RX-40917 — Sodium Benzoate 10 %-sodium Phenylacetate 10 % Intravenous Solution
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION (OTHER RX-40917) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/RX-40917?code_type=OTHER
MLA (9th ed.)
“SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION (OTHER RX-40917) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/RX-40917?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“SODIUM BENZOATE 10 %-SODIUM PHENYLACETATE 10 % INTRAVENOUS SOLUTION (OTHER RX-40917) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/RX-40917?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,208–$30,721 (25th–75th percentile) across 6 hospitals · 60 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER RX-40917 — 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 MICHIGAN HEALTH - WEST Inpatient | Point Comfort Underwriters Unaccompanied Children Program | Hmo | $2,302.46 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Healthlink | Open Access | $2,385.00 | $11,953.14 | $8,367.20 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF ILLINOIS HOSPITAL AND CLINICS Inpatient | Healthlink | Hmo | $2,385.00 | $11,953.14 | $8,367.20 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | University Of Michigan Michigan Care | Hmo | $2,437.96 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Point Comfort Underwriters Unaccompanied Children Program | Hmo | $2,437.96 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Physicians Health Plan | Ppo | $2,437.96 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Priority Health [1038] | Priority Strategic Business Discount Hmo/Pos [103812] | $2,463.09 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Metrocare | Ppo | $2,516.64 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Blue Care Network Of Michigan | Hmo | $2,558.94 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Outpatient | Bcbs [100001] | Bcbs Michigan Traditional [10000102] | $2,558.94 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Priority Health | Nb | $2,608.05 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Metrocare | Hmo | $2,664.74 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Colorado State Medicaid | Medicaid Out Of State | $2,677.28 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | United Healthcare Insurance Company | Ppo Nb | $2,784.37 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Colorado State Medicaid | Medicaid Out Of State | $2,834.84 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Hap [1023] | Hap Hmo [102304] | $2,939.65 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | United Healthcare Insurance Company | Ppo Nb | $2,948.23 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Aetna [1003] | Aetna Mi Preferred Apm [100309] | $3,073.51 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Confinity Advantage | Ppo | $3,089.58 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Health Alliance Plan | Hmo | $3,112.65 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Plain Church Group | Ppo | $3,212.73 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Confinity Advantage | Ppo | $3,271.40 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Priority Health [1038] | Priority Hmo Pos [103801] | $3,491.17 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Priority Health | Hmo | $3,554.88 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Mclaren Health Plan Inc | Hmo | $3,742.83 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Beaumont Health Network | Ppo | $3,748.19 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Nomi Health | Ppo | $3,748.19 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Provider Network Of America | Ppo | $3,748.19 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Aetna [1003] | Aetna Ppo [100307] | $3,758.89 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Priority Health | Ppo | $3,776.00 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Unitedhealthcare [1042] | Uhc [104202] | $3,908.82 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Mclaren Health Plan Inc | Hmo | $3,963.10 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Provider Network Of America | Hmo | $3,968.77 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Beaumont Health Network | Ppo | $3,968.77 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Aetna | Ppo Nb | $3,980.11 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Aetna | Hmo-Ppo | $3,980.11 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Hap [1023] | Hap Preferred Epa Other [102307] | $4,015.91 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | First Agency | Ppo | $4,015.91 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Parkview Health Plan Services | Ppo | $4,015.91 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Hap [1023] | Alliance Hlt Life Pos Ppo [102302] | $4,015.91 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Cofinity | Ppo | $4,080.17 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Unitedhealthcare Insurance Company | Ppo | $4,138.86 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $4,208.40 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $4,208.40 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $4,208.40 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $4,208.40 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $4,208.40 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $4,208.40 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Mclaren Health Plan Inc | Ppo | $4,246.58 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Alliance Health And Life Insurance Company | Ppo | $4,252.25 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Health Alliance Plan | Ppo | $4,252.25 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Physicians Care | Ppo | $4,252.25 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Parkview Health Plan Services | Ppo | $4,252.25 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | First Agency | Ppo | $4,252.25 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Cofinity | Ppo | $4,320.29 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Paramount Health Care | Hmo | $4,444.28 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | First Health | Ppo | $4,551.37 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Multiplan | Ppo | $4,551.37 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Bronson