99207024005 — Edetate Calcium Disodium 200 mg/mL Soln 5 Ml Ampul
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). edetate calcium disodium 200 mg/mL Soln 5 mL AMPUL (OTHER 99207024005) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/99207024005?code_type=OTHER
MLA (9th ed.)
“edetate calcium disodium 200 mg/mL Soln 5 mL AMPUL (OTHER 99207024005) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/99207024005?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“edetate calcium disodium 200 mg/mL Soln 5 mL AMPUL (OTHER 99207024005) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/99207024005?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $6,007–$8,306 (25th–75th percentile) across 26 hospitals · 57 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 99207024005 — 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 |
|---|---|---|---|---|---|---|---|
| University Of Arkansas Medical Sciences-transplant Both | Summit Community Care | Passe | $31.92 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Total Care | Passe | $31.92 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Caresource | Passe | $31.92 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Summit Community Care | Passe | $31.92 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Arkansas Total Care | Passe | $31.92 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Empower | Passe | $31.92 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Caresource | Passe | $31.92 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Empower | Passe | $31.92 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uhc | Quest | $60.00 | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield Covered Ca | All | $4,654.35 | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Uhc National | United Ppo | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Healthsmart | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Uhc Local | United Select Hmo | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Plan Of San Joaquin | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Aetna | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Health Net | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Dignity Health | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Bakersfield Family Medical Center | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Managed Care Systems (Drmg) | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Manage Care Systems (Gemcare) | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Sutter Hospitals (Epo) | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Stanislaus Partners In Health | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Multiplan (Phcs) | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaiser | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Community Health Networks | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Nbd | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | First Health (Coventry) | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Kaweah Delta Healthcare | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Incentive Health | All | — | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Triwest | Participating Provider | $5,074.14 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Triwest | Participating Provider | $5,074.14 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | United Healthcare | Medicare Advantage | $5,177.69 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Blue Cross Blue Shield | Medicare Advantage Pffs | $5,177.69 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Humana | Medicare Advantage | $5,177.69 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | United Healthcare | Medicare Advantage | $5,177.69 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Wellcare | Dual Medicare Advantage | $5,177.69 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Va Community Care | Network | $5,177.69 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Blue Cross Blue Shield | Medicare Advantage Choice | $5,177.69 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Blue Cross Blue Shield | Medicare Advantage Choice | $5,177.69 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Va Community Care | Network | $5,177.69 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Humana | Medicare Advantage | $5,177.69 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Blue Cross Blue Shield | Medicare Advantage Pffs | $5,177.69 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Wellcare | Dual Medicare Advantage | $5,177.69 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Aetna | Medicare Advantage | $5,229.47 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tribute | Medicare Advantage | $5,229.47 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Aetna | Medicare Advantage | $5,229.47 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tribute | Medicare Advantage | $5,229.47 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Wellcare | Non Dual Medicare Advantage | $5,281.25 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Wellcare | Non Dual Medicare Advantage | $5,281.25 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Blue Cross Blue Shield | Bluemedicare Premier Hmo | $5,281.77 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Blue Cross Blue Shield | Bluemedicare Premier Hmo | $5,281.77 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Primewell | Medicare Advantage | $5,333.03 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Primewell | Medicare Advantage | $5,333.03 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Optum Transplant Network | Medicare Advantage | $5,333.03 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Optum Transplant Network | Medicare Advantage | $5,333.03 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Essence | Medicare Advantage | $5,384.80 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna | Medicare Advantage | $5,384.80 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Essence | Medicare Advantage | $5,384.80 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Cigna | Medicare Advantage | $5,384.80 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Wellcare By Allwell | Medicare Advantage | $5,386.36 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Wellcare By Allwell | Medicare Advantage | $5,386.36 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Blue Shield | All | $5,475.70 | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Quest | $5,708.59 | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Alohacare | Quest | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Mdx | Medadvantage | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| LANAI COMMUNITY HOSPITAL Both | Hmsa | Quest | $5,708.59 | — | — | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Devoted | Medadvantage | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Mdx | All Commercial Plans | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmsa | Medadvantage | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Hmaa | All Commercial Plans | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Ohana | Medadvantage | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $5,708.59 | $20,680.19 | $15,510.14 | 2026-05-24 | MRF ↗ |
| KULA HOSPITAL Outpatient | Triwest | All Payors | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | Quest | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| University Of Arkansas Medical Sciences-transplant Both | Tricare | Commercial | $5,708.59 | $20,680.19 | $15,510.14 | 2026-05-13 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | All Commercial Plans | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Kaiser | Medadvantage | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Uhc | Medadvantage | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Alohacare | Medadvantage | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| KULA HOSPITAL Outpatient | Ohana | Quest | — | $16,807.66 | $6,555.00 | 2026-05-08 | MRF ↗ |
| VALLEY CHILDREN'S HOSPITAL Outpatient | Community Care Health Plan | All | $5,859.00 | $24,234.59 | $24,234.59 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,452.00 | $16,807.66 | $12,605.75 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,452.00 | $16,807.66 | $12,605.75 | 2026-05-09 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Of Nj Humana | Workers' Comp | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Galaxy | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Municiple Joint Insurance Fund | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Galaxy | Workers Comp | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $6,452.50 | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Medicaid | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | $6,452.50 | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Multiplan | Auto Workers' Compensation | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Workers Compensation | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet Federal | Ppo Pc3 | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet | Tricare | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Hmo | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Pos, Epo, Ppo | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Workers' Compensation | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Automobile/Pip | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Auto Personal Injury Protection No Fault | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Fidelis Wellcare | Medicaid | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | State Health Benefit Plan | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | First Mco | Workers Comp | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Indemnity | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Liberty Mutual | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | First Mco | Group Health | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Nj | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health Medicaid | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Mulitplan | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Of Nj Humana | Workers' Comp | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Brighton | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-08 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Mulitplan | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Oxford | $6,452.50 | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Medicaid | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | United Healthcare | Commercial | $6,452.50 | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Cigna | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Multiplan | Auto Workers' Compensation | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Amerigroup | Wellcare Medicaid | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Better Health Medicaid | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Pos, Epo, Ppo | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Aetna | Hmo | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Galaxy | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Galaxy | Workers Comp | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet | Tricare | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Auto Personal Injury Protection No Fault | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Magnacare | Workers' Compensation | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Indemnity | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Ppo Hmo | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | Omnia | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Horizon | State Health Benefit Plan | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Liberty Mutual | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Brighton | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Municiple Joint Insurance Fund | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Automobile/Pip | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Chn | Workers Compensation | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Fidelis Wellcare | Medicaid | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | First Mco | Workers Comp | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | First Mco | Group Health | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Qualcare Health Republic Nj | Commercial | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| COOPER UNIVERSITY HOSPITAL Outpatient | Healthnet Federal | Ppo Pc3 | — | $26,119.51 | $26,119.51 | 2026-05-23 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-08 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-09 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-09 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-09 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-13 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-08 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-09 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-09 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $6,455.00 | $16,807.66 | $9,412.29 | 2026-05-06 | 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.