Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Q5111 — Injection Udenyca 0.5 Mg

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $164

Usually $136–$337 (25th–75th percentile) across 174 hospitals · 403 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER Q5111 — 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
LUTHERAN MEDICAL CENTER Outpatient United Healthcare United Healthcare 2026-05-14 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare Golden Rule Ins 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient United Healthcare United Healthcare 2026-05-17 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare Uhc Exchange Plan 2026-05-14 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient Geha Geha Mcr Supplemental 2026-05-18 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare Healthscope 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient United Healthcare Medica 2026-05-17 MRF ↗
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient United Healthcare Uhc Other/Supplemental 2026-05-17 MRF ↗
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient United Healthcare Surest 2026-05-17 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare United Healthcare 2026-05-14 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Golden Rule Ins 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare United Healthcare 2026-05-22 MRF ↗
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient United Healthcare Healthscope 2026-05-17 MRF ↗
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient Geha Geha Mcr Supplemental 2026-05-17 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare Medica 2026-05-14 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient Geha Geha Mcr Supplemental 2026-05-14 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare All Savers Alternative Funding 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient Geha Geha 2026-05-17 MRF ↗
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient United Healthcare Uhc Exchange Plan 2026-05-17 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient Geha Geha Mcr Supplemental 2026-05-14 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare Uhc Other/Supplemental 2026-05-14 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Umr-United Med Resources 2026-05-14 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Golden Rule Ins 2026-05-14 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Umr-United Med Resources 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Uhc Exchange Plan 2026-05-22 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient Geha Geha 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient United Healthcare Golden Rule Ins 2026-05-17 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Surest 2026-05-14 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Umr-United Med Resources 2026-05-18 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Selectcolorado 2026-05-18 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient Geha Geha 2026-05-14 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare Selectcolorado 2026-05-14 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare Uhc Charter/Navigate 2026-05-14 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare All Savers Alternative Funding 2026-05-18 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Uhc Charter/Navigate 2026-05-18 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Surest 2026-05-18 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient Geha Geha Mcr Supplemental 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Golden Rule Ins 2026-05-18 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Medica 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient United Healthcare Uhc Charter/Navigate 2026-05-17 MRF ↗
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient United Healthcare All Savers Alternative Funding 2026-05-17 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Uhc Other/Supplemental 2026-05-14 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Uhc Charter/Navigate 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Healthscope 2026-05-22 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare Surest 2026-05-14 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Uhc Charter/Navigate 2026-05-14 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare United Healthcare 2026-05-18 MRF ↗
INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL Outpatient United Healthcare Selectcolorado 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare All Savers Alternative Funding 2026-05-22 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare All Savers Alternative Funding 2026-05-14 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Selectcolorado 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Medica 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient Geha Geha 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Surest 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Medica 2026-05-18 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Selectcolorado 2026-05-14 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare Umr-United Med Resources 2026-05-14 MRF ↗
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL Outpatient United Healthcare Umr-United Med Resources 2026-05-17 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient Geha Geha 2026-05-18 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Uhc Exchange Plan 2026-05-14 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Healthscope 2026-05-18 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Uhc Exchange Plan 2026-05-18 MRF ↗
THREE RIVERS HEALTH Outpatient Molina Mi Medicaid $56.99 2026-05-13 MRF ↗
MEMORIAL HOSPITAL OF SOUTH BEND Outpatient Mclaren Mi Medicaid $56.99 2026-05-13 MRF ↗
THREE RIVERS HEALTH Outpatient Aetna Mi Medicaid $56.99 2026-05-13 MRF ↗
ELKHART GENERAL HOSPITAL Outpatient Mclaren (Mi Mi Medicaid $56.99 2026-05-13 MRF ↗
ELKHART GENERAL HOSPITAL Outpatient Uhc Mi Medicaid $56.99 2026-05-13 MRF ↗
MEMORIAL HOSPITAL OF SOUTH BEND Outpatient Uhc Mi Medicaid $56.99 2026-05-13 MRF ↗
THREE RIVERS HEALTH Outpatient Priority Health Mi Medicaid $56.99 2026-05-13 MRF ↗