Healthcare Group | Ppo | $4,551.37 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Frontpath Health Coalition | Ppo | $4,592.43 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Paramount Health Care | Hmo | $4,705.83 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | First Health | Ppo | $4,819.22 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Multiplan | Ppo | $4,819.22 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Paramount Health Care | Ppo | $4,932.61 | $5,669.67 | $2,267.87 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Priority Health | Ppo | $5,691.26 | $5,354.55 | $2,141.82 | 2026-05-09 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Verity Health Network � Lsu First Choice | All Plans | $5,875.20 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Cigna Healthcare | All Plans | $7,272.00 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare � Commercial Heritage | All Plans | $7,560.00 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare � Commercial Hmo Ppo | All Plans | $8,820.00 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Blue High-Performance Network | All Plans | $9,000.00 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $9,000.00 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $9,000.00 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $9,000.00 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Point Comfort Underwriters Unaccompanied Children Program | Hmo | $9,723.38 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | University Of Michigan Michigan Care | Hmo | $9,723.38 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Physicians Health Plan | Ppo | $9,723.38 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Priority Health | Nb | $10,401.75 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Metrocare | Hmo | $10,627.88 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Colorado State Medicaid | Medicaid Out Of State | $11,306.25 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | First Health Network Ppo | All Plans | $11,700.00 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Aetna Health Inc. Ppo/Pos | All Plans | $11,700.00 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | United Healthcare Insurance Company | Ppo Nb | $11,758.50 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Health Alliance Plan | Hmo | $12,414.26 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Multiplan/Phcs/American Lifecare | All Plans | $12,600.00 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Medicare Advantage Pacificsource [1039] | Hb Tv Slhp Pacificsource Med Adv | $12,600.90 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Confinity Advantage | Ppo | $13,047.41 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Usa Managed Care Network | All Plans | $13,500.00 | $18,000.00 | $5,940.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Priority Health | Hmo | $14,178.04 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Commercial [1028] | Hb Tv H2B | $14,539.50 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | H2B [1068] | Hb Tv H2B | $14,539.50 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Pacificsource [1020] | Hb Tv Pacificsource Ppo Voyager | $14,539.50 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Priority Health | Ppo | $15,059.93 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Cigna [1062] | Hb Tv Cigna | $15,508.80 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Providence [1022] | Hb Tv Cigna | $15,508.80 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Webtpa [1071] | Hb Tv Bp Aetna | $15,508.80 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Veterans Affairs [1056] | Hb Tv Va Ccn | $15,508.80 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Commercial [1028] | Hb Tv Bp Aetna | $15,508.80 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Aetna [1021] | Hb Tv Bp Aetna | $15,508.80 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Commercial [1028] | Hb Tv Multiplan Primary Network | $15,508.80 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Commercial [1028] | Hb Tv Cigna | $15,508.80 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Commercial [1028] | Hb Tv Va Ccn | $15,508.80 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Mclaren Health Plan Inc | Hmo | $15,806.14 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Provider Network Of America | Hmo | $15,828.75 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Beaumont Health Network | Ppo | $15,828.75 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Aetna | Ppo Nb | $15,873.98 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Aetna | Hmo-Ppo | $15,873.98 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | United Medical Resources [1051] | Hb Tv United Healthcare | $15,896.52 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Blue Cross Federal [1008] | Hb Tv Bci Ppo Fep | $15,896.52 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Blue Cross Idaho [1007] | Hb Tv Bci Ppo Fep | $15,896.52 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Commercial [1028] | Hb Tv United Healthcare | $15,896.52 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Geha [1065] | Hb Tv United Healthcare | $15,896.52 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | United Healthcare [1025] | Hb Tv United Healthcare | $15,896.52 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Commercial [1028] | Hb Tv Ccn First Health | $15,993.45 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | First Health [1064] | Hb Tv Ccn First Health | $15,993.45 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Commercial [1028] | Hb Tv Amps | $16,478.10 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Commercial [1028] | Hb Tv First Choice Health | $16,478.10 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Commercial [1028] | Hb Tv Christian Health Aid | $16,478.10 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Webtpa [1071] | Hb Tv First Choice Health | $16,478.10 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | First Health [1064] | Hb Tv First Choice Health | $16,478.10 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Unitedhealthcare Insurance Company | Ppo | $16,507.13 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Mclaren Health Plan Inc | Ppo | $16,936.76 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | First Agency | Ppo | $16,959.38 