RX-184802 — Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN (OTHER RX-184802) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/RX-184802?code_type=OTHER
MLA (9th ed.)
“INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN (OTHER RX-184802) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/RX-184802?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“INOTUZUMAB OZOGAMICIN 0.9 MG(0.25 MG/ML INITIAL CONCENTRATION) IV SOLN (OTHER RX-184802) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/RX-184802?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $30,489–$42,425 (25th–75th percentile) across 4 hospitals · 63 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER RX-184802 — 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 WI HOSPITALS & CLINICS AUTHORITY Both | Zing Health Plan Medicare Adv | Zing Medicare Adv | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | United Healthcare Medicare Adv | United Healthcare Medicare Adv Plans | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Community Care Medicare Adv | Pace/Partnership | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Icare Medicare Adv | Hmo | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Managed Health Services Medicare Adv | Managed Health Services Medicare Adv | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Clear Spring Medicare Adv | Clear Spring Health Of Il | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Molina Healthcare Of Wi Medicare Adv | My Choice Wi | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Aetna Medicare Adv | Hmo/Ppo | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Aetna Better Health Medicare Adv | Aetna Better Health Il | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Mychoice Wi Medicare Adv | My Choice Wi | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Molina Healthcare Of Il Medicare Adv | Molina Choice Care Hmo | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Meridian Of Illinois Medicare Adv | Wellcare Medicare Adv | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Aspirus Health Plan Medicare Adv | Aspirus Health Plan | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Humana Medicare Adv | Humana Medicare Adv | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Anthem Bcbs Medicare Adv | Anthem Medicare Adv | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Health Partners Medicare Adv | Health Partners Medicare Adv | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Dean Care Medicare Adv | Prevea360 Medicare Adv | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Dean Care Medicare Adv | Dean Care Medicare Adv | $47.55 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Security Health Plan Medicare Adv | Security Health Plan Medicare Adv | $48.02 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Devoted Health Medicare Adv | Hmo/Pos | $48.50 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Anthem Ppo | Ppo | $2,484.30 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Anthem Hmo Pos | Hmo/Pos | $2,484.30 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Anthem Blue Priority | Blue Priority/Pathway | $2,484.30 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Veterans Affairs [1056] | Hb Tv Va Ccn | $2,816.77 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Generic [1019] | Hb Tv Molina Mmcp | $2,816.77 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Generic [1019] | Hb Tv Medicare Advantage | $2,816.77 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Generic [1019] | Hb Tv Molina Mmcp | $2,816.77 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Generic [1019] | Hb Tv Medicare Advantage | $2,816.77 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Commercial [1028] | Hb Tv Va Ccn | $2,816.77 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Molina [1053] | Hb Tv Molina Mmcp | $2,816.77 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Molina [1053] | Hb Tv Molina Mmcp | $2,816.77 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Commercial [1028] | Hb Tv Va Ccn | $2,816.77 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Veterans Affairs [1056] | Hb Tv Va Ccn | $2,816.77 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Regence [1016] | Hb Tv Medicare Advantage | $2,816.77 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Regence [1016] | Hb Tv Medicare Advantage | $2,816.77 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Pacificsource [1039] | Hb Tv Pacificsource Hmo Ppo Med Adv | $2,816.77 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med Adv | $2,816.77 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Pacificsource [1039] | Hb Tv Pacificsource Hmo Ppo Med Adv | $2,816.77 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med Adv | $2,816.77 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross/Medicare Advantage [1009] | Hb Tv Bci True & Secure Med Adv | $2,844.93 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross/Medicare Advantage [1009] | Hb Tv Bci True & Secure Med Adv | $2,844.93 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Generic [1019] | Hb Tv Molina Med Adv | $2,873.10 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Molina [1053] | Hb Tv Molina Med Adv | $2,873.10 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Molina [1053] | Hb Tv Molina Med Adv | $2,873.10 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Generic [1019] | Hb Tv Molina Med Adv | $2,873.10 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Uhc [1013] | Hb Tv Aarp Med Adv | $2,957.61 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Uhc [1013] | Hb Tv Aarp Med Adv | $2,957.61 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Aetna [1017] | Hb Tv Aetna Med Adv | $3,098.44 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Medicare Advantage Aetna [1017] | Hb Tv Aetna Med Adv | $3,098.44 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Alliance Premier Network | Alliance Premier Network | $8,004.06 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Mercycare | Pos/Hmo/Ppo/Epo | $8,310.68 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Triology | Upward | $8,545.26 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Security Health Plan | Enrich | $9,047.92 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Employer'S Coalition On Health | Ecohone | $9,215.48 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Alliance | Alliance | $9,423.24 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Hfn | Platinum | $9,550.58 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | United Healthcare | Nexus | $9,600.85 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Beloit Health System | Ppo | $9,718.14 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Aspirus Health Plan | Hmo/Pos | $9,785.16 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Cigna | Oap/Ppo/Epo | $10,053.25 