THREE RIVERS HEALTH Outpatient Mclaren Mi Medicaid $56.99 2026-05-13 MRF ↗
THREE RIVERS HEALTH Outpatient Uhc Mi Medicaid $56.99 2026-05-13 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $63.80 2026-05-24 MRF ↗
MC DONOUGH DISTRICT HOSPITAL Outpatient Health Alliance Commercial $63.80 2026-05-14 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Ambetter Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Molina Healthcare Of Wa Commercial $64.80 $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Kaiser Wa All Other Lob $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Molina Healthcare Of Wa Commercial $64.80 $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient United Healthcare – Ph Employees United Healthcare – Ph Employees $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient United Healthcare – Ph Employees United Healthcare – Ph Employees $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Kaiser Northwest Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Ambetter Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Kaiser Northwest Managed Medicaid $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Health Net/Centene Health Plan Commercial $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Kaiser Northwest Commercial $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Moda Health Plan Connexus/Synergy $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Pacific Source Coordinated Care (Ind And Nonind) $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Moda Health Plan Connexus/Synergy $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Kaiser Northwest Managed Medicaid $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Pacific Source Commercial Psn/Voyager $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient First Choice Health Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Pacific Source Coordinated Care (Ind And Nonind) $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Aetna Health Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient First Choice Health Commercial $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Pacific Source Commercial Psn/Voyager $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Humana Health Plan Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Kaiser Northwest Managed Medicaid $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Providence Health Plan Commercial $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Providence Health Plan Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient First Choice Health Administrators $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient First Choice Health Administrators $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient First Choice Health Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient First Choice Health Administrators $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Providence Health Plan Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Pacific Source Commercial Psn/Voyager $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Pacific Source Coordinated Care (Ind And Nonind) $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Moda Health Plan Connexus/Synergy $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Aetna Health Commercial $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Health Net/Centene Health Plan Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Health Net/Centene Health Plan Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Kaiser Northwest Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Humana Health Plan Commercial $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Humana Health Plan Commercial $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Ambetter Commercial $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient United Healthcare – Ph Employees United Healthcare – Ph Employees $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Molina Healthcare Of Wa Commercial $64.80 $5,510.95 $3,582.12 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Kaiser Wa All Other Lob $10,938.20 $7,109.83 2026-05-22 MRF ↗
PEACEHEALTH ST JOHN MEDICAL CENTER Outpatient Kaiser Wa All Other Lob $5,510.95 $3,582.12 2026-05-22 MRF ↗
GLENS FALLS HOSPITAL Outpatient Emblem Ghi Commercial $69.95 2026-05-08 MRF ↗
LONG ISLAND COMMUNITY HOSPITAL Both Local 1199 Medicare $71.69 2026-05-06 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient Multiplan Medicare Advantage $74.43 2026-05-27 MRF ↗
WILLIAMSON MEDICAL CENTER Outpatient United Dsnp $82.94 2026-05-24 MRF ↗
WILLIAMSON MEDICAL CENTER Outpatient United Dsnp $82.94 2026-05-14 MRF ↗
PARK CITY HOSPITAL Outpatient Health Plan Of Nevada Medicaid $87.82 2026-05-22 MRF ↗
PARK CITY HOSPITAL Outpatient Healthy U Medicaid $87.82 2026-05-22 MRF ↗
PARK CITY HOSPITAL Outpatient Molina Medicaid $87.82 2026-05-22 MRF ↗
PARK CITY HOSPITAL Outpatient Selecthealth Medicaid $87.82 2026-05-22 MRF ↗
PARK CITY HOSPITAL Outpatient Healthy U Medicaid $87.82 2026-05-18 MRF ↗
PARK CITY HOSPITAL Outpatient Health Plan Of Nevada Medicaid $87.82 2026-05-18 MRF ↗
PARK CITY HOSPITAL Outpatient Molina Medicaid $87.82 2026-05-18 MRF ↗
PARK CITY HOSPITAL Outpatient Selecthealth Medicaid $87.82 2026-05-18 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Health Plan Of Nevada Medicaid $90.37 2026-05-22 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Health Plan Of Nevada Medicaid $90.37 2026-05-09 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Healthy U Medicaid $90.37 2026-05-09 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Health Plan Of Nevada Medicaid $90.37 2026-05-13 MRF ↗
AMERICAN FORK HOSPITAL Outpatient Selecthealth Medicaid $90.37 2026-05-09 MRF ↗
PRIMARY CHILDREN'S HOSPITAL Outpatient Health Plan Of Nevada Medicaid $90.37 2026-05-15 MRF ↗
VIRGINIA MASON MEDICAL CENTER Outpatient Regence Medicare Advantage $90.38 2026-05-27 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Amerihealth Caritas Nh Amerihealth Caritas - Nh Managed Medicaid $91.04 $803.55 $245.89 2026-05-08 MRF ↗
LONG ISLAND COMMUNITY HOSPITAL Both Multiplan Phcs - Beech Street $93.20 2026-05-06 MRF ↗
LONG ISLAND COMMUNITY HOSPITAL Both Magellan Medicare $93.20 2026-05-06 MRF ↗
