RX-104852 — Sipuleucel-t In Lactated Ringers 50 Million Cell/250 Ml IV Suspension
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION (OTHER RX-104852) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/RX-104852?code_type=OTHER
MLA (9th ed.)
“SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION (OTHER RX-104852) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/RX-104852?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“SIPULEUCEL-T IN LACTATED RINGERS 50 MILLION CELL/250 ML IV SUSPENSION (OTHER RX-104852) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/RX-104852?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $55,946–$113,441 (25th–75th percentile) across 3 hospitals · 16 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER RX-104852 — 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 |
|---|---|---|---|---|---|---|---|
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI Preferred Commercial | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | United Healthcare Insurance Company | Nexus | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | United Healthcare Insurance Company | Commercial | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Tufts Health Public Plans | Managed Medicaid MA | $25,302.86 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | United Healthcare Insurance Company | Commercial | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | United Healthcare Insurance Company | Nexus | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Connecticut General Life Insurance Company | Evernorth | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI Preferred Commercial | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Tufts Health Public Plans | Managed Medicaid MA | $25,302.86 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Tufts Health Public Plans | Managed Medicaid MA | $25,302.86 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Tufts Health Public Plans | Managed Medicaid MA | $25,302.86 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Connecticut General Life Insurance Company | Evernorth | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Connecticare, Inc | COMMERCIAL | $45,685.91 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Connecticare, Inc | COMMERCIAL | $45,685.91 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Connecticare, Inc | COMMERCIAL | $45,685.91 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Connecticare, Inc | COMMERCIAL | $45,685.91 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Both | Amerihealth Caritas Delaware Mco | Amerihealth Caritas | $46,689.07 | $187,808.00 | $187,808.00 | 2026-05-09 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | HMO | $51,315.39 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | HMO | $51,315.39 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | HMO | $51,315.39 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | HMO | $51,315.39 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Both | Cbs Maryland | Bcbs Carefirst | $52,779.22 | $187,808.00 | $187,808.00 | 2026-05-09 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Both | Bluechoice Hmo | Carefirst Bluechoice Hmo | $52,779.22 | $187,808.00 | $187,808.00 | 2026-05-09 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | United Healthcare Insurance Company | MANAGED MEDICARE | $54,827.05 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. | DIRECT | $54,827.05 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. | DIRECT | $54,827.05 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. | DIRECT | $54,827.05 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare Insurance Company | MANAGED MEDICARE | $54,827.05 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare Insurance Company | MANAGED MEDICARE | $54,827.05 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. | DIRECT | $54,827.05 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | United Healthcare Insurance Company | MANAGED MEDICARE | $54,827.05 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | $55,945.97 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Neighborhood Health Plan of Rhode Island | Integrity | $55,945.97 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | $55,945.97 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Neighborhood Health Plan of Rhode Island | Integrity | $55,945.97 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | $55,945.97 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | CONNECTICUT GENERAL LIFE INSURANCE COMPANY | COMMERCIAL | $55,945.97 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Neighborhood Health Plan of Rhode Island | Integrity | $55,945.97 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Neighborhood Health Plan of Rhode Island | Integrity | $55,945.97 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Tufts Health Public Plans | Managed Medicaid RI | $56,295.03 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Tufts Health Public Plans | Managed Medicaid RI | $56,295.03 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Tufts Health Public Plans | Managed Medicaid RI | $56,295.06 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Tufts Health Public Plans | Managed Medicaid RI | $56,295.06 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | OUT OF STATE | $57,017.10 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | OUT OF STATE | $57,017.10 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $57,017.10 