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Triology | Ppo | $10,220.80 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Employer'S Coalition On Health | Ecohtwo | $10,220.80 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Health Partners Insurance | Hmo | $10,220.80 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Health Payment Systems | Ppo | $10,269.39 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Optum Behavioral Health | Optum Behavioral Health | $10,488.89 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | United Healthcare | Nonoptions | $10,488.89 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Security Health Plan | Hmo/Pos/Indemnity/Aso | $10,639.69 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Dean Health Plan | Hmo/Pos/Aso/Focus | $10,723.46 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Medical Associates | Hmo/Ppo/Pos | $11,058.57 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Wps | Healthyu/Aspirus | $11,611.50 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Employers Healthcare Coalition Of Wi | Ppo | $11,728.79 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Aetna | Aetna W | $11,946.61 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Wps | Statewide | $12,784.38 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Employer'S Coalition On Health | Ecoh3 | $12,901.67 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Aspirus Network Inc | Ppo | $12,901.67 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Hfn | Chc/Hfn 20 | $12,901.67 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Chorus Community | Chorus Community Health Plan | $13,404.33 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Sheybogan Employers Health Network | Ppo | $13,404.33 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Ghc Eau Claire Health Plan | Hmo/Pos | $13,404.33 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Multiplan | Healtheos/Phcs | $13,404.33 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Aetna | Aetna Non W | $13,437.84 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | United Healthcare | Options | $14,225.34 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Dean Care | Prevea Health Plan 360 | $14,242.10 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Coventry | Ppo | $14,242.10 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Healthsmart | Ppo | $14,744.76 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Multiplan | Multiplan | $15,414.98 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY Both | Anthem | Anthem Par | $15,917.64 | $16,755.41 | $10,053.25 | 2026-05-06 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $30,419.66 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource Med Adv | $30,419.66 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Commercial [1028] | Hb Mccall Va Ccn | $30,419.66 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $30,419.66 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Veterans Affairs [1056] | Hb Mccall Va Ccn | $30,419.66 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource Hmo Ppo Med Adv | $30,419.66 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $30,419.66 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $30,419.66 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Pacificsource [1039] | Hb Mccall Pacificsource Hmo Ppo Med Adv | $30,488.68 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Commercial [1028] | Hb Mccall Va Ccn | $30,488.68 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Regence [1016] | Hb Mccall Medicare Advantage | $30,488.68 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Molina [1053] | Hb Mccall Molina Mmcp | $30,488.68 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Pacificsource [1039] | Hb Mccall Slhp Pacificsource Med Adv | $30,488.68 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Veterans Affairs [1056] | Hb Mccall Va Ccn | $30,488.68 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Generic [1019] | Hb Mccall Molina Mmcp | $30,488.68 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Generic [1019] | Hb Mccall Medicare Advantage | $30,488.68 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med Adv | $30,723.86 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Blue Cross/Medicare Advantage [1009] | Hb Mccall Bci True & Secure Med Adv | $30,793.57 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $31,028.05 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $31,028.05 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Generic [1019] | Hb Mccall Molina Med Adv | $31,098.45 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Molina [1053] | Hb Mccall Molina Med Adv | $31,098.45 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Commercial [1028] | Cigna Healthpartners [1028442] | $33,353.24 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Commercial [1028] | Cigna Allegiance [1028401] | $33,353.24 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Commercial [1028] | Cigna Allegiance [1028401] | $33,353.24 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Commercial [1028] | Cigna Healthpartners [1028442] | $33,353.24 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Providence [1022] | First Choice Health Providence [1022003] | $33,353.24 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Commercial [1028] | Cigna Open Access Plus Generic [1028293] | $33,353.24 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Commercial [1028] | Cigna [1028435] | $33,353.24 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Providence [1022] | First Choice Health Providence [1022003] | $33,353.24 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Commercial [1028] | Cigna [1028435] | $33,353.24 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Commercial [1028] | Cigna Open Access Plus Generic [1028293] | $33,353.24 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Commercial [1028] | Slhs H2B [1028417] | — | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Commercial [1028] | Slhs H2B [1028417] | — | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $33,461.63 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Both | Medicare Advantage Aetna [1017] | Hb Mccall Aetna Med Adv | $33,537.55 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med Adv | $34,091.00 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Inpatient | Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med Adv | $34,168.35 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Commercial [1028] | Hb Tv Cigna | $35,873.96 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Outpatient | Providence [1022] | Hb Mccall Cigna | $35,873.96 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Outpatient | Cigna [1062] | Hb Mccall Cigna | $35,873.96 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Commercial [1028] | Hb Tv Cigna | $35,873.96 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Cigna [1062] | Hb Tv Cigna | $35,873.96 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Cigna [1062] | Hb Tv Cigna | $35,873.96 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Providence [1022] | Hb Tv Cigna | $35,873.96 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Outpatient | Commercial [1028] | Hb Mccall Cigna | $35,873.96 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Outpatient | Providence [1022] | Hb Tv Cigna | $35,873.96 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Outpatient | Commercial [1028] | Hb Mccall Cigna | $35,873.96 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Outpatient | Cigna [1062] | Hb Mccall Cigna | $35,873.96 | $52,566.69 | $52,566.