ST CLAIR HOSPITAL Both Highmark Freedom Blue Medicare $94.74 $1,095.00 $271.67 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Highmark Freedom Blue Medicare $94.74 $1,095.00 $271.67 2026-05-14 MRF ↗
LONG ISLAND COMMUNITY HOSPITAL Both Oscar Health Exchange Medicare $97.50 2026-05-06 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Wellsense Health Plan Wellsense - Nh Managed Medicaid $98.11 $803.55 $245.89 2026-05-08 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Beacon Health Strategies/Carelon Wellsense - Nh Managed Medicaid Beh Health $98.11 $803.55 $245.89 2026-05-08 MRF ↗
CHESHIRE MEDICAL CENTER Outpatient Amerihealth Caritas Nh Amerihealth Caritas - Nh Managed Medicaid $98.35 $803.55 $221.78 2026-05-23 MRF ↗
CHESHIRE MEDICAL CENTER Outpatient Amerihealth Caritas Nh Amerihealth Caritas - Nh Managed Medicaid $98.35 $803.55 $221.78 2026-05-08 MRF ↗
ST CLAIR HOSPITAL Both Highmark Community Blue Medicare Hmo $98.95 $1,095.00 $271.67 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Highmark Community Blue Medicare Advantage $98.95 $1,095.00 $271.67 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Highmark Complete Blue Medicare Advantage $98.95 $1,095.00 $271.67 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Highmark Complete Blue $98.95 $1,095.00 $271.67 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Highmark Community Blue Medicare Advantage $98.95 $1,095.00 $271.67 2026-05-14 MRF ↗
ST CLAIR HOSPITAL Both Highmark Complete Blue Medicare Advantage $98.95 $1,095.00 $271.67 2026-05-14 MRF ↗
ST CLAIR HOSPITAL Both Highmark Community Blue Medicare Hmo $98.95 $1,095.00 $271.67 2026-05-14 MRF ↗
ST CLAIR HOSPITAL Both Highmark Complete Blue $98.95 $1,095.00 $271.67 2026-05-14 MRF ↗
ST CLAIR HOSPITAL Both Highmark Wholecare Medicare Assured/Gateway Medicare $101.02 $1,095.00 $271.67 2026-05-23 MRF ↗
ST CLAIR HOSPITAL Both Highmark Wholecare Medicare Assured/Gateway Medicare $101.02 $1,095.00 $271.67 2026-05-14 MRF ↗
MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient Granite State Health Plan New Hampshire Healthy Families - Nh Managed Medicaid Beh Health $101.17 $803.55 $245.89 2026-05-08 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Bcbs Commercial $101.28 2026-05-09 MRF ↗
ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient Bcbs Exchange $101.28 2026-05-09 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Va Premier Elite Hmo Snp $101.55 $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both United Healthcare Comm. $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both United Healthcare Medicare Advantage Plans $101.55 $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Cigna Op Hmo Ppo Healthpartners Plans $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Aetna Meritain Centra Employee Ip Op Plans $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Aetna Ppo Meritain Health Carilion Employee Exchange Op Plans $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Aetna Ppo Meritain Health Carilion Employee Exchange Ip Plans $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Gateway Health Ip $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Gateway Health Op $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Medcost Ip $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Medcost Op $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both All Sentara Comm. Plans $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Cigna Ip Hmo Ppo Healthpartners Plans $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Anthem Medicare Advantage Plans $102.56 $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both All Sentara Medicare Advantage Plans $103.58 $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Humana Gold Choice Medicare Ppo Hmo $104.09 $1,263.00 $416.79 2026-05-13 MRF ↗
GOLETA VALLEY COTTAGE HOSPITAL Outpatient United Healthcare Medicare Adv $104.20 2026-05-27 MRF ↗
SANTA BARBARA COTTAGE HOSPITAL Outpatient United Healthcare Medicare Adv $104.20 2026-05-27 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Molina Complete Care Plans $104.60 $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Aetna Better Health Of Va Hmo Snp $104.60 $1,263.00 $416.79 2026-05-13 MRF ↗
CENTRA BEDFORD MEMORIAL HOSPITAL Both Lifeworks Medicare Advantage $105.10 $1,263.00 $416.79 2026-05-13 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Mrp United Healthcare Optum Mrp $105.27 2026-05-14 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Mrp Uhc Rmhp Mrp Dualcare $105.27 2026-05-14 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Mrp Uhc Mrp Php Prime $105.27 2026-05-14 MRF ↗
SAINT JOSEPH HOSPITAL Outpatient United Healthcare Mrp United Healthcare Mrp $105.27 2026-05-14 MRF ↗
CLARION HOSPITAL Outpatient Highmark Mcr Advantage $105.27 2026-05-23 MRF ↗
CLARION HOSPITAL Outpatient Highmark Mcr Advantage $105.27 2026-05-13 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Mrp United Healthcare Mrp $105.27 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Mrp United Healthcare Optum Mrp $105.27 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Mrp Uhc Mrp Php Prime $105.27 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient Aarp Aarp $105.27 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Mrp Uhc Rmhp Mrp Dualcare $105.27 2026-05-22 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Mrp United Healthcare Mrp $105.27 2026-05-18 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Mrp United Healthcare Optum Mrp $105.27 2026-05-18 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Mrp Uhc Mrp Php Prime $105.27 2026-05-18 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient Aarp Aarp $105.27 2026-05-18 MRF ↗
GOOD SAMARITAN MEDICAL CENTER LLC Outpatient United Healthcare Mrp Uhc Rmhp Mrp Dualcare $105.27 2026-05-18 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare Mrp United Healthcare Mrp $105.27 2026-05-14 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare Mrp Uhc Mrp Php Prime $105.27 2026-05-14 MRF ↗
LUTHERAN MEDICAL CENTER Outpatient United Healthcare Mrp United Healthcare Optum Mrp $105.27 2026-05-14 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.