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Parkview Health Plan Services | Ppo | $16,959.38 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Physicians Care | Ppo | $16,959.38 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Alliance Health And Life Insurance Company | Ppo | $16,959.38 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Health Alliance Plan | Ppo | $16,959.38 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Commercial [1028] | Hb Tv Moda Commercial | $17,059.68 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Moda [1055] | Hb Tv Moda Commercial | $17,059.68 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Cofinity | Ppo | $17,230.73 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Commercial [1028] | Hb Tv Northern Nevada Laborers Trust | $17,447.40 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| ST LUKE'S REGIONAL MEDICAL CENTER Both | Aetna [1021] | Hb Tv Aetna Trinity Health (St Al'S) | $17,447.40 | $19,386.00 | $19,386.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Frontpath Health Coalition | Ppo | $18,316.13 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Paramount Health Care | Hmo | $18,768.38 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | First Health | Ppo | $19,220.63 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Multiplan | Ppo | $19,220.63 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH SYSTEM Inpatient | Paramount Health Care | Ppo | $19,672.88 | $22,612.50 | $9,045.00 | 2026-05-06 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | $30,721.32 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Healthy Blue (Formerly Amerigroup Louisiana Inc.) (Healthy Louisiana) | All Plans | $30,721.32 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Humana Managed Medicaid (Healthy Louisiana) | All Plans | $30,721.32 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | $30,721.32 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | $30,721.32 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Aetna Better Health (Healthy Louisiana) | All Plans | $30,721.32 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $37,256.40 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare Community Plan (Healthy Louisiana) | All Payor | $37,256.40 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthy Blue (Healthy Louisiana) | All Payor | $38,001.53 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $38,001.53 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Better Health (Healthy Louisiana) | All Payor | $38,374.09 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $38,374.09 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Verity Health Network � Lsu First Choice | All Plans | $42,888.96 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Cigna Healthcare | All Plans | $53,085.60 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare � Commercial Heritage | All Plans | $55,188.00 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | United Healthcare � Commercial Hmo Ppo | All Plans | $64,386.00 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Blue High-Performance Network | All Plans | $65,700.00 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect | All Plans | $65,700.00 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Ppo/Ogb | All Plans | $65,700.00 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | $65,700.00 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | First Health Network Ppo | All Plans | $85,410.00 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Aetna Health Inc. Ppo/Pos | All Plans | $85,410.00 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Multiplan/Phcs/American Lifecare | All Plans | $91,980.00 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER LSU HEALTH SHREVEPORT Outpatient | Usa Managed Care Network | All Plans | $98,550.00 | $131,400.00 | $43,362.00 | 2026-05-08 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana Ppo | All Payor | $123,283.91 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | All Payor | $123,283.91 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 1 | All Payor | $123,283.91 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Payor | $123,283.91 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Payor | $123,283.91 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana Community Blue 2 | All Payor | $123,283.91 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 3 | All Payor | $123,283.91 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Blue Cross Blue Shield Of Louisiana Community Blue 1 | All Payor | $123,283.91 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Aetna Health Inc. Ppo/Pos | All Payor | $133,639.76 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare - Commercial Select | All Payor | $153,611.76 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | United Healthcare - Commercial Hmo Ppo | All Payor | $169,392.10 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Louisiana Workers' Compensation Corporation (Lwcc) | All Payor | $184,925.87 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Mississippi Physicians Care Network | All Payor | $184,925.87 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | First Health Network | All Payor | $184,925.87 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Healthcomp & Personify Health (Formerly Gilsbar) | All Payor | $194,788.59 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Zelis | All Payor | $197,254.26 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Claritev D/B/A Multiplan/Phcs/American Life Care | All Payor | $197,254.26 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Usa Managed Care Network | All Payor | $209,582.66 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Prime Health Services Ppo | All Payor | $209,582.66 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Employers Health Network (Ehn) | All Payor | $209,582.66 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Evolutions Healthcare | All Payor | $221,911.05 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Behavioral Health Systems | All Payor | $221,911.05 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Galaxy Health Network Ppo | All Payor | $221,911.05 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |
| OCHSNER MEDICAL CENTER ACUTE Outpatient | Galaxy Health Network Wc | All Payor | $221,911.05 | $246,567.83 | $56,710.60 | 2026-05-27 | MRF ↗ |