95 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | SEHN | 1171_SEHN 20241001 | $11.95 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | SEHN | 1171_SEHN 20241001 | $11.95 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $12.66 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $12.66 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1164_WEA TRUST PPO MIL 20241001 | $12.66 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA TRUST SELECT POS | 431_WEA TRUST SELECT POS MIL 20180201 | $12.66 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1161_MOLINA MARKETPLACE ASWI 20241001 | $14.10 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $14.10 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | MOLINA MARKETPLACE | 1162_MOLINA MARKETPLACE MIL 20241001 | $14.10 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $15.68 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | TRILOGY | 1271_TRILOGY 20250701 | $16.48 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | TRILOGY | 1271_TRILOGY 20250701 | $16.48 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $16.49 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $16.72 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $16.72 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA ASCENSION ONLY | 820_NEHA ASCENSION ONLY 20220101 | $16.72 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA LIMITED | 821_NEHA LIMITED 20220101 | $16.72 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $16.81 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 946_ANTHEM PATHWAYS MEWI SEWI 20230101 | $16.81 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $17.61 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $17.61 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $17.61 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SMARTHEALTH | 977_SMARTHEALTH OUTPATIENT CAWI 20230101 | $17.61 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE REPLACEMENT | 929_CRITICAL ACCESS HOSPITAL MEDICARE REPLACEMENT OUTPATIENT CAWI 20220701 | $17.61 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WELLCARE | 984_MEDICARE ADVANTAGE WELLCARE OUTPATIENT CAWI 20220701 | $17.61 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $17.91 | $23.88 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST PPO | 1163_WEA TRUST PPO ASWI 20241001 | $17.91 | $23.88 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | FIRST HEALTH NETWORK | 1290_FIRST HEALTH 20240101 SJWI FNWI MWWI | $17.92 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA TRUST SELECT POS | 432_WEA TRUST SELECT POS ASWI 20180201 | $17.92 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1279_AETNA MIL 20250701 | $18.39 | $23.88 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | AETNA | 1279_AETNA MIL 20250701 | $18.40 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $18.41 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $18.41 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $18.41 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $18.41 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $18.41 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $18.41 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | MEDICARE RAILROAD | 923_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD INPATIENT CAWI 20220701 | $18.41 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | TRICARE | 623_TRICARE INPATIENT CAWI 20200201 | $18.41 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | VETERANS ADMINISTRATION | 611_VETERANS ADMINISTRATION OUTPATIENT CAWI 20200201 | $18.41 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | VETERANS ADMINISTRATION | 617_VETERANS ADMINISTRATION INPATIENT CAWI 20200201 | $18.41 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MEDICARE RAILROAD | 925_CRITICAL ACCESS HOSPITAL MEDICARE RAILROAD OUTPATIENT CAWI 20220701 | $18.41 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRICARE | 619_TRICARE OUTPATIENT CAWI 20200201 | $18.41 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $19.21 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | MOLINA MARKETPLACE | 521_MOLINA MARKETPLACE CAWI 20190615 | $19.21 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $19.58 | $23.88 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | WEA PROVIDER AND POS | 434_WEA PROVIDER AND POS MIL 20180201 | $19.59 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $19.61 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 909_NETWORK HEALTH PLAN ACA MEWI SEWI 20221001 | $19.61 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Both | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $20.11 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | WEA PROVIDER AND POS | 433_WEA PROVIDER AND POS ASWI 20180201 | $20.30 | $23.88 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | AETNA | 1278_AETNA ASWI 20250701 | $20.54 | $23.88 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | FIRST HEALTH NETWORK | 1281_FIRST HEALTH 20240101 ASWI | $20.54 | $23.88 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $20.78 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN | 1015_HEALTH EOS/MULTIPLAN 20230701 | $20.78 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $20.91 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Both | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $21.14 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $21.25 | $23.88 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA PPO BROAD | 388_NEHA PPO BROAD 20180701 | $21.26 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $21.26 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | NEHA PPO ON/NEAR SITE | 390_NEHA PPO ON/NEAR SITE 20180701 | $21.26 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | SEHN C89 | 1128_SEHN 20221001 | $21.31 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $21.99 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SEHN C89 | 1128_SEHN 20221001 | $22.41 