S0157 — Becaplermin Gel 1%, 0.5 Gm
Cite this view
HANK Price Transparency. (n.d.). Becaplermin gel 1%, 0.5 gm (OTHER S0157) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/S0157?code_type=OTHER
“Becaplermin gel 1%, 0.5 gm (OTHER S0157) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/S0157?code_type=OTHER. Accessed .
“Becaplermin gel 1%, 0.5 gm (OTHER S0157) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/S0157?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $26–$64 (25th–75th percentile) across 82 hospitals · 53 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER S0157 — 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 |
|---|---|---|---|---|---|---|---|
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.91 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $13.91 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $14.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $14.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $14.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $14.00 | — | — | 2026-05-08 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Commercial | $14.63 | — | — | 2026-05-09 | MRF ↗ |
| GILLETTE CHILDRENS SPECIALTY HOSPITAL Outpatient | Health Partners | Managed Medicaid | $14.63 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-07 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - DOWNEY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-14 | MRF ↗ |
| ORO VALLEY HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| ORO VALLEY HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - DOWNEY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-07 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-07 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-07 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $15.00 | — | — | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $15.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER PERMANENTE CENTRAL HOSPITAL Both | [Kaiser Foundation Health Plan Of Washington] | [Medicare] | $15.39 | — | — | 2026-05-23 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-24 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-06 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Medicaid] | $17.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Medicare] | $17.00 | $84.00 | $47.04 | 2026-05-24 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Pathway Ppo/Hmo | $18.24 | — | — | 2026-05-23 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Outpatient | Anthem | Traditional | $18.24 | — | — | 2026-05-23 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Other | $20.91 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Eighth Dist Elect Ben Pln | $20.91 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Ppo | $20.91 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Cigna | Cigna Pos/Qpos | $20.91 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Other | $20.91 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna Sclhs Employees | $20.91 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Allegiance Group Health | $20.91 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Cigna - Commercial | $20.91 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Allegiance | Silver Bow County Employees | $20.91 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $21.03 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Boon-Chapman | $21.03 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Other | $21.03 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | Healthcomp Tpa | $21.03 | — | — | 2026-05-09 | MRF ↗ |
| HOLY ROSARY HOSPITAL Outpatient | First Choice Health | First Choice Health | $21.03 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL WESTSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $23.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER SUNNYSIDE MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $23.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $24.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL, RIVERSIDE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-07 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - ANAHEIM Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN MARCOS Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - LOS ANGELES Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WEST LA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-07 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - DOWNEY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WOODLAND HILLS Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ORANGE COUNTY - IRVINE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH BAY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - BALDWIN PARK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - PANORAMA CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-24 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SAN DIEGO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-24 | MRF ↗ |
| ORO VALLEY HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL FONTANA/ONTARIO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $25.00 | — | — | 2026-05-09 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $25.69 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $25.69 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $25.69 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health | $25.69 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Ccmsi | Ccmsi - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health | $25.69 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Beacon Health Strategies/Carelon | Wellsense - Nh Managed Medicaid Beh Health - Dhp | $25.69 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $25.69 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Corvel | Corvel - Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Phcs | Phcs | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Indemnity | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Phcs | Phcs - Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $25.69 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Coventry | Coventry- Workers Comp | — | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $25.69 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid | $25.69 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Maine Community Health Options | Mcho Indiv - Exchange | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid | $25.69 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm - Dhp | — | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | First Health/Hcvm | First Health/Hcvm | — | — | — | 2026-05-08 | MRF ↗ |
| KAISER PERMANENTE CENTRAL HOSPITAL Both | [Kaiser Foundation Health Plan Of Washington] | [Commercial] | $26.00 | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Wellsense Health Plan | Wellsense - Nh Managed Medicaid - Dhp | $26.46 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Amerihealth Caritas Nh | Amerihealth Caritas - Nh Managed Medicaid - Dhp | $26.46 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid - Dhp | $26.46 | — | — | 2026-05-08 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Commercial | — | — | — | 2026-05-14 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Coventry | — | — | — | 2026-05-23 | MRF ↗ |
| PENN HIGHLANDS MON VALLEY Outpatient | Aetna | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid Beh Health - Dhp | $26.97 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Granite State Health Plan | New Hampshire Healthy Families - Nh Managed Medicaid | $27.23 | — | — | 2026-05-08 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $27.55 | — | — | 2026-05-23 | MRF ↗ |
| CHESHIRE MEDICAL CENTER Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $27.55 | — | — | 2026-05-08 | MRF ↗ |
| MARY HITCHCOCK MEMORIAL HOSPITAL Outpatient | Unitedhealthcare | Uhc - Freedom Plan | $27.55 | — | — | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ROSEVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MODESTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL MANTECA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FRESNO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| San Leandro Hospital Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| SAN FRANCISCO VA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SAN JOSE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - VACAVILLE Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - WALNUT CREEK Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - FREMONT Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSP SO SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-08 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - ANTIOCH Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL AND REHAB CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - REDWOOD CITY Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-13 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| MT SAN RAFAEL HOSPITAL Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-09 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - SACRAMENTO Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-06 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-14 | MRF ↗ |
| KAISER FOUNDATION HOSPITAL-SANTA CLARA Both | [Kaiser Foundation Health Plan, Inc.] | [Commercial] | $28.00 | $84.00 | $47.04 | 2026-05-24 | 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.