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S MCCALL Outpatient | Providence [1022] | Hb Mccall Cigna | $35,873.96 | $52,447.69 | $52,447.69 | 2026-05-09 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Silver 5600 On Exchange [1643000052] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Bardenay Lg Grp Hdhp 6500 [1643000080] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Commercial [1028] | Bp Mountain Health Co Op Link [1028388] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Blue Cross Idaho [1007] | Blue Cross Boise Municipal Health Care Trust Ccoslhp [1007008] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Blue Cross Idaho [1007] | Slhp Blue Cross Of Idaho Carepoint [1007006] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Blue Cross Idaho [1007] | Blue Cross Boise Municipal Health Care Trust Ccoslhp [1007008] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Blue Cross Idaho [1007] | Slhp Blue Cross Of Idaho Carepoint [1007006] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Legacy Plan [1643000082] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Silver 1000 On Exchange [1643000053] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Silver 250 On Exchange [1643000054] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Silver Lcs On Exchange [1643000051] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Silver Off Exchange [1643000047] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Silver On Exchange [1643000049] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Silver Zcs On Exchange [1643000050] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Small Group Gold [1643000067] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Small Grp Exp Bronze [1643000059] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Futura Corp Lg Grp Trad 1500 [1643000077] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Small Grp Silver [1643000063] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Gold Lcs On Exchange [1643000058] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Small Grp Silver 3300 [1643000061] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Small Grp Silver Hdhp [1643000065] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Employee Health Save Plan [1643000075] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Gold Off Exchange [1643000055] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Bardenay Lg Grp Trad 6000 [1643000079] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Bardenay Lg Grp Trad 3000 [1643000078] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Commercial [1028] | Select Health [1028323] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Small Grp Silver Hdhp [1643000065] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Small Grp Silver 3300 [1643000061] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Small Grp Silver [1643000063] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Small Grp Exp Bronze [1643000059] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Small Group Gold [1643000067] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Silver Zcs On Exchange [1643000050] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Silver On Exchange [1643000049] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Gold On Exchange [1643000056] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Silver Off Exchange [1643000047] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Silver Lcs On Exchange [1643000051] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Silver 5600 On Exchange [1643000052] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Legacy Plan [1643000082] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Gold Zcs On Exchange [1643000057] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Gold On Exchange [1643000056] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Gold Off Exchange [1643000055] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Gold Lcs On Exchange [1643000058] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Futura Corp Lg Grp Trad 1500 [1643000077] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Expanded Bronze On Exchange [1643000041] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Expanded Bronze Off Exchange [1643000040] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Exp Brz Hdhp Zcs On Exchange [1643000048] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Gold Zcs On Exchange [1643000057] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Exp Brz Hdhp Lcs On Exchange [1643000046] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Exp Bronze Zcs On Exchange [1643000042] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Exp Bronze Lcs On Exchange [1643000043] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Exp Bronze Hdhp On Exchange [1643000045] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Exp Bronze Hdhp Off Exchange [1643000044] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Employee Ppo Plan [1643000076] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Employee Health Save Plan [1643000075] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Bardenay Lg Grp Trad 6000 [1643000079] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Bardenay Lg Grp Trad 3000 [1643000078] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Bardenay Lg Grp Hdhp 6500 [1643000080] | $37,711.40 | $48,642.40 | $48,642.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Employee Ppo Plan [1643000076] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Exp Bronze Hdhp Off Exchange [1643000044] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Exp Bronze Hdhp On Exchange [1643000045] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Exp Bronze Lcs On Exchange [1643000043] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Exp Bronze Zcs On Exchange [1643000042] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | MRF ↗ |
| ST LUKE'S ELMORE MEDICAL CENTER Outpatient | Slplan Tap Mc St Lukes Health Plan [1641000001] | Slplan Tap Exp Brz Hdhp Lcs On Exchange [1643000046] | $37,711.40 | $48,523.40 | $48,523.40 | 2026-05-07 | 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.