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $57,017.10 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | PPO | $57,017.10 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | PPO | $57,017.10 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | OUT OF STATE | $57,017.10 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | OUT OF STATE | $57,017.10 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $57,017.10 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $57,017.10 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | PPO | $57,017.10 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | PPO | $57,017.10 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Wellcare | MANAGED MEDICARE | $57,020.13 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Wellcare | MANAGED MEDICARE | $57,020.13 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Wellcare | MANAGED MEDICARE | $57,020.13 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Wellcare | MANAGED MEDICARE | $57,020.13 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | AETNA HEALTH MANAGEMENT, LLC | MANAGED MEDICARE | $57,568.40 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | AETNA HEALTH MANAGEMENT, LLC | MANAGED MEDICARE | $57,568.40 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | AETNA HEALTH MANAGEMENT, LLC | MANAGED MEDICARE | $57,568.40 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | AETNA HEALTH MANAGEMENT, LLC | MANAGED MEDICARE | $57,568.40 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Cbs Maryland | Bcbs Carefirst | $60,571.30 | $147,787.00 | $147,787.00 | 2026-05-22 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Cbs Maryland | Bcbs Carefirst | $60,571.30 | $147,787.00 | $147,787.00 | 2026-05-13 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | Prime EPO | $82,240.58 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | Prime EPO | $82,240.58 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | Prime EPO | $82,240.58 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Blue Cross & Blue Shield of Rhode Island | Prime EPO | $82,240.58 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Neighborhood Health Plan of Rhode Island | COMMERCIAL | $90,073.01 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | Neighborhood Health Plan of Rhode Island | COMMERCIAL | $90,073.01 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Neighborhood Health Plan of Rhode Island | COMMERCIAL | $93,205.99 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | Neighborhood Health Plan of Rhode Island | COMMERCIAL | $93,205.99 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare Insurance Company | Commercial | $109,554.38 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare Insurance Company | Commercial | $109,554.38 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare Insurance Company | Managed Medicaid | $119,063.11 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | United Healthcare Insurance Company | Managed Medicaid | $119,063.11 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND OutpatientFacility | United Healthcare Insurance Company | Managed Medicaid | $119,063.11 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare Insurance Company | Managed Medicaid | $119,063.11 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Both | Cigna | Cigna | $133,531.49 | $187,808.00 | $187,808.00 | 2026-05-09 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Both | Bcbs Of Delaware | Highmark Delaware Bcbs | $144,714.93 | $187,808.00 | $187,808.00 | 2026-05-09 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Humana Medicare Advantage | Humana Medicare Advantage | $147,787.00 | $147,787.00 | $147,787.00 | 2026-05-13 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Humana Medicare Advantage | Humana Medicare Advantage | $147,787.00 | $147,787.00 | $147,787.00 | 2026-05-22 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Humana Medicare Advantage | Humana Medicare Advantage Ppo Plan | $147,787.00 | $147,787.00 | $147,787.00 | 2026-05-22 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | United Healthcare | Uhc Choice Plus Pos | $147,787.00 | $147,787.00 | $147,787.00 | 2026-05-22 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | United Healthcare | Uhc Choice Plus Pos | $147,787.00 | $147,787.00 | $147,787.00 | 2026-05-13 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Amerihealth Caritas Delaware Mco | Amerihealth Caritas | $147,787.00 | $147,787.00 | $147,787.00 | 2026-05-13 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Humana Medicare Advantage | Humana Medicare Advantage Ppo Plan | $147,787.00 | $147,787.00 | $147,787.00 | 2026-05-13 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Outpatient | Amerihealth Caritas Delaware Mco | Amerihealth Caritas | $147,787.00 | $147,787.00 | $147,787.00 | 2026-05-22 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Both | United Healthcare | Uhc Choice Plus Pos | $148,368.32 | $187,808.00 | $187,808.00 | 2026-05-09 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare Insurance Company | Nexus | $168,770.63 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL OutpatientFacility | United Healthcare Insurance Company | Nexus | $168,770.63 | $219,108.75 | $76,688.06 | 2026-02-28 | MRF ↗ |
| TIDALHEALTH NANTICOKE, INC. Both | Aetna Insurance | Aetna Us Hlcare Non Hmo | $174,661.44 | $187,808.00 | $187,808.00 | 2026-05-09 | MRF ↗ |