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $22.46 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Outpatient | HEALTH EOS/MULTIPLAN WC | 1016_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20230701 | $22.46 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $22.82 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 938_NETWORK HEALTH PLAN MEWI SEWI 20230101 | $22.82 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $23.32 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 885_ALLIANCE MEWI SEWI 20221001 | $23.62 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 885_ALLIANCE MEWI SEWI 20221001 | $23.62 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA PPP | 204_WEA PPP 20160101 | $23.72 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| ASCENSION ALL SAINTS HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $23.88 | $23.88 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension SE Wisconsin Hospital - Franklin Campus Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $23.89 | $23.89 | $12.66 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $24.52 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA PPP | 204_WEA PPP 20160101 | $24.95 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $26.82 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 931_CCHP MEWI SEWI 20230101 | $26.82 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $26.94 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $27.22 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | PREVEA COMMERCIAL AND EXCHANGE | 1005_PREVEA COMMERCIAL AND EXCHANGE 20230701 | $27.22 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 908_NETWORK HEALTH PLAN ACA CAWI 20220101 | $27.62 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 937_NETWORK HEALTH PLAN CAWI 20230101 | $27.62 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NETWORK HEALTH PLAN | 937_NETWORK HEALTH PLAN CAWI 20230101 | $27.62 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ACA | 908_NETWORK HEALTH PLAN ACA CAWI 20220101 | $27.62 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $27.74 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 268_SEHN CAWI 20160101 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA | 837_NEHA ASCENSION ONLY CAWI 20220101 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 936_HUMANA HMO POS MEWI SEWI 20230301 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 962_HUMANA WVN MEWI SEWI 20230301 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | DEAN HEALTH PLAN | 942_DEAN HEALTH PLAN 20210901 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | SEHN | 268_SEHN CAWI 20160101 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA LIMITED | 838_NEHA LIMITED CAWI 20220101 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA | 837_NEHA ASCENSION ONLY CAWI 20220101 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 961_HUMANA PPO MEWI SEWI 20230301 | $28.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | AETNA | 567_AETNA 20190701 | $28.15 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $28.15 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $28.33 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 960_ANTHEM PATHWAYS CAWI 20230101 | $28.82 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $28.82 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PATHWAYS | 960_ANTHEM PATHWAYS CAWI 20230101 | $28.82 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HEALTH PAYMENT SYSTEMS | 997_HEALTH PAYMENT SYSTEMS 20230701 | $28.82 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $29.17 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | AETNA | 567_AETNA 20190701 | $29.60 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $29.60 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $30.56 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 902_ANTHEM BLUE CONNECTION CAWI 20230101 | $31.22 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM BLUE CONNECTION | 902_ANTHEM BLUE CONNECTION CAWI 20230101 | $31.22 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $32.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $32.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1009_WISCONSIN PHYSICIAN SERVICES MEWI SEWI 20230701 | $32.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1007_TRILOGY MEWI SEWI 20230701 | $32.02 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $32.13 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $32.42 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 1008_ARISE PREMIER MEWI SEWI 20230701 | $32.42 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $32.57 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | PARADIGM NETWORK | 580_PARADIGM NETWORK 20161001 | $32.97 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 473_AETNA CAWI 20170701 | $33.22 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $33.22 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 473_AETNA CAWI 20170701 | $33.22 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | AETNA | 472_AETNA MEWI SEWI 20180701 | $33.22 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | NEHA PPO | 989_NEHA PPO BROAD MCWI 20210101 | $33.78 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1010_WISCONSIN PHYSICIAN SERVICES CAWI 20230701 | $34.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 528_CCHP CAWI 20180101 | $34.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 879_HUMANA PPO CAWI 20221001 | $34.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CCHP | 528_CCHP CAWI 20180101 | $34.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WPS | 1010_WISCONSIN PHYSICIAN SERVICES CAWI 20230701 | $34.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA PPO | 879_HUMANA PPO CAWI 20221001 | $34.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $34.25 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 877_ARISE PREMIER CAWI 20221001 | $34.43 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1011_CENTIVO NW3 CAWI 20220101 | $34.43 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ARISE | 877_ARISE PREMIER CAWI 20221001 | $34.43 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW3 | 1011_CENTIVO NW3 CAWI 20220101 | $34.43 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA POS | 539_WEA POS 20090101 | $34.58 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | PARADIGM NETWORK | 580_PARADIGM NETWORK 20161001 | $34.67 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PPO | 904_ANTHEM PPO CAWI 20230101 | $34.83 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM HMO POS | 903_ANTHEM HMO POS CAWI 20230101 | $34.83 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM PPO | 904_ANTHEM PPO CAWI 20230101 | $34.83 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 994_ALLIANCE CAWI 20210701 | $34.83 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ALLIANCE | 994_ALLIANCE CAWI 20210701 | $34.83 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | ANTHEM HMO POS | 903_ANTHEM HMO POS CAWI 20230101 | $34.83 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $35.23 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $35.23 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULITPLAN | 235_HEALTH EOS/MULTIPLAN 20160401 | $35.23 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | WEA | 267_WEA ALL POLICIES 20160101 | $35.23 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $35.63 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO ON/NEAR SITE | 569_NEHA PPO ON/NEAR SITE 20200101 | $35.63 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $35.63 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | NEHA PPO BROAD | 568_NEHA PPO BROAD 20200101 | $35.63 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Outpatient | WEA | 419_WEA 20090116 | $35.79 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 878_HUMANA HMO POS CAWI 20221001 | $36.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $36.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $36.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE PPO | 123_UNITED HEALTH CARE PPO CAWI 20130101 | $36.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 880_HUMANA WVN CAWI 20221001 | $36.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA WVN | 880_HUMANA WVN CAWI 20221001 | $36.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | HUMANA HMO POS | 878_HUMANA HMO POS CAWI 20221001 | $36.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL HMO PPO | 935_HUMANA BEHAVIORAL HEALTH HMO PPO MEWI SEWI 20230301 | $36.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | HUMANA BEHAVIORAL WVN | 728_HUMANA BEHAVIORAL HEALTH WVN MEWI SEWI 20210101 | $36.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | UNITED HEALTH CARE PPO | 123_UNITED HEALTH CARE PPO CAWI 20130101 | $36.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA POS | 539_WEA POS 20090101 | $36.36 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CIGNA | 1004_CIGNA 20230701 | $36.83 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1006_TRILOGY CAWI 20230701 | $36.83 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CIGNA | 1004_CIGNA 20230701 | $36.83 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | TRILOGY | 1006_TRILOGY CAWI 20230701 | $36.83 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 806_CENTIVO NW1 CAWI 20220101 | $37.23 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | CENTIVO NW1 | 806_CENTIVO NW1 CAWI 20220101 | $37.23 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA | 419_WEA 20090116 | $37.63 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $38.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Outpatient | EOS/MULTIPLAN WC | 910_HEALTH EOS/MULTIPLAN (WORKERS COMP) 20160401 | $38.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $40.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION CALUMET HOSPITAL Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $40.03 | $40.03 | $22.82 | 2026-01-01 | MRF ↗ |
| ASCENSION COLUMBIA ST MARYS HOSPITAL MILWAUKEE Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $40.21 | $40.21 | $21.31 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $42.28 | $42.28 | $22.41 | 2026-01-01 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | CIGNA | ALL PRODUCTS | $225.75 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | WORKERS COMP | $248.97 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | FIRST MCO | WORKERS COMP | $250.00 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | PERSONAL INJURY | $254.13 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | BEHAVIORAL HEALTH MEDICAID | $258.77 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | BEHAVIORAL HEALTH | $260.45 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID | $264.00 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | UNITED HEALTHCARE | MEDICAID_YOUTH-YOUNG ADULT | $264.00 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID_YOUTH-YOUNG ADULT | $264.00 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AETNA | MEDICAID | $264.00 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | WELLCARE | MEDICAID | $264.00 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | WELLCARE | MEDICAID_YOUTH-YOUNG ADULT | $264.00 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICAID ADV_YOUTH-YOUNG ADULT | $264.00 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIGROUP | MEDICAID | $264.00 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | FRESENIUS | MEDICARE ADVANTAGE | $290.25 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | AMERIHEALTH | ALL PRODUCTS | $322.50 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | MANAGED CARE | $451.50 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER OutpatientFacility | HORIZON BCBS | INDEMNITY/PPO | $477.30 | $645.00 | $222.53 | 2025-12-29 | MRF ↗ |
| BERGEN NEW BRIDGE MEDICAL CENTER BothFacility | LOCAL 734 | ALL PRODUCTS | $483.75 | $645.00 | $222.53 | 2025-12